Professora-pesquisadora, Escola Politécnica de Saúde Joaquim Venâncio/Fiocruz.Rio de Janeiro - RJ - Brasil
Professora-pesquisadora, Escola Nacional de Saúde Pública Sergio Arouca/Fiocruz.Rio de Janeiro - RJ - Brasil
Hist Cienc Saude Manguinhos. 2021 Jan-Mar;28(1):79-99. doi: 10.1590/S0104-59702021000100005.
In the Brazilian public health literature, an association has been drawn between the 1970s health reform movement and what has been called developmentalist health. By investigating the discourse of two sanitarians from the developmentalist period - Mario Magalhães da Silveira and Carlos Gentile de Mello - we seek to unpick how their status of "precursors" of the health reform was constructed, analyzing the interfaces between public health, developmentalist thinking, the strategy for the construction of the developmentalist health and the health reform. Without refuting the pioneering nature of the sanitarians' ideas, we argue that the Brazilian Unified Health System, Sistema Único de Saúde, was created not simply in continuation of developmentalist thinking.
在巴西公共卫生文献中，人们已经发现 20 世纪 70 年代的卫生改革运动与所谓的发展主义卫生之间存在关联。通过研究发展主义时期的两位卫生学家马里奥·马加良斯·达席尔瓦（Mário Magalhães da Silveira）和卡洛斯·根蒂尔·德·梅洛（Carlos Gentile de Mello）的论述，我们试图剖析他们作为卫生改革先驱的地位是如何构建的，分析公共卫生、发展主义思维、发展主义卫生建设策略与卫生改革之间的接口。我们并不否认卫生学家思想的开创性，而是认为巴西的统一卫生系统，即 Sistema Único de Saúde，的创建并非仅仅是发展主义思维的延续。
