The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian case
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://www.scielo.br/scielo.php?pid=S0104-12902015000100009&script=sci_arttext&tlng=es http://hdl.handle.net/11449/129336 |
Resumo: | This article is the result of a narrative literature review. The objective is to show the development of an overview on the ideological debate on the design of state health policies. We argue that the role of the state in the development of health policy, even under the pressure of the global market, may create alternatives to promote and drive economic and social development, meaning they are not subject to economic constraints imposed by the liberal ideal of market. Here is a part of a theoretical discussion about the construction and presence of the State in Latin America, particularly in Brazil. We take the approaches of the Marxist tradition and liberal to the issue as reference. This discussion allows us to understand the historical role of the state in the maintenance of social policies, specifically health, is an alternative to public control eases the intense capital mobility promoted by economic globalization. In this sense, the theme makes the Brazilian health an important issue of social sciences, why is the historicity of the construction of the Brazilian health system, as a public policy that can mirror the actual reconstruction of the institutional framework of the Brazilian state with the establishment instances of negotiation between the various spheres of power that strengthen the state in this process of democratization of Brazilian society. |
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The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian caseStatePublic health policyPolicy innovationPublic managementThis article is the result of a narrative literature review. The objective is to show the development of an overview on the ideological debate on the design of state health policies. We argue that the role of the state in the development of health policy, even under the pressure of the global market, may create alternatives to promote and drive economic and social development, meaning they are not subject to economic constraints imposed by the liberal ideal of market. Here is a part of a theoretical discussion about the construction and presence of the State in Latin America, particularly in Brazil. We take the approaches of the Marxist tradition and liberal to the issue as reference. This discussion allows us to understand the historical role of the state in the maintenance of social policies, specifically health, is an alternative to public control eases the intense capital mobility promoted by economic globalization. In this sense, the theme makes the Brazilian health an important issue of social sciences, why is the historicity of the construction of the Brazilian health system, as a public policy that can mirror the actual reconstruction of the institutional framework of the Brazilian state with the establishment instances of negotiation between the various spheres of power that strengthen the state in this process of democratization of Brazilian society.Este artigo é resultado de uma revisão bibliográfica narrativa, visando o desenvolvimento de um panorama acerca do debate ideológico sobre a concepção de Estado nas políticas de saúde. Nele, argumentamos que o papel do Estado brasileiro no desenvolvimento da política de saúde, mesmo sob a pressão do mercado globalizado, pode criar alternativas para promover e direcionar o desenvolvimento econômico e social, e que isso não significa submeter-se às restrições econômicas impostas pelo ideal liberal de mercado. Apresentamos parte de uma discussão teórica acerca da construção e presença do Estado na América Latina e, particularmente, no Brasil, tomando como referências as abordagens da tradição marxista e da liberal sobre a questão. Essa discussão permite-nos entender que o papel histórico do Estado na manutenção de políticas públicas sociais, especificamente as de saúde, é uma alternativa para que o controle público amenize a intensa mobilidade de capital promovida pela globalização econômica. Nesse sentido, o tema torna a saúde nacional uma questão importante das Ciências Sociais, por que é na historicidade da construção do sistema de saúde brasileiro, como política pública, que se pode espelhar a própria reconstrução do arcabouço institucional do Estado brasileiro, com a instauração de instâncias de negociação entre as diversas esferas de poder que fortalecem esse mesmo Estado no processo de redemocratização da sociedade brasileira.Municipal Hlth Dept Sao Paulo, Hlth Inst, Sao Paulo, SP, BrazilCatarinense Fed Inst, Sao Francisco Do Sul, SC, BrazilSao Paulo State Univ, Dept Geog, Presidente Prudente, SP, BrazilUniversidade Estadual Paulista. Departamento de Geografia. Presidente Prudente, SP, BrasilUniv Sao Paulo, Fac Saude PublicaMunicipal Hlth Dept Sao PauloInstituto Federal CatarinenseUniversidade Estadual Paulista (Unesp)Pessoto, Umberto CatarinoWerneck Ribeiro, Eduardo