MATERIALIZAÇÃO, RELEVÂNCIA E LIMITES DO SUS: UMA ANÁLISE A PARTIR DA ATENÇÃO BÁSICA
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Data
2022-07-28
Autores
Oliveira, Elizabeth Cardoso de
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Universidade Federal do Espírito Santo
Resumo
This PhD Thesis aims to contribute to the already substantial volume of academic analysis on the Unified Health System (SUS). It sought to discuss the materialization process, the socioeconomic relevance and the structural limitations of the SUS, emphasizing the perspective of Primary Care - the first level of care and preferred gateway to the Brazilian public health system. The research is permeated by the thesis that - in spite of the innumerous attacks that the SUS suffers and that limit it - the private capital in health does not intend its ultimate demise. On the contrary, capital seeks the survival of the SUS in a stage of weakness and submission, not allowing it to be full or unique, since it intends to continue to employ it as a mechanism to transfer public resources for private appropriation. In this sense, the proposal for the creation of the Agency for the Development of Primary Health Care (ADAPS) reveals itself as a new attack of private initiative in the field of parasitism in health, seeking now to exploit Primary Care, a level of care that, historically, had never aroused significant interest in the private sector. There are four core parts to the thesis, starting with the introduction - which presents an initial explanation of some of the countless elements that condition the historical, social, political, and economic scenario upon which the SUS emerges, materializes, exists, and resists. Chapter 2 was organized into five topics, with the central objective of understanding the current (or most recent) picture of living and health conditions of the Brazilian population. The next chapter aims to highlight the advances of the SUS (even under the context of neoliberalism) and its inherent limitations - in the face of the specificities of Brazil's socio-historical formation and its subordinate and dependent position in the global capitalist economy. The fourth and last chapter considers and examines Primary Health Care, in the sphere of SUS, discussing its scope, purposes and impacts generated, from the perspective of health as a citizenship right. At the end, some conclusions and considerations are presented.
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Sistema Único de Saúde (SUS) , Atenção Básica , Agência para o Desenvolvimento da Atenção Primária à Saúde (ADAPS)