[军政府时期(1964-1985 年)的医疗保健及其对统一卫生系统的影响:公私混合统一卫生系统]。

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2024-02-14 DOI:10.1590/1413-812320242910.0094024
Telma Menicucci
{"title":"[军政府时期(1964-1985 年)的医疗保健及其对统一卫生系统的影响:公私混合统一卫生系统]。","authors":"Telma Menicucci","doi":"10.1590/1413-812320242910.0094024","DOIUrl":null,"url":null,"abstract":"<p><p>This article analyzes the health care policy developed during the military government in Brazil (1964-1985), with a core focus on the relationship between the public and private sectors in the provision of health services, in the different modalities in which this occurred, and its repercussions. The objective, from an institutionalist and historical perspective, which considers the mechanisms by means of which prior policies affect the subsequent decision-making process and impose limits on the possibilities for change, is to identify the effects of this policy on the configuration of health policy reform, implemented in the democratization process, which led to the creation of a universal and comprehensive health system. Among these, the political effects on the configuration of the health area stand out; cognitive effects related to the perception of health policy, and effects on the government's capacity to provide and regulate services. The result was the continuation of a duality in the health system, resulting in the coexistence of a vigorous private sector with an allegedly universal public system which posed/poses difficulties for the SUS, but did not prevent its implementation and institutionalization. The article is taken from a previously published book.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 10","pages":"e0094024"},"PeriodicalIF":1.1000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Health care under the military government (1964-1985) and its legacy for the SUS: the public-private hybrid Unified Health System].\",\"authors\":\"Telma Menicucci\",\"doi\":\"10.1590/1413-812320242910.0094024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This article analyzes the health care policy developed during the military government in Brazil (1964-1985), with a core focus on the relationship between the public and private sectors in the provision of health services, in the different modalities in which this occurred, and its repercussions. The objective, from an institutionalist and historical perspective, which considers the mechanisms by means of which prior policies affect the subsequent decision-making process and impose limits on the possibilities for change, is to identify the effects of this policy on the configuration of health policy reform, implemented in the democratization process, which led to the creation of a universal and comprehensive health system. Among these, the political effects on the configuration of the health area stand out; cognitive effects related to the perception of health policy, and effects on the government's capacity to provide and regulate services. The result was the continuation of a duality in the health system, resulting in the coexistence of a vigorous private sector with an allegedly universal public system which posed/poses difficulties for the SUS, but did not prevent its implementation and institutionalization. The article is taken from a previously published book.</p>\",\"PeriodicalId\":10195,\"journal\":{\"name\":\"Ciencia & saude coletiva\",\"volume\":\"29 10\",\"pages\":\"e0094024\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ciencia & saude coletiva\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1590/1413-812320242910.0094024\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/2/14 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ciencia & saude coletiva","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-812320242910.0094024","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/14 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

本文分析了巴西军政府时期(1964-1985 年)制定的医疗保健政策,其核心重点是公私部门在提供医疗服务方面的关系、不同的模式及其影响。从制度主义和历史的角度出发,考虑先前的政策影响后来的决策过程并对变革的可能性施加限制的机制,目的是确定这一政策对在民主化进程中实施的卫生政策改革配置的影响,从而建立一个普遍和全面的卫生系统。其中,对卫生领域配置的政治影响、对卫生政策认知的影响以及对政府提供和管理服务能力的影响尤为突出。其结果是,医疗卫生系统的二元性继续存在,导致一个蓬勃发展的私营部门与一个据称具有普遍性的公共系统并存,这给统一卫生系统造成/带来了困难,但并没有阻碍其实施和制度化。本文摘自之前出版的一本书。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
[Health care under the military government (1964-1985) and its legacy for the SUS: the public-private hybrid Unified Health System].

This article analyzes the health care policy developed during the military government in Brazil (1964-1985), with a core focus on the relationship between the public and private sectors in the provision of health services, in the different modalities in which this occurred, and its repercussions. The objective, from an institutionalist and historical perspective, which considers the mechanisms by means of which prior policies affect the subsequent decision-making process and impose limits on the possibilities for change, is to identify the effects of this policy on the configuration of health policy reform, implemented in the democratization process, which led to the creation of a universal and comprehensive health system. Among these, the political effects on the configuration of the health area stand out; cognitive effects related to the perception of health policy, and effects on the government's capacity to provide and regulate services. The result was the continuation of a duality in the health system, resulting in the coexistence of a vigorous private sector with an allegedly universal public system which posed/poses difficulties for the SUS, but did not prevent its implementation and institutionalization. The article is taken from a previously published book.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
期刊最新文献
[Cooperative Intelligence Platform for Primary Health Care (Picaps): techno-scientific solutions in digital health to confront COVID-19 and other crises]. [Dictatorship, Health and Propaganda: The National Immunization Program (PNI) and the media campaign for compulsory vaccination]. [Doctors of the dictatorship: physicians and human rights violations in Brazil (1964-1985)]. [Health care under the military government (1964-1985) and its legacy for the SUS: the public-private hybrid Unified Health System]. [Impure blood: specialists, institutions, and cultural authority in the context of AIDS in Brazil].
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1