Health and innovation: economic dynamics and Welfare State in Brazil

Detalhes bibliográficos
Autor(a) principal: Carlos Augusto Grabois Gadelha
Data de Publicação: 2016
Outros Autores: Patrícia Seixas da Costa Braga
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6217
Resumo: The effective enforcement of the access to healthcare as fundamental right requires an important theoretical and political effort at linking the often contradictory economic and social dimensions of development. This study suggests the need for a systemic view of policies related to the industrial base and innovation in health and the construction of the Brazilian Unified National Health System (SUS). The authors investigate the relations between health, innovation, and development, seeking to show and update the political, economic, and social determinants of the recent Brazilian experience with the Health Economic-Industrial Complex (HEIC). They discuss how the agenda for innovation and domestic industrial production in health gained a central place in the project for construction of the SUS. The article thus seeks to link inherent issues from the agenda for development, production, and innovation to social policy in healthcare, as observed in recent years, and based on this analysis, points to political and conceptual challenges for implementing the SUS, especially as regards strengthening its technological and industrial base. As a byproduct, the article develops an analytical and factual focus on the consolidation of the HEIC in Brazil, both as a dynamic vector of industrial development, generating investment, income, employment, and innovations, and as a decisive element for reducing vulnerability and structural dependence in health. The authors aim to show that strengthening the SUS and orienting it to social needs is an essential part of building a social Welfare State in Brazil.
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spelling Health and innovation: economic dynamics and Welfare State in BrazilSaúde e inovação: dinâmica econômica e Estado de Bem-Estar Social no BrasilNational Science, Technology and Innovation PolicyBiomedical TechnologyPublic PolicySustainable DevelopmentInnovationPolítica Nacional de Ciência, Tecnologia e InovaçãoTecnologia BiomédicaPolítica SocialDesenvolvimento SustentávelInovaçãoThe effective enforcement of the access to healthcare as fundamental right requires an important theoretical and political effort at linking the often contradictory economic and social dimensions of development. This study suggests the need for a systemic view of policies related to the industrial base and innovation in health and the construction of the Brazilian Unified National Health System (SUS). The authors investigate the relations between health, innovation, and development, seeking to show and update the political, economic, and social determinants of the recent Brazilian experience with the Health Economic-Industrial Complex (HEIC). They discuss how the agenda for innovation and domestic industrial production in health gained a central place in the project for construction of the SUS. The article thus seeks to link inherent issues from the agenda for development, production, and innovation to social policy in healthcare, as observed in recent years, and based on this analysis, points to political and conceptual challenges for implementing the SUS, especially as regards strengthening its technological and industrial base. As a byproduct, the article develops an analytical and factual focus on the consolidation of the HEIC in Brazil, both as a dynamic vector of industrial development, generating investment, income, employment, and innovations, and as a decisive element for reducing vulnerability and structural dependence in health. The authors aim to show that strengthening the SUS and orienting it to social needs is an essential part of building a social Welfare State in Brazil.La consideración efectiva de la salud como un derecho fundamental exige un importante esfuerzo, teórico y político, de articulación entre las dimensiones económicas y sociales, a veces contradictorias, del desarrollo. Este trabajo expone la necesidad de una análisis sistémico de las políticas relacionadas con la base productiva y de innovación en salud y la construcción del Sistema Único de Salud (SUS). Investiga las relaciones entre salud, innovación y desarrollo, buscando mostrar y actualizar los determinantes políticos, económicos y sociales de la experiencia brasileña reciente, relacionada con el Complejo Económico-Industrial de la Salud (CEIS). Muestra de qué forma la agenda de innovación y producción nacional en salud ha conseguido ser el centro en el proyecto de construcción del SUS. El artículo busca, de esta forma, relacionar cuestiones inherentes a la agenda del desarrollo, de la producción e innovación en salud con la política social en salud, tal y como se ha observado en los últimos años y, valiéndose de su análisis, apuntar los desafíos políticos y conceptuales para los logros efectivos del SUS, en especial, en lo que se refiere al fortalecimiento de su base tecnológica y productiva. Como desdoblamiento, desarrolla un enfoque analítico y de hechos que relaciona la consolidación del CEIS en Brasil, tanto como un vector dinámico del desarrollo industrial, generando inversión, renta, empleo e innovación, así como elemento decisivo para la reducción de la vulnerabilidad y de la dependencia estructural en salud. Procura mostrar que su fortalecimiento y direccionamiento hacia las necesidades sociales es parte esencial de la construcción de un Estado de Bienestar Social en Brasil.A efetivação da saúde como um direito fundamental exige importante esforço, teórico e político, de articulação das dimensões econômicas e sociais, por vezes contraditórias, do desenvolvimento. Este trabalho indica a necessidade de um olhar sistêmico das políticas relacionadas à base produtiva e de inovação em saúde e à construção do Sistema