Descentralização e federalismo: a política de saúde em novo contexto - lições do caso brasileiro
TLDR
In this paper, the authors analyze the processes of decentralization and deconcentration, along with the new emergence of federalism, as global phenomena and meaningful tendencies in the reestructuring of the unitary and centralized State, built under the Napoleonic tradition.Abstract:
The article analyses the processes of decentralization and deconcentration, along with the new emergence of federalism, as global phenomena and meaningful tendencies in the reestructuring of the unitary and centralized State, built under the Napoleonic tradition. In the Brazilian case, in particular, the article identifies the different phases and problems that arose during the decentralization process and within the re-configuration of the federative pact since the 80's, and evaluates the implications of this new order on the recent reform processes of the health policy. Furthermore, the article presents the conditions and limitations of healthsystem's decentralization, highlighting the risks to which it is submitted and taking into account unfavourable aspects of its context, characterised by federative conflicts and by the social and economic inequality inheritance.read more
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Decentralization and Subnational Politics in Latin America
TL;DR: A sequential theory of decentralization and the intergovernmental balance of power is proposed in this paper, where the subnational dominance path to decentralization in a unitary country is analyzed.
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Descentralização e coordenação federativa: a experiência brasileira na saúde
TL;DR: In this article, the authors analyzed the federal performance in the intergovernmental coordination of national health policy during the period of implantation of the Unified Health System (SUS), based on a research about the role of the Brazilian Ministry of Health from 1990 to 2002, which involved documental analysis and interviews with federal officers.
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Regionalização e acesso à saúde nos estados brasileiros: condicionantes históricos e político-institucionais
Luciana Dias de Lima,Ana Luiza d'Ávila Viana,Cristiani Vieira Machado,Mariana Vercesi de Albuquerque,Roberta Gondim de Oliveira,Fabíola Lana Iozzi,João Henrique Gurtler Scatena,Guilherme Arantes Mello,Adelyne Maria Mendes Pereira,Ana Paula Santana Coelho +9 more
TL;DR: In this article, the authors examined the healthcare regionalization process in the Brazilian states in the period from 2007 to 2010, seeking to identify the conditions that favor or impede this process.
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Descentralização e regionalização: dinâmica e condicionantes da implantação do Pacto pela Saúde no Brasil
Luciana Dias de Lima,Lúcia F. N. de Queiroz,Cristiani Vieira Machado,Ana Luiza d'Ávila Viana +3 more
TL;DR: In this article, the authors analyzed the national implementation of the Health Pact between 2006 and 2010 involving a strategy that reconfigures intergovernmental relations in the sector, including its implications for health policy.
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Regionalização e dinâmica política do federalismo sanitário brasileiro
TL;DR: In this article, implicacoes da estrutura federativa brasileira no processo de regionalizacao de acoes e servicos de saude do Sistema Unico de Saude, considerando que o planejamento regional de SAude no Brasil deve realizar-se no contexto das relacoes intergovernamentais that expressam o federalismo cooperativo no âmbito sanitario.
References
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Recentralização/descentralização: dinâmica do regime federativo no Brasil dos anos 90
Eduardo Kugelmas,Lourdes Sola +1 more
TL;DR: In this paper, an artigo discute a evolucao das praticas e institução federativas no Brasil dos anos recentes, enfatizando a simultaneidade de processos de recentralizacao e descentralizeacao.
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Intermediação de Interesses Regionais no Brasil: O Impacto do Federalismo e da Descentralização
TL;DR: The authors analyzes the rifts and tensions now affecting Brazil's federative system and argues that Brazil's experience with decentralization has contributed towards democratic consolidation and has forced the federal government to negotiate public policy implementation with state and local government.
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Federalismo e gasto social no Brasil: tensoes e tendencias
TL;DR: The caracteristicas do federalismo no Brasil e suas mudancas recentes sao analisadas tendo em vista discernir tendencias dominantes as mentioned in this paper.
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A descentralização do sistema de saúde no Brasil
TL;DR: In this paper, the authors abordam a experiencia brasileira de descentralizacao do sistema publico de saude, representada pela criacao de SUS, a partir da Constituicao de 1988, and a operacionalizacão mediante as Normas Basicas Operacionais (NOBs).