Reinventing Privatization: A Political Economic Analysis of the Social Health Organizations in Brazil
Reinventing Privatization: A Political Economic Analysis of the Social Health Organizations in Brazil
复制标题
重塑私有化：巴西社会卫生组织的政治经济学分析
DOI：
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发表时间：
2020
影响因子：
3.4
通讯作者：
C. Siqueira
中科院分区：
文献类型：
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作者：
Fabiana Turino;J. Filippon;Francis Sodré;C. Siqueira
在新公共管理（NPM）的影响下，巴西国家机器在整个1990年代进行了改革。国家预防机制在保健部门的体现是建立了社会保健组织，即提供福利服务的私营非营利实体。我们进行了系统的文献综述概述了在巴西的OSS的起源和作用。我们精选的文章（同行评审）涵盖了1998年至2018年期间OSS的起源/性能及其服务提供，以英语或葡萄牙语撰写。使用的数据库是Lilacs、Bireme、Medline、Pubmed和SciELO。我们确定了4，732篇应用预定义描述符的文章，从中选择了49篇进行分析。主要研究结果表明，国家预防机制是关于开放源码软件在巴西（n = 26）的大多数文章的中心主题。有证据证实了我们的假设，即把公共保健服务的管理移交给私营非营利组织是一种较软的私有化，因为尽管资金是公开的，但开放源码软件服务的理论和精神在体制上和业务上模仿了私营部门。实际结果是，在巴西获得保健服务最终既没有完全商品化（基于支付能力），也没有按照国家宪法作为一项公民权利得到落实。
The Brazilian state apparatus was reformed throughout the 1990s, influenced by New Public Management (NPM). NPM was embodied in the health care sector by the creation of Social Health Organizations (Organizações Sociais de Saúde or OSS), private non-profit entities to provide welfare services. We performed a systematic review of the literature outlining the origins and role of OSS in Brazil. Our selected articles (peer-reviewed) cover the origins/performance of OSS and their services provision between 1998 and 2018, in English or Portuguese. Databases used were Lilacs, Bireme, Medline, Pubmed, and SciELO. We identified 4,732 articles applying a pre-defined set of descriptors, from which we selected 49 for analysis. The main findings reveal that NPM is the central theme of most articles about OSS in Brazil (n = 26). There is evidence corroborating our hypothesis that transferring management of public health care services to private non-profit organizations is a softer version of privatization as, although financing is kept public, the rationale and ethos of OSS services institutionally and operationally mimic the private sector. The practical consequence is that attainment of health care in Brazil ends up being neither fully commodified (based on ability to pay) nor fulfilled as a citizen’s right following its national constitution.