Paradoxos das políticas de descentralização de saúde no Brasil / Paradoxes of health decentralization policies in Brazil
Rev. panam. salud pública
;
20(6): 416-422, dic. 2006.
Article
Dans Portugais
| LILACS
| ID: lil-447635
ABSTRACT
The constitution of Brazil directs that the countrys health system, the Unified Health System (Sistema Unico de Saúde), be politically and administratively decentralized. Nevertheless, handing over competencies, responsibilities, and resources to subnational levels, especially to municipal governments, has been a slow process, lasting almost two decades. Advances have been brought about by the Unified Health System, which, from a analytical perspective, is a public and universal system. Despite that, the decentralization process needs to overcome norms that keep all levels of management dependent on Brazils federal Government. The subnational levels have consistently faced difficulties in performing their macromanagement functions with autonomy, especially when it comes to financing and to the establishment or organization of health care networks. Boldness and responsibility will be needed to prevent Brazils health decentralization process from leading to fragmentation. New political agreements between different levels of government, with a reassignment of responsibilities and the enhancement of a culture of technical cooperation, are fundamental requisites to making the Unified Health System have a health policy that is truly public and universal.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Prestations des soins de santé
Pays comme sujet:
Amérique du Sud
/
Brésil
langue:
Portugais
Texte intégral:
Rev. panam. salud pública
Thème du journal:
Santé publique
Année:
2006
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
UNIJUí/BR
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS