0305/2018 - Mercantilização nas reformas dos sistemas de saúde alemão, francês e britânico. Commodification in the reforms of the German, French and British health systems.
Desde os anos 1980, os sistemas de saúde europeus vêm passando por várias reformas, com ênfase à tendência de sua mercantilização. O objetivo deste artigo é evidenciar formas de implementação de mecanismos de mercado no funcionamento desses sistemas, alemão, britânico e francês – a partir da década de 1980. As reformas “mercantis” eram justificadas a partir da premissa de que a inserção da lógica de mercado poderia tanto diminuir a necessidade de gastos públicos como aumentar a eficiência dos gastos existentes. O trabalho apresenta diferentes formas de mercantilização implementadas nas reformas, com a distinção entre os processos de mercantilização explícita, em que há efetivo aumento da presença privada, e implícita, em que ocorre a incorporação de princípios advindos do setor privado no sistema público, tanto no financiamento como na prestação de serviços de saúde. Além do detalhamento das diferentes maneiras em que este fenômeno se expressa, o artigo apresenta brevemente os potenciais efeitos negativos desse processo para os sistemas de saúde, principalmente em termos de acesso e equidade, explicitando que as premissas iniciais em torno da mercantilização (redução de gastos e melhora na eficiência) parecem ser falsas.
Palavras-chave:
Mercantilização; Reforma dos Sistemas de Saúde; Alemanha; França; Reino Unido.
Abstract:
Since the 1980s, European health systems have undergone several reforms, with emphasis on the tendency of their commodification. The objective of this article is to show how market mechanisms were implemented in the functioning of these systems, German, British and French -the 1980s. The \"mercantile\" reforms were justified on the premise that the ion of market logic could both reduce the need for public spending and increase the efficiency of existing expenditure. The work presents different forms of commodification implemented in the reforms, with the distinction between processes of explicit commodification, in which there is an effective increase in private and implicit presence, in which there is incorporation of principlesthe private sector in the public system, both in financing and in the provision of health services. In addition to detailing the different ways in which this phenomenon is expressed, the article briefly presents the potential negative effects of this process for health systems, especially in terms of access and equity, showing that the initial assumptions surrounding commodification (cost reduction and efficiency improvement) appear to be false.
Keywords:
Commodification; Health Systems Reform; Germany; France; United Kingdom
Commodification in the reforms of the German, French and British health systems.
Resumo (abstract):
Since the 1980s, European health systems have undergone several reforms, with emphasis on the tendency of their commodification. The objective of this article is to show how market mechanisms were implemented in the functioning of these systems, German, British and French -the 1980s. The \"mercantile\" reforms were justified on the premise that the ion of market logic could both reduce the need for public spending and increase the efficiency of existing expenditure. The work presents different forms of commodification implemented in the reforms, with the distinction between processes of explicit commodification, in which there is an effective increase in private and implicit presence, in which there is incorporation of principlesthe private sector in the public system, both in financing and in the provision of health services. In addition to detailing the different ways in which this phenomenon is expressed, the article briefly presents the potential negative effects of this process for health systems, especially in terms of access and equity, showing that the initial assumptions surrounding commodification (cost reduction and efficiency improvement) appear to be false.
Palavras-chave (keywords):
Commodification; Health Systems Reform; Germany; France; United Kingdom
Ferreira, MRJ, MENDES, A.M.. Mercantilização nas reformas dos sistemas de saúde alemão, francês e britânico.. Cien Saude Colet [periódico na internet] (2018/Jun). [Citado em 08/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/mercantilizacao-nas-reformas-dos-sistemas-de-saude-alemao-frances-e-britanico/16838?id=16838
