Governance and Coordination in the Brazilian Health Care System: Learning from the Covid-19 Pandemic

Author(s)

VERA SCHATTAN P. COELHO ^[1] ; GERRY BLOOM ^[2] ; RÔMULO PAES-SOUSA ^[3] ; DANILO CESAR FIORE ^[4] ; ANA LUIZA VIANA ^[5] ; NELSON IBAÑEZ ^[6] ; GLAUCO ARBIX ^[7] ; GUILHERME MELLO ^[8] ; MARIANE CERON ^[9]

Affiliation

^[1] Centro Brasileiro de Análise e Planejamento (Cebrap) - Brasil

^[2] Institute of Development Studies - Ucrânia

^[3] Fiocruz Minas - Brasil

^[4] Secretaria da Fazenda e Planejamento do Estado - Brasil

^[5] Universidade de São Paulo. Faculdade de Medicina - Brasil

^[6] Instituto Butantan - Brasil

^[7] Universidade de São Paulo. Faculdade de Filosofia, Letras e Ciências Humanas - Brasil

^[8] Escola Paulista de Medicina - Brasil

^[9] Associação Paulista para o Desenvolvimento da Medicina - Brasil

• Document type: Journal article
• Source: Novos Estudos - CEBRAP; v. 42, n. 2, p. 227-243, 2023-10-23.

Abstract

ABSTRACT For plural health systems, promoting coordination between multiple sectors and governments levels is a permanent challenge. This study explores how the SUS dealt with this challenge during the Covid-19 pandemic, identifying proactive subnational actors, cross-sector cooperation and digital health as innovations that enhanced this coordination. Their emergence, the possibilities they represent for improving the SUS and how they can be sustained are discussed. (AU)

• FAPESP's process: 20/12140-5 - Changes in regional management strategies in coping with the COVID-19 pandemic and its implications in the health regions of the "Project to strengthen state health management in the state of São Paulo"
• Grantee: Nelson Ibanez
• Support Opportunities: Research Grants - Research in Public Policies
• FAPESP's process: 13/07616-7 - CEM - Center for Metropolitan Studies
• Grantee: Eduardo Cesar Leão Marques
• Support Opportunities: Research Grants - Research, Innovation and Dissemination Centers - RIDC