0198/2018 - Descentralização e regionalização da política de saúde: Abordagem histórico-comparada entre o Brasil e a Espanha. Decentralization and regionalization of health policy: A historical-comparative approach between Brazil and Spain.
Este artigo aborda os processos de descentralização e regionalização da política de saúde no Brasil e na Espanha entre 1980 e 2015. Valendo-se de contribuições do institucionalismo histórico e do método histórico-comparado, o estudo foi desenvolvido a partir de três dimensões de análise: contexto estatal; trajetória e institucionalidade da descentralização e regionalização da saúde; e condicionantes. O estudo evidenciou que, em ambos os países, o contexto mais geral de redemocratização e descentralização do Estado condicionou as reformas dos sistemas de saúde e sua organização político-administrativa. Além disso, fatores históricos, institucionais e políticos repercutiram, de modo específico em cada caso, influenciando a organização regional dos serviços, o balanço de poder e a divisão de responsabilidades entre as esferas governamentais na gestão, financiamento e coordenação da política de saúde. O estudo sugere que o modo como estes fatores se interrelacionaram no tempo importa para a compreensão da descentralização e regionalização dos sistemas de saúde em diferentes contextos.
Palavras-chave:
Descentralização da saúde; Regionalização da saúde; Sistemas de Saúde; Política de saúde comparada; Brasil e Espanha
Abstract:
This article discusses the processes of decentralization and regionalization of health policy in Brazil and Spain between 1980 and 2015. The study was developed with contributions of the historical institutionalism and of the historical-comparative method, by means of three dimensions of analysis: State’s context; trajectory and institutionality of the decentralization and regionalization of health; and constraints. The study showed that, in both countries, the more general context of redemocratization and decentralization of the State conditioned the reforms of health systems and their political-administrative organization. In addition, historical, institutional and political factors have had a specific impact in each case, influencing the regional organization of services, the balance of power and the division of responsibilities between the governmental spheres in the management, financing and coordination of health policy. The study suggests that the way these factors interrelated over time is important for understanding the decentralization and regionalization of health systems in different contexts.
Keywords:
Health’s Decentralization; Regional Health Planning; Health Systems; Comparative Health Policy; Brazil and Spain.
Decentralization and regionalization of health policy: A historical-comparative approach between Brazil and Spain.
Resumo (abstract):
This article discusses the processes of decentralization and regionalization of health policy in Brazil and Spain between 1980 and 2015. The study was developed with contributions of the historical institutionalism and of the historical-comparative method, by means of three dimensions of analysis: State’s context; trajectory and institutionality of the decentralization and regionalization of health; and constraints. The study showed that, in both countries, the more general context of redemocratization and decentralization of the State conditioned the reforms of health systems and their political-administrative organization. In addition, historical, institutional and political factors have had a specific impact in each case, influencing the regional organization of services, the balance of power and the division of responsibilities between the governmental spheres in the management, financing and coordination of health policy. The study suggests that the way these factors interrelated over time is important for understanding the decentralization and regionalization of health systems in different contexts.
Palavras-chave (keywords):
Health’s Decentralization; Regional Health Planning; Health Systems; Comparative Health Policy; Brazil and Spain.
Pereira, A.M.M., Lima, L.D, Machado, C. V.. Descentralização e regionalização da política de saúde: Abordagem histórico-comparada entre o Brasil e a Espanha.. Cien Saude Colet [periódico na internet] (2018/Abr). [Citado em 08/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/descentralizacao-e-regionalizacao-da-politica-de-saude-abordagem-historicocomparada-entre-o-brasil-e-a-espanha/16731?id=16731
