TY - JOUR
T1 - Health conditions and health-policy innovations in Brazil
T2 - The way forward
AU - Victora, Cesar G.
AU - Barreto, Mauricio L.
AU - Do Carmo Leal, Maria
AU - Monteiro, Carlos A.
AU - Schmidt, Maria Ines
AU - Paim, Jairnilson
AU - Bastos, Francisco I.
AU - Almeida, Celia
AU - Bahia, Ligia
AU - Travassos, Claudia
AU - Reichenheim, Michael
AU - Barros, Fernando C.
PY - 2011/6/11
Y1 - 2011/6/11
N2 - 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, reflecting 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 conflict 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.
AB - 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, reflecting 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 conflict 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.
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U2 - 10.1016/S0140-6736(11)60055-X
DO - 10.1016/S0140-6736(11)60055-X
M3 - Article
C2 - 21561659
AN - SCOPUS:79958765105
SN - 0140-6736
VL - 377
SP - 2042
EP - 2053
JO - The Lancet
JF - The Lancet
IS - 9782
ER -