Abstract:
:This article describes changes in the public, nonprofit, and private components of the health care networks and health insurance and health plan companies in Brazil, based on the accumulated knowledge concerning the gains and obstacles in the Brazilian Unified National Health System (SUS) and differences between policies for democratization and democratizing processes. This central premise allowed analyzing praise versus criticism for the SUS and the contemporary nature of relations between the public and private sectors, drawing on secondary data from agencies in the Executive, Legislative, and Judiciary branches. The article concludes that the highly financialized private and private-charitable sectors imposed anti-democratic and anti-democratizing standards in the use of public funds. The article further concludes that although these sectors have not raised barriers to certain public policies for the expansion of access, they nevertheless prevent the development of the SUS according to the principles set out in the 1988 Constitution. :Considerando o acervo de conhecimentos sobre avanços e impasses do Sistema Único de Saúde (SUS), detalha-se, com base nas diferenças entre políticas voltadas à democratização e processos democratizantes, mudanças nos componentes público, filantrópico e privado que integram redes assistenciais e empresas de planos e seguros de saúde. Esse fio condutor permitiu interpelar afirmações laudatórias ou pejorativas sobre o SUS e caráter contemporâneo das relações entre o público e o privado a partir da mobilização de informações secundárias de fontes governamentais de órgãos dos poderes Executivo, Legislativo e Judiciário. Conclui-se que o setor privado e filantrópico-privado, eminentemente financeirizados, impuseram padrões para o uso do fundo público anti-democráticos e anti-democratizantes que embora não imponham ao obstáculo à determinados políticas públicas de ampliação do acesso, impedem a efetivação do SUS constitucional. :Este trabajo ha considerado el acervo de conocimientos sobre avances e impases del Sistema Único de Salud (SUS), en él se detalla, según las diferencias entre políticas dirigidas a la democratización y procesos democratizantes, cambios en los componentes público, filantrópico y privado, que integran redes asistenciales y empresas de planes y seguros de salud. Este hilo conductor permitió recabar afirmaciones elogiosas o peyorativas sobre el SUS, y el carácter contemporáneo de las relaciones entre lo público y lo privado, a partir de información secundaria de fuentes gubernamentales como: órganos de los poderes Ejecutivo, Legislativo y Judicial. Se concluye que el sector privado y filantrópico-privado, eminentemente financierizados, impusieron patrones antidemocráticos y antidemocratizantes para el uso de fondos públicos que, aunque no impongan obstáculos a determinadas políticas públicas de ampliación del acceso a la salud, impiden la construcción efectiva del SUS constitucional.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Bahia Ldoi
10.1590/0102-311X00067218subject
Has Abstractpub_date
2018-08-06 00:00:00pages
e00067218issue
7eissn
0102-311Xissn
1678-4464pii
S0102-311X2018000700401journal_volume
34pub_type
历史文章,杂志文章abstract::The aim of the current article is to explore central features of Anísio Teixeira's "thought-action" approach in order to help overcome the current crisis in health personnel training. First, the article summarizes Teixeira's life and work, assessing his institutional legacy and its impact on the historical scenario in...
