0050/2025 - Dimensão política da Resiliência de Sistemas de Saúde: o Movimento da Reforma Sanitária Brasileira e o Sistema Único de Saúde Political Dimension of Health Systems Resilience: The Brazilian Health Reform Movement and the Unified Health System
A produção científica sobre resiliência em saúde revela grande debate em torno do seu conceito, dimensões e aplicações, além de críticas, como o distanciamento de estudos que tratam desse tema daqueles que se dedicam a analisar o Movimento da Reforma Sanitária Brasileira (MRSB). O objetivo deste artigo é aproximar os estudos que tratam da resiliência de sistemas de saúde daqueles que se dedicam a analisar o MRSB, tendo em vista, ainda, incorporar a análise política em um estudo de resiliência em saúde. Adota uma perspectiva qualitativa, tratando, inicialmente, de uma breve revisão da literatura sobre resiliência, do aprofundamento das suas dimensões nos sistemas de saúde e no Sistema Único de Saúde (SUS), e, em seguida, da identificação das conjunturas críticas de atuação do MRSB, conformando um estudo de caso da ação política desse movimento como condição de resiliência do SUS. Os resultados apontam diferentes momentos nos quais a presença, a organização e a ação coletiva do MRSB foram cruciais para aumentar as capacidades de resiliência do SUS, pois esse ator conformou-se como um componente fundamental na construção e na manutenção do SUS, desde sua formulação, passando pela resistência ao seu desmonte, até sua capacidade de aprendizagem e inovação, bem como de resposta a crises institucionais e epidemiológicas.
Palavras-chave:
Resiliência de sistemas de saúde; Sistema Único de Saúde; Movimento da Reforma Sanitária Brasileira.
Abstract:
The scientific production on resilience in health reveals a great debate around its concept, dimensions and applications, in addition to criticisms such as the distancing of studies that deal with this topicthose dedicated to analyzing the Brazilian Health Reform Movement (MRSB). The objective of this article is to bring studies that deal with the resilience of health systems closer to those that are dedicated to analyzing the MRSB, with a view to also incorporating political analysis into a study of resilience in health. It adopts a qualitative perspective, initially dealing with a brief review of the literature on resilience, deepening its dimensions in the health systems and the Unified Health System (SUS), and then identifying the critical situations in which the MRSB operates, forming a study of case of the political action of this movement as a condition for the resilience of the SUS. The results point to different moments in which the presence, organization and collective action of the MRSB were crucial to increasing the resilience capabilities of the SUS, as this actor was a fundamental component in the construction and maintenance of the SUS,its formulation, through resistance to its dismantling, even its capacity for learning and innovation, as well as responding to institutional and epidemiological crises.
Keywords:
Health system resilience; Unified Health System; Brazilian Sanitary Reform Movement.
Political Dimension of Health Systems Resilience: The Brazilian Health Reform Movement and the Unified Health System
Resumo (abstract):
The scientific production on resilience in health reveals a great debate around its concept, dimensions and applications, in addition to criticisms such as the distancing of studies that deal with this topicthose dedicated to analyzing the Brazilian Health Reform Movement (MRSB). The objective of this article is to bring studies that deal with the resilience of health systems closer to those that are dedicated to analyzing the MRSB, with a view to also incorporating political analysis into a study of resilience in health. It adopts a qualitative perspective, initially dealing with a brief review of the literature on resilience, deepening its dimensions in the health systems and the Unified Health System (SUS), and then identifying the critical situations in which the MRSB operates, forming a study of case of the political action of this movement as a condition for the resilience of the SUS. The results point to different moments in which the presence, organization and collective action of the MRSB were crucial to increasing the resilience capabilities of the SUS, as this actor was a fundamental component in the construction and maintenance of the SUS,its formulation, through resistance to its dismantling, even its capacity for learning and innovation, as well as responding to institutional and epidemiological crises.
Palavras-chave (keywords):
Health system resilience; Unified Health System; Brazilian Sanitary Reform Movement.
Teixeira, S.M.F, Santos, J.S., Moreira, A.E.M.M, Barreto, T.M.A. Dimensão política da Resiliência de Sistemas de Saúde: o Movimento da Reforma Sanitária Brasileira e o Sistema Único de Saúde. Cien Saude Colet [periódico na internet] (2025/fev). [Citado em 04/07/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/dimensao-politica-da-resiliencia-de-sistemas-de-saude-o-movimento-da-reforma-sanitaria-brasileira-e-o-sistema-unico-de-saude/19526?id=19526