Regionalization of health in Brazil: an analytical perspective

Authors

  • Ligia Schiavon Duarte Secretaria de Estado da Saúde de São Paulo; Instituto de Saúde; Núcleo de Serviços e Sistemas de Saúde; Secretaria de Saúde do Estado de São Paulo
  • Umberto Catarino Pessoto Secretaria de Estado da Saúde de São Paulo; Instituto de Saúde; Núcleo de Serviços e Sistemas de Saúde; Secretaria de Saúde do Estado de São Paulo
  • Raul Borges Guimarães Universidade Estadual Paulista; Faculdade de Ciências e Tecnologia; Departamento de Geografia; Universidade Estadual Paulista
  • Luiza Sterman Heimann Secretaria de Estado da Saúde de São Paulo; Instituto de Saúde; Núcleo de Serviços e Sistemas de Saúde; Secretaria de Saúde do Estado de São Paulo
  • José da Rocha Carvalheiro Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto; Departamento de Medicina Social; Universidade de São Paulo
  • Carlos Tato Cortizo Secretaria de Estado da Saúde de São Paulo; Instituto de Saúde; Núcleo de Serviços e Sistemas de Saúde; Secretaria de Saúde do Estado de São Paulo
  • Eduardo Augusto Werneck Ribeiro Instituto Federal Catarinense; Instituto Federal de Educação, Ciência e Tecnologia Catarinense

DOI:

https://doi.org/10.1590/S0104-12902015000200007

Abstract

This article aims to contribute to the debate on the SUS regionalization policy and the establishment of health regions in Brazil. Understanding them require to recognize the dichotomy between public health and individual health - which marks the history of Brazilian public health - and identify the different rationalities that lead this process. Such rationalities allow not only to consider the legacy of municipalization in the current regionalization process, as well as to establish links between the two fields of fundamental knowledge to the debate, epidemiology and geography. Clinical epidemiology, privileging individual health, gives basis to a healthcare model that prioritizes the optimization of resources. The recognition of health in its broader concept, in the social epidemiology, bases an attention model aimed at social determinants. With geography, functional regions can be formulated, based on Christaller's theory, or lablachianas regions which recognize the social loco / regional structure, allowing intervention in determining or conditioning the way of illness and death of populations.

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Published

2015-06-01

Issue

Section

Part I - Dossier

How to Cite

Regionalization of health in Brazil: an analytical perspective . (2015). Saúde E Sociedade, 24(2), 472-485. https://doi.org/10.1590/S0104-12902015000200007