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弱势群体的社会保护与公共政策:对巴西福利持续现金补助计划的评估

Social protection and public policy for vulnerable populations: an assessment of the Continuous Cash Benefit Program of Welfare in Brazil.

作者信息

Duarte Cristina Maria Rabelais, Marcelino Miguel Abud, Boccolini Cristiano Siqueira, Boccolini Patrícia de Moraes Mello

机构信息

Núcleo de Informação, Políticas Públicas e Inclusão Social (NIPPIS), LIS/ICICT/FIOCRUZ/FMP/FASE. R. Barão do Rio Branco 1003, Centro. 25680-120 Petrópolis RJ Brasil.

Instituto Nacional do Seguro Social no Rio de Janeiro. Petrópolis RJ Brasil.

出版信息

Cien Saude Colet. 2017 Nov;22(11):3515-3526. doi: 10.1590/1413-812320172211.22092017.

DOI:10.1590/1413-812320172211.22092017
PMID:29211157
Abstract

This paper describes the historical development and profile of Continuous Cash Benefit (BPC) applicants, intended for poor elderly and people with disabilities, which, since 2009, uses eligibility criteria based on the International Classification of Functioning, Disability and Health (ICF) of the WHO and is aligned with the UN Convention on the Rights of Persons with Disabilities. The behavior of benefits was determined from the analysis the coefficients of the general and non-judicial grants between 1998 and 2014. The profile was established for the years 2010 and 2014 according to situation of acceptance, age, gender and ICF components. The average annual growth of the coefficient was higher from 2000 to 2010, prior to the adoption of the biopsychosocial eligibility model, and the coefficient of non-judicial grants increased until 2010, falling thereafter. The deferrals acceptance /rejections ratio was higher among children and among those facing severe or total environmental barriers, limitations, constraints and bodily changes. The implementation of the biopsychosocial evaluation model did not cause an increased rate of grants and results evidence the need for flexibility in the eligibility criteria.

摘要

本文描述了面向贫困老年人和残疾人的持续现金福利(BPC)申请人的历史发展和概况。自2009年以来,该福利采用了基于世界卫生组织《国际功能、残疾和健康分类》(ICF)的资格标准,并与《联合国残疾人权利公约》保持一致。通过分析1998年至2014年一般补助金和非司法补助金的系数来确定福利的情况。根据2010年和2014年的接受情况、年龄、性别和ICF组成部分确定了概况。在采用生物心理社会资格模型之前,2000年至2010年系数的年均增长率较高,非司法补助金系数在2010年之前有所增加,之后下降。儿童以及面临严重或完全环境障碍、限制、约束和身体变化的人群中延期接受/拒绝率较高。生物心理社会评估模型的实施并未导致补助金率上升,结果表明资格标准需要灵活性。

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