Corporação médica e reforma sanitária

• Ano de defesa: 1994
• Autor(a) principal: Lobato, Lenaura de Vasconcellos Costa
• Orientador(a): Teixeira, Sônia Maria Fleury
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Link de acesso: https://hdl.handle.net/10438/8401

The present study analyses the position of the Medical Corporation on the process of fonnulation of the Sanitary Refonn policy in Brazil, through a case stuay of the medical associations of the state of Rio de Janeiro, from 1977 to 1989. From the approach of interests representation, the process of formulation of public policies is discussed and the particular characteristics of social policies are identified. It' s demonstrated that the Sanitary Reform, as a social policy, has had to cope with the dificulties inherent to the implementation of such policies on the post Welfare State. In this context, their effectiveness strongly depend on a social concertation, were are crucial the characteristics of the interests of the actors involved. The Sanitary Refonn finds the Medicai Corporation in a deep crisis of ideary, which direction was disputed among different political projects. The period studied demonstrates that the Corporation favoured private interests which were in conflict with the principIes and propositions of the Sanitary Reform and being so compromised its implementation. Nevertheless, these conflicts can not be explained through corporative or conservative positions usually attributed to physicians and found on various analyses of the Sanitary Reform.process. The study concludes that those conflicts actually refer to the characteristics of medical practise and its present social organization. As a central actor in the heath sector, the position of the Medical Corporation would indeed reveal the contradictions of the Sanitary Refonn itself.