We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Crise no Brasil e impactos na frágil governança regional e federativa da política de saúde.
- Authors
Padilha, Alexandre; Oliveira, Danilo Carvalho; Alves, Thássia Azevedo; de Souza Campos, Gastão Wagner
- Abstract
Since 2014, Brazil has been experiencing an economic-fiscal-political-institutional crisis. This study evaluates whether the implementation of crisis responses contributed to weaken SUS regional and federative governance. This is an implementation study, and two theoretical categories of public health, the power in Testa and the subject in Campos have been incorporated. It presumes that the implementation shifts power and develops subjects. We analyzed public data from 2014 to 2018, organized into four axes of analysis: a) instruments for implementing crisis response; b) parliament and judicial interference in investments; c) legal frameworks of regionalization; d) federative actors and possible defense coalitions. Results show reduced federal resources, specifically for regional care networks; increased parliament and judicial interference with health resources, due to the evolution of congressional amendments and lawsuits, and changes in SUS regionalization guidelines. There is a shift of power from federative regional arrangements to the central government, parliament, the judiciary, and isolated local services. It is concluded that the response to the crisis weakened the regional federative governance of SUS, aggravating the impacts of the crisis on health.
- Subjects
BRAZIL; FEDERAL government; SAVANNAS; PUBLIC health; LEGISLATIVE bodies; GOVERNMENT policy; CRISIS management
- Publication
Revista Ciência & Saúde Coletiva, 2019, Vol 24, Issue 12, p4509
- ISSN
1413-8123
- Publication type
Article
- DOI
10.1590/1413-812320182412.25392019