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Perceptions and Uses of Public and Private Health Care in a Brazilian Favela

机译：在巴西Favela中公共和私人医疗保健的看法和用途

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Since 1988, Brazil has reorganized and expanded its public health care system, defining access to health care as a right of every citizen. In parallel, the private health care sector grew rapidly to become one of the largest in the world. We explore the use of public and private health care by a low-income population living in a favela, Rio das Pedras, in Rio de Janeiro. At the time of data collection, only part of the community was covered by the primary health care program. We conducted semistructured interviews with 14 adults, both with and without access to the public primary care program. Regardless of program coverage, participants noted barriers and negative experiences while accessing public health care. The perceived inability of health professionals to deal compassionately with a low-income population was prominent in their narratives, and in the expressed motivation for pursuing private sector health care alternatives. We explore the tension arising from the more recent rights-based health care provision and historic social control and assistentialist framing of state intervention in Brazilian favelas.
机译：自1988年以来，巴西重组并扩大了其公共卫生保健制度，定义了对每个公民的权利。平行，私营保健部门迅速增长，成为世界上最大的一个。我们探索公共和私人医疗保健，在Rio de Janeiro居住在Favela，Rio Das Pedras的低收入人口。在数据收集时，初级保健计划仅涵盖了社区的一部分。我们与14名成人进行了半系统，无论是与公共初级保健计划的无权。无论节目覆盖范围如何，参与者都在获得公共卫生时指出障碍和消极经验。在他们的叙述中，卫生专业人士的无能为力地处理卫生专业人士的无法突出，并且在追求私营部门卫生保健替代品的表达动力中突出。我们探讨了最近的基于权利的医疗保健提供和历史社会控制和援助主义者框架在巴西·贫民窟的历史社会控制和辅导框架。

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