Abstract:
:This paper analyzes recent changes in the Canadian health system through a case study of Quebec. As the last Province to adopt federal principles of universal coverage, comprehensiveness, and public management, its reform, conducted in 1971, met these objectives by means of key innovations. In the 1980s and early 90s, a process of health services evaluation in this Province and in Canada as a whole launched a period of extensive changes. The relevant measures are described herein: decentralization and regional management, "clinical shift", selective reduction in the supply of services, and new mechanisms for resource allocation and social control. There is a tendency towards an environment of public competition, but the approach that was adopted for regulation does not correspond to the main models from central countries. Within a scenario of budget constraints, technocratically-defined measures allowed for the settlement of benefits, preserving the system's main guidelines. This evidence is one of the main contributions of comparative analysis to health system reform in peripheral countries. The study identifies the relationships between these measures and a worldwide trend towards cost control and macroeconomic adjustment policies, discussing the relevant implications for health services.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Conill EMdoi
10.1590/s0102-311x2000000400015keywords:
subject
Has Abstractpub_date
2000-10-01 00:00:00pages
963-71issue
4eissn
0102-311Xissn
1678-4464pii
S0102-311X2000000400015journal_volume
16pub_type
杂志文章abstract::Alarming trends in the resurgence of vector-borne diseases are anticipated to continue unless more effective action is taken to address the variety of underlying causes. Social factors, anthropogenic environmental modifications and/or ecological changes appear to be the primary drivers. The ecological dimension of vec...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001300015
更新日期:2009-01-01 00:00:00
abstract::The objective of this study was to understand how physicians at the largest emergency department in a large Brazilian city orient care for critical patients with suspected brain death and who are potential organ donors. This ethnographic study was conducted in an emergency care hospital, a reference in traumatology in...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00061718
更新日期:2018-11-08 00:00:00
abstract::The aim of this study was to investigate excess mortality from dengue in Greater Metropolitan Rio de Janeiro, Brazil, during an epidemic in 2007-2008. A Poisson dynamic model was tested to predict the number of deaths during these epidemic years. Inference was conducted with a Bayesian approach. Excess mortality was d...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00070112
更新日期:2013-10-01 00:00:00
abstract::This study focused on the under-five population of the Alto Xingu region in Brazil, with the following objectives: (1) to evaluate height and weight increment from the first through the fourth years of life and (2) to compare nutritional status in 1980 and 1992. Height and weight increases were evaluated in 81 childre...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000200021
更新日期:2003-03-01 00:00:00
abstract::The study aimed to identify the cutoff points for inflammatory markers that best discriminate the occurrence of metabolic syndrome in community-dwelling older adults. Baseline data were used from the elderly cohort in the city of Bambuí, Minas Gerais State, Brazil. The target exposure was presence of metabolic syndrom...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00129918
更新日期:2019-03-25 00:00:00
abstract::This study aims to estimate orthodontic treatment need among 15-24 year-old individuals in Montevideo, Uruguay, and the association of occlusal traits with demographic, clinical and socioeconomic factors, considering a life course approach. A cross-sectional study using data from the First National Oral Health Survey ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00051017
更新日期:2018-03-05 00:00:00
abstract::Two cohorts of children born in the city of Pelotas, Southern Brazil, in 1993 and 2004, were compared in terms of neuro-psychomotor development at the age of 12 months. Children were evaluated using the Denver II screening test. Analyses were performed using the Poisson regression technique. The prevalence of suspecte...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008001500010
更新日期:2008-01-01 00:00:00
abstract::Exogenous obesity increases morbidity and mortality risk and has been associated with nutritional habits, which in turn can be affected by health education. Health education aims to promote patient participation in achieving behavior change and healthy lifestyles. The objective of this study is to show the advantages ...
journal_title:Cadernos de saude publica
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1590/s0102-311x2004000100045
更新日期:2004-01-01 00:00:00
abstract::Low birth weight is associated with increased risk of dying in the first year of life. This study was motivated by recent changes in the determination of birth weight patterns with the advent of the perinatal epidemiological transition. We analyzed data from the Brazilian National Survey of Demographic and Health of C...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2013000200021
更新日期:2013-02-01 00:00:00
abstract::The study aimed to analyze the association between accessibility to public spaces for leisure activities, availability of equipment for physical exercise in these spaces, and leisure-time physical activity (PA) in adults. A household survey was conducted with 699 adults from 32 census tracts selected according to inco...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00020719
更新日期:2019-11-28 00:00:00
abstract::The Study of Cardiovascular Risk in Adolescents (ERICA) is a pioneering study that aimed to assess the prevalence of cardiovascular risk factors, including metabolic syndrome components in Brazilian adolescents. This study aims to describe the methodological aspects related to blood collection as well as to report per...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/0102-311X00122816
更新日期:2017-05-18 00:00:00
abstract::The obesity epidemic is a global phenomenon that does not respect geographic or socio-demographic boundaries. Thus, research on factors related to the obesity epidemic has focused on social and economic characteristics of modern societies. This article discusses obesity in Spain and trends in several associated factor...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000700011
更新日期:2003-01-01 00:00:00
abstract::This article presents part of the results from the Baseline Study on the PROESF. The objective was to evaluate primary health care in the cities of Cuiabá, Várzea Grande, and Rondonópolis, Mato Grosso State, Brazil, based on the inter-subjectivity in human relations (among health workers, users of health services, and...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008001300009
更新日期:2008-01-01 00:00:00
