Parcerias público-privadas (PPP) no setor saúde: processos globais e dinâmicas nacionais

Almeida, C.M.V.B.

doi:10.1590/0102-311x00197316

Cited by 19 publications

(23 citation statements)

References 17 publications

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“…For the health sector, the World Bank reform agenda followed the general lines defined above: colonization of the public administration of the sector by the economy and business models; increased mathematization of poverty and the focalization of social policies on the poorest; formatting of public health as a package of social minimums; systemic market orientation and the diffusion of the commodity form in new dominions of health; diversification of providers of health beyond the state; elimination of sectorial restrictions to full competition between nation-al and foreign private actors; weak regulation of business responsibilities and strong regulation of the rights of capital; and, more recently, privatization within the state through various modes of public-private partnerships (PPPs) [36][37][38][39] .…”

Section: The Long Adjustment Of Social Policiesmentioning

confidence: 99%

Banco Mundial, reforma dos Estados e ajuste das políticas sociais na América Latina

Pereira

2018

Ciênc. saúde coletiva

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This article briefly analyses the central points of the World Bank's agenda for the reform of national states in Latin America, between 1980 and 2017. The text is based on World Bank documents and specialized literature. Initially some relevant aspects of the history of the World Bank and its configuration as a multilateral organization are presented. Next, it discusses the role of the institution in the encouragement of structural adjustment programs for the economies of the region during the 1980s, based on a hyper-market oriented agenda. Afterwards, the process of the renewal and expansion process of the Bank's political agenda from the end of the 1990s is looked at, which was based on the maintenance of the macroeconomic adjustment, the encouragement of institutional reforms, and combatting extreme poverty. Finally, the principal lines in the Bank's social policy reform agenda are discussed, including health.

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Section: The Long Adjustment Of Social Policiesmentioning

confidence: 99%

Banco Mundial, reforma dos Estados e ajuste das políticas sociais na América Latina

Pereira

2018

Ciênc. saúde coletiva

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“…Health service funding, which is essential to health sector autonomy 13 , is complex in Mozambique and interrelates with regulations in order for activities and programmes to be conducted;…”

Section: The Mozambique Health System and Pharmaceutical Servicesmentioning

confidence: 99%

“…The main national actors in public medicine provision at the federal level are the Mozambique Ministry of Health(MISAU)and Ministry of Planning and Finances (MPF), both with their respective boards and divisions 13 (Figure 1).…”

Section: National Actorsmentioning

confidence: 99%

“…These actors include the Global Health Initiatives (GHIs), a form of Public-Private Partnership (PPP), which also operate in medicine provision. PPPs emerged in the second half of the 1990s, as an international development strategy, supposedly to improve the private sector contribution to this process, and grew quickly from the 2000s onwards, allied to the neoliberal agenda of health sector reforms, backed by the UN, particularly the WHO during the mandate of Gro Brundlandt (1998-2003) 13 . They are considered by some authors to be "humanitarian actions" in provision of medical and health care and, in synergy with the global health agenda, are focussed mainly on infectious diseases and "neglected diseases" 20 .…”

Section: International Actorsmentioning

confidence: 99%

“…Some pharmaceutical corporations (Novartis, in particular) finance medicine providers, such as UNICEF. Private foundations, such as the Bill and Melinda Gates Foundation, also give financial support to multilateral organisations, such as the WHO, or specific funds, such as the GFATM, which can lead to significant influence on decision-making processes 13 .…”

Section: National Production Of Medicines: Brazil-mozambiquebilateralmentioning

confidence: 99%

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Assistência Farmacêutica em Moçambique: a ajuda externa na provisão pública de medicamentos

Sachy

Almeida

Pepe

2018

Ciênc. saúde coletiva

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This article examines the activities of national and international actors in Pharmaceutical Services (PS) in Mozambique from 2007 to 2012, focusing on the public provision of HIV/Aids, malaria and tuberculosis medicines. It describes how PS functions in the country, what actors are involved in this area and the relations among them, pursuing salient issues in the modus operandi of partners in cooperation. The methodology combines literature review, document survey and analysis and interviews. The theoretical and analytical framework was given by the policy analysis approach, focusing on the role of the State and its interrelations with other actors in foreign aid in PS, and also by the networks approach. It was concluded that the interactions among the actors involved is complex and characterised by operational fragmentation and overlapping of activities between entities, centralised medicine procurement in the hands of few agents, bypassing of national structures and disregard for the strengthening needed to bolster national health system autonomy. Despite some advances in the provision and availability of medicines for these diseases, external dependence is strong, which undermines the sustainability of PS in Mozambique.

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Terceirizações na área da saúde no Brasil: reflexos no SUS, nas políticas sociais e nos trabalhadores

Cegatti¹,

Carnut

Mendes

2020

J Manag Prim Health Care

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Este estudo teve como objetivo realizar uma revisão sobre as terceirizações na área da saúde no Brasil, termos de reflexos das terceirizações para o sistema de saúde, para as políticas sociais e para o trabalhador da saúde. Tratou-se de uma revisão integrativa e utilizou como critério de inclusão a disponibilidade dos artigos, publicações em língua portuguesa e relevância com os objetivos desta pesquisa. Foi efetuada busca sistematizada no portal BVS obtendo-se 28 estudos incluídos. 22 estudos trouxerem elementos sobre os reflexos diretos da terceirização no SUS, 9 estudos apresentaram reflexos da terceirização nas políticas sociais e apenas 7 trouxeram a relação da terceirização sobre os trabalhadores do sistema. Dentre as vantagens agilidade e flexibilidade na contratação de pessoal são as mais citadas. Quanto às desvantagens os estudos relatam a mercantilização em função dos ideais neoliberais, a crítica sobre a agilidade e eficiência que está longe de ser alcançada, a fragmentação do sistema, problemas de regulação, falta de transparência, falhas de monitoramento, problemas no estabelecimento de metas fixas, limites à inovação e criatividade, alta rotatividade profissional e impacto sob o vínculo empregatício. A literatura é bem dividida sobre o tema o que torna o tema bastante polêmico.

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Parcerias público-privadas (PPP) no setor saúde: processos globais e dinâmicas nacionais

Cited by 19 publications

References 17 publications

Banco Mundial, reforma dos Estados e ajuste das políticas sociais na América Latina

Banco Mundial, reforma dos Estados e ajuste das políticas sociais na América Latina

Assistência Farmacêutica em Moçambique: a ajuda externa na provisão pública de medicamentos

Terceirizações na área da saúde no Brasil: reflexos no SUS, nas políticas sociais e nos trabalhadores

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