Health Reform in Ceará: the process of decentralisation in the 1990s.

O publico e o privado : caderno dos nucleos e grupos de pesquisa vinculados ao Mestrado Academico em Politicas Publicas e Sociedade da Universidade Estadual do Ceara Pub Date : 2009-06-30

Regianne Leila Rolim Medeiros, Sarah Atkinson

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Abstract

The objective of this article is to offer an overview of the health reform in Ceará focusing on the decentralisation process in the 1990s. The driving factor behind the Brazilian health reform movement was the necessity to reorganise the national health system and overcome inequalities. For the reformists, decentralisation, and together with it the idea of popular participation, is seen as essential to guarantee the fulfilment of the people's needs and to incorporate their voice in the decision-making processes of the health system. In the state of Ceará, after the 1986 elections, health reform movement members took control over the management of the state Health Secretariat. This is the main cause of the acceleration of the decentralisation process with the transference of responsibility over the management of health care delivery to municipalities.

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中国的医疗改革:1990年代的权力下放过程。

这篇文章的目的是提供一个概述卫生改革在中国的重点是在20世纪90年代的权力下放过程。巴西卫生改革运动背后的驱动因素是有必要重组国家卫生系统和克服不平等现象。对于改革派来说，权力下放以及民众参与的理念被视为保证满足人民需求和将他们的声音纳入卫生系统决策过程的必要条件。在塞埃尔州，1986年选举后，卫生改革运动成员控制了州卫生秘书处的管理。这是权力下放进程加速的主要原因，将保健服务的管理责任移交给市政当局。

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O publico e o privado : caderno dos nucleos e grupos de pesquisa vinculados ao Mestrado Academico em Politicas Publicas e Sociedade da Universidade Estadual do Ceara

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Health Reform in Ceará: the process of decentralisation in the 1990s.