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dc.contributor.authorPasche, Dário Fredericoes_ES
dc.contributor.authorRighi, Liane Beatrizes_ES
dc.contributor.authorThomé, Henrique Inácioes_ES
dc.contributor.authorStolz, Eveline Dischkalnes_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued2006es_ES
dc.identifier.citationPasche, Dário Frederico,Righi, Liane Beatriz,Thomé, Henrique Inácio,Stolz, Eveline Dischkaln (2006) Paradoxos das políticas de descentralização de saúde no Brasil. Rev Panam Salud Publica;20(6) 416-422,dic. 2006. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892006001100008&lng=pt&nrm=iso&tlng=ptpt_BR
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892006001100008&lng=pt&nrm=iso&tlng=ptes_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/7900
dc.relation.ispartofseriesRev Panam Salud Publica;20(6),dic. 2006es_ES
dc.subjectAssistência à Saúdept_BR
dc.subjectBrasilpt_BR
dc.titleParadoxos das políticas de descentralização de saúde no Brasilpt_BR
dc.title.alternativeParadoxes of health decentralization policies in Braziles_ES
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesThe constitution of Brazil directs that the countrys health system, the Unified Health System (Sistema Unico de Saúde), be politically and administratively decentralized. Nevertheless, handing over competencies, responsibilities, and resources to subnational levels, especially to municipal governments, has been a slow process, lasting almost two decades. Advances have been brought about by the Unified Health System, which, from a analytical perspective, is a public and universal system. Despite that, the decentralization process needs to overcome norms that keep all levels of management dependent on Brazils federal Government. The subnational levels have consistently faced difficulties in performing their macromanagement functions with autonomy, especially when it comes to financing and to the establishment or organization of health care networks. Boldness and responsibility will be needed to prevent Brazils health decentralization process from leading to fragmentation. New political agreements between different levels of government, with a reassignment of responsibilities and the enhancement of a culture of technical cooperation, are fundamental requisites to making the Unified Health System have a health policy that is truly public and universal.(AU)en_US


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