0206/2020 - Empresas de capital internacional e o sistema de saúde Brasileiro: Um estudo sobre terapia renal substitutiva International capital companies and the Brazilian health system: A study on renal replacement therapy
A partir da liberalização do capital estrangeiro na Saúde engendrou-se uma nova tendência no processo de acumulação de capital no complexo econômico industrial da saúde, sobretudo nos níveis de atenção terciários e serviços de Atendimento, Tratamento e Diagnóstico (SADT). Com o intuito de compreender essa dinâmica, o presente artigo procurou analisar o processo de aquisições de clínicas de Terapia Renal Substitutiva (TRS) pelas empresas de capital internacional no Brasil. Para tanto, foi desenvolvido um percurso metodologico em duas etapas; a primeira consistena análise quantitativa-descritiva, de modalidade econômica, da totalidade das empresas de capital internacional que atuam na produção de insumos e tecnologias e nos serviços de assistência em TRS; a segundadesenvolvida em uma análise qualitativa de entrevistas semi-estruturadas de atores-chaves provenientes dos setores privado e público e sociedade civil organizada. Portanto, o processo de avanço do capital internacionaltraz consigo uma alteração qualitativa da organização, assistência e financiamento da TRS. Podemos encontrar, especialmente nos casos dos serviços públicos e privados complementares, uma tendência de restrição à atenção integral e um entrave ao direito universal à saúde.
Palavras-chave:
Economia Política da Saúde. Saúde pública. Sistemas de saúde. Diálise renal.
Abstract:
The liberalization of foreign capital in health has developed a new trend in the process of capital accumulation in the health’s economic industrial complex, especially in the levels of tertiary care and services of Care, Treatment and Diagnosis (SCTD). In order to contribute to the understanding of this dynamic, this article sought to analyze the acquisition process of Renal Replacement Therapy (RRT) clinics by companies of international capital in Brazil. To this end, a two-stage methodological path was developed; the first consists in the quantitative-descriptive analysis, a economic modality, of all the companies of international capital that operate in the production, technologies and in the assistance services in RRT; the second developed in a qualitative analysis of semi-structured interviews of key actorsthe private and public sectors and organized civil society. Therefore, the process of advancing te international capitalbrings with it a qualitative change in the organization, assistance and financing of RRT. We can find, especially in the cases of complementary public and private services, a tendency to restrict care and an obstacle to the universal right to health.
Keywords:
Political Economy of Health. Public health. Health systems. Renal dialysis.
International capital companies and the Brazilian health system: A study on renal replacement therapy
Resumo (abstract):
The liberalization of foreign capital in health has developed a new trend in the process of capital accumulation in the health’s economic industrial complex, especially in the levels of tertiary care and services of Care, Treatment and Diagnosis (SCTD). In order to contribute to the understanding of this dynamic, this article sought to analyze the acquisition process of Renal Replacement Therapy (RRT) clinics by companies of international capital in Brazil. To this end, a two-stage methodological path was developed; the first consists in the quantitative-descriptive analysis, a economic modality, of all the companies of international capital that operate in the production, technologies and in the assistance services in RRT; the second developed in a qualitative analysis of semi-structured interviews of key actorsthe private and public sectors and organized civil society. Therefore, the process of advancing te international capitalbrings with it a qualitative change in the organization, assistance and financing of RRT. We can find, especially in the cases of complementary public and private services, a tendency to restrict care and an obstacle to the universal right to health.
Palavras-chave (keywords):
Political Economy of Health. Public health. Health systems. Renal dialysis.
Pescuma Jr., Alves, D.F.A., Mendes, A, Bousquat, A.. Empresas de capital internacional e o sistema de saúde Brasileiro: Um estudo sobre terapia renal substitutiva. Cien Saude Colet [periódico na internet] (2020/jul). [Citado em 22/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/empresas-de-capital-internacional-e-o-sistema-de-saude-brasileiro-um-estudo-sobre-terapia-renal-substitutiva/17688?id=17688
