Regionalization of health in Brazil: an analytical perspective
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2015 |
| Outros Autores: | , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng por |
| Título da fonte: | Repositório Institucional da UNESP |
| Texto Completo: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902015000200472&lng=pt&nrm=iso&tlng=en http://hdl.handle.net/11449/129337 |
Resumo: | This article aims to contribute to the debate on the SUS regionalization policy and the establishment of health regions in Brazil. Understanding them require to recognize the dichotomy between public health and individual health - which marks the history of Brazilian public health - and identify the different rationalities that lead this process. Such rationalities allow not only to consider the legacy of municipalization in the current regionalization process, as well as to establish links between the two fields of fundamental knowledge to the debate, epidemiology and geography. Clinical epidemiology, privileging individual health, gives basis to a healthcare model that prioritizes the optimization of resources. The recognition of health in its broader concept, in the social epidemiology, bases an attention model aimed at social determinants. With geography, functional regions can be formulated, based on Christaller's theory, or lablachianas regions which recognize the social loco / regional structure, allowing intervention in determining or conditioning the way of illness and death of populations. |
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Regionalization of health in Brazil: an analytical perspectiveRegionalization in healthHealth regionsMunicipalization in healthBrazilian national health systemThis article aims to contribute to the debate on the SUS regionalization policy and the establishment of health regions in Brazil. Understanding them require to recognize the dichotomy between public health and individual health - which marks the history of Brazilian public health - and identify the different rationalities that lead this process. Such rationalities allow not only to consider the legacy of municipalization in the current regionalization process, as well as to establish links between the two fields of fundamental knowledge to the debate, epidemiology and geography. Clinical epidemiology, privileging individual health, gives basis to a healthcare model that prioritizes the optimization of resources. The recognition of health in its broader concept, in the social epidemiology, bases an attention model aimed at social determinants. With geography, functional regions can be formulated, based on Christaller's theory, or lablachianas regions which recognize the social loco / regional structure, allowing intervention in determining or conditioning the way of illness and death of populations.Este artigo visa a contribuir com o debate sobre a política de regionalização do SUS e a constituição das regiões de saúde no Brasil. Compreendê-las pressupõe reconhecer a dicotomia entre saúde coletiva e saúde individual – que marca a história da saúde pública brasileira – e identificar as diferentes racionalidades que conduzem esse processo. Tais racionalidades permitem não apenas considerar o legado da municipalização no atual processo de regionalização, como também estabelecer nexos entre dois campos do conhecimento fundamentais para o debate, a epidemiologia e a geografia. A epidemiologia clínica, ao privilegiar a saúde individual, fundamenta um modelo assistencial que prioriza a otimização de recursos. O reconhecimento da saúde no seu conceito ampliado, na epidemiologia social, fundamenta um modelo de atenção voltado para os determinantes sociais. Com a geografia, podem-se formular regiões funcionais, baseadas na teoria de Christaller, ou regiões lablachianas, que reconhecem a estrutura social loco/regional, possibilitando a intervenção nos determinantes ou condicionantes da maneira de adoecer e morrer das populações.Secretaria do Estado de Saúde de São Paulo, Núcleo de Serviços e Sistemas de SaúdeUniversidade de São Paulo, Departamento de Medicina Social, Faculdade de Medicina de Ribeirão PretoUniversidade Estadual Paulista, Departamento de Geografia, Faculdade de Ciência e Tecnologia de Presidente PrudenteUniv Sao Paulo, Fac Saude PublicaSecretaria do Estado de Saúde de São PauloUniversidade Estadual Paulista (Unesp)Universidade de São Paulo (USP)Instituto Federal CatarinenseDuarte, Ligia SchiavonPessoto, Umberto CatarinoGuimarães, Raul Borges [UNESP]Heimann, Luiza StermanCarvalheiro, José da RochaCortizo, Carlos TatoRibeiro, Eduardo Augusto Werneck2015-10-21T20:52:25Z2015-10-21T20:52:25Z2015-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article472-484application/pdfapplication/pdfhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902015000200472&lng=pt&nrm=iso&tlng=enSaude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 24, n. 2, p. 472-484, 2015.0104-1290http://hdl.handle.net/11449/12933710.1590/S0104-12902015000200007S0104-12902015000200472WOS:000356869700009S0104-12902015000200472-en.pdfS0104-12902015000200472-pt.pdf80225274683694590000-0002-9925-5374Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporSaude E Sociedade0.5260,384info:eu-repo/semantics/openAccess2024-06-19T13:48:22Zoai:repositorio.unesp.br:11449/129337Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-06T00:09:19.286127Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
