Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Direito Sanitário (Online) |
Texto Completo: | https://www.revistas.usp.br/rdisan/article/view/152586 |
Resumo: | The legal regulation of health professions in Brazil is composed by a set of broad, complex and fragmented norms, based on the Federal Constitution of 1988 (CF 88) and complemented by an extensive amount of laws, decrees, ordinances, and mainly resolutions issued by the professional councils. This article aims to identify the main legal frameworks that structure the regulation of professional practice in the Brazilian health sector, using the results to outline a model of regulation of the Health Professions in Brazil. The method used was normative and jurisprudential research followed by a qualitative analysis of the selected data. Based on the current laws, we first identified the different state institutions with legal competence to regulate the health professions in Brazil and the main edited norms for that purpose. Next, we searched for the regulatory conflicts brought by these institutions before the higher courts. The analysis of the selected laws and decisions allowed the characterization of what we call the Brazilian Health Professions Regulation Model, with the identification and analysis of the different state regulatory institutions and the main current norms that regulate the 14 health professions recognized by the National Health Council. The results presented in this article outline the current Model of Regulation of Health Professions in force in Brazil and contribute to the deepening of knowledge on the subject, allowing reflections for the improvement of the current Brazilian legal-institutional model. |
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Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvementRegulação do exercício de profissões de saúde: fragmentação e complexidade do modelo regulatório brasileiro e desafios para seu aperfeiçoamentoHealth LawHealth ProfessionsHealth Professions RegulationHealth RegulationRegulatory ModelDireito SanitárioModelo RegulatórioProfissões de SaúdeRegulação da SaúdeRegulação das Profissões de SaúdeThe legal regulation of health professions in Brazil is composed by a set of broad, complex and fragmented norms, based on the Federal Constitution of 1988 (CF 88) and complemented by an extensive amount of laws, decrees, ordinances, and mainly resolutions issued by the professional councils. This article aims to identify the main legal frameworks that structure the regulation of professional practice in the Brazilian health sector, using the results to outline a model of regulation of the Health Professions in Brazil. The method used was normative and jurisprudential research followed by a qualitative analysis of the selected data. Based on the current laws, we first identified the different state institutions with legal competence to regulate the health professions in Brazil and the main edited norms for that purpose. Next, we searched for the regulatory conflicts brought by these institutions before the higher courts. The analysis of the selected laws and decisions allowed the characterization of what we call the Brazilian Health Professions Regulation Model, with the identification and analysis of the different state regulatory institutions and the main current norms that regulate the 14 health professions recognized by the National Health Council. The results presented in this article outline the current Model of Regulation of Health Professions in force in Brazil and contribute to the deepening of knowledge on the subject, allowing reflections for the improvement of the current Brazilian legal-institutional model.A regulação jurídica das profissões de saúde no Brasil é composta por um conjunto normativo amplo, complexo e fragmentado, que encontra sua base na Constituição Federal de 1988 e se complementa por uma extensa quantidade de leis, decretos, portarias e, principalmente, resoluções editadas pelos conselhos profissionais. O presente artigo tem como objetivo identificar os principais marcos legais que estruturam a regulação do exercício profissional no setor da saúde brasileiro, delineando, a partir dos resultados obtidos, o modelo de regulação do exercício de profissões de saúde no brasil. o método utilizado foi de pesquisa normativa e jurisprudencial, com análise qualitativa dos dados selecionados. A partir das leis atualmente vigentes, foram identificadas as diferentes instituições estatais com competência legal para regular as profissões de saúde no Brasil e as principais normas editadas para a regulação das profissões de saúde. Em seguida, buscaram-se conflitos regulatórios judicializados por essas instituições e levados até os tribunais superiores. A análise das leis e decisões selecionadas permitiu a caracterização do que denominamos Modelo de Regulação de Profissões de Saúde Brasileiro, com a identificação e análise das diferentes instituições estatais reguladoras e das principais normas vigentes que regulam as 14 profissões de saúde reconhecidas pelo Conselho Nacional de Saúde. Os resultados apresentados neste artigo delineiam o atual modelo de regulação de profissões de saúde vigente no Brasil e contribuem para o aprofundamento dos conhecimentos sobre o tema, possibilitando reflexões para o aperfeiçoamento do atual modelo jurídico-institucional brasileiro.Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário2018-12-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed ArticleAVALIADOS PELOS PARESapplication/pdfhttps://www.revistas.usp.br/rdisan/article/view/15258610.11606/issn.2316-9044.v19i2p198-218Revista de Direito Sanitário; v. 19 n. 2 (2018); 198-218Journal of Health Law; Vol. 19 No. 2 (2018); 198-218Revista de Direito Sanitário; Vol. 19 Núm. 2 (2018); 198-2182316-9044reponame:Revista de Direito Sanitário (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rdisan/article/view/152586/149075Copyright (c) 2018 Revista de Direito Sanitárioinfo:eu-repo/semantics/openAccessAith, Fernando Mussa AbujamraGermani, Ana Claudia CamargoBalbinot, RachelleDallari, Sueli Gandolfi2020-09-29T15:57:52Zoai:revistas.usp.br:article/152586Revistahttps://www.revistas.usp.br/rdisanPUBhttp://www.revistas.usp.br/rdisan/oaisdallari@usp.br||revdisan@usp.br2316-90441516-4179opendoar:2020-09-29T15:57:52Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement Regulação do exercício de profissões de saúde: fragmentação e complexidade do modelo regulatório brasileiro e desafios para seu aperfeiçoamento |
title |
Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement |
spellingShingle |
Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement Aith, Fernando Mussa Abujamra Health Law Health Professions Health Professions Regulation Health Regulation Regulatory Model Direito Sanitário Modelo Regulatório Profissões de Saúde Regulação da Saúde Regulação das Profissões de Saúde |
title_short |
Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement |
title_full |
Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement |
title_fullStr |
Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement |
title_full_unstemmed |
Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement |
title_sort |
Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement |
author |
Aith, Fernando Mussa Abujamra |
author_facet |
Aith, Fernando Mussa Abujamra Germani, Ana Claudia Camargo Balbinot, Rachelle Dallari, Sueli Gandolfi |
author_role |
author |
author2 |
Germani, Ana Claudia Camargo Balbinot, Rachelle Dallari, Sueli Gandolfi |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Aith, Fernando Mussa Abujamra Germani, Ana Claudia Camargo Balbinot, Rachelle Dallari, Sueli Gandolfi |
dc.subject.por.fl_str_mv |
Health Law Health Professions Health Professions Regulation Health Regulation Regulatory Model Direito Sanitário Modelo Regulatório Profissões de Saúde Regulação da Saúde Regulação das Profissões de Saúde |
topic |
Health Law Health Professions Health Professions Regulation Health Regulation Regulatory Model Direito Sanitário Modelo Regulatório Profissões de Saúde Regulação da Saúde Regulação das Profissões de Saúde |
description |
The legal regulation of health professions in Brazil is composed by a set of broad, complex and fragmented norms, based on the Federal Constitution of 1988 (CF 88) and complemented by an extensive amount of laws, decrees, ordinances, and mainly resolutions issued by the professional councils. This article aims to identify the main legal frameworks that structure the regulation of professional practice in the Brazilian health sector, using the results to outline a model of regulation of the Health Professions in Brazil. The method used was normative and jurisprudential research followed by a qualitative analysis of the selected data. Based on the current laws, we first identified the different state institutions with legal competence to regulate the health professions in Brazil and the main edited norms for that purpose. Next, we searched for the regulatory conflicts brought by these institutions before the higher courts. The analysis of the selected laws and decisions allowed the characterization of what we call the Brazilian Health Professions Regulation Model, with the identification and analysis of the different state regulatory institutions and the main current norms that regulate the 14 health professions recognized by the National Health Council. The results presented in this article outline the current Model of Regulation of Health Professions in force in Brazil and contribute to the deepening of knowledge on the subject, allowing reflections for the improvement of the current Brazilian legal-institutional model. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-11 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article AVALIADOS PELOS PARES |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rdisan/article/view/152586 10.11606/issn.2316-9044.v19i2p198-218 |
url |
https://www.revistas.usp.br/rdisan/article/view/152586 |
identifier_str_mv |
10.11606/issn.2316-9044.v19i2p198-218 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rdisan/article/view/152586/149075 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista de Direito Sanitário info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista de Direito Sanitário |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário |
publisher.none.fl_str_mv |
Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário |
dc.source.none.fl_str_mv |
Revista de Direito Sanitário; v. 19 n. 2 (2018); 198-218 Journal of Health Law; Vol. 19 No. 2 (2018); 198-218 Revista de Direito Sanitário; Vol. 19 Núm. 2 (2018); 198-218 2316-9044 reponame:Revista de Direito Sanitário (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Direito Sanitário (Online) |
collection |
Revista de Direito Sanitário (Online) |
repository.name.fl_str_mv |
Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
sdallari@usp.br||revdisan@usp.br |
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1787713914180468736 |