دورية أكاديمية
[Governance and regulation in health: challenges for health management in Greater Metropolitan São Paulo, Brazil].
| العنوان: | [Governance and regulation in health: challenges for health management in Greater Metropolitan São Paulo, Brazil]. |
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| عنوان ترانسليتريتد: | Governança e regulação na saúde: desafios para a gestão na Região Metropolitana de São Paulo, Brasil. |
| المؤلفون: | Ibanhes LC; Secretaria de Estado da Saúde de São Paulo, Instituto de Saúde, Rua Santo Antonio 590, São Paulo, SP 01314-000, Brazil. nisis@isaude.sp.gov.br, Heimann LS, Junqueira V, Boaretto RC, Pessoto UC, Cortizo CT, Castro IE, Rocha JL, Kayano J, Luiz Odo C, Barboza R, Telesi E Jr |
| المصدر: | Cadernos de saude publica [Cad Saude Publica] 2007 Mar; Vol. 23 (3), pp. 575-84. |
| نوع المنشور: | English Abstract; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | Portuguese |
| بيانات الدورية: | Publisher: Escola Nacional De Saúde Pública, Fundação Oswaldo Cruz Country of Publication: Brazil NLM ID: 8901573 Publication Model: Print Cited Medium: Print ISSN: 0102-311X (Print) Linking ISSN: 0102311X NLM ISO Abbreviation: Cad Saude Publica Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2012->: Rio De Janeiro : Escola Nacional De Saúde Pública, Fundação Oswaldo Cruz Original Publication: Rio de Janeiro : A Escola, |
| مواضيع طبية MeSH: | Public Policy*, Delivery of Health Care/*organization & administration , National Health Programs/*organization & administration , Private Sector/*organization & administration , Public Sector/*organization & administration, Brazil ; Health Planning ; Health Promotion ; Humans ; Social Control, Formal ; Social Security ; Urban Population |
| مستخلص: | This paper discusses the relationship between the public and private sectors in the Unified National Health System (SUS), based on research whose objective was to identify governance strategies and mechanisms for public/private relations in the health sector, considering the search for equity in Greater Metropolitan Sao Paulo, Brazil. Governance was used as an analytical category, with health system regulation as the issue. Municipal and State health secretaries, members of health councils, and SUS staff were interviewed, and the empirical material was classified as: (a) regulatory mechanisms and instruments; (b) power loci; and (c) actors' positions concerning the SUS and its relationship to the private sector. Mechanisms and instruments have been created and used in the municipalities for regulation of their own services. Regulatory measures for the complementary and supplementary healthcare sector are practically nonexistent. There are numerous institutional power loci, seen more as places for submitting demands than as forums for negotiation. Despite some progress, governance appears to be more of a formal issue. Discussion is needed on the relationship between the public and private sectors and its regulation by municipalities in order to improve the health system. |
| تواريخ الأحداث: | Date Created: 20070306 Date Completed: 20080131 Latest Revision: 20190823 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1590/s0102-311x2007000300016 |
| PMID: | 17334572 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0102-311X |
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| DOI: | 10.1590/s0102-311x2007000300016 |