Brazilian State reform: social healthcare organizations

• Autor(a) principal: Junior, Nivaldo Carneiro
• Data de Publicação: 2003
• Outros Autores: Elias, Paulo Eduardo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Administração Pública
• Texto Completo: https://periodicos.fgv.br/rap/article/view/6484
• topic: State reform; public management; social organizations; public policies; health sector reform.; reforma do Estado; gestão pública; organizações sociais; políticas públicas; reforma do setor saúde.

Social organizations (SOs) are strategic institutional innovations of the Brazilian State reform because they allow the redefinition of the State’s role and size through the participation of the civilian society in rendering social services. They also follow the decentralization guidelines of the State reform movement’s ideology, which has taken different shapes in each country. TheSOs are considered a device for changing public management patterns, as they establish a management contract between both parts, thus allowing assessment and control over the agreed results, a requirement of managerial administration. The OS institutional model has been implemented since 1998. Several Brazilian states have approved and enforced legislation ondifferent social areas. São Paulo, for example, has created social healthcare organizations (SHOs). This paper analyzes that initiative in the perspective of the State’s health sector reform, discussing its potential for public health management.