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Title: Health conditions and health-policy innovations in Brazil: the way forward
Other Titles: The Lancet
Authors: Victora, César Gomes
Barreto, Mauricio Lima
Leal, Maria do Carmo
Monteiro, Carlos A.
Schmidt, Maria Inês
Paim, Jairnilson Silva
Bastos, Francisco Inácio
Almeida, Célia
Bahia, Ligia
Travassos, Claudia Maria de Rezende
Reichenheim, Michael
Barros, Fernando Celso Lopes Fernandes de
Keywords: Social Conditions;Health Status;Health Policy;Health Systems
Issue Date: 2011
Abstract: Brazil is a large complex country that is undergoing rapid economic, social, and environmental change. In this Series of six articles, we have reported important improvements in health status and life expectancy, which can be ascribed largely to progress in social determinants of health and to implementation of a comprehensive national health system with strong social participation. Many challenges remain, however. Socioeconomic and regional disparities are still unacceptably large, refl ecting the fact that much progress is still needed to improve basic living conditions for a large proportion of the population. New health problems arise as a result of urbanisation and social and environmental change, and some old health issues remain unabated. Administration of a complex, decentralised public-health system, in which a large share of services is contracted out to the private sector, together with many private insurance providers, inevitably causes confl ict and contradiction. The challenge is ultimately political, and we conclude with a call for action that requires continuous engagement by Brazilian society as a whole in securing the right to health for all Brazilian people.
URI: http://www.repositorio.ufba.br/ri/handle/ri/3068
ISSN: 0140-6736
Appears in Collections:Artigos Publicados em Periódicos Estrangeiros (ISC)

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