Advances, challenges, and prospects for the Unified Health System (SUS) resilience
Marco Antonio Catussi Paschoalotto1, Eduardo Alves Lazzari1, Marcia C Castro2
1Centro de Investigação em Ciência Política, Escola de Economia, Gestão e Ciência Política, Universidade do Minho. R. da Universidade, 4710-057 Braga Portugal.marcocatussi@eeg.uminho.pt.
This study explores the advancements, challenges, and prospects of the Brazilian Unified Health System's (UHS) resilience. Findings highlight key areas for improving health system resilience against major external shocks like pandemics.
Area of Science:
- Public Health
- Health Systems Research
- Resilience Studies
Background:
- The Brazilian Unified Health System (UHS) faces significant external shocks.
- Understanding UHS resilience is crucial for public health preparedness.
- Previous research has not comprehensively addressed UHS resilience dimensions.
Purpose of the Study:
- To present and discuss advancements, challenges, and prospects of Brazilian UHS resilience.
- To identify key factors influencing the resilience of the Brazilian health system.
- To provide insights for public health managers to enhance future resilience.
Main Methods:
- Exploratory and qualitative study design.
- 30 in-depth interviews with academic experts and practitioners.
- Inductive content analysis of collected data.
Main Results:
- Identified 32 advancements, 40 challenges, and 32 prospects for UHS resilience.
- Results categorized across Governance, Financing, Resources, Service Delivery, and Context dimensions.
- UHS demonstrated resilience during political crises and the COVID-19 pandemic.
Conclusions:
- The study provides a comprehensive overview of UHS resilience.
- Specific areas for implementation, monitoring, and evaluation are identified for public health managers.
- Future strategies should focus on strengthening governance, financing, resources, service delivery, and addressing social determinants of health.
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