Twenty Years of Health System Reform in Brazil - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Twenty Years of Health System Reform in Brazil write by Michele Gragnolati. This book was released on 2013-07-18. Twenty Years of Health System Reform in Brazil available in PDF, EPUB and Kindle. It has been over twenty years since the Brazilian Sistema Único de Saúde (Unified Health System or SUS) was formally established by the 1988 Constitution. The impetus for the SUS came in part from rising costs and a crisis in the social security system that preceded the reforms, but also from a broad-based political movement calling for democratization and improved social rights. Building on reforms that started in the 1980s, the SUS was based on three overarching principles: (i) universal access to health services, with health defined as a citizen’s right and an obligation of the state; (ii) equality of access to health care; and (iii) integrality (comprehensiveness) and continuity of care; along with several other guiding ideas, including decentralization, increased participation, and evidence-based prioritization. The SUS reform established health a fundamental right and duty of the state, and started a process of fundamentally transforming Brazil’s health system to achieve this goal. So, what has been achieved since the SUS was established? And what challenges remain in achieving the goals that were established in 1988? These questions are the focus of this report. Specifically, it seeks to assess whether the SUS reforms have managed to transform the health system as envisaged more than 20 years ago, and whether the reforms have led to improved outcomes in terms of access to services, financial protection, and health status. Any effort to assess the performance of a health system runs into a host of challenges concerning the definition of boundaries of the “health system”, the outcomes that the assessment should focus on, data sources and quality, and the role of policies and reforms in understanding how the performance of the health system has changed over time. Building on an extensive literature on health system assessment, this report is based on a simple framework that specifies a set of health system “building blocks”, which affect a number of intermediate outcomes such as access, quality and efficiency, which, in turn, contribute to final outcomes, including health status, financial protection, and satisfaction. Based on this framework, the report starts by looking at how key building blocks of Brazil’s health system have changed over time and then moves on to review performance in terms of intermediate and final outcomes.
Twenty Years of Health System Reform in Brazil
Twenty Years of Health System Reform in Brazil - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Twenty Years of Health System Reform in Brazil write by Michele Gragnolati. This book was released on 2013-06-27. Twenty Years of Health System Reform in Brazil available in PDF, EPUB and Kindle. It has been more than 20 years since Brazil's 1988 Constitution formally established the Unified Health System (Sistema Unico de Saude, SUS). Building on reforms that started in the 1980s, the SUS represented a significant break with the past, establishing health care as a fundamental right and duty of the state and initiating a process of fundamentally transforming Brazil's health system to achieve this goal. This report aims to answer two main questions. First is have the SUS reforms transformed the health system as envisaged 20 years ago? Second, have the reforms led to improvements with regard to access to services, financial protection, and health outcomes? In addressing these questions, the report revisits ground covered in previous assessments, but also brings to bear additional or more recent data and places Brazil's health system in an international context. The report shows that the health system reforms can be credited with significant achievements. The report points to some promising directions for health system reforms that will allow Brazil to continue building on the achievements made to date. Although it is possible to reach some broad conclusions, there are many gaps and caveats in the story. A secondary aim of the report is to consider how some of these gaps can be filled through improved monitoring of health system performance and future research. The introduction presents a short review of the history of the SUS, describes the core principles that underpinned the reform, and offers a brief description of the evaluation framework used in the report. Chapter two presents findings on the extent to which the SUS reforms have transformed the health system, focusing on delivery, financing, and governance. Chapter three asks whether the reforms have resulted in improved outcomes with regard to access to services, financial protection, quality, health outcomes, and efficiency. The con
Healthcare Technology in Context
Healthcare Technology in Context - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Healthcare Technology in Context write by Alan Taylor. This book was released on 2021-09-08. Healthcare Technology in Context available in PDF, EPUB and Kindle. This book investigates how the technology used by telehealth services shapes our healthcare, and how we, as humans, collectively change and shape the technology and services used in healthcare. Based on extensive field research on telehealth services in Australia and Brazil, the book reveals some surprisingly obvious conclusions about our powers to shape the society.
Pharmaceutical Autonomy and Public Health in Latin America
Pharmaceutical Autonomy and Public Health in Latin America - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Pharmaceutical Autonomy and Public Health in Latin America write by Matthew B. Flynn. This book was released on 2014-12-05. Pharmaceutical Autonomy and Public Health in Latin America available in PDF, EPUB and Kindle. Brazil has occupied a central role in the access to medicines movement, especially with respect to drugs used to treat those with the human immunodeficiency virus (HIV) that causes the acquired immune deficiency syndrome (AIDS). How and why Brazil succeeded in overcoming powerful political and economic interests, both at home and abroad, to roll-out and sustain treatment represents an intellectual puzzle. In this book, Matthew Flynn traces the numerous challenges Brazil faced in its efforts to provide essential medicines to all of its citizens. Using dependency theory, state theory, and moral underpinnings of markets, Flynn delves deeper into the salient factors contributing to Brazil’s successes and weaknesses, including control over technology, creation of political alliances, and instrumental use of normative frameworks and effectively explains the ability of countries to fulfill the prescription drug needs of its population versus the interests and operations of the global pharmaceutical industry Pharmaceutical Autonomy and Public Health in Latin America is one of the only books to provide an in-depth account of the challenges that a developing country, like Brazil, faces to fulfill public health objectives amidst increasing global economic integration and new international trade agreements. Scholars interested in public health issues, HIV/AIDS, and human rights, but also to social scientists interested in Latin America and international political economy will find this an original and thought provoking read.
Institutional Bypasses
Institutional Bypasses - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Institutional Bypasses write by Mariana Mota Prado. This book was released on 2018-11-22. Institutional Bypasses available in PDF, EPUB and Kindle. Analyzes institutional bypasses, a strategy to promote change and implement reforms in developing countries.
