Health sector reform in Brazil: a case study of inequity

Detalhes bibliográficos
Autor(a) principal: Almeida, Celia
Data de Publicação: 2000
Outros Autores: Travassos, Claudia, Porto, Silvia, Labra, Maria Eliana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/26524
Resumo: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
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spelling Almeida, CeliaTravassos, ClaudiaPorto, SilviaLabra, Maria Eliana2018-05-21T15:17:54Z2018-05-21T15:17:54Z2000ALMEIDA, Celia et al. Health sector reform in Brazil: a case study of inequity. International Journal of Health Services, v. 30, n. 1, p. 129-162, 2000.0020-7314https://www.arca.fiocruz.br/handle/icict/265241541-4469engSAGE PublicationsServiços de SaúdeDisparidades nos Níveis de SaúdeHealth ServicesHealth Status DisparitiesHealth ServicesHealth Status DisparitiesHealth sector reform in Brazil: a case study of inequityinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Health sector reform in Brazil built the Unified Health System according to a dense body of administrative instruments for organizing decentralized service networks and institutionalizing a complex decision-making arena. This article focuses on the equity in health care services. Equity is defined as a principle governing distributive functions designed to reduce or offset socially unjust inequalities, and it is applied to evaluate the distribution of financial resources and the use of health services. Even though in the Constitution the term “equity” refers to equal opportunity of access for equal needs, the implemented policies have not guaranteed these rights. Underfunding, fiscal stress, and lack of priorities for the sector have contributed to a progressive deterioration of health care services, with continuing regressive tax collection and unequal distribution of financial resources among regions. The data suggest that despite regulatory measures to increase efficiency and reduce inequalities, delivery of health care services remains extremely unequal across the country. People in lower income groups experience more difficulties in getting access to health services. Utilization rates vary greatly by type of service among income groups, positions in the labor market, and levels of education.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/26524/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALHealthSectorReformBrazil.pdfHealthSectorReformBrazil.pdfapplication/pdf1390343https://www.arca.fiocruz.br/bitstream/icict/26524/2/HealthSectorReformBrazil.pdfd3a3300e1d29b6a3698559543dd3bef7MD52TEXTHealthSectorReformBrazil.pdf.txtHealthSectorReformBrazil.pdf.txtExtracted texttext/plain71860https://www.arca.fiocruz.br/bitstream/icict/26524/3/HealthSectorReformBrazil.pdf.txta6b84c7057b35e2b5d5ced6134fabfffMD53icict/265242023-01-12 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dc.title.pt_BR.fl_str_mv Health sector reform in Brazil: a case study of inequity
title Health sector reform in Brazil: a case study of inequity
spellingShingle Health sector reform in Brazil: a case study of inequity
Almeida, Celia
Serviços de Saúde
Disparidades nos Níveis de Saúde
Health Services
Health Status Disparities
Health Services
Health Status Disparities
title_short Health sector reform in Brazil: a case study of inequity
title_full Health sector reform in Brazil: a case study of inequity
title_fullStr Health sector reform in Brazil: a case study of inequity
title_full_unstemmed Health sector reform in Brazil: a case study of inequity
title_sort Health sector reform in Brazil: a case study of inequity
author Almeida, Celia
author_facet Almeida, Celia
Travassos, Claudia
Porto, Silvia
Labra, Maria Eliana
author_role author
author2 Travassos, Claudia
Porto, Silvia
Labra, Maria Eliana
author2_role author
author
author
dc.contributor.author.fl_str_mv Almeida, Celia
Travassos, Claudia
Porto, Silvia
Labra, Maria Eliana
dc.subject.other.pt_BR.fl_str_mv Serviços de Saúde
Disparidades nos Níveis de Saúde
topic Serviços de Saúde
Disparidades nos Níveis de Saúde
Health Services
Health Status Disparities
Health Services
Health Status Disparities
dc.subject.en.pt_BR.fl_str_mv Health Services
Health Status Disparities
dc.subject.decs.pt_BR.fl_str_mv Health Services
Health Status Disparities
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
publishDate 2000
dc.date.issued.fl_str_mv 2000
dc.date.accessioned.fl_str_mv 2018-05-21T15:17:54Z
dc.date.available.fl_str_mv 2018-05-21T15:17:54Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv ALMEIDA, Celia et al. Health sector reform in Brazil: a case study of inequity. International Journal of Health Services, v. 30, n. 1, p. 129-162, 2000.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/26524
dc.identifier.issn.pt_BR.fl_str_mv 0020-7314
dc.identifier.eissn.none.fl_str_mv 1541-4469
identifier_str_mv ALMEIDA, Celia et al. Health sector reform in Brazil: a case study of inequity. International Journal of Health Services, v. 30, n. 1, p. 129-162, 2000.
0020-7314
1541-4469
url https://www.arca.fiocruz.br/handle/icict/26524
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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