Privatization of health care management through Social Organizations in the city of São Paulo, Brazil: description and analysis of regulation

Cadernos de saúde pública
Henrique Contreiras, Gustavo Corrêa Matta

Abstract

The article describes and discusses privatization of the municipal health system in São Paulo, Brazil, from an administrative and political perspective. The methodology consisted of a literature review and analysis of legislation and public documents. The study showed that although legislation governing the so-called "Social Organizations" (OS) in Brazil dates to the year 2006, half of the administrative privatization is still regulated by a previous provisional instrument in the form of an "agreement" ("convênio" in Portuguese). In 2011, 61% of services were administered by private organizations, which received 44% of the health budget in 2012. The twenty participating organizations include five of the ten largest health care companies in Brazil. Inspection agencies have detected flaws in the management contracts, but the "agreements" (convênios) are subject to less rigorous control and have proven invisible to inspection. Finally, the legal framework is unstable. The study uses the experience in São Paulo as the basis for discussing the political versus technical nature of private management in the Brazilian Unified National Health System (SUS).

References

Nov 15, 2006·Journal of Health Politics, Policy and Law·Hans Maarse
Apr 24, 2010·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Maria Arlete Duarte Araujo
Aug 31, 2010·Ciência & saúde coletiva·Nelson Bezerra Barbosa, Paulo Eduardo Mangeon Elias
Apr 27, 2011·Cadernos de saúde pública·Cristiani Vieira MachadoCarolina de Oliveira Nogueira
Apr 11, 2012·Cadernos de saúde pública·Rafael Gomes DitterichSamuel Jorge Moysés
Sep 22, 2012·Ciência & saúde coletiva·Sheyla Maria Lemos Lima, Francisco Javier Uribe Rivera
May 21, 2014·Journal of Health Politics, Policy and Law·Arturo Vargas Bustamante, Claudio A Méndez

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Citations

Jun 10, 2016·Ciência & saúde coletiva·Fernanda Cangussu BotelhoAna Maria Cervato-Mancuso
Feb 8, 2018·Cadernos de saúde pública·Heloisa Maria Mendonça de MoraisNadine Anita Fonseca da Silva
Mar 5, 2020·Cadernos de saúde pública·Thaís Dos Santos GomesJoana Natalia Cella
Apr 25, 2019·Revista brasileira de enfermagem·Ricardo Bezerra CavalcanteSimone de Pinho Barbosa

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