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民主与健康:第 16 届巴西国家卫生大会前的思考与挑战。

Democracy and Health: reflections and challenges before the 16th Brazilian National Health Conference.

机构信息

Universidade Federal da Bahia. Instituto Multidisciplinar em Saúde. Vitória da Conquista, BA, Brasil.

Faculdade Pitágoras. Vitória da Conquista, BA, Brasil.

出版信息

Rev Saude Publica. 2020 Jan 31;54:16. doi: 10.11606/s1518-8787.2020054001713. eCollection 2020.

Abstract

This text aimed to analyze characteristics and challenges of the 16th Brazilian National Health Conference based on the conference three thematic axes: Health as a right; Consolidation of the Brazilian Unified Health System (SUS) principles; Adequate and enough funding for SUS. Given the initiatives to dismantle the social security model and the setbacks of social protection policies, to delimitate health in an expanded sense is essential to defend the SUS project. We analyzed the proposal of Universal Health Coverage as an alternative to universal systems. We then presented the restrictions of universal coverage and how the restrictions can threaten the SUS principles. We also discussed insufficient SUS funding and possible worsening in the face of fiscal austerity policies. To strengthen social participation and to monitor the proposals approved at the conference are necessary.

摘要

这段文本旨在分析第 16 届巴西国家卫生大会的特点和挑战,其依据是大会的三个主题轴:健康是一项权利;巩固巴西统一卫生系统(SUS)的原则;为 SUS 提供充足和足够的资金。鉴于破坏社会保障模式的举措和社会保护政策的挫折,从更广泛的意义上界定卫生是捍卫 SUS 项目的关键。我们分析了普及健康覆盖作为普及制度的替代方案的提议。然后,我们介绍了普及覆盖的限制,以及这些限制如何威胁 SUS 原则。我们还讨论了 SUS 资金不足以及在财政紧缩政策面前可能恶化的情况。加强社会参与和监督大会批准的提案是必要的。

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