info:eu-repo/semantics/article
Implementing the Sole System for Health services: new relationships in Brazil between the public and the private sectors
Implementación del sistema de salud: nuevas relaciones entre los sectores público y privado en Brasil;
Implementação do Sistema Único de Saúde: novos relacionamentos entre os setores público e privado no Brasil
Autor
Viana, Ana L.
Queiroz, Marcos S.
Ibanez, Nelson
Institución
Resumen
This paper aims to identify the new forms of action and participation in the public and private sectors after the implementation of the Single Health System in Brazil (SUS). Particular attention is given to the strategies developed by the private sector in order to increase its clkntele and to deal with the financiaI constraints imposed by the financing of health services by SUS. It is shown that if, on the one hand, these strategies have been innovatory in many ways, they collide in many aspects with the idea of a unified health system. A case study about strategies of a philanthropic hospital is taken more closely for analysis. As for the public sector, the study did not find meaningful changes in managerial practices, not even has it regulated the private sector due to financiai restraints. Thus, it is argued, if the health reform was favoured by a political conjuncture which helped its formulation, on the other hand, its implementation has been very much limited by the economic crisis. Identiticação de novas formas de ação e participação nos setores público e privado após a implementação do SUS no Brasil. Estratégias desenvolvidas pelo setor privado para aumentar a clientela e lidar com os constrangimentos financeiros impostos pelo financiamento dos serviços de saúde. Estudo de caso sobre estratégias desenvolvidas por um hospital filantrópico. A reforma na saúde tem sido extremamente limitada pela crise econômica.