Author:

• José Mendes Ribeiro - Ribeiro, J.M. - Rio de Janeiro - ENSP, DCS - <ribeirojm@globo.com>
ORCID: https://orcid.org/0000-0003-0182-395X

Co-author(s):

• Cosme Marcelo Furtado Passos da Silva - Silva, C. M. F. P - Fundação Oswaldo Cruz (Fiocruz) / Escola Nacional de Saúde Pública Sergio Arouca (Ensp) - <cosme.passos@fiocruz.br>
ORCID: https://orcid.org/0000-0001-7789-1671
• Assis Luiz Mafort Ouverney - Ouverney, Assis Luiz Mafort - Fundacao Oswaldo Cruz, Escola Nacional de Saúde Pública - <assismafort@gmail.com>
• Marcelo Rasga Moreira - Moreira, M.R. - rio de janeiro, RJ - fiocruz, dcs/ensp - <rasgamoreira@gmail.com>
ORCID: http://orcid.org/0000-0003-3356-7153

Thematic Area:

Não Categorizado

Abstract:

In this article health districts in Brazil are analyzed according to debate on cooperative federalism in the SUS which resulteddecentralizing process stablished in 1988 Constitution. Indicators were ed as to delivery capacity in districts and statistical analyses showed better regional capacity in hospital care and greater asymmetries related to physicians, higher complexity equipment and private insurance coverage. Conclusion argue to necessary solutions that could strengthen governmental capacity to reduce regional inequalities by more central coordination.

Keywords:

health districtsservice deliveryfederalism

Content:

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