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[Equity and health reforms in the 1990s]
Amélia Cohn1, Paulo Eduardo Mangeon Elias
1Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, 01246-903, Brasil. amelcohn@usp.br
Cadernos De Saude Publica
|February 4, 2003
Summary
This study examines Brazilian Health Reform, finding that partnerships between public and supplementary healthcare systems can perpetuate societal discrimination. It highlights the need to re-emphasize the political dimension in health studies to address social exclusion.
Area of Science:
- Public Health
- Health Policy
- Sociology of Health
Context:
- Analysis of the Brazilian Health Reform agenda, focusing on social inclusion and exclusion.
- Examination of a partnership between a public university hospital and the Supplementary Health Care System (SSAM).
Purpose:
- To analyze current issues in Brazilian Health Reform from a social inclusion/exclusion perspective.
- To evaluate the partnership between the public sector and SSAM in light of the reform's ideals and societal changes.
- To explore the hypothesis that the original ideals of the Brazilian Health Reform have been depleted.
Summary:
- The article investigates the Brazilian Health Reform, particularly a partnership between the University Hospital (School of Medicine, University of São Paulo) and the SSAM.
- It identifies a "double waiting line" for users of the Unified National Health System (SUS) and SSAM.
- This situation reproduces existing societal discrimination within the hospital setting, despite not being direct discrimination in technological access.
Impact:
- Highlights the reproduction of societal discrimination within healthcare partnerships.
- Underscores the need to recuperate the political dimension in health studies.
- Emphasizes the importance of constructing social stakeholder identities within the context of health reform.