{"id":429,"date":"2018-07-17T08:30:21","date_gmt":"2018-07-17T11:30:21","guid":{"rendered":"http:\/\/pressreleases.scielo.org\/en\/?p=429"},"modified":"2023-03-29T12:19:43","modified_gmt":"2023-03-29T15:19:43","slug":"will-the-brazilian-unified-healthcare-system-sus-survive-another-30-years","status":"publish","type":"post","link":"https:\/\/pressreleases.scielo.org\/en\/2018\/07\/17\/will-the-brazilian-unified-healthcare-system-sus-survive-another-30-years\/","title":{"rendered":"Will the Brazilian Unified Healthcare System (SUS) survive another 30 years?"},"content":{"rendered":"

By Maria Cec\u00edlia de Souza Minayo, Editor-in-chief and\u00a0Luiza Gualhano, Communication Assistant, Rio de Janeiro, RJ, Brazil<\/strong>\"\"<\/a><\/p>\n

As for the merits, there is concrete data and consensus on the exponential growth of the number of public services and equipment (VIACAVA, 2018), attendance (PAIM, 2018), and decrease of both infectious and chronic diseases (SOUZA, et al<\/em>., 2018). It is striking observing how a universal system, although imperfect and flawed in its implementation, can provide such effective responses \u2013 which obviously should be analyzed along with other factors \u2013 in the expressive decrease in infant mortality (LEAL, et al<\/em>., 2018), in the substantial increase of life expectancy (VERAS; OLIVEIRA, 2018), in the elimination or eradication of diseases (TEIXEIRA, et al<\/em>., 2018), in the implementation of a series of specific policies related to human and social rights (GOMES, et al<\/em>., 2018; MINAYO, et al<\/em>., 2018; MINAYO-GOMEZ; VASCONCELLOS; MACHADO, 2018); and in the effective health promotion actions! (MALTA, et al<\/em>., 2018)<\/p>\n

In the 40 texts that make up this edition, the reader will also find critical and even harsh analyses on the System\u2019s deep structural problems. Among the difficulties, there are unanimous studies that indicate the underfinancing that came with the implementation process and the implementation itself during these 30 years (SESTELO, 2018); management issues such as the excessive federal centralizing power and problems in the organization and sustainability of services in states and municipalities; (RIBEIRO, et al<\/em>., 2018; VIANA, et al<\/em>., 2018); the lack of an effective human resources policy (MACHADO; XIMENES NETO, 2018); the hospital-centric culture that still prevails; and the privatistic mentality that curses and plagues SUS\u2019s attempts of growth, which was born against the international dominance of the neoliberal proposal (NORONHA, et al<\/em>., 2018).<\/p>\n

Although there is consensus about the progress made and the structural problems that undermine the immense potentialities of SUS, this edition is a sample of the plurality of diagnoses, interpretations and proposals that come from the data presented by more than 100 authors, regarding the themes that debated and compose the SUS kaleidoscope. This polysemy must at some point solve Alice’s dilemma \u2013 “all roads are open” \u2013 moving from the world of ideas and choosing one of the following paths: one that preserves universalization and contributes to the future of the SUS which, although sectoral, cannot be treated outside the destiny of the social policies necessary to the country.<\/p>\n

References<\/h3>\n

GOMES, R., et al<\/em>. Gender and sexual rights: their implications on health and healthcare. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1997-2006, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.04872018<\/a>. Available from: http:\/\/ref.scielo.org\/6f4wnh<\/a><\/p>\n

LEAL, M.C., et al<\/em>. Reproductive, maternal, neonatal and child health in the 30 years since the creation of the Unified Health System (SUS). Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1915-1928, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.03942018<\/a>. Available from: http:\/\/ref.scielo.org\/k8xv4s<\/a><\/p>\n

MACHADO, M.H. and XIMENES NETO, F.R.G. The Management of Work and Education in Brazil\u2019s Unified Health System: thirty years of progress and challenges. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1971-1979, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.06682018<\/a>. Available from: http:\/\/ref.scielo.org\/xn3vkv<\/a><\/p>\n

MALTA, D.C., et al<\/em>. O SUS e a Brazil\u2019s Unified Health System and the National Health Promotion Policy: prospects, results, progress and challenges in times of crisis. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1799-1809, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.04782018<\/a>. Available from: http:\/\/ref.scielo.org\/9ykndp<\/a><\/p>\n

MINAYO, M.C.S., et al<\/em>. Institutionalizing the theme of violence within Brazil\u2019s national health system: progress and challenges. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 2007-2016, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.04962018<\/a>. Available from: http:\/\/ref.scielo.org\/sgbkbj<\/a><\/p>\n

