Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988

Detalhes bibliográficos
Autor(a) principal: Falleti, Tulia G.
Data de Publicação: 2010
Outros Autores: Angeluci, Alan César Belo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Estudos de Sociologia
Texto Completo: https://periodicos.fclar.unesp.br/estudos/article/view/2970
Resumo: The article analyzes the institutional evolution of the health system that resulted in the universalization of coverage and municipalization in the provision of health services in Brazil. I argue that the process of transformation of the relationship between state and society in the context of the authoritarian State facilitated the infiltration of social reformers in the bureaucracy. These activists reoriented the authoritarian health policy by establishing new goals. In considering this case of institutional change, the paper uses a gradualist perspective to understand the institutional developments and alert the specialists of the subject about the inadequacy of the explanations that focus on prioritizing critical junctures or predetermined effects to explain the changes or institutional inertia.
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spelling Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988Infiltrando o Estado: a evolução da reforma da saúde no Brasil, 1964-1988Health care reformMunicipalizationSanitation movementInstitutional changeFederalism BrazilReforma dos serviços de saúdeMunicipalizaçãoMovimento sanitárioMudança institucionalFederalismo BrasilThe article analyzes the institutional evolution of the health system that resulted in the universalization of coverage and municipalization in the provision of health services in Brazil. I argue that the process of transformation of the relationship between state and society in the context of the authoritarian State facilitated the infiltration of social reformers in the bureaucracy. These activists reoriented the authoritarian health policy by establishing new goals. In considering this case of institutional change, the paper uses a gradualist perspective to understand the institutional developments and alert the specialists of the subject about the inadequacy of the explanations that focus on prioritizing critical junctures or predetermined effects to explain the changes or institutional inertia.O artigo analisa a evolução institucional do sistema de saúde que resultou na universalização da cobertura e na municipalização da provisão de serviços de saúde no Brasil. Eu argumento que o processo de transformação da relação entre Estado e sociedade no contexto do Estado autoritário facilitou a infi ltração de grupos sociais reformistas na burocracia estatal. Esses ativistas reorientaram a política de saúde autoritária através do estabelecimento de novos objetivos. Ao analisar este caso de mudança institucional, o artigo utiliza uma perspectiva gradualista para compreender a evolução institucional e alerta os estudiosos do tema sobre a inadequação de priorizar as explicações centradas em conjunturas críticas ou nos efeitos predeterminados para explicar as mudanças ou a inércia institucional.FCL-UNESP Laboratório Editorial2010-09-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.fclar.unesp.br/estudos/article/view/2970Estudos de Sociologia; v. 15 n. 29 (2010): Dossiê: Políticas públicas e as relações entre estado e sociedade1982-47181414-0144reponame:Estudos de Sociologiainstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporhttps://periodicos.fclar.unesp.br/estudos/article/view/2970/2712Copyright (c) 2010 Estudos de Sociologiainfo:eu-repo/semantics/openAccessFalleti, Tulia G.Angeluci, Alan César Belo2021-05-12T13:46:55Zoai:ojs.pkp.sfu.ca:article/2970Revistahttp://seer.fclar.unesp.br/estudosPUBhttp://seer.fclar.unesp.br/estudos/oaistraud.fclar@unesp.br||estudosdesociologia@fclar.unesp.br||maria.jardim@unesp.br1982-47181414-0144opendoar:2021-05-12T13:46:55Estudos de Sociologia - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988
Infiltrando o Estado: a evolução da reforma da saúde no Brasil, 1964-1988
title Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988
spellingShingle Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988
Falleti, Tulia G.
Health care reform
Municipalization
Sanitation movement
Institutional change
Federalism Brazil
Reforma dos serviços de saúde
Municipalização
Movimento sanitário
Mudança institucional
Federalismo Brasil
title_short Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988
title_full Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988
title_fullStr Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988
title_full_unstemmed Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988
title_sort Infiltrating the State: The evolution of health care reforms in Brazil, 1964-1988
author Falleti, Tulia G.
author_facet Falleti, Tulia G.
Angeluci, Alan César Belo
author_role author
author2 Angeluci, Alan César Belo
author2_role author
dc.contributor.author.fl_str_mv Falleti, Tulia G.
Angeluci, Alan César Belo
dc.subject.por.fl_str_mv Health care reform
Municipalization
Sanitation movement
Institutional change
Federalism Brazil
Reforma dos serviços de saúde
Municipalização
Movimento sanitário
Mudança institucional
Federalismo Brasil
topic Health care reform
Municipalization
Sanitation movement
Institutional change
Federalism Brazil
Reforma dos serviços de saúde
Municipalização
Movimento sanitário
Mudança institucional
Federalismo Brasil
description The article analyzes the institutional evolution of the health system that resulted in the universalization of coverage and municipalization in the provision of health services in Brazil. I argue that the process of transformation of the relationship between state and society in the context of the authoritarian State facilitated the infiltration of social reformers in the bureaucracy. These activists reoriented the authoritarian health policy by establishing new goals. In considering this case of institutional change, the paper uses a gradualist perspective to understand the institutional developments and alert the specialists of the subject about the inadequacy of the explanations that focus on prioritizing critical junctures or predetermined effects to explain the changes or institutional inertia.
publishDate 2010
dc.date.none.fl_str_mv 2010-09-24
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.fclar.unesp.br/estudos/article/view/2970
url https://periodicos.fclar.unesp.br/estudos/article/view/2970
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.fclar.unesp.br/estudos/article/view/2970/2712
dc.rights.driver.fl_str_mv Copyright (c) 2010 Estudos de Sociologia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2010 Estudos de Sociologia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv FCL-UNESP Laboratório Editorial
publisher.none.fl_str_mv FCL-UNESP Laboratório Editorial
dc.source.none.fl_str_mv Estudos de Sociologia; v. 15 n. 29 (2010): Dossiê: Políticas públicas e as relações entre estado e sociedade
1982-4718
1414-0144
reponame:Estudos de Sociologia
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Estudos de Sociologia
collection Estudos de Sociologia
repository.name.fl_str_mv Estudos de Sociologia - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv straud.fclar@unesp.br||estudosdesociologia@fclar.unesp.br||maria.jardim@unesp.br
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