Cohn A
Centro de Estudos de Cultura Contemporânea-CEDEC, São Paulo, Brazil.
Int J Health Serv. 1992;22(4):767-81. doi: 10.2190/0F70-598R-GMUM-40YF.
A tentative analysis is made of the recent São Paulo experience in health care management, in which the chief guideline has been to create institutional space for grass-roots and health worker participation within the State apparatus. The analysis takes Brazil's recent health policies and the so-called Sanitary Reform movement as reference points. The issue is approached from the angle of democracy and democracy's possibilities in the context of a society characterized by tremendous social inequalities, and in the context of the current international and national neoliberal offensive.
本文对圣保罗近期在医疗管理方面的经验进行了初步分析，其主要指导方针是在国家机构内为基层和卫生工作者的参与创造制度空间。该分析以巴西近期的卫生政策和所谓的卫生改革运动为参考点。本文从民主以及在一个存在巨大社会不平等的社会背景下、在当前国际和国内新自由主义攻势背景下民主的可能性这一角度探讨该问题。
