A Historical Overview of Regional Health Planning and Primary Care Services in the State of Sao Paulo

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author MELLO, Guilherme Arantes
IBANEZ, Nelson
VIANA, Ana Luiza d'Avila FMUSP-HC
dc.date.issued 2011
dc.identifier.citation SAUDE E SOCIEDADE, v.20, n.4, p.853-866, 2011
dc.identifier.issn 0104-1290
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/23307
dc.description.abstract In recent years, public health debate in Brazil has settled the idea that regional planning of primary health care is an obligatory initial step towards the achievement of the principles of universality, equity and integrality of the Sistema Unico de Sa de (SUS - National Health System). That view opposes the historical weight of decentralization as the essence of service organization in the States, but also marks the failure of the bureaucratic model of administration and of the classic roles of governmental levels, with particular consequences to the capability of the State Health Departments. Thus, this paper seeks to contribute with an overview of the ideas, management changes and the role of the State level in the conformation of the regional and primary care services organization in the state of Sao Paulo. Within the framework of discourse history, the text is structured on the identification of four dynamic periods, marked by health reforms that alter the regional issue and the question of primary care services organization in the State of Sao Paulo. The model of district health centers, introduced in the 1920s, is seen as the most remote origin of the contemporary discourse of primary health care.
dc.language.iso por
dc.publisher UNIV SAO PAULO, FAC SAUDE PUBLICA
dc.relation.ispartof Saude e Sociedade
dc.rights openAccess
dc.subject Public Health/History; Social Medicine; Primary Health Care; Regional Health Planning; Decentralization; Health Care Reform
dc.title A Historical Overview of Regional Health Planning and Primary Care Services in the State of Sao Paulo
dc.type article
dc.rights.holder Copyright UNIV SAO PAULO, FAC SAUDE PUBLICA
dc.description.group LIM/39
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author VIANA, Ana Luiza d'Avila:FM:MPR
hcfmusp.author.external · MELLO, Guilherme Arantes:Rodovia Washington Luis, BR-13565905 Sao Carlos, SP, Brazil
· IBANEZ, Nelson:Fac Ciencias Med Santa Casa Sao Paulo, Dept Social Med, Sao Paulo, Brazil; Ciencia Inst Butantan, Lab Hist, Sao Paulo, Brazil
hcfmusp.origem.id WOS:000297559900004
hcfmusp.origem.id 2-s2.0-80555136708
hcfmusp.publisher.city SAO PAULO
hcfmusp.publisher.country BRAZIL
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dc.description.index WoS
hcfmusp.citation.scopus 5
hcfmusp.affiliation.country Brasil
hcfmusp.scopus.lastupdate 2021-08-27


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