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- ItemAcesso aberto (Open Access)Gestão de saúde por organizações sociais no estado de São Paulo: avanços e limites do controle externo(Universidade Federal de São Paulo, 2015-12-18) Pilotto, Bernardo Seixas [UNIFESP]; Junqueira, Virginia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The choice for the implementation of the Social Organizations model was not a technical decision of leaders and managers of the area. Instead, it was the result of a conjuncture of capitalist organization, globally. The state of São Paulo was one of the first places where this model was applied and implemented in Brazil, currently being where this model lasts longer. But the health situation in this state is far from what was promised at the time of the implementation of this model, in 1998. Access to health remains as one of most people's main concerns, especially the segments that have lower income. The management of social organizations distanced the form of SUS implementation from the ideals developed during the 1980s in what was called the Movement for the Brazilian Health Reform. In addition to the questioning by social movements, this model has also been questioned by the organs of control, that has produced analysis that ultimately challenge the legality and feasibility of this model.