Health policy and management in the (re)construction of the Unified National Health System (SUS) in a large municipality: a case study of Sao Paulo, Brazil

Página do item simplificado
dc.contributor.authorPinto, Nicanor Rodrigues da Silva [UNIFESP]
dc.contributor.authorTanaka, Oswaldo Yoshimi [UNIFESP]
dc.contributor.authorSpedo, Sandra Maria [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-15T16:39:09Z
dc.date.available2018-06-15T16:39:09Z
dc.date.issued2009-04-01
dc.description.abstractThe (re) construction of the Unified National Health System (SUS) in the Municipality of Sao Paulo, Brazil, from 2001 to 2008 was analyzed by means of a case study, using different sources: documents, interviews with key informants, and participant observation. Health policy and health management were used as the analytical categories. The study selected and analyzed only the policies that were prioritized by the administration that took office in 2001 and that were maintained until 2008. The article discusses challenges for ( re) construction of the SUS in Sao Paulo, related to the political and institutional context and including the structural changes as implemented. Reorganization of the Municipal Health Secretariat in Sao Paulo enabled constituting and maintaining two municipal subsystems ( one hospital-based and the other outpatient). Negotiations between the Municipal, State, and Federal levels failed to make headway in order for the city of Sao Paulo to assume the de facto management of the entire health system, so that three public health subsystems coexisted ( two Municipal and one State). The Family Health Program was sustained politically, mainly because it was a Federal government priority and was not a trademark of the first Municipal administration.en
dc.description.affiliationUniv Fed Sao Paulo, Dept Prevent Med, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Fac Saude Publ, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Prevent Med, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Fac Saude Publ, BR-04023062 Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent927-938
dc.identifierhttp://dx.doi.org/10.1590/S0102-311X2009000400024
dc.identifier.citationCadernos De Saude Publica. Rio de Janeiro: Cadernos Saude Publica, v. 25, n. 4, p. 927-938, 2009.
dc.identifier.doi10.1590/S0102-311X2009000400024
dc.identifier.fileS0102-311X2009000400024.pdf
dc.identifier.issn0102-311X
dc.identifier.scieloS0102-311X2009000400024
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/43213
dc.identifier.wosWOS:000264900500024
dc.language.isopor
dc.publisherCadernos Saude Publica
dc.relation.ispartofCadernos De Saude Publica
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHealth Policyen
dc.subjectHealth Managementen
dc.subjectHealth Systemsen
dc.subjectSingle Health Systemen
dc.titleHealth policy and management in the (re)construction of the Unified National Health System (SUS) in a large municipality: a case study of Sao Paulo, Brazilen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
S0102-311X2009000400024.pdf
Tamanho:
157.72 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPM - Artigos