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https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118410868.wbehibs029
Finally, the new constitution in 1988 led to the institutionalization of the Unified Health System, which is organized in accordance with the following directives: decentralization, full‐scale care from prevention to rehabilitation, and participation of the community, but not to the exclusion of a strong private system.Author: Everardo Duarte Nunes
https://internationalliving.com/countries/brazil/healthcare/
Since 1988, the Brazilian constitution has guaranteed that everyone have access to healthcare in Brazil. This service can be obtained from the public national health system, from private providers subsidized by the federal government via the Social Security budget, or from the private sector via private insurance or employers.
http://documents.worldbank.org/curated/en/420601468744238297/Brazil-The-Brazil-health-system
Brazil - The Brazil health system (English) Abstract. The report finds that operations in the health, nutrition, and population sector targeted important and relevant concerns, but that it is less clear that the approaches used contributed to improving the effectiveness of Brazil's health system or were ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447689/
In sum, health care in Brazil still encompasses dual subsystems, which present distinct forms of institutionalization: the SSAM provides coverage to Brazilians who are younger, present lower risks, and who have higher purchasing power; the SUS provides direct services to those who have a lower or no purchasing power at all, and to those with a higher purchasing power but whose health care needs …Author: Paulo Eduardo M. Elias, Amelia Cohn
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