Gadelha Carlos Augusto Grabois, Temporão José Gomes
Grupo de Pesquisa sobre Desenvolvimento, Complexo Econômico-Industrial e Inovação em Saúde, Escola Nacional de Saúde Pública, Fiocruz. Av. Brasil 3800, Manguinhos. 21040-361 Rio de Janeiro RJ Brasil.
Ex-Ministro da Saúde do Brasil. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2018 Jun;23(6):1891-1902. doi: 10.1590/1413-81232018236.06482018.
The concept and approach of the Health Economic-Industrial Complex (HEIC) were present in the advancement of the Unified Health System (SUS) in the last decades, contributing to the incorporation of an agenda related to the national pattern of development. The paper reconstructs this approach to capture its dynamics and demarcate the vision developed in this paradigm. It reveals the thinking matrices of the field of political economy that provide the analytical substrate for its development, allowing us to confront the reductionist use of the concept. It highlights, therefore, the logical foundations that guided the public policies resulting from this approach, with emphasis on the systemic approach and the use of state purchasing power, through the Productive Development Partnerships (PDP), marking the effort to articulate the social and economic realms of development. At present, this analytical perspective is even more crucial, showing that well-being not only fits into GDP but can also be a lever for a pattern of development committed to the National Health Universal System (SUS), society and economic and technological sovereignty in health.
健康经济产业综合体（HEIC）的概念和方法在过去几十年统一卫生系统（SUS）的发展进程中有所体现，推动了与国家发展模式相关议程的纳入。本文重构了这一方法，以把握其动态并界定该范式中形成的愿景。它揭示了政治经济学领域的思维矩阵，这些矩阵为其发展提供了分析基础，使我们能够应对该概念的简化用法。因此，它突出了指导这一方法所产生公共政策的逻辑基础，重点是系统方法以及通过生产性发展伙伴关系（PDP）运用国家购买力，这标志着为阐明发展的社会和经济领域所做的努力。目前，这种分析视角更为关键，表明福祉不仅符合国内生产总值，还可以成为致力于全民健康系统（SUS）、社会以及卫生领域经济和技术主权的发展模式的一个杠杆。
