The Brazilian health system: history, advances, and challenges

Detalhes bibliográficos
Autor(a) principal: Paim, Jairnilson Silva
Data de Publicação: 2011
Outros Autores: Travassos, Claudia Maria de Rezende, Almeida, Celia Maria de, Bahia, Ligia, Macinko, James
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/18316
Resumo: Universidade Federal da Bahia. Salvador, BA, Brasil
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spelling Paim, Jairnilson SilvaTravassos, Claudia Maria de RezendeAlmeida, Celia Maria deBahia, LigiaMacinko, James2017-04-07T17:06:55Z2017-04-07T17:06:55Z2011PAIM, Jairnilson et al. The Brazilian health system: history, advances, and challenges. The Lancet, v. 377, n. 9779, p. 1778-1797, 2011.0099-5355https://www.arca.fiocruz.br/handle/icict/1831610.1016/S0140-6736(11)60054-8engElsevierhttps://www.arca.fiocruz.br/handle/icict/39643https://www.arca.fiocruz.br/handle/icict/39645Saúde no BrasilHistória da Saúde no BrasilBrasilBrasilSistemas de SaúdeHistóriaReforma dos Serviços de SaúdeDescentralizaçãoServiços de SaúdeThe Brazilian health system: history, advances, and challengesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal da Bahia. Salvador, BA, BrasilFundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Universidade de Nova York. Nova York, NY, EUA.Brazil is a country of continental dimensions with widespread regional and social inequalities. In this report, we examine the historical development and components of the Brazilian health system, focusing on the reform process during the past 40 years, including the creation of the Unified Health System. A defining characteristic of the contemporary health sector reform in Brazil is that it was driven by civil society rather than by governments, political parties, or international organisations. The advent of the Unified Health System increased access to health care for a substantial proportion of the Brazilian population, at a time when the system was becoming increasingly privatised. Much is still to be done if universal health care is to be achieved. Over the past 20 years, there have been other advances, including investments in human resources, science and technology, and primary care, and a substantial decentralisation process, widespread social participation, and growing public awareness of a right to health care. If the Brazilian health system is to overcome the challenges with which it is presently faced, strengthened political support is needed so that financing can be restructured and the roles of both the public and private sector can be redefined.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/18316/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALThe Brazilian_Celia Almeida_2011.pdfapplication/pdf4317699https://www.arca.fiocruz.br/bitstream/icict/18316/2/The%20Brazilian_Celia%20Almeida_2011.pdf71eef8e03284a54722d4050fd6580d19MD52TEXTThe Brazilian_Celia Almeida_2011.pdf.txtThe Brazilian_Celia Almeida_2011.pdf.txtExtracted texttext/plain515213https://www.arca.fiocruz.br/bitstream/icict/18316/3/The%20Brazilian_Celia%20Almeida_2011.pdf.txt8f3e97ddcbcb2f5abd77f6884159f2c1MD53icict/183162023-08-03 09:58:47.956oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-03T12:58:47Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv The Brazilian health system: history, advances, and challenges
title The Brazilian health system: history, advances, and challenges
spellingShingle The Brazilian health system: history, advances, and challenges
Paim, Jairnilson Silva
Saúde no Brasil
História da Saúde no Brasil
Brasil
Brasil
Sistemas de Saúde
História
Reforma dos Serviços de Saúde
Descentralização
Serviços de Saúde
title_short The Brazilian health system: history, advances, and challenges
title_full The Brazilian health system: history, advances, and challenges
title_fullStr The Brazilian health system: history, advances, and challenges
title_full_unstemmed The Brazilian health system: history, advances, and challenges
title_sort The Brazilian health system: history, advances, and challenges
author Paim, Jairnilson Silva
author_facet Paim, Jairnilson Silva
Travassos, Claudia Maria de Rezende
Almeida, Celia Maria de
Bahia, Ligia
Macinko, James
author_role author
author2 Travassos, Claudia Maria de Rezende
Almeida, Celia Maria de
Bahia, Ligia
Macinko, James
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Paim, Jairnilson Silva
Travassos, Claudia Maria de Rezende
Almeida, Celia Maria de
Bahia, Ligia
Macinko, James
dc.subject.other.pt_BR.fl_str_mv Saúde no Brasil
História da Saúde no Brasil
Brasil
topic Saúde no Brasil
História da Saúde no Brasil
Brasil
Brasil
Sistemas de Saúde
História
Reforma dos Serviços de Saúde
Descentralização
Serviços de Saúde
dc.subject.decs.pt_BR.fl_str_mv Brasil
Sistemas de Saúde
História
Reforma dos Serviços de Saúde
Descentralização
Serviços de Saúde
description Universidade Federal da Bahia. Salvador, BA, Brasil
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2017-04-07T17:06:55Z
dc.date.available.fl_str_mv 2017-04-07T17:06:55Z
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 PAIM, Jairnilson et al. The Brazilian health system: history, advances, and challenges. The Lancet, v. 377, n. 9779, p. 1778-1797, 2011.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/18316
dc.identifier.issn.pt_BR.fl_str_mv 0099-5355
dc.identifier.doi.none.fl_str_mv 10.1016/S0140-6736(11)60054-8
identifier_str_mv PAIM, Jairnilson et al. The Brazilian health system: history, advances, and challenges. The Lancet, v. 377, n. 9779, p. 1778-1797, 2011.
0099-5355
10.1016/S0140-6736(11)60054-8
url https://www.arca.fiocruz.br/handle/icict/18316
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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