Introdução à gestão e financiamento do SUS: o histórico brasileiro e o caso de São Paulo

Abstract

This thesis, from the perspective of an economist, addresses the Brazilian Unified Health System (SUS) in three distinct chapters. In Chapter 1, drawing from the works of Alemão (2017), Braga (1978), Dos Santos (2018) and Falcão (2020), the pre-SUS historyis discussed, highlighting its origins as a response to the need for universal access to healthcare and the guarantee of the right to health for all citizens. Chapter 2, based on the writings of Piola (2023), Mendes and Maques (2009), Mendes and Carnut (2018), and Lucchese (2023), examines the challenges of financing and managing the SUS, emphasizing insufficient resources, dependence on uncertain funding sources, and the necessity for improved efficiency in management. Finally, Chapter 3, utilizing the studies of Duarte (2016, 2018) and Mendes (2005), explores the SUS in the state of São Paulo, covering its historical context, financing model, and specific issues faced in the region, such as inadequate funding and the need to enhance resource management. This thesis underscores the importance of an economic perspective to comprehend and seek solutions that strengthen the SUS across its various dimensions, aiming to ensure the sustainability and effectiveness of the Brazilian healthcare system