journal_title:Cadernos de saude publica
pub_type: 传,历史文章,杂志文章
doi:10.1590/0102-311XET011214
更新日期:2014-12-01 00:00:00
abstract::This study begins by briefly situating the development of indexing procedures in the scientific literature, dating to the latter half of the 19th century. Next, taking public health in Latin America as its reference, it analyzes the current use of indexing for the evaluation of scientific production, and thus that of ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1999000400022
更新日期:1999-10-01 00:00:00
abstract::The objective of this present study is to analyze individual and contextual factors associated with access to renal transplant in Brazil. An observational, prospective and non-concurrent study was carried out, based on data from the National Database on renal replacement therapies in Brazil. Patients undergoing dialys...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2011001400015
更新日期:2011-01-01 00:00:00
abstract::This study aimed to check for any significant differences in perceived quality of life, specifically aspects of a physical nature, among volunteers who are more physically active and those less physically active in a university community. The sample consisted of 1,966 volunteers in a university community in Brazil. To...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00178512
更新日期:2013-11-01 00:00:00
abstract::This study aimed to measure the occurrence of multimorbidity and to estimate the number of individuals in the Brazilian population 50 years or older at risk for severe COVID-19. This was a cross-sectional nationwide study based on data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), conducted in 2015-201...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00129620
更新日期:2020-11-20 00:00:00
abstract::The aim of this study was to assess the association between prenatal exposure to air pollutants and low birth weight in a medium-sized city. An ecological study was performed, using live birth data from São José dos Campos, São Paulo State, Brazil. The environmental data were obtained from the São Paul State Environme...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009000800015
更新日期:2009-08-01 00:00:00
abstract::This cross-sectional study aimed to analyze the first health service to which patients turned for tuberculosis diagnosis in São José do Rio Preto, São Paulo, Brazil, 2009. Eighty-one patients in treatment were interviewed with a questionnaire based on the Primary Care Assessment Tool adapted to TB care and used as a r...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:2013-05-01 00:00:00
abstract::The objective was to analyze the relationship between socioeconomic status and age at menarche among indigenous and non-indigenous girls in the Araucanía Region of Chile, controlling for nutritional status and mother's age at menarche. A total of 8,624 randomly selected girls from 168 schools were screened, resulting ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2012000500016
更新日期:2012-05-01 00:00:00
abstract::Based on an analysis of individual claims for provision of medicines brought by users of the Unified National Health System (SUS) against the State of Rio de Janeiro, Brazil, in the year 2005, this study aims to discuss the action and behavior of the court system in ruling on these suits. The study adopted a semi-qual...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000100007
更新日期:2010-01-01 00:00:00
abstract::Frailty is a syndrome that leads to practical harm in the lives of elders, since it is related to increased risk of dependency, falls, hospitalization, institutionalization, and death. The objective of this systematic review was to identify the socio-demographic, psycho-behavioral, health-related, nutritional, and lif...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,评审
doi:10.1590/0102-311x00148213
更新日期:2014-06-01 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 aim of this study was to estimate the prevalence of functional incapacity and associated factors. A cross-sectional population-based study included 352 elderly subjects (> or =60 years) in a small Brazilian town. Community-based health workers conducted structured interviews. Functional incapacity was measured by ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2007001100025
更新日期:2007-11-01 00:00:00
abstract::The aim of this study was to identify different profiles in the AIDS epidemic in Brazil by relating them to the health sector's organization, situations involving increased risk of infection, and the degree of implementation of the response by health services. The Brazilian municipalities (counties) were grouped accor...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010001200014
更新日期:2010-12-01 00:00:00
abstract::Lifestyles have been highlighted as the main risk factor for noncommunicable diseases in the 21st century, often leaving aside the role of material conditions of reproduction of daily life in modeling of habits and behaviors. The article addresses the tensions and transactions in family nutrition in the city of Santia...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00199819
更新日期:2020-09-18 00:00:00
abstract::The central theme of the 5th National Congress on Social and Human Sciences in Health held by ABRASCO in São Paulo, Brazil, in 2011 was The Place of Social Sciences in Public Health, fostering a broad process of reflection on the scope and importance of this area's contributions to the field of public health. The arti...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2012001400016
更新日期:2012-12-01 00:00:00
abstract::Indicators and analyses that used the database from SB Brazil 2003 (the most recent nationwide oral health survey) have been criticized as unreliable due to sampling problems. The current study countered that this critique was based solely on statistical concepts, unsupported by empirical evidence. The critique's esse...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000400002
