The decentralization of health services and activities by SUS in the city of Natal: democratization or privatization?

• Autor(a) principal: Borges, Djalma Freire
• Data de Publicação: 2002
• Outros Autores: Fernandes, Kaio César
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Administração Pública
• Texto Completo: https://periodicos.fgv.br/rap/article/view/6453
• topic: State reform; Unified Health System; decentralization; democratization; privatization.; reforma do Estado; Sistema Único de Saúde; descentralização; democratização; privatização.

This paper addresses the decentralization of health services financed by the Unified Health System (SUS) in the city of Natal initiated in the mid 90s. This decentralization primarily involved the transference of health services financed by SUS, which had previously been developed by the state of Rio Grande do Norte, to the city government of Natal. Based on the data gathered mainly from SUS¿ Ambulatory Information System (SIS/SUS), the authors attempted to verify to what extent this decentralization of health services provided by SUS in the city of Natal had improved public access to health services or, on the contrary, had resulted in a privatization process, implying more difficult access to those services.