AugustoGuimaraes, Raul Borges [UNESP]2015-10-21T20:52:17Z2015-10-21T20:52:17Z2015-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1-13application/pdfapplication/pdfhttp://www.scielo.br/scielo.php?pid=S0104-12902015000100009&script=sci_arttext&tlng=esSaude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 24, n. 1, p. 1-13, 2015.0104-1290http://hdl.handle.net/11449/12933610.1590/S0104-12902015000100001S0104-12902015000100009WOS:000354967300002S0104-12902015000100009-pt.pdfS0104-12902015000100009-en.pdf8022527468369459Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporengSaude E Sociedade0.5260,384info:eu-repo/semantics/openAccess2024-06-19T13:48:06Zoai:repositorio.unesp.br:11449/129336Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T17:39:37.509106Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian case |
title |
The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian case |
spellingShingle |
The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian case Pessoto, Umberto Catarino State Public health policy Policy innovation Public management |
title_short |
The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian case |
title_full |
The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian case |
title_fullStr |
The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian case |
title_full_unstemmed |
The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian case |
title_sort |
The role of the state in health public policies: an overview of the debate on the concept of State and the Brazilian case |
author |
Pessoto, Umberto Catarino |
author_facet |
Pessoto, Umberto Catarino Werneck Ribeiro, Eduardo Augusto Guimaraes, Raul Borges [UNESP] |
author_role |
author |
author2 |
Werneck Ribeiro, Eduardo Augusto Guimaraes, Raul Borges [UNESP] |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Municipal Hlth Dept Sao Paulo Instituto Federal Catarinense Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Pessoto, Umberto Catarino Werneck Ribeiro, Eduardo Augusto Guimaraes, Raul Borges [UNESP] |
dc.subject.por.fl_str_mv |
State Public health policy Policy innovation Public management |
topic |
State Public health policy Policy innovation Public management |
description |
This article is the result of a narrative literature review. The objective is to show the development of an overview on the ideological debate on the design of state health policies. We argue that the role of the state in the development of health policy, even under the pressure of the global market, may create alternatives to promote and drive economic and social development, meaning they are not subject to economic constraints imposed by the liberal ideal of market. Here is a part of a theoretical discussion about the construction and presence of the State in Latin America, particularly in Brazil. We take the approaches of the Marxist tradition and liberal to the issue as reference. This discussion allows us to understand the historical role of the state in the maintenance of social policies, specifically health, is an alternative to public control eases the intense capital mobility promoted by economic globalization. In this sense, the theme makes the Brazilian health an important issue of social sciences, why is the historicity of the construction of the Brazilian health system, as a public policy that can mirror the actual reconstruction of the institutional framework of the Brazilian state with the establishment instances of negotiation between the various spheres of power that strengthen the state in this process of democratization of Brazilian society. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-10-21T20:52:17Z 2015-10-21T20:52:17Z 2015-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://www.scielo.br/scielo.php?pid=S0104-12902015000100009&script=sci_arttext&tlng=es Saude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 24, n. 1, p. 1-13, 2015. 0104-1290 http://hdl.handle.net/11449/129336 10.1590/S0104-12902015000100001 S0104-12902015000100009 WOS:000354967300002 S0104-12902015000100009-pt.pdf S0104-12902015000100009-en.pdf 8022527468369459 |
url |
http://www.scielo.br/scielo.php?pid=S0104-12902015000100009&script=sci_arttext&tlng=es http://hdl.handle.net/11449/129336 |
identifier_str_mv |
Saude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 24, n. 1, p. 1-13, 2015. 0104-1290 10.1590/S0104-12902015000100001 S0104-12902015000100009 WOS:000354967300002 S0104-12902015000100009-pt.pdf S0104-12902015000100009-en.pdf 8022527468369459 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
Saude E Sociedade 0.526 0,384 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1-13 application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Univ Sao Paulo, Fac Saude Publica |
publisher.none.fl_str_mv |
Univ Sao Paulo, Fac Saude Publica |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
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Universidade Estadual Paulista (UNESP) |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
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