Quem vai cuidar? Formação de agenda e tomada de decisão na construção do Sistema Integrado de Cuidados do Uruguai.

• Autor(a) principal: Bonfim, Symone Maria Machado
• Data de Publicação: 2018
• 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/1/12489
• topic: Ageing; Long-term care; Multiple Streams Framework; Uruguay; Envelhecimento; Cuidados de longa duração; Multiple Streams Framework; Uruguai; CNPQ::CIENCIAS HUMANAS

The goal of this thesis is to clearly lay out the agenda building and public policy formulation processes. In that sense I investigated the Uruguayan long term care policy for people in a state of dependence when it comes to perform everyday life activities. That choice was made because Uruguay was the first latin american country to pass a bill of that nature from a contemporary perspective, which assumes that population aging is a new social risk to be incorporated into welfare systems. The investigation allowed for the empirical application of a modified Multiple Streams Framework (MSF), which proved to be a satisfactory approach to explaining public policy change in Uruguay. By applying the process tracing method to the case study, I was able to test and confirm the presence of causal mechanisms of MSF. I reached the conclusion that, diversely from what happened in policy reforms in developed countries, the feminist movement was the main pressure group pushing for the inclusion of a right to long term care in the social welfare network, as well as the design of a provision system based in the co-responsibility of family, state, civil society and the private sector. The long term care deficit, coming from sociodemographic changes that widened the inequity between genders; the presentation of a proposal to create a care system for children from 0-3 years old, disabled people and the elderly, with a gender perspective; the rise and maintenance of a center-left party (Frente Amplio) in power, holding a parliamentary majority; and the action of Red Género y Familia as a feminist entrepreneur civil organization allowed for the rise of this matter to the political agenda and the subsequent passing of Law n. 19.353/2015, which instates the Nacional Integrated Care System.