abstract::An analysis of the World Health Organization terminology for disability indicates the influence of the social model of disability in the International Classification of Functioning, Disability, and Health. This theoretical framework should guide any translations of the document. In Brazil, the document was translated ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2007001000025
更新日期:2007-10-01 00:00:00
abstract::: The study analyzed the social representations of primary health care professionals on evaluative processes of groups that work with food and nutrition, and described the educational strategies used in this care. This was a qualitative study from 2012 to 2014 in the city of São Paulo, Brazil, in which 48 interviews w...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00037116
更新日期:2017-09-28 00:00:00
abstract::Stomach cancer, the worl&dacute;s most common malignant neoplasia in 1980, has shown a decrease in death and incidence rates in several countries. Still not totally elucidated, the decline in incidence and death rates has been attributed to environmental factors. It is unlikely that the decline has stemmed primarily f...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::The terrorist attacks launched on September 11, 2001, ignited fear of further aggression with biological weapons, leading to a discourse and allocation of resources for both defensive and dissuasive/ offensive use in order to counteract such threats. Many such measures involved the investigation and production of biol...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000100033
更新日期:2003-01-01 00:00:00
abstract::This paper presents the methodology and results of the implementation of a Surveillance System for Non-Communicable Disease Risk Factors in Adolescents. A random sample of 8th-grade students (n = 1,684) enrolled in municipal schools in Rio de Janeiro, Brazil, was studied. Students were asked to complete a confidential...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008001000009
更新日期:2008-10-01 00:00:00
abstract::The indigenous healthcare model in Brazil is premised on comprehensive care combined with the notion of differentiated care and provides for respect for cultural diversity, seeking to incorporate traditional therapeutic practices into the health services that serve indigenous peoples. This study aimed to determine how...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2011000700011
更新日期:2011-07-01 00:00:00
abstract::Knowledge concerning work-related hazards and accidents among adolescents enrolled in an elementary public school was evaluated through an analysis of their occupational profile and discussions concerning concepts of risk situations at work and individual and collective measures for accident prevention and control. Th...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2002000100012
更新日期:2002-01-01 00:00:00
abstract::Variations in classification systems related to color/race and the contextual dependence of their utilization are two challenges for researchers conducting health studies within an ethnic/racial framework. A comparison was made between the results obtained by two distinct approaches to racial self-classification -- a ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2005000100019
更新日期:2005-01-01 00:00:00
abstract::This study aimed to describe the distribution of social support networks for the elderly in the City of São Paulo, Brazil, based on socioeconomic and demographic characteristics. A probability sample of 1,568 elderly persons (> 60 years) was studied (SABE query), focusing on structural and functional dimensions of soc...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0102-311x2007001200019
更新日期:2007-12-01 00:00:00
abstract::Epidemiological research still rarely uses causal diagrams, despite growing recognition of their explanatory potential. One possible reason is that many research programs involve themes in which there is a certain degree of uncertainty as to mechanisms in the processes that generate the data. In this study, the relati...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00103115
更新日期:2016-08-08 00:00:00
abstract::This paper focuses on specific aspects of male sexuality and how this sexual identity is built in the Aids era, based on conversations with low-income youth, ages 14-21 years, living in Greater Metropolitan Rio de Janeiro. We examine how Aids is perceived and investigate sexuality in this epidemic context. The goal is...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1998000100022
更新日期:1998-04-30 00:00:00
abstract::This study describes the trend of the coefficients of mortality due to cerebrovascular diseases (CbVD) among the elderly in São Paulo State, Brazil, from 1980 to 2012, before and after influenza vaccination campaigns, and identifies change points. It is an ecological, time-series study carried out with death data from...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00145117
更新日期:2019-02-18 00:00:00
abstract::In the services sector, the product of labor is not a commodity that can be traded easily. What is sold is a specialized service, basically through an exchange of information to meet the client's needs and expectations. What emerge are thus the social relations between individuals: professionals and clients/consumers....
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2004000200018
更新日期:2004-03-01 00:00:00
abstract::: The objective was to describe the governance system used in structuring the regionalized healthcare network in Santa Catarina State, Brazil, based on the Bipartite Inter-Managerial Commission (CIB), with a focus on structuring of oral healthcare. This was a qualitative, exploratory-descriptive documental study, base...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00133516
更新日期:2017-09-28 00:00:00
abstract::A case-control study was conducted to investigate risk factors for hysterectomy among women using the public health system in Northeast Brazil. The cases were 373 women aged 30-54 years that had undergone elective hysterectomy for benign pelvic conditions. Controls were 742 women with preserved uterus selected from pu...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000800022
更新日期:2003-01-01 00:00:00
abstract::This essay aims to suggest food for thought on discrepancies between scientific evidence on physical inactivity and the associated factors and determinants and information communicated by the media on this topic. We specifically examine a case in which "laziness" was used as the "explanatory" factor for the high level...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00223017
更新日期:2018-11-29 00:00:00
abstract::Global Mental Health is a field of teaching, research, and practice whose goal is to improve access to mental health and reduce inequalities in mental health outcomes for all people worldwide, especially proposing action in low- and middle-income countries like Brazil. Given this global scenario and Brazil's progress ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,评审
doi:10.1590/0102-311X00158017
更新日期:2018-11-23 00:00:00