Federalism and decentralization: Impact on International and Brazilian Health Policies

This article discusses the implications of decentralization in the light of international and Brazilian federalism, and its effects on public health policy. In a comparative analysis among countries, the authors find there is no single model; rather, each country has a unique structure of institutio...

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Principais autores: Leite, Valéria Rodrigues, Vasconcelos, Cipriano Maia, Lima, Kenio Costa de
Formato: article
Idioma:eng
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Public health
Federalism
Endereço do item:https://repositorio.ufrn.br/jspui/handle/123456789/22960
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spelling ri-123456789-229602021-12-10T16:07:24Z Federalism and decentralization: Impact on International and Brazilian Health Policies Leite, Valéria Rodrigues Vasconcelos, Cipriano Maia Lima, Kenio Costa de Public health Federalism This article discusses the implications of decentralization in the light of international and Brazilian federalism, and its effects on public health policy. In a comparative analysis among countries, the authors find there is no single model; rather, each country has a unique structure of institutions and norms that have important implications for the operation of its health system. Brazil shares some similarities with other countries that have adopted a decentralized system and is assuming features ever closer to U.S. federalism, with a complex web of relationships. The degree of inequality among Brazilian municipalities and states, along with the budgetary imbalances caused by the minimal levels of resource utilization, undermines Brazil's constitutional principles and, consequently, its federalism. To ensure the constitutional mandate in Brazil, it is essential, as in other countries, to create a stable source of funds and increase the volume and efficiency of spending. Also important are investing in the training of managers, improving information systems, strengthening the principles of autonomy and interdependence, and defining patterns of cooperation within the federation. 2017-05-16T12:44:40Z 2017-05-16T12:44:40Z 2011 article LEITE, Valéria Rodrigues; VASCONCELOS, Cipriano Maia; LIMA, Kenio Costa. Federalism and Decentralization: impacts on international and Brazilian health policies. International Journal of Health Services, v. 41, n. 4, p. 145-149, 2011. https://repositorio.ufrn.br/jspui/handle/123456789/22960 eng Acesso Aberto application/pdf
institution Repositório Institucional
collection RI - UFRN
language eng
topic Public health
Federalism
spellingShingle Public health
Federalism
Leite, Valéria Rodrigues
Vasconcelos, Cipriano Maia
Lima, Kenio Costa de
Federalism and decentralization: Impact on International and Brazilian Health Policies
description This article discusses the implications of decentralization in the light of international and Brazilian federalism, and its effects on public health policy. In a comparative analysis among countries, the authors find there is no single model; rather, each country has a unique structure of institutions and norms that have important implications for the operation of its health system. Brazil shares some similarities with other countries that have adopted a decentralized system and is assuming features ever closer to U.S. federalism, with a complex web of relationships. The degree of inequality among Brazilian municipalities and states, along with the budgetary imbalances caused by the minimal levels of resource utilization, undermines Brazil's constitutional principles and, consequently, its federalism. To ensure the constitutional mandate in Brazil, it is essential, as in other countries, to create a stable source of funds and increase the volume and efficiency of spending. Also important are investing in the training of managers, improving information systems, strengthening the principles of autonomy and interdependence, and defining patterns of cooperation within the federation.
format article
author Leite, Valéria Rodrigues
Vasconcelos, Cipriano Maia
Lima, Kenio Costa de
author_facet Leite, Valéria Rodrigues
Vasconcelos, Cipriano Maia
Lima, Kenio Costa de
author_sort Leite, Valéria Rodrigues
title Federalism and decentralization: Impact on International and Brazilian Health Policies
title_short Federalism and decentralization: Impact on International and Brazilian Health Policies
title_full Federalism and decentralization: Impact on International and Brazilian Health Policies
title_fullStr Federalism and decentralization: Impact on International and Brazilian Health Policies
title_full_unstemmed Federalism and decentralization: Impact on International and Brazilian Health Policies
title_sort federalism and decentralization: impact on international and brazilian health policies
publishDate 2017
url https://repositorio.ufrn.br/jspui/handle/123456789/22960
work_keys_str_mv AT leitevaleriarodrigues federalismanddecentralizationimpactoninternationalandbrazilianhealthpolicies
AT vasconcelosciprianomaia federalismanddecentralizationimpactoninternationalandbrazilianhealthpolicies
AT limakeniocostade federalismanddecentralizationimpactoninternationalandbrazilianhealthpolicies
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