更新日期:2010-04-01 00:00:00
abstract::This qualitative clinical study investigated the impact of moderate intellectual disability on family dynamics and quality of life. The data were collected using individual interviews with 15 mothers of children with intellectual disabilities, as a convenience sample, and examined with categorical thematic content ana...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00096016
更新日期:2017-11-21 00:00:00
abstract::This paper describes the sample design used in the Brazilian application of the World Health Survey. The sample was selected in three stages. First, the census tracts were allocated in six strata defined by their urban/rural situation and population groups of the municipalities (counties). The tracts were selected usi...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2005000700010
更新日期:2005-01-01 00:00:00
abstract::This study evaluated fetomaternal hemorrhage (FMH) in 343 postpartum patients who required prophylaxis of Rh alloimmunization with anti-D immunoglobulin. The rosette test was applied to screen for patients needing quantitative determination of fetal blood transferred from the maternal circulation, which was then measu...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2005000500007
更新日期:2005-09-01 00:00:00
abstract::Epidemiology's conceptual and methodological shortcomings have placed constraints on the study of health phenomena related to human communities, thus posing a challenge to the field. This paper presents some basic principles resulting from the observation of the field of geography in defining its object - space - and ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract::This study compared the perception, knowledge, and use of generic drugs by adults in Pelotas, Rio Grande do Sul State, Brazil, using two cross-sectional population-based studies from 2002 and 2012. Study outcomes were: (a) prevalence of use of generics; (b) generics as a proportion of all medication; (c) users' percep...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00070215
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abstract::Despite the existing resources for adequate dengue patient care in the Brazilian healthcare system, the case-fatality rate for the disease is still high in the country. In order to identify factors associated with dengue-related death, this study evaluated quality of care according to the degree of implementation of s...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2011001200009
更新日期:2011-12-01 00:00:00
abstract::This paper analyzes the demographic profile of the Boróro Indians from Mato Grosso State, Brazil, from 1993 to 1996. Data came from annual collection and registration of vital statistics conducted by the health service in three villages (Garças, Meruri, and Morada dos Boróro). The average annual population growth rate...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009000200011
更新日期:2009-02-01 00:00:00
abstract::Paid work should not be an obstacle to women's breastfeeding. The World Health Organization (WHO) recommends exclusive breastfeeding for 6 months. In Brazil, women are legally entitled to 4 months of maternity leave, but in practice few women enjoy such benefits. How is it possible to practice exclusive breastfeeding ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2007001000015
更新日期:2007-10-01 00:00:00
abstract::The Brazilian Food Insecurity Scale (EBIA) was validated for the Brazilian context in 2004. Since then, the scale has evaluated and measured the experience of food insecurity in rural and urban households, initially in the Brazilian National Household Sample Survey and later in the Brazilian National Survey of Demogra...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00208019
更新日期:2020-10-02 00:00:00
abstract::[This corrects the article doi: 10.1590/0102-311X00050818]. ...
journal_title:Cadernos de saude publica
pub_type: 已发布勘误
doi:10.1590/0102-311XER050818
更新日期:2020-01-20 00:00:00
abstract::This study evaluated the association between obesity and emotional and behavioral difficulties in adolescents. We studied 4,325 individuals 11 to 15 years of age who were members of the 1993 birth cohort in Pelotas, Rio Grande do Sul State, Brazil. Information on body mass index (BMI), maternal assessment of the adole...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00135812
更新日期:2013-09-01 00:00:00
abstract::This study is based on a medical audit of the Vila Municipal Health Clinic, Pelotas, Rio Grande do Sul. We collected data from family medical records in 1992,1993, and 1994. The data concerned the Women's Integral Health Care Program. We collected information on age, visits for medical and non-medical reasons, blood p...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1998000100012
更新日期:1998-04-30 00:00:00
abstract::The Brazilian Ministry of Health's mortality and live birth information systems (SIM and SINASC) are valuable tools for measuring population health status. The purpose of this study was to assess the adequacy of vital information systems from 1999-2001 to 2008-2010 in the States and major geographic regions of Brazil....
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00196113
更新日期:2014-10-01 00:00:00
abstract::This study was a comparison of neonatal mortality rates in four maternity hospitals in the city of Rio de Janeiro, Brazil. The study population consisted of newborns with birth weight below 1,500 g. The research instrument was a questionnaire with data reported by the mother and collected from the patient record. For ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0102-311x2005000500017
更新日期:2005-09-01 00:00:00