Ribeiro Patrícia Tavares
Departamento de Ciências Sociais, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ.
Cien Saude Colet. 2007 Nov-Dec;12(6):1525-32. doi: 10.1590/s1413-81232007000600014.
Examining some issues and challenges for ensuring the universal right to healthcare in Brazil, this paper explores the findings of a government project conducted in 2003 to broaden the approach to healthcare problems in Brazil, based on dialogs between government and society that supplement institutionalized approaches to social participation in healthcare management. Starting with an overview of the complex international backdrop against which government actions take place for implementing social rights, this paper highlights three issues among the problems listed that are rated as crucial for drawing up public policies: integrity and dignity as pillars for the organization and regulation of public interventions; recognition and respect for difference as a condition for achieving the right to healthcare; and territorialization of problems and policies for the production of responses to new realities. Finally, it lists some aspects that challenge Brazilian government and society in their efforts to guarantee the right to healthcare, affirming the timeliness of the steps taken by the government administration, moving steadily ahead towards effective universal access to this right through an appreciation of aspects related to human rights and citizenship.
本文审视了巴西在确保全民医疗保健权方面的一些问题和挑战，探讨了2003年开展的一个政府项目的研究结果，该项目旨在拓宽巴西医疗保健问题的解决途径，其基础是政府与社会之间的对话，这些对话补充了医疗保健管理中社会参与的制度化方式。本文首先概述了政府为落实社会权利而采取行动所处的复杂国际背景，然后重点阐述了所列问题中被认为对制定公共政策至关重要的三个问题：作为公共干预组织和监管支柱的完整性和尊严；承认和尊重差异作为实现医疗保健权的条件；以及为应对新现实而制定问题和政策的地域化。最后，它列出了一些在巴西政府和社会努力保障医疗保健权方面构成挑战的方面，肯定了政府行政部门所采取措施的及时性，通过认识与人权和公民身份相关的方面，稳步迈向有效普及这一权利。