Único de Saúde (SUS). Investiga as relações entre saúde, inovação e desenvolvimento, buscando mostrar e atualizar os determinantes políticos, econômicos e sociais da experiência brasileira recente relacionada ao Complexo Econômico-Industrial da Saúde (CEIS). Mostra como a agenda da inovação e da produção nacional em saúde ganhou centralidade no projeto de construção do SUS. O artigo procura, assim, articular questões inerentes à agenda do desenvolvimento, da produção e da inovação com a política social em saúde, tal como observado nos últimos anos e, valendo-se de sua análise, aponta desafios políticos e conceituais para a efetivação do SUS, em especial no que se refere ao fortalecimento de sua base tecnológica e produtiva. Como desdobramento, desenvolve um enfoque analítico e factual que relaciona a consolidação do CEIS no Brasil tanto como um vetor dinâmico do desenvolvimento industrial, gerando investimento, renda, emprego e inovações, quanto como elemento decisivo para a redução da vulnerabilidade e da dependência estrutural em saúde. Procura mostrar que seu fortalecimento e direcionamento para as necessidades sociais é parte essencial da construção de um Estado de Bem-Estar Social no Brasi.Reports in Public HealthCadernos de Saúde Pública2016-11-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6217Reports in Public Health; Vol. 32 No. 14 (2016): Supplement 2Cadernos de Saúde Pública; v. 32 n. 14 (2016): Suplemento 21678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6217/13172https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6217/13173https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6217/13174https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6217/13175Carlos Augusto Grabois GadelhaPatrícia Seixas da Costa Bragainfo:eu-repo/semantics/openAccess2024-03-06T15:29:12Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6217Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:06.258248Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Health and innovation: economic dynamics and Welfare State in Brazil
Saúde e inovação: dinâmica econômica e Estado de Bem-Estar Social no Brasil
title Health and innovation: economic dynamics and Welfare State in Brazil
spellingShingle Health and innovation: economic dynamics and Welfare State in Brazil
Carlos Augusto Grabois Gadelha
National Science, Technology and Innovation Policy
Biomedical Technology
Public Policy
Sustainable Development
Innovation
Política Nacional de Ciência, Tecnologia e Inovação
Tecnologia Biomédica
Política Social
Desenvolvimento Sustentável
Inovação
title_short Health and innovation: economic dynamics and Welfare State in Brazil
title_full Health and innovation: economic dynamics and Welfare State in Brazil
title_fullStr Health and innovation: economic dynamics and Welfare State in Brazil
title_full_unstemmed Health and innovation: economic dynamics and Welfare State in Brazil
title_sort Health and innovation: economic dynamics and Welfare State in Brazil
author Carlos Augusto Grabois Gadelha
author_facet Carlos Augusto Grabois Gadelha
Patrícia Seixas da Costa Braga
author_role author
author2 Patrícia Seixas da Costa Braga
author2_role author
dc.contributor.author.fl_str_mv Carlos Augusto Grabois Gadelha
Patrícia Seixas da Costa Braga
dc.subject.por.fl_str_mv National Science, Technology and Innovation Policy
Biomedical Technology
Public Policy
Sustainable Development
Innovation
Política Nacional de Ciência, Tecnologia e Inovação
Tecnologia Biomédica
Política Social
Desenvolvimento Sustentável
Inovação
topic National Science, Technology and Innovation Policy
Biomedical Technology
Public Policy
Sustainable Development
Innovation
Política Nacional de Ciência, Tecnologia e Inovação
Tecnologia Biomédica
Política Social
Desenvolvimento Sustentável
Inovação
description The effective enforcement of the access to healthcare as fundamental right requires an important theoretical and political effort at linking the often contradictory economic and social dimensions of development. This study suggests the need for a systemic view of policies related to the industrial base and innovation in health and the construction of the Brazilian Unified National Health System (SUS). The authors investigate the relations between health, innovation, and development, seeking to show and update the political, economic, and social determinants of the recent Brazilian experience with the Health Economic-Industrial Complex (HEIC). They discuss how the agenda for innovation and domestic industrial production in health gained a central place in the project for construction of the SUS. The article thus seeks to link inherent issues from the agenda for development, production, and innovation to social policy in healthcare, as observed in recent years, and based on this analysis, points to political and conceptual challenges for implementing the SUS, especially as regards strengthening its technological and industrial base. As a byproduct, the article develops an analytical and factual focus on the consolidation of the HEIC in Brazil, both as a dynamic vector of industrial development, generating investment, income, employment, and innovations, and as a decisive element for reducing vulnerability and structural dependence in health. The authors aim to show that strengthening the SUS and orienting it to social needs is an essential part of building a social Welfare State in Brazil.
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dc.language.iso.fl_str_mv eng
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6217/13173
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6217/13174
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 32 No. 14 (2016): Supplement 2
Cadernos de Saúde Pública; v. 32 n. 14 (2016): Suplemento 2
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
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repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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