作者: Marluce Maria Araújo Assis , Washington Luiz Abreu de Jesus
DOI: 10.1590/S1413-81232012001100002
关键词: Health care 、 Inequality 、 Diversity (politics) 、 Service (systems architecture) 、 Context (language use) 、 Public policy 、 Decentralization 、 Politics 、 Political science 、 Knowledge management
摘要: Access to health services is a multifaceted and multidimensional issue involving political, economic, social, organizational, technical symbolic aspects in establishing access universal healthcare. This theoretical review paper intends discuss the different approaches, analyze context policies for special groups on access, marking an analysis model delineated by above aspects, from readings topic question. reveals diversity of approaches formulation implementation public their potential changing organization system. We identified progress reducing inequalities increased network Unified Health System (SUS), especially primary care. There were also limitations related accessibility, fragmentation, decentralization regionalization service network, with inadequacies process care attention specific groups, regional disparities. Finally, proposed seeks develop critical stance reflect intervene practices services, objective goal being responsible, comprehensive, effective, equitable quality