Mello Guilherme Arantes, Viana Ana Luiza d'Ávila
Departamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Hist Cienc Saude Manguinhos. 2012 Dec;19(4):1219-40. doi: 10.1590/s0104-59702012000400007.
Brazil's Unified Health System (Sistema Único de Saúde) has highlighted a series of concepts specific to the organization of healthcare systems. Among these, integrity - which shares boundaries with almost all other System principles - has been the object of much academic production in Brazil. Based on an extensive review of primary and secondary sources, the article offers a historical recovery of the concepts of integrity, decentralization, regionalization, and universality - ideas and concepts that in good measure are shaped by and interlinked with the set of ideals of the organization of sanitary services according to the district health centers model.
巴西统一卫生系统(Sistema Único de Saúde)突出了一系列医疗保健系统组织特有的概念。其中,与几乎所有其他系统原则都有交集的整体性,一直是巴西众多学术成果的研究对象。基于对一手和二手资料的广泛回顾,本文对整体性、分权化、区域化和普遍性等概念进行了历史梳理——这些理念在很大程度上是由按地区卫生中心模式组织卫生服务的一系列理想塑造并相互关联的。