Abstract:
:This paper discusses part of the results obtained from a study carried out in two cities of the so-called ABCD Paulista Region in the period 2010-2012, in an attempt to spot the existence of non-state regulatory rationale towards access and consumption of health care services. The first stage includes interviews carried out with strategic stakeholders (managers and politicians) and key workers players. The second stage collected the stories of 18 very frequent users of health care services. This study revealed the leading role played by users to produce "health care maps", with emphasis on the frequent use of public and private resources in their itineraries, circumventing or merging with government regulation to obtain the care they need. The different formats of public-private mix transcend the still prevailing "official" concepts about the clear distinction between the two systems, which reveals the importance of this theme to public health management.
journal_name
Cien Saude Coletjournal_title
Ciencia & saude coletivaauthors
Meneses CS,Cecilio LCO,Andreazza R,Carapinheiro G,Andrade MDGG,Santiago SM,Araújo EC,Souza ALM,Reis DO,Pinto NRDS,Spedo SMdoi
10.1590/1413-81232017226.14822016subject
Has Abstractpub_date
2017-06-01 00:00:00pages
2013-2024issue
6eissn
1413-8123issn
1678-4561pii
S1413-81232017002602013journal_volume
22pub_type
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