Navegando por Palavras-chave "decentralization"

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    Uma história de conceitos na saúde pública: integralidade, coordenação, descentralização, regionalização e universalidade
    (Casa de Oswaldo Cruz, Fundação Oswaldo Cruz, 2012-12-01) Mello, Guilherme Arantes [UNIFESP]; Viana, Ana Luiza D'Ávila [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Brazil's Unified Health System (Sistema Único de Saúde) has highlighted a series of concepts specific to the organization of healthcare systems. Among these, integrity - which shares boundaries with almost all other System principles - has been the object of much academic production in Brazil. Based on an extensive review of primary and secondary sources, the article offers a historical recovery of the concepts of integrity, decentralization, regionalization, and universality - ideas and concepts that in good measure are shaped by and interlinked with the set of ideals of the organization of sanitary services according to the district health centers model.
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    Mecanismos Institucionais de Regulação Federal e seus Resultados nas Políticas de Educação e Saúde
    (Instituto de Estudos Sociais e Políticos (IESP) da Universidade do Estado do Rio de Janeiro (UERJ), 2014-12-01) Vazquez, Daniel Arias [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This article analyzes the federative arrangements defined by institutional reforms implemented in the 1990s, which defined a model of local execution of decentralized policies in Brazil under centrally defined guidelines. These reforms took into account the needs of the expansion of supply and stimulus to decentralization, in addition to defining which mechanisms of redistribution of resources and compatibility between revenue and supply would be more adequate for each policy. Based on the analysis of health and education policies, it was possible to prove the efficiency of federal regulation in garnering the support of municipal governments with: a) the broadening of municipal enrollment in basic education and basic health assistance; and b) the increase of expenditures per capita in municipalities and the reduction of horizontal inequality in the financing of education (Fundef) and health (Lowe Threshold for Basic Care). The measurement was based on the Gini coefficient during the entire duration of each mechanism of regulation (1998 to 2006).