Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors
Autor(a) principal: | |
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Data de Publicação: | 1995 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Administração Pública |
Texto Completo: | https://periodicos.fgv.br/rap/article/view/8181 |
Resumo: | This paper aims to identify the new forms of action and participation in the public and private sectors after the implementation of the Single Health System in Brazil (SUS). Particular attention is given to the strategies developed by the private sector in order to increase its clkntele and to deal with the financiaI constraints imposed by the financing of health services by SUS. It is shown that if, on the one hand, these strategies have been innovatory in many ways, they collide in many aspects with the idea of a unified health system. A case study about strategies of a philanthropic hospital is taken more closely for analysis. As for the public sector, the study did not find meaningful changes in managerial practices, not even has it regulated the private sector due to financiai restraints. Thus, it is argued, if the health reform was favoured by a political conjuncture which helped its formulation, on the other hand, its implementation has been very much limited by the economic crisis. |
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Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectorsImplementación del sistema de salud: nuevas relaciones entre los sectores público y privado en BrasilImplementação do Sistema Único de Saúde: novos relacionamentos entre os setores público e privado no Brasilhealth systemdecentralization of public policieshealth reform.sistema de saluddescentralización de las políticas públicasla reforma de salud.sistema de saúdedescentralização de políticas públicasreforma sanitária.This paper aims to identify the new forms of action and participation in the public and private sectors after the implementation of the Single Health System in Brazil (SUS). Particular attention is given to the strategies developed by the private sector in order to increase its clkntele and to deal with the financiaI constraints imposed by the financing of health services by SUS. It is shown that if, on the one hand, these strategies have been innovatory in many ways, they collide in many aspects with the idea of a unified health system. A case study about strategies of a philanthropic hospital is taken more closely for analysis. As for the public sector, the study did not find meaningful changes in managerial practices, not even has it regulated the private sector due to financiai restraints. Thus, it is argued, if the health reform was favoured by a political conjuncture which helped its formulation, on the other hand, its implementation has been very much limited by the economic crisis.Identiticação de novas formas de ação e participação nos setores público e privado após a implementação do SUS no Brasil. Estratégias desenvolvidas pelo setor privado para aumentar a clientela e lidar com os constrangimentos financeiros impostos pelo financiamento dos serviços de saúde. Estudo de caso sobre estratégias desenvolvidas por um hospital filantrópico. A reforma na saúde tem sido extremamente limitada pela crise econômica.Fundação Getulio Vargas (FGV EBAPE)1995-04-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.fgv.br/rap/article/view/8181Brazilian Journal of Public Administration; Vol. 29 No. 3 (1995); 17 a 32Revista de Administração Pública; Vol. 29 Núm. 3 (1995); 17 a 32Revista de Administração Pública; v. 29 n. 3 (1995); 17 a 321982-31340034-7612reponame:Revista de Administração Públicainstname:Fundação Getulio Vargas (FGV)instacron:FGVporhttps://periodicos.fgv.br/rap/article/view/8181/6986Viana, Ana L.Queiroz, Marcos S.Ibanez, Nelsoninfo:eu-repo/semantics/openAccess2013-04-24T15:05:04Zoai:ojs.periodicos.fgv.br:article/8181Revistahttps://ebape.fgv.br/publicacoes/rapONGhttps://old.scielo.br/oai/scielo-oai.php||rap@fgv.br1982-31340034-7612opendoar:2013-04-24T15:05:04Revista de Administração Pública - Fundação Getulio Vargas (FGV)false |
dc.title.none.fl_str_mv |
Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors Implementación del sistema de salud: nuevas relaciones entre los sectores público y privado en Brasil Implementação do Sistema Único de Saúde: novos relacionamentos entre os setores público e privado no Brasil |
title |
Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors |
spellingShingle |
Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors Viana, Ana L. health system decentralization of public policies health reform. sistema de salud descentralización de las políticas públicas la reforma de salud. sistema de saúde descentralização de políticas públicas reforma sanitária. |
title_short |
Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors |
title_full |
Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors |
title_fullStr |
Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors |
title_full_unstemmed |
Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors |
title_sort |
Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors |
author |
Viana, Ana L. |
author_facet |
Viana, Ana L. Queiroz, Marcos S. Ibanez, Nelson |
author_role |
author |
author2 |
Queiroz, Marcos S. Ibanez, Nelson |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Viana, Ana L. Queiroz, Marcos S. Ibanez, Nelson |
dc.subject.por.fl_str_mv |
health system decentralization of public policies health reform. sistema de salud descentralización de las políticas públicas la reforma de salud. sistema de saúde descentralização de políticas públicas reforma sanitária. |
topic |
health system decentralization of public policies health reform. sistema de salud descentralización de las políticas públicas la reforma de salud. sistema de saúde descentralização de políticas públicas reforma sanitária. |
description |
This paper aims to identify the new forms of action and participation in the public and private sectors after the implementation of the Single Health System in Brazil (SUS). Particular attention is given to the strategies developed by the private sector in order to increase its clkntele and to deal with the financiaI constraints imposed by the financing of health services by SUS. It is shown that if, on the one hand, these strategies have been innovatory in many ways, they collide in many aspects with the idea of a unified health system. A case study about strategies of a philanthropic hospital is taken more closely for analysis. As for the public sector, the study did not find meaningful changes in managerial practices, not even has it regulated the private sector due to financiai restraints. Thus, it is argued, if the health reform was favoured by a political conjuncture which helped its formulation, on the other hand, its implementation has been very much limited by the economic crisis. |
publishDate |
1995 |
dc.date.none.fl_str_mv |
1995-04-24 |
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/8181 |
url |
https://periodicos.fgv.br/rap/article/view/8181 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.fgv.br/rap/article/view/8181/6986 |
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. 29 No. 3 (1995); 17 a 32 Revista de Administração Pública; Vol. 29 Núm. 3 (1995); 17 a 32 Revista de Administração Pública; v. 29 n. 3 (1995); 17 a 32 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 |
_version_ |
1798943768324341760 |