Location of Repository

The Lancet

By Jairnilson Silva Paim, CLaudia Travassos, Célia Almeida, Ligia Bahia and James Macinko

Abstract

Brazil is a country of continental dimensions with widespread regional and social inequalities. In this report, we examine the historical development and components of the Brazilian health system, focusing on the reform process during the past 40 years, including the creation of the Unifi ed Health System. A defi ning characteristic of the contemporary health sector reform in Brazil is that it was driven by civil society rather than by governments,political parties, or international organisations. The advent of the Unifi ed Health System increased access to health care for a substantial proportion of the Brazilian population, at a time when the system was becoming increasingly privatised. Much is still to be done if universal health care is to be achieved. Over the past 20 years, there have been other advances, including investments in human resources, science and technology, and primary care, and a substantial decentralisation process, widespread social participation, and growing public awareness of a right to health care. If the Brazilian health system is to overcome the challenges with which it is presently faced, strengthened political support is needed so that fi nancing can be restructured and the roles of both the public and private sector can be redefi ned

Topics: Health Systems, Public Health, Social Inequity, Brazil
Year: 2011
OAI identifier: oai:agregador.ibict.br.RI_UFBA:oai:192.168.11:11:ri/3028
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://www.rcaap.pt/detail.jsp... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.