The polarized federalism in the health system in Brazil

Resumo

This article proposes a historical-institutionalist perspective to explain the political and institutional dynamics that polarized the intergovernmental relations in health policy in the 1990s. In this perspective, the history of intergovernmental relations is understood as the result of a long chain of decisions made in particular political contexts of the three governments in the 90s: Presidents Fernando Collor, Itamar Franco and Fernando Henrique Cardoso. During this period, the relations between the political actors of the Brazilian Health Unified System (SUS) and the trends of the national federative context established the direction of the decentralization strategy at each stage. The intensity of institutionalization also depended on the choices of these governments regarding the direction of the national policy and the federative coordination structure of the Ministry of Health, the stability and volume of financing, and the institutional capacities of states and municipalities to take on new responsibilities.

Ficha do documento

Tipo

Artigo científico

Ano

2017

Instituição

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

Fonte

Repositório da FGV

Também disponível em

Revista de Administração Pública

Idioma

Português

Acesso

Acesso aberto

DOI

10.1590/0034-7612162798

Identificador

oai:repositorio.fgv.br:10438/25190

Licença

https://creativecommons.org/licenses/by/4.0

Temas

Desenvolvimento RegionalSaúde

Palavras-chave

decentralizationfederalismhealth policyHealth Unified System (Brazil)historical institutionalismdescentralizaciónfederalismopolíticas de saludSistema Unificado de Salud (Brasil)neoinstitucionalismo históricodescentralizaçãopolítica de saúdeSistema Único de Saúde (Brasil)