Distribution of health facilities in Brazil: what model are we seeking?
Autor(a) principal: | |
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Data de Publicação: | 1998 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Administração Pública |
Texto Completo: | https://periodicos.fgv.br/rap/article/view/7777 |
Resumo: | Brazilian municipalities have been fundamental for the feasibility of the National Health System (SUS). This paper raises, in the last 170 years, the most important constitutional aspects of the municipalities' roles in relation to health and as part of the State. The 1984-92 period is detailed through the analysis of the distribution trend of Brazilian health facilities. In this period, the municipal districts have invested massively in all kind ofhealth facilities, being responsible, in 1992, for 61,6% of the health stations and for 74,8% of the health centers. The federal and state governments gradually decrease their participation on health facilities, while the private sector maintains the majority of the outpatient clinics and hospitals, reordering its participation in the hospital sector. The distribution dynamics of the health facilities has, over the time, several and distinct political and conjuncture determinants, the knowledge of which is indispensable for choosing better strategies and mechanisms to make the SUS more effective. |
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Distribution of health facilities in Brazil: what model are we seeking?Distribución de los establecimientos de salud en Brasil: cuál modelo de caminar?Distribuição dos estabelecimentos de saúde no Brasil: para qual modelo caminhamos?Brazilian constitutionshealth legislationhealth equipmentmunicipalizationUnified Health System.constituciones de Brasillegislación de saludestablecimientos de saludmunicipalizaciónSistema Único de Saludconstituições brasileiraslegislação de saúdeequipamentos de saúdemunicipalizaçãoSistema Único de Saúde.Brazilian municipalities have been fundamental for the feasibility of the National Health System (SUS). This paper raises, in the last 170 years, the most important constitutional aspects of the municipalities' roles in relation to health and as part of the State. The 1984-92 period is detailed through the analysis of the distribution trend of Brazilian health facilities. In this period, the municipal districts have invested massively in all kind ofhealth facilities, being responsible, in 1992, for 61,6% of the health stations and for 74,8% of the health centers. The federal and state governments gradually decrease their participation on health facilities, while the private sector maintains the majority of the outpatient clinics and hospitals, reordering its participation in the hospital sector. The distribution dynamics of the health facilities has, over the time, several and distinct political and conjuncture determinants, the knowledge of which is indispensable for choosing better strategies and mechanisms to make the SUS more effective.Os municípios brasileiros vêm-se constituindo em instâncias fundamentais para a viabilização do Sistema Único de Saúde. Este artigo aponta aspectos relevantes da construção histórico-constitucional do papel dos municípios na saúde e como parte do Estado, com maior detalhamento do período 1984-92, através da análise da tendência da distribuição dos equipamentosde saúde no Brasil. No período 1984-92, os maiores investimentos em equipamentos de saúde foram feitos pelos municípios, que, em 1992, eram responsáveis por 61,6% dos postos de saúde e 74,8% dos centros de saúde do país. A União e os estados vão gradualmente reduzindo sua participaçãoem estabelecimentos de saúde, enquanto o setor privado mantém sob seu controle a grande maioria dos ambulatórios e hospitais, embora venha redimensionando sua participação nos hospitais. A dinâmica dessa distribuição tem, ao longo do tempo, múltiplos e distintos determinantes conjunturais, cujo conhecimento é imprescindível para a definição de mecanismos eestratégias de implantação efetiva do SUS .Fundação Getulio Vargas (FGV EBAPE)1998-03-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.fgv.br/rap/article/view/7777Brazilian Journal of Public Administration; Vol. 32 No. 4 (1998); 7 a 25Revista de Administração Pública; Vol. 32 Núm. 4 (1998); 7 a 25Revista de Administração Pública; v. 32 n. 4 (1998); 7 a 251982-31340034-7612reponame:Revista de Administração Públicainstname:Fundação Getulio Vargas (FGV)instacron:FGVporhttps://periodicos.fgv.br/rap/article/view/7777/6377Scatena, João Henrique GurtlerTanaka, Oswaldo Yoshimiinfo:eu-repo/semantics/openAccess2013-03-22T20:59:17Zoai:ojs.periodicos.fgv.br:article/7777Revistahttps://ebape.fgv.br/publicacoes/rapONGhttps://old.scielo.br/oai/scielo-oai.php||rap@fgv.br1982-31340034-7612opendoar:2013-03-22T20:59:17Revista de Administração Pública - Fundação Getulio Vargas (FGV)false |
