Política publica de saúde: análise da agenda do Estado do Rio de Janeiro

• Autor(a) principal: Ferreira, Simone Cristina da Costa
• Data de Publicação: 2013
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/15887
• topic: Public policy; Access; Contrarreforma in health; Government agenda; Política de saúde - Rio de Janeiro (Estado); Saúde pública - Rio de Janeiro (Estado); Políticas públicas; Acesso; Contrarreforma na saúde; Agenda governamental; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

This thesis examines the health policy in Rio de Janeiro State, focusing on the structural changes produced by the adoption of a counter-reform based on neoliberal lines. Our analysis starts from the election of the Governor of Rio de Janeiro Sérgio Cabral in 2006. In a broader historical context , we seek to understand the processes that led to policy choices from the hegemony of neoliberal policy in Brazil in the 90s up to the current situation. From the analysis of the priorities of the state government centered on the adoption of new management models and their results, it is concluded , according to the financial and social point of view, that the proposed contrarreforma in health area continues directing the policy into a larger private sector participation in public sector, allowing the transfer of public resources to private entities. Nevertheless the efficiency of private management proved to be fallacious, the issues related to quality, efficiency and economy in health care used to justify ideologically the contrarreforma were not achieved. Instead of it, private management increased operating expenses in health and was unable to maintain a constant supply of services.