Literature DB >> 19547781

Decentralization of governmental action in Brazil in the 90s: challenges of the political-institutional environment.

Patrícia Tavares Ribeiro1.   

Abstract

This article analyzes the particularities of the decentralization of the state's action which took place in the Federative Republic of Brazil in the 1990 s. It presents the circumstances surrounding the political-institutional government environment which constructed the scenario in the implementation of decentralized management in the healthcare sector. It identifies challenges in rebuilding federative relations arising from the field of macroeconomic management, the social policies management and the attempts to rearrange the public sector and public administration in institutional and management terms. The aim is to reflect on the situation of federal, state and municipal governments when implementing decentralizing processes. The conclusion is that decentralization in the country was operated in the midst of the strengthening of the nation as well as of convergence and tension between two distinct projects to reform the state: a liberalizing transnational economic project of state modernization, and a national project, socially built, to expand and universalize rights and to redemocratize the state. The federative innovations, in addition pressures and influences of those two projects, determined the intergovernmental relations in reorganizing the management of public policies.

Mesh:

Year:  2009        PMID: 19547781     DOI: 10.1590/s1413-81232009000300017

Source DB:  PubMed          Journal:  Cien Saude Colet        ISSN: 1413-8123


  1 in total

1.  Diabetic foot screening: study of a 3000 times cheaper instrument.

Authors:  Maria Candida Ribeiro Parisi; Daniel Giannella; Tulio Diniz Fