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[巴西卫生部门的金融化:对公司和企业集团调查的理论与方法挑战]

[Financialization of the health sector in Brazil: theoretical and methodological challenges to the investigation of companies and business groups].

作者信息

Bahia Ligia, Poz Mario Dal, Levcovitz Eduardo, Costa Lais Silveira, Mattos Leonardo Vidal, Andrietta Lucas Salvador, Monte-Cardoso Artur, Travassos Claudia

机构信息

Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Brasil.

出版信息

Cad Saude Publica. 2022 Aug 26;38Suppl 2(Suppl 2):e00004420. doi: 10.1590/0102-311X00004420. eCollection 2022.

Abstract

The article describes the history of the response to the theoretical and methodological challenges in research on companies and corporate groups in the Brazilian health sector that reorganized their shareholding structures, diversified their activities, and expanded their financial operations. Such movements in corporate concentration and expansion were analyzed with an approach to the frame of reference for financialization in contemporary capitalism in the analysis of selected companies and corporate groups. Corporate strategies were classified in three dimensions: shareholding, financial, and accounting structure and influence on the public agenda and the respective indicators orienting the organization of information from diverse sources for companies and corporate groups from 2008 and 2017. The study provides a profile of the intense and complex process of corporate reorganization in the health sector. Still, the study's exploratory design and difficulties in access to information and selection of companies and corporate groups mean that the observations are necessarily preliminary.

摘要

本文描述了巴西卫生部门中公司和企业集团研究对理论和方法挑战的应对历史,这些公司和企业集团重组了股权结构、使其活动多样化并扩大了金融业务。在分析选定的公司和企业集团时,采用当代资本主义金融化的参照框架方法对这种企业集中和扩张的动态进行了分析。企业战略从三个维度进行分类:股权、财务和会计结构,以及对公共议程的影响,以及2008年至2017年为公司和企业集团组织来自不同来源信息的相应指标。该研究提供了卫生部门企业重组这一激烈而复杂过程的概况。然而,该研究的探索性设计以及获取信息和选择公司及企业集团方面的困难意味着这些观察结果必然是初步的。

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