| dc.title.none.fl_str_mv |
Regionalization of health in Brazil: an analytical perspective |
| title |
Regionalization of health in Brazil: an analytical perspective |
| spellingShingle |
Regionalization of health in Brazil: an analytical perspective Duarte, Ligia Schiavon Regionalization in health Health regions Municipalization in health Brazilian national health system |
| title_short |
Regionalization of health in Brazil: an analytical perspective |
| title_full |
Regionalization of health in Brazil: an analytical perspective |
| title_fullStr |
Regionalization of health in Brazil: an analytical perspective |
| title_full_unstemmed |
Regionalization of health in Brazil: an analytical perspective |
| title_sort |
Regionalization of health in Brazil: an analytical perspective |
| author |
Duarte, Ligia Schiavon |
| author_facet |
Duarte, Ligia Schiavon Pessoto, Umberto Catarino Guimarães, Raul Borges [UNESP] Heimann, Luiza Sterman Carvalheiro, José da Rocha Cortizo, Carlos Tato Ribeiro, Eduardo Augusto Werneck |
| author_role |
author |
| author2 |
Pessoto, Umberto Catarino Guimarães, Raul Borges [UNESP] Heimann, Luiza Sterman Carvalheiro, José da Rocha Cortizo, Carlos Tato Ribeiro, Eduardo Augusto Werneck |
| author2_role |
author author author author author author |
| dc.contributor.none.fl_str_mv |
Secretaria do Estado de Saúde de São Paulo Universidade Estadual Paulista (Unesp) Universidade de São Paulo (USP) Instituto Federal Catarinense |
| dc.contributor.author.fl_str_mv |
Duarte, Ligia Schiavon Pessoto, Umberto Catarino Guimarães, Raul Borges [UNESP] Heimann, Luiza Sterman Carvalheiro, José da Rocha Cortizo, Carlos Tato Ribeiro, Eduardo Augusto Werneck |
| dc.subject.por.fl_str_mv |
Regionalization in health Health regions Municipalization in health Brazilian national health system |
| topic |
Regionalization in health Health regions Municipalization in health Brazilian national health system |
| description |
This article aims to contribute to the debate on the SUS regionalization policy and the establishment of health regions in Brazil. Understanding them require to recognize the dichotomy between public health and individual health - which marks the history of Brazilian public health - and identify the different rationalities that lead this process. Such rationalities allow not only to consider the legacy of municipalization in the current regionalization process, as well as to establish links between the two fields of fundamental knowledge to the debate, epidemiology and geography. Clinical epidemiology, privileging individual health, gives basis to a healthcare model that prioritizes the optimization of resources. The recognition of health in its broader concept, in the social epidemiology, bases an attention model aimed at social determinants. With geography, functional regions can be formulated, based on Christaller's theory, or lablachianas regions which recognize the social loco / regional structure, allowing intervention in determining or conditioning the way of illness and death of populations. |
| publishDate |
2015 |
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2015-10-21T20:52:25Z 2015-10-21T20:52:25Z 2015-04-01 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902015000200472&lng=pt&nrm=iso&tlng=en Saude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 24, n. 2, p. 472-484, 2015. 0104-1290 http://hdl.handle.net/11449/129337 10.1590/S0104-12902015000200007 S0104-12902015000200472 WOS:000356869700009 S0104-12902015000200472-en.pdf S0104-12902015000200472-pt.pdf 8022527468369459 0000-0002-9925-5374 |
| url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902015000200472&lng=pt&nrm=iso&tlng=en http://hdl.handle.net/11449/129337 |
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Saude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 24, n. 2, p. 472-484, 2015. 0104-1290 10.1590/S0104-12902015000200007 S0104-12902015000200472 WOS:000356869700009 S0104-12902015000200472-en.pdf S0104-12902015000200472-pt.pdf 8022527468369459 0000-0002-9925-5374 |
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eng por |
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eng por |
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Saude E Sociedade 0.526 0,384 |
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openAccess |
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472-484 application/pdf application/pdf |
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Univ Sao Paulo, Fac Saude Publica |
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Univ Sao Paulo, Fac Saude Publica |
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Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
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