Duas questões permanentes em um século de políticas de saúde no Brasil republicano

Ciência & Saúde Coletiva

Madel Therezinha Luz¹ 

[1],Universidade do Estado do Rio de Janeiro Instituto de Medicina Social Rio de Janeiro RJ

关键词: Health Policies;    Democracy;    Centralization;    Concentration;    Políticas de Saúde;    Democracia;    Centralização;    Concentração;   

DOI  :  10.1590/S1413-81232000000200006

来源: SciELO

【 摘 要 】

This article discusses the dilemma centralization versus decentralization in health policies of the republican Brazilian State during the twentieth century. It develops the central hypothesis that the dichotomy centralization/ decentralization of functions, services and activities in Brazilian public policies, mainly in the health policies, expresses the concentration/deconcentration dichotomy of social power in civil society. The centralization/decentralization dichotomy as it appears in health policies since the foundation of Brazilian republic, illustrates the authoritarian character of this republic, as a consequence of the concentration of the social power in the hands of a small elite. Analysis of health policies in different conjunctures seems to demonstrate that decentralization tends to be defined by the state and other political actors in a geopolitical sense, rather than in a political sense. The article demonstrates also that during the 90s there has been a real process of decentralization, but still with a very little distribution of power.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License