Health reform strategic issuesthe development of the third sector

Resumo

There is an extensive literature dedicated to analyzing health reform in Brazil during the last two decades. However, very little has been written on how the intersectorial configuration affects the Brazilian health system. With a very weak non-profit sector (the so-called third sector), governmental institutions and the market are the two significantly recognized sectorial forces driving the country’s social, political, ideological, cultural, and financialmacro-relationships. This paper discusses the intersectorial relationships, configuring health as a social enterprise and contextualizing the third sector in the social economy, particularly in relation to public health. It examines historical aspects of the third sector’s birth and growth, especially in the US, and argues that the development of an independent third sector isstrategic for the continuous development of Brazil’s Unified Health System, recognizing a variety of social, political, and economic challenges for its establishment. A strong third sector, politically independent and inserted as a protagonist and not merely as a supporting actor in the social economic and cultural scene is crucial to the implementation of a new social pact thatcan significantly contribute for social progress in Brazil.

Ficha do documento

Tipo

Artigo científico

Ano

2003

Instituição

Escola Brasileira de Administração Pública e de Empresas da Fundação Getulio Vargas (FGV EBAPE)

Fonte

Revista de Administração Pública

Idioma

Português

Acesso

Não informado

Identificador

oai:ojs.periodicos.fgv.br:article/6485

Temas

Saúde

Palavras-chave

third sectorUnified Health Systemhealth reformintersectorialitysocial enterprisecitizenship.terceiro setorSistema Único de Saúdereforma sanitáriaintersetorialidadeempreendimento socialcidadania.