Monte-Cardoso Artur, Andrietta Lucas Salvador
Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.
Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2022 Aug 26;38Suppl 2(Suppl 2):e00220121. doi: 10.1590/0102-311X00220121. eCollection 2022.
This article discusses the dynamics of the Diagnostic and Therapeutic Support Services subsector from 2008 to 2016 in Brazil. Through an exploratory approach, the study aimed to operationalize key concepts from the literature on the pattern of accumulation characterizing contemporary capitalism. The research focused on the activity of six Brazilian diagnostic companies in three main dimensions: (1) net worth; (2) accounting-finance; and (3) policy. The results reveal a subsector experiencing vigorous growth via increases in the volume and prices of the services provided. The evidence corroborates traits of a pattern of financialized accumulation, especially aggressive strategies of mergers and acquisitions by leading companies, with centralization as a result. However, some characteristics associated with the concept of financialization appear not to be relevant. The article also discusses the prospects for competition in activities in the Diagnostic and Therapeutic Support Services subsector and the possible effects for the effort to consolidate Brazilian Unified National Health System (SUS).
本文探讨了2008年至2016年巴西诊断与治疗支持服务子部门的动态变化。通过探索性方法，该研究旨在将文献中关于当代资本主义积累模式的关键概念付诸实践。该研究聚焦于巴西六家诊断公司在三个主要维度的活动：（1）净值；（2）会计财务；（3）政策。结果显示，该子部门通过所提供服务的数量和价格增长实现了强劲增长。证据证实了金融化积累模式的特征，特别是领先公司激进的并购策略，从而导致了集中化。然而，一些与金融化概念相关的特征似乎并不相关。本文还讨论了诊断与治疗支持服务子部门活动中的竞争前景以及对巩固巴西统一国家卫生系统（SUS）努力可能产生的影响。
