THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZIL

Detalhes bibliográficos
Autor(a) principal: Luiz Pase, Hemerson
Data de Publicação: 2023
Outros Autores: Dupuy Patella, Ana Paula, Rodrigo Santos, Everton
Tipo de documento: Artigo
Idioma: por
Título da fonte: Caderno CRH
Texto Completo: https://periodicos.ufba.br/index.php/crh/article/view/31794
Resumo: The right to health is an inherent basis for the dignity of the human person. However, the increasing difficulty of access to public services of this nature is evident, leading citizens to routinely appeal to the judiciary to see their rights guaranteed. Faced with this, the following question arises: why is the  Judiciary so active in resolving public  health issues that the Executive is responsible for executing? In order to answer the problem, our hypothesis is that there is an incongruity between the institutionalization of the powers of the federated entities and the budget composition, which impedes the implementation of public health policies. The objective is to clarify the distribution of powers and revenues among the federated entities to analyze the possible relation of their incompatibility with the administrativeinefficiency of the State. The analysis begins with an explanation of the legislation applicable to the Unified Health System, to explain the way ofoperationalization and the division of competencies by health services among the federated entities. After that, the study on the feasibility of costing public health in Brazil, clarifying the sources of revenue and the percentages of participation of theentities in the national tax collection. Finally, the analysis confirms the hypothesis.  
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spelling THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZILLE PACTE FÉDÉRATIF ET LA MISE EN OEUVRE DE LA POLITIQUE DE SANTÉ PUBLIQUE AU BRÉSILO PACTO FEDERATIVO E A IMPLEMENTAÇÃO DA POLÍTICA PÚBLICA DE SAÚDE NO BRASILPolíticas públicassaúdejudicializaçãoBrasilpolíticas públicasPublic policyHealthJudicializationstate capacityBrazilPolitiques publiquesSantéLa judiciarisationcapacité de l’ÉtatBrésilThe right to health is an inherent basis for the dignity of the human person. However, the increasing difficulty of access to public services of this nature is evident, leading citizens to routinely appeal to the judiciary to see their rights guaranteed. Faced with this, the following question arises: why is the  Judiciary so active in resolving public  health issues that the Executive is responsible for executing? In order to answer the problem, our hypothesis is that there is an incongruity between the institutionalization of the powers of the federated entities and the budget composition, which impedes the implementation of public health policies. The objective is to clarify the distribution of powers and revenues among the federated entities to analyze the possible relation of their incompatibility with the administrativeinefficiency of the State. The analysis begins with an explanation of the legislation applicable to the Unified Health System, to explain the way ofoperationalization and the division of competencies by health services among the federated entities. After that, the study on the feasibility of costing public health in Brazil, clarifying the sources of revenue and the percentages of participation of theentities in the national tax collection. Finally, the analysis confirms the hypothesis.  Le droit à la santé est un fondement inhérent à la dignité de la personne humaine, cependant, la difficulté croissante de la population à accéderaux services publics de cette nature est notoire, amenant les citoyens à faire systématiquement appel à la Justice. Face à cela, la question suivante se pose : pourquoi le pouvoir judiciaire est-il ainsi appelé à résoudre des problèmes de santé publique dont la responsabilité d’exécution incombe aupouvoir exécutif ? Visant à répondre au problème, notre hypothèse est qu’il existe une incohérence entre  l’institutionnalisation des pouvoirs desentités fédérales et la composition du budget, qui empêche la mise en  oeuvre des politiques de santé publique. L’objectif est de clarifier la répartition des compétences et des revenus entre les entités fédérées pour analyser le rapport éventuel de leurincompatibilité avec l’inefficacité administrative de l’Etat. L’analyse commence par la présentationde la législation applicable au Système Unifié de Santé, afin d’expliquer son opérationnalisation et la répartition des compétences des services de santéentre les entités fédérées. Après cela, une étude est réalisée sur la faisabilité du financement de la santé publique au Brésil, clarifiant les sources de revenus et les pourcentages de participation des entités à la collecte des impôts nationaux. O direito à saúde é fundamento inerente à dignidade da pessoa humana, no entanto, é notória a dificuldade crescente de acesso da população aos serviços públicos dessa natureza, levando os cidadãos rotineiramente a apelar ao Poder Judiciário. Diante disso surge o seguinte questionamento: por que o Poder Judiciário é tão acionado para resolver questões de saúde pública cuja responsabilidade pela execução é do Poder Executivo? Visando responder ao problema, nossa hipótese é que há uma incongruência entre a institucionalização das competências dos entes federados e a composição orçamentária, que impede a implementação das políticas públicas de saúde. Objetiva-se esclarecer as repartições de competências e de receitas entre os entes federados para analisar a possível relação da sua incompatibilidade com a ineficiência administrativa do Estado. A análise inicia-se pela apresentação da legislação aplicável ao Sistema Único de Saúde, para explicitar a forma de operacionalização e a divisão de competências pelas prestações de saúde entre os entes federados. Depois disso, é realizado o estudo acerca da viabilidade de custeio da saúde pública no Brasil, esclarecendo as fontes de receita e as porcentagens de participação dos entes na arrecadação tributária nacional.  