文章基本信息

标题：Reorientación de bienestar atención médica: un paso adelante o dos atrás?
其他标题：Reorientation of medical care welfare: a step forward or two back?
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作者：Sonia Maria Fleury Teixeira
期刊名称：Revista de Administração Pública
印刷版ISSN：0034-7612
出版年度：1985
卷号：19
期号：1
语种：Portuguese
出版社：Escola Brasileira de Administração Pública e de Empresas da Fundação Getulio Vargas
摘要：As mudanças que estão ocorrendo na organização do sistema de atenção médica previdenciária, a partir da criação do Conselho Consultivo da Administração de Saúde Previdenciária (Conasp), em 2 de setembro de 1981, têm sido observadas com paixão, perplexidade e expectativa, por todos aqueles que se encontram direta ou indiretamente envolvidos na questão. Capitalistas do setor saúde, técnicos dos órgãos estatais, pesquisadores e representantes da comunidade procuram, a cada momento, compreender o processo que está em curso para, assim, melhor se posicionarem frente a ele, na esperança de influírem na direção que lhe está sendo impressa.
其他摘要：The article intends to bring a contribution to the understanding of changes now occurring in the organization of medical care within the sphere of social security and welfare, from 1981 onwards, when the Conselho Consultivo da Administração de Saúde Previdenciária (Conasp) was instituted. In order to analyse the current process, the writer looks for the roots of the system's present crisis as from the establishment of the Instituto Nacional de Previdência Social (INPS), in 1966, when the organizational model of health services now in force was first implanted. This model has as its characteristics a very ample coverage, the privileged nature of medical treatment, the practice of medicine as an entrepreneurial activity and the differentiation of medical attendance in terms of clientele. The study reaches the conclusion that by the end of the '70s the welfare medicine was already in crisis, due to its impossibility of responding to the growing demand once unaltered the above mentioned conditions, which brought about ever increasing and uncontrollable costs of the health activities. To such a crisis was added the financial crisis of the whole social security system, propitiating conditions which led to the corrective measures proposed in the Conasp plan, among them being outstanding the new system of hospital accounts and the program of integrated health activities. In her analysis of the results of the two latter lines of priority, the authoress ends by questioning their out come because, contrary to representing an effective alteration in the previous model, they may well become the condition for its survival for some more time to come.