Gestão Hospitalar

FÓRUM FORUM

Fórum. O desafio SUS: 20 anos do Sistema
Único de Saúde. Introdução
Forum. Twenty years of experience and the challenge with the Unified National
Health System. Introduction

Marcos Chor Maio 1
Nísia Trindade Lima

Abstract
Casa de Oswaldo Cruz,
Fundação Oswaldo Cruz,
Rio de Janeiro, Brasil.

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Correspondência
M. C. Maio
Casa de Oswaldo Cruz,
Fundação Oswaldo Cruz.
Av. Brasil 4036, Rio de
Janeiro, RJ
21040-361, Brasil. [e-mail] This Introduction presents the Forum on the 20 years of experience with the Unified National
Health System (SUS), consisting of 3 articles and a postscript. The first article provides a historical overview of the implementation of the SUS, in light of the Constitutional provisions pertaining to health. It discusses the context and main issues underlying the creation of the SUS in Brazil and proposes a renewed linkage between health sector policies and an expanded project for Brazilian society. The second article analyzes the SUS’ dynamics; strides in access to and comprehensiveness of care; and challenges for the achievement of its objectives, in light of factors that are external to the system, involving the need for greater politicization of analyses on the issue. The third article approaches social and political processes that developed from 1988 to 2008. It mainly analyzes the history of two collegiate bodies under the SUS at the Federal level: the National Health
Council and the Tripartite Inter-Managers’ Commission. Despite the complexity identified by the authors and the important obstacles they identify, the reflections indicate that the SUS has been a successful social policy, besides contributing to the consolidation of democracy in Brazil.
Single Health System; Health Policy; Health Management

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A criação do Sistema Único de Saúde (SUS) tem sido analisada como relevante inovação institucional no campo das políticas sociais, empreendida sob o regime