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The Brazilian health system: history, advances, and challenges

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 Unified Health S... Full description

Journal Title: The Lancet (British edition) 2011, Vol.377 (9779), p.1778-1797
Main Author: Paim, Jairnilson, Prof
Other Authors: Travassos, Claudia, Prof , Almeida, Celia, Prof , Bahia, Ligia, PhD , Macinko, James, PhD
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: Kidlington: Elsevier Ltd
ID: ISSN: 0140-6736
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recordid: cdi_proquest_miscellaneous_868375492
title: The Brazilian health system: history, advances, and challenges
format: Article
creator:
  • Paim, Jairnilson, Prof
  • Travassos, Claudia, Prof
  • Almeida, Celia, Prof
  • Bahia, Ligia, PhD
  • Macinko, James, PhD
subjects:
  • Abridged Index Medicus
  • Adolescent
  • Adult
  • Aged
  • Biological and medical sciences
  • Brasil
  • Brazil
  • Child
  • Child, Preschool
  • Delivery of Health Care - economics
  • Delivery of Health Care - history
  • Delivery of Health Care - organization & administration
  • Demographic aspects
  • Descentralização
  • Developing Countries - history
  • Equality
  • Female
  • Financing, Government - economics
  • Financing, Government - organization & administration
  • General aspects
  • Health aspects
  • Health Expenditures
  • health services
  • Health Services Accessibility - economics
  • Health Services Accessibility - organization & administration
  • Health Services Needs and Demand - economics
  • Health Services Needs and Demand - organization & administration
  • History, 20th Century
  • History, 21st Century
  • História
  • História da Saúde no Brasil
  • human resources
  • Humans
  • Infant
  • Internal Medicine
  • international organizations
  • Male
  • Medical sciences
  • Middle Aged
  • Politics
  • Population Growth
  • private sector
  • Reforma dos Serviços de Saúde
  • Saúde no Brasil
  • Serviços de Saúde
  • Sistemas de Saúde
  • social inequality
  • society
  • Socioeconomic Factors
  • Universal Coverage - economics
  • Universal Coverage - history
  • Universal Coverage - organization & administration
  • Young Adult
ispartof: The Lancet (British edition), 2011, Vol.377 (9779), p.1778-1797
description: 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 Unified Health System. A defining 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 Unified 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 financing can be restructured and the roles of both the public and private sector can be redefined.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0140-6736
fulltext: fulltext
issn:
  • 0140-6736
  • 1474-547X
url: Link


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descriptionBrazil 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 Unified Health System. A defining 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 Unified 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 financing can be restructured and the roles of both the public and private sector can be redefined.
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subjectAbridged Index Medicus ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Brasil ; Brazil ; Child ; Child, Preschool ; Delivery of Health Care - economics ; Delivery of Health Care - history ; Delivery of Health Care - organization & administration ; Demographic aspects ; Descentralização ; Developing Countries - history ; Equality ; Female ; Financing, Government - economics ; Financing, Government - organization & administration ; General aspects ; Health aspects ; Health Expenditures ; health services ; Health Services Accessibility - economics ; Health Services Accessibility - organization & administration ; Health Services Needs and Demand - economics ; Health Services Needs and Demand - organization & administration ; History, 20th Century ; History, 21st Century ; História ; História da Saúde no Brasil ; human resources ; Humans ; Infant ; Internal Medicine ; international organizations ; Male ; Medical sciences ; Middle Aged ; Politics ; Population Growth ; private sector ; Reforma dos Serviços de Saúde ; Saúde no Brasil ; Serviços de Saúde ; Sistemas de Saúde ; social inequality ; society ; Socioeconomic Factors ; Universal Coverage - economics ; Universal Coverage - history ; Universal Coverage - organization & administration ; Young Adult
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descriptionBrazil 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 Unified Health System. A defining 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 Unified 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 financing can be restructured and the roles of both the public and private sector can be redefined.
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17Financing, Government - economics
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21Health Expenditures
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23Health Services Accessibility - economics
24Health Services Accessibility - organization & administration
25Health Services Needs and Demand - economics
26Health Services Needs and Demand - organization & administration
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abstractBrazil 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 Unified Health System. A defining 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 Unified 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 financing can be restructured and the roles of both the public and private sector can be redefined.
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