Reis Tiago Siqueira
Doctor of History, Universidade Federal Fluminense. Niterói - RJ - Brazil
Hist Cienc Saude Manguinhos. 2024 Jul 15;31:e2024030. doi: 10.1590/S0104-59702024000100030en. eCollection 2024.
An analysis is presented of the approaches taken by the Brazilian Center for Health Studies (Cebes) and the Brazilian Association of Collective Health (Abrasco) towards the nationalization of health during the Brazilian public health reform between 1976 (when Cebes was founded) and the enshrinement of public health in the Federal Constitution (1988). Discussions are presented of the theoretical and strategic principles defended by their intellectuals and the institutions' positions towards the nationalization of health. By positioning themselves against complete nationalization, they did not break away from the privatizing rationale embedded in the prevailing model of healthcare, and endeavored to conciliate private interests within the new framework for public health.
本文分析了巴西健康研究中心(Cebes)和巴西集体健康协会(Abrasco)在1976年(Cebes成立之年)至联邦宪法将公共卫生神圣化(1988年)期间巴西公共卫生改革进程中对卫生国有化所采取的方法。文中讨论了其知识分子所捍卫的理论和战略原则,以及这些机构对卫生国有化的立场。通过反对完全国有化,它们并未背离现行医疗模式中固有的私有化理念,而是努力在新的公共卫生框架内调和私人利益。