INEQUITABLE DISTRIBUTION OF HEALTH RESOURCES IN BRAZIL: AN ANALYSIS OF NATIONAL PRIORITY SETTING

The purpose of this paper is to describe the national priority setting process for the public health system in Brazil, evaluating the process using the ethical framework Accountability for Reasonableness, and equity considerations highlighted in the 2008 WHO Commission on Social Determinants of Heal...

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Autores principales:	Ferri-de-Barros,Fabio, Howard,Andrew W, Martin,Douglas K
Lenguaje:	English
Publicado:	Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile 2009
Materias:	priority setting public health inequitable distribution
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2009000200008
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spelling	oai:scielo:S1726-569X20090002000082010-09-07INEQUITABLE DISTRIBUTION OF HEALTH RESOURCES IN BRAZIL: AN ANALYSIS OF NATIONAL PRIORITY SETTINGFerri-de-Barros,FabioHoward,Andrew WMartin,Douglas K priority setting public health inequitable distribution The purpose of this paper is to describe the national priority setting process for the public health system in Brazil, evaluating the process using the ethical framework Accountability for Reasonableness, and equity considerations highlighted in the 2008 WHO Commission on Social Determinants of Health. We searched the Brazilian Ministry of Health website for documents that described priority setting within the Brazilian Universal Health Care System (SUS). The National Health Conference (CNS) has been defined by the Ministry of Health as the democratic priority setting forum for SUS. The most recent such conference (13th CNS, 2007) is the subject of this paper. Our analysis suggests that the process of priority setting within SUS has not yet achieved the ethical standards of legitimacy and fairness, and that inequitable distribution of decision making power under- represents users in poor areas. The unmet need for hospital care for children in Brazil, which reflects a remarkable inequality of opportunity for human development, may be a product of poor priority setting processes and inequity in representation.info:eu-repo/semantics/openAccessCentro Interdisciplinario de Estudios en Bioética, Universidad de ChileActa bioethica v.15 n.2 20092009-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2009000200008en10.4067/S1726-569X2009000200008
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	priority setting public health inequitable distribution
spellingShingle	priority setting public health inequitable distribution Ferri-de-Barros,Fabio Howard,Andrew W Martin,Douglas K INEQUITABLE DISTRIBUTION OF HEALTH RESOURCES IN BRAZIL: AN ANALYSIS OF NATIONAL PRIORITY SETTING
description	The purpose of this paper is to describe the national priority setting process for the public health system in Brazil, evaluating the process using the ethical framework Accountability for Reasonableness, and equity considerations highlighted in the 2008 WHO Commission on Social Determinants of Health. We searched the Brazilian Ministry of Health website for documents that described priority setting within the Brazilian Universal Health Care System (SUS). The National Health Conference (CNS) has been defined by the Ministry of Health as the democratic priority setting forum for SUS. The most recent such conference (13th CNS, 2007) is the subject of this paper. Our analysis suggests that the process of priority setting within SUS has not yet achieved the ethical standards of legitimacy and fairness, and that inequitable distribution of decision making power under- represents users in poor areas. The unmet need for hospital care for children in Brazil, which reflects a remarkable inequality of opportunity for human development, may be a product of poor priority setting processes and inequity in representation.
author	Ferri-de-Barros,Fabio Howard,Andrew W Martin,Douglas K
author_facet	Ferri-de-Barros,Fabio Howard,Andrew W Martin,Douglas K
author_sort	Ferri-de-Barros,Fabio
title	INEQUITABLE DISTRIBUTION OF HEALTH RESOURCES IN BRAZIL: AN ANALYSIS OF NATIONAL PRIORITY SETTING
title_short	INEQUITABLE DISTRIBUTION OF HEALTH RESOURCES IN BRAZIL: AN ANALYSIS OF NATIONAL PRIORITY SETTING
title_full	INEQUITABLE DISTRIBUTION OF HEALTH RESOURCES IN BRAZIL: AN ANALYSIS OF NATIONAL PRIORITY SETTING
title_fullStr	INEQUITABLE DISTRIBUTION OF HEALTH RESOURCES IN BRAZIL: AN ANALYSIS OF NATIONAL PRIORITY SETTING
title_full_unstemmed	INEQUITABLE DISTRIBUTION OF HEALTH RESOURCES IN BRAZIL: AN ANALYSIS OF NATIONAL PRIORITY SETTING
title_sort	inequitable distribution of health resources in brazil: an analysis of national priority setting
publisher	Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2009000200008
work_keys_str_mv	AT ferridebarrosfabio inequitabledistributionofhealthresourcesinbrazilananalysisofnationalprioritysetting AT howardandreww inequitabledistributionofhealthresourcesinbrazilananalysisofnationalprioritysetting AT martindouglask inequitabledistributionofhealthresourcesinbrazilananalysisofnationalprioritysetting
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INEQUITABLE DISTRIBUTION OF HEALTH RESOURCES IN BRAZIL: AN ANALYSIS OF NATIONAL PRIORITY SETTING

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