Universidade Federal da Bahia2023-10-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Avaliado pelos pares"comparadaapplication/pdfhttps://periodicos.ufba.br/index.php/crh/article/view/3179410.9771/ccrh.v36i0.31794Caderno CRH; v. 36 (2023): Publicação Contínua; e0230131983-82390103-4979reponame:Caderno CRHinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAporhttps://periodicos.ufba.br/index.php/crh/article/view/31794/30868Copyright (c) 2023 Caderno CRHhttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLuiz Pase, HemersonDupuy Patella, Ana Paula Rodrigo Santos, Everton2023-05-19T18:53:14Zoai:ojs.periodicos.ufba.br:article/31794Revistahttps://portalseer.ufba.br/index.php/crh/about/editorialPolicies#custom-0PUBhttps://old.scielo.br/oai/scielo-oai.phprevcrh@ufba.br||revcrh@ufba.br1983-82390103-4979opendoar:2023-05-19T18:53:14Caderno CRH - Universidade Federal da Bahia (UFBA)false
dc.title.none.fl_str_mv THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZIL
LE PACTE FÉDÉRATIF ET LA MISE EN OEUVRE DE LA POLITIQUE DE SANTÉ PUBLIQUE AU BRÉSIL
O PACTO FEDERATIVO E A IMPLEMENTAÇÃO DA POLÍTICA PÚBLICA DE SAÚDE NO BRASIL
title THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZIL
spellingShingle THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZIL
Luiz Pase, Hemerson
Políticas públicas
saúde
judicialização
Brasil
políticas públicas
Public policy
Health
Judicialization
state capacity
Brazil
Politiques publiques
Santé
La judiciarisation
capacité de l’État
Brésil
title_short THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZIL
title_full THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZIL
title_fullStr THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZIL
title_full_unstemmed THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZIL
title_sort THE FEDERATIVE AGREEMENT AND THE IMPLEMENTATION OF PUBLIC HEALTH POLICY IN BRAZIL
author Luiz Pase, Hemerson
author_facet Luiz Pase, Hemerson
Dupuy Patella, Ana Paula
Rodrigo Santos, Everton
author_role author
author2 Dupuy Patella, Ana Paula
Rodrigo Santos, Everton
author2_role author
author
dc.contributor.author.fl_str_mv Luiz Pase, Hemerson
Dupuy Patella, Ana Paula
Rodrigo Santos, Everton
dc.subject.por.fl_str_mv Políticas públicas
saúde
judicialização
Brasil
políticas públicas
Public policy
Health
Judicialization
state capacity
Brazil
Politiques publiques
Santé
La judiciarisation
capacité de l’État
Brésil
topic Políticas públicas
saúde
judicialização
Brasil
políticas públicas
Public policy
Health
Judicialization
state capacity
Brazil
Politiques publiques
Santé
La judiciarisation
capacité de l’État
Brésil
description The right to health is an inherent basis for the dignity of the human person. However, the increasing difficulty of access to public services of this nature is evident, leading citizens to routinely appeal to the judiciary to see their rights guaranteed. Faced with this, the following question arises: why is the  Judiciary so active in resolving public  health issues that the Executive is responsible for executing? In order to answer the problem, our hypothesis is that there is an incongruity between the institutionalization of the powers of the federated entities and the budget composition, which impedes the implementation of public health policies. The objective is to clarify the distribution of powers and revenues among the federated entities to analyze the possible relation of their incompatibility with the administrativeinefficiency of the State. The analysis begins with an explanation of the legislation applicable to the Unified Health System, to explain the way ofoperationalization and the division of competencies by health services among the federated entities. After that, the study on the feasibility of costing public health in Brazil, clarifying the sources of revenue and the percentages of participation of theentities in the national tax collection. Finally, the analysis confirms the hypothesis.  
publishDate 2023
dc.date.none.fl_str_mv 2023-10-27
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Avaliado pelos pares"
comparada
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufba.br/index.php/crh/article/view/31794
10.9771/ccrh.v36i0.31794
url https://periodicos.ufba.br/index.php/crh/article/view/31794
identifier_str_mv 10.9771/ccrh.v36i0.31794
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.ufba.br/index.php/crh/article/view/31794/30868
dc.rights.driver.fl_str_mv Copyright (c) 2023 Caderno CRH
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Caderno CRH
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal da Bahia
publisher.none.fl_str_mv Universidade Federal da Bahia
dc.source.none.fl_str_mv Caderno CRH; v. 36 (2023): Publicação Contínua; e023013
1983-8239
0103-4979
reponame:Caderno CRH
instname:Universidade Federal da Bahia (UFBA)
instacron:UFBA
instname_str Universidade Federal da Bahia (UFBA)
instacron_str UFBA
institution UFBA
reponame_str Caderno CRH
collection Caderno CRH
repository.name.fl_str_mv Caderno CRH - Universidade Federal da Bahia (UFBA)
repository.mail.fl_str_mv revcrh@ufba.br||revcrh@ufba.br
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