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首页> 外文期刊>Ciência & Saúde Coletiva >A reorganiza??o dos servi?os de saúde no cenário local
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A reorganiza??o dos servi?os de saúde no cenário local

机译：在当地重组卫生服务

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This paper aims to analyze as the local governments answer, in the decentralization context of the Brazilian State, to the new demands in order to the implementation and administration of the social policies. One focuses the health policies, where the local sphere is central inside the sectorial reform in course since the early nineties. The text ask the effective capacity of the Brazilian municipal districts exercise, in fact, its autonomy to elaborate and to execute policies, vis-à-vis the Brazilian local political tradition and the inequalities economic, social and regional characteristics of the country. We took the municipal district of S?o Gon?alo, in the metropolitan area of Rio de Janeiro, as analysis locus, looking for measure the impact provoked by the decentralization in the reorganization of the health services system. One consider the composition of the services in terms of the amount and quality, as well as of the reference and against-reference pattern among the attendance levels of the local health system. (One observed that the production of the health policy in that place collides against the limits characterized by the relationship among intrinsic elements to the own organization of the local health system and the way as it conforms to the political power in the municipal district).
机译：本文旨在分析地方政府在巴西国家权力下放背景下对新要求的回应，以便实施和管理社会政策。其中一个重点是卫生政策，自90年代初以来，地方领域一直是部门改革的中心。案文询问巴西市政区行使的有效能力，实际上是针对巴西当地政治传统以及该国不平等的经济，社会和区域特征，拟订和执行政策的自主权。我们以里约热内卢大都市地区的S？o Gon？alo市辖区为分析地点，以寻找衡量权力下放对卫生服务系统重组产生的影响的方法。一个人从数量和质量以及当地卫生系统就诊水平中的参考和反对参考模式方面考虑服务的组成。 （有人指出，该地方卫生政策的制定与以当地要素与当地卫生系统自身组织的内在因素之间的关系以及符合市政区政治权力的方式为特征的界限相冲突）。

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