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Notas sobre o futuro do SUS: breve exame de caminhos e descaminhos trilhados em um horizonte de incertezas e desalentos

Overview of attention for article published in Ciência & Saúde Coletiva, June 2018
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Title
Notas sobre o futuro do SUS: breve exame de caminhos e descaminhos trilhados em um horizonte de incertezas e desalentos
Published in
Ciência & Saúde Coletiva, June 2018
DOI 10.1590/1413-81232018236.05732018
Pubmed ID
Authors

José Carvalho de Noronha, Gustavo Souto de Noronha, Telma Ruth Pereira, Ana Maria Costa

Abstract

This article reflects on the future of the Brazilian Unified Health System (SUS, acronym in Portuguese), based on the foresight exercises conducted by the Brasil Saúde Amanhã initiative of the Oswaldo Cruz Foundation. The text briefly reviews some paths followed by the SUS as referred to in the Federal Constitution of 1988. It highlights the movement towards the decentralization of care and the constraint of health financial resources that reduced policies of increasing public expenditures. It examines the public and private arrangements for financing and provision of services that have resulted in sectoral privatization, mainly from economic policies articulated with concession of fiscal benefits. It analyzes the changes in the public sector financing through successive constitutional amendments that resulted in the weakening of established social protection policies, particularly of the health sector. For the future, the text considers population aging and analyzes trends in the epidemiological profile, with consequent changes in the health care paradigm. The article concludes by pointing out the consequences of fiscal strangling in the organization of the healthcare system and the need to reverse legal provisions that hamper the fulfillment of the constitutional mandate for equity and universality.

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Mendeley readers

The data shown below were compiled from readership statistics for 69 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 69 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 19%
Student > Bachelor 9 13%
Student > Postgraduate 5 7%
Student > Ph. D. Student 4 6%
Researcher 4 6%
Other 11 16%
Unknown 23 33%
Readers by discipline Count As %
Medicine and Dentistry 11 16%
Social Sciences 9 13%
Nursing and Health Professions 9 13%
Pharmacology, Toxicology and Pharmaceutical Science 4 6%
Psychology 3 4%
Other 9 13%
Unknown 24 35%