SUS 30 anos: o início, a caminhada e o rumo

Abstract

In this text, we refer to the solid and historical civilizational roots of the Brazilian Unified Health System, SUS (Sistema Único de Saúde) that give it a perennial status. Data and analyses are systematized, pointing out, in parallel to the construction of SUS, the construction of another public health policy that has subverted the principles and guidelines of the Federal Constitution of 1988: a real, implicit and hegemonic policy. As for SUS, we identify and reinforce explicit advances and resistances with its principles and guidelines, over this 30 year period, but with invaluable accumulation in management, evaluation, knowledge construction, appropriate technologies, resistance strategies and politicization in defense of the constitutional directives. The knowledge that has been acquired over this time is understood to form part of a drive towards a civilizing pathway that was proposed by the 1988 Constitution. Although SUS is considered to be an unfinished work with deviations, and the need, on one hand, to be consolidated in better achievements, and on the other, to be permanently reinvented in order to accomplish its mission.

Política Nacional de Atenção Básica de 2017: análise da composição das equipes e cobertura nacional da Saúde da Família

“…On the other hand, because of the diversity of the more than 5,500 Brazilian municipalities, several barriers inherent to the system, related to financing, structure, management and human resources within the scope of SUS are observed, practically freezing the expansion of coverage and the number of teams in the country in recent years 49 .…”

Sistema de Saúde e Trabalho: desafios para a Enfermagem no Brasil

“…Based on international evidence, the World Health Organization states that health systems based on strong Primary Health Care have better outcomes, lower costs, and higher quality of care. In the opinion of Santos 2 :…”

Desafios do cuidado para o advento da saúde sustentável [Care challenges for the advent of sustainable health] [Cuida los desafíos para el advenimiento de la salud sostenible]

“…Para compreender o SUS, aponta-se a Lei Orgânica da Saúde, que ressalta que a saúde assevera à população políticas públicas que visem a melhorias nos aspectos sociais e econômicos do país. Além disso, o SUS amplia o conhecimento sobre os fatores condicionantes e determinantes da saúde e a vigilância para as questões ambientais e sanitárias, bem como outras atuações de interesse para o campo da saúde 8 .…”