dc.title.none.fl_str_mv |
Distribution of health facilities in Brazil: what model are we seeking? Distribución de los establecimientos de salud en Brasil: cuál modelo de caminar? Distribuição dos estabelecimentos de saúde no Brasil: para qual modelo caminhamos? |
title |
Distribution of health facilities in Brazil: what model are we seeking? |
spellingShingle |
Distribution of health facilities in Brazil: what model are we seeking? Scatena, João Henrique Gurtler Brazilian constitutions health legislation health equipment municipalization Unified Health System. constituciones de Brasil legislación de salud establecimientos de salud municipalización Sistema Único de Salud constituições brasileiras legislação de saúde equipamentos de saúde municipalização Sistema Único de Saúde. |
title_short |
Distribution of health facilities in Brazil: what model are we seeking? |
title_full |
Distribution of health facilities in Brazil: what model are we seeking? |
title_fullStr |
Distribution of health facilities in Brazil: what model are we seeking? |
title_full_unstemmed |
Distribution of health facilities in Brazil: what model are we seeking? |
title_sort |
Distribution of health facilities in Brazil: what model are we seeking? |
author |
Scatena, João Henrique Gurtler |
author_facet |
Scatena, João Henrique Gurtler Tanaka, Oswaldo Yoshimi |
author_role |
author |
author2 |
Tanaka, Oswaldo Yoshimi |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Scatena, João Henrique Gurtler Tanaka, Oswaldo Yoshimi |
dc.subject.por.fl_str_mv |
Brazilian constitutions health legislation health equipment municipalization Unified Health System. constituciones de Brasil legislación de salud establecimientos de salud municipalización Sistema Único de Salud constituições brasileiras legislação de saúde equipamentos de saúde municipalização Sistema Único de Saúde. |
topic |
Brazilian constitutions health legislation health equipment municipalization Unified Health System. constituciones de Brasil legislación de salud establecimientos de salud municipalización Sistema Único de Salud constituições brasileiras legislação de saúde equipamentos de saúde municipalização Sistema Único de Saúde. |
description |
Brazilian municipalities have been fundamental for the feasibility of the National Health System (SUS). This paper raises, in the last 170 years, the most important constitutional aspects of the municipalities' roles in relation to health and as part of the State. The 1984-92 period is detailed through the analysis of the distribution trend of Brazilian health facilities. In this period, the municipal districts have invested massively in all kind ofhealth facilities, being responsible, in 1992, for 61,6% of the health stations and for 74,8% of the health centers. The federal and state governments gradually decrease their participation on health facilities, while the private sector maintains the majority of the outpatient clinics and hospitals, reordering its participation in the hospital sector. The distribution dynamics of the health facilities has, over the time, several and distinct political and conjuncture determinants, the knowledge of which is indispensable for choosing better strategies and mechanisms to make the SUS more effective. |
publishDate |
1998 |
dc.date.none.fl_str_mv |
1998-03-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.fgv.br/rap/article/view/7777 |
url |
https://periodicos.fgv.br/rap/article/view/7777 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.fgv.br/rap/article/view/7777/6377 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Fundação Getulio Vargas (FGV EBAPE) |
publisher.none.fl_str_mv |
Fundação Getulio Vargas (FGV EBAPE) |
dc.source.none.fl_str_mv |
Brazilian Journal of Public Administration; Vol. 32 No. 4 (1998); 7 a 25 Revista de Administração Pública; Vol. 32 Núm. 4 (1998); 7 a 25 Revista de Administração Pública; v. 32 n. 4 (1998); 7 a 25 1982-3134 0034-7612 reponame:Revista de Administração Pública instname:Fundação Getulio Vargas (FGV) instacron:FGV |
instname_str |
Fundação Getulio Vargas (FGV) |
instacron_str |
FGV |
institution |
FGV |
reponame_str |
Revista de Administração Pública |
collection |
Revista de Administração Pública |
repository.name.fl_str_mv |
Revista de Administração Pública - Fundação Getulio Vargas (FGV) |
repository.mail.fl_str_mv |
||rap@fgv.br |
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1798943767487578112 |