A política de incentivos do Ministério da Saúde para a atenção básica: uma ameaça à autonomia dos gestores municipais e ao princípio da integralidade?

Cadernos de Saúde Pública

Rosa Maria Marques²  Áquilas Mendes¹ 

[1] ,Pontifícia Universidade Católica de São Paulo Faculdade de Economia e Administração Departamento de EconomiaSão Paulo SP ,Brasil

关键词: Basic Standards for Health Care;    Health Policy;    Health Financing;    Family Health Program;    Normas Básicas de Atenção a Saúde;    Política de Saúde;    Financiamento da Saúde;    Programa Saúde da Família;   

DOI  :  10.1590/S0102-311X2002000700016

来源: SciELO

【 摘 要 】

Thirteen years after the Unified National Health System was implemented in Brazil, the Federal government increased the use of norms and regulations aimed at rationalizing resources and prioritizing basic care within the system. In other words, although actions and services are the responsibility of Municipal governments, the Federal government used financing to reinforce its role in determining the policy to be adopted. The first part of this article analyzes trends in health care expenditures and financing in the country and priorities and strategies for financing. The second part relates the 1996 Basic Operational Norm to the Federal government policy of transferring resources to the Municipalities, discussing the importance of the Family Health Program as part of the financing logic and the role of the Health Care Operational Norm in reinforcing rationalization and emphasizing basic care.

【 授权许可】

CC BY   
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