MINAYO-GOMEZ, C., VASCONCELLOS, L.C.F. and MACHADO, J.M.H. A brief history of worker\u2019s health in Brazil\u2019s Unified Health System: progress and challenges. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1963-1970, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.04922018<\/a>. Available from: http:\/\/ref.scielo.org\/tbrj65<\/a><\/p>\n

NORONHA, J.C., et al<\/em>. The future of the Brazilian Health System: a short review of its pathways towards an uncertain and discouraging horizon. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 2051-2059, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.05732018<\/a>. Available from: http:\/\/ref.scielo.org\/3tzxsh<\/a><\/p>\n

PAIM, J.S. Thirty years of the Unified Health System (SUS). Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1723-1728, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.09172018<\/a>. Available from: http:\/\/ref.scielo.org\/yfj7rs<\/a><\/p>\n

RIBEIRO, J.M., et al<\/em>. Federalism and health policy in Brazil: institutional features and regional inequalities. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1777-1789, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.07932018<\/a>. Available from: http:\/\/ref.scielo.org\/94j9sc<\/a><\/p>\n

SESTELO, J.A.F. The dominance of finance in healthcare: political action of unlimited capital in the 21st century. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 2027-2034, ISSN: 1413-8123 DOI: 10.1590\/1413-81232018236.04682018<\/a>. Available from: http:\/\/ref.scielo.org\/77hd58<\/a><\/p>\n

SOUZA, M.F.M., et al<\/em>. Changes in health and disease in Brazil and its States in the 30 years since the Unified Healthcare System (SUS) was created. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1737-1750, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.04822018<\/a>. Available from: http:\/\/ref.scielo.org\/6hd7x8<\/a><\/p>\n

TEIXEIRA, M.G., et al<\/em>. The achievements of the SUS in tackling the communicable diseases. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1819-1828, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.08402018<\/a>. Available from: http:\/\/ref.scielo.org\/vz2nrj<\/a><\/p>\n

VERAS, R.P., OLIVEIRA, M. Aging in Brazil: the building of a healthcare model. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1929-1936, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.04722018<\/a>. Available from: http:\/\/ref.scielo.org\/phszzt<\/a><\/p>\n

VIACAVA, F., et al<\/em>. SUS: supply, access to and use of health services over the last 30 years. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1751-1762, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.06022018<\/a>. Available from: http:\/\/ref.scielo.org\/x695v6<\/a><\/p>\n

VIANA, A.L.d\u2019\u00c1., et al<\/em>. Regionalization and Health Networks. Ci\u00eanc. sa\u00fade coletiva<\/em> [online]. 2018, vol. 23, no. 6, pp. 1791-1798, ISSN: 1413-8123 [viewed 17 July 2018]. DOI: 10.1590\/1413-81232018236.05502018<\/a>. Available from: http:\/\/ref.scielo.org\/8q59m7<\/a><\/p>\n

To read the articles, access<\/h3>\n

Ci\u00eanc. sa\u00fade coletiva vol.23 no.6 Rio de Janeiro June 2018<\/a><\/p>\n

External link<\/h3>\n

Ci\u00eancia & Sa\u00fade Coletiva \u2013 CSC: <http:\/\/www.scielo.br\/csc<\/a>><\/p>\n","protected":false},"excerpt":{"rendered":"

In this troubled year of 2018, Brazil celebrates two ephemerides: the 30 years of the Magna Carta, the Citizen Constitution, and the 30 years of the Health Unified System (SUS \u2013 Sistema \u00danico de Sa\u00fade<\/i>). To celebrate this latest date, the journal Ci\u00eancia e Sa\u00fade Coletiva<\/i> (vol. 23, no.6) presents a very rich and diverse collection of materials that discusses the advances, limitations and challenges faced by SUS over the last three decades. In this thematic edition, the Unified Health System is scrutinized in the most different ways regarding its qualities and deficiencies. …<\/span> Read More →<\/span><\/a><\/span><\/p>\n","protected":false},"author":27,"featured_media":106,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[35,8,12],"tags":[36,199],"class_list":["post-429","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-csc","category-health-sciences","category-press-releases","tag-ciencia-saude-coletiva","tag-collective-health"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/429","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/users\/27"}],"replies":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/comments?post=429"}],"version-history":[{"count":4,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/429\/revisions"}],"predecessor-version":[{"id":435,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/429\/revisions\/435"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/media\/106"}],"wp:attachment":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/media?parent=429"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/categories?post=429"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/tags?post=429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}