Lay agency and the generation of public-private mix health care maps

This paper discusses part of the results obtained from a study carried out in two cities of the so-called ABCD Paulista Region in the period 2010-2012, in an attempt to spot the existence of non-state regulatory rationale towards access and consumption of health care services. The first stage includ...

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Bibliographic Details
Published in:Ciência & saude coletiva 2017-06, Vol.22 (6)
Main Authors: Consuelo Sampaio Meneses, Luiz Carlos deOliveira Cecilio, Andreazza, Rosemarie, Graca Carapinheiro, Maria daGraca Garcia Andrade, Santiago, Silvia Maria, Eliane Cardoso Araujo, Medeiros Souza, Ana Lucia, Denizi Oliveira Reis, Nicanor Rodrigues daSilva Pinto, Spedo, Sandra Maria
Format: Article
Language:Portuguese
Subjects:
Health care
Health care delivery
Health care industry
Players
Public health
Public private partnerships
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Summary:This paper discusses part of the results obtained from a study carried out in two cities of the so-called ABCD Paulista Region in the period 2010-2012, in an attempt to spot the existence of non-state regulatory rationale towards access and consumption of health care services. The first stage includes interviews carried out with strategic stakeholders (managers and politicians) and key workers players. The second stage collected the stories of 18 very frequent users of health care services. This study revealed the leading role played by users to produce “health care maps”, with emphasis on the frequent use of public and private resources in their itineraries, circumventing or merging with government regulation to obtain the care they need. The different formats of public-private mix transcend the still prevailing “official” concepts about the clear distinction between the two systems, which reveals the importance of this theme to public health management.
ISSN:1413-8123
1678-4561
DOI:10.1590/1413-81232017226.14822016