Along with resource generation, financing, and health service delivery, stewardship is a key health system function. However, very little empirical analysis has been carried out on it. This paper aims to fill this gap in the literature by assessing the Ministry of Health's (MoHs) role as a steward o
The Brazilian national health system: an unfulfilled promise?
✍ Scribed by Carlos Octávio Ocké-Reis; Theodore R. Marmor
- Book ID
- 102253630
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 91 KB
- Volume
- 25
- Category
- Article
- ISSN
- 0749-6753
- DOI
- 10.1002/hpm.1014
No coin nor oath required. For personal study only.
✦ Synopsis
In 1988, Brazil became one of the first countries in Latin America to frame access to health care as a constitutional right. However, it would be misleading to call Brazil's Unified Health System (Sistema U ´nico de Sau ´de, or SUS) a public health system that provides universal access and comprehensive care. This paper reveals a strong contradiction between the redistribution model set out in the Brazilian Constitution and the inadequate level of public spending on health care. The law states that health care is a basic social right, allocated by need rather than means. Meanwhile, in 2003, Brazil spent US$ 597 per capita on health, or 7.6 per cent of its gross domestic product (GDP), while the average country from the Organization for Economic Cooperation and Development (OECD)
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