Skip to Main Navigation

The organization, delivery and financing of health care in Brazil : agenda for the 90s : A organizacao, prestacao e financiamento da saude no Brasil : uma agenda para os anos 90 (Portuguese)

Over the past decade the Brazilian government has implemented a massive institutional, organizational, and financial reform of the public health care sector. The reform has had three main objectives: 1) shifting the responsibility for health care provision from the center to the periphery; 2) consolidating public service provision and finance; and 3) improving the equity of access to health services. Moreover, recent unrelated changes in public financing have left the health sector dependent on uncertain general revenues. The reform program has encountered a number of other difficulties that must be addressed before the objectives can be met. This report identifies these and recommends policies that will complete the reform of Brazil's health care delivery system. The eroding value of government reimbursements to hospitals and clinics and fees to physicians has resulted in a decline in quality of care, which has led to a sharp increase in private financing alternatives, especially among the middle class. The lack of adequate regulations in the health care sector exacerbates these problems of rising health care costs and declining quality of care. This report focuses on institutional issues and government policy formulation and implementation, and specifically addresses controlling health care costs, improving quality of care, and regulating health care key topics that must be addressed to facilitate Brazil's health care reform.

Details

Downloads

COMPLETE REPORT

Official version of document (may contain signatures, etc)

  • Official PDF
  • TXT*
  • Total Downloads** :
  • Download Stats
  • *The text version is uncorrected OCR text and is included solely to benefit users with slow connectivity.

Citation

The organization, delivery and financing of health care in Brazil : agenda for the 90s : A organizacao, prestacao e financiamento da saude no Brasil : uma agenda para os anos 90 (Portuguese). Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/421811468239375008/A-organizacao-prestacao-e-financiamento-da-saude-no-Brasil-uma-agenda-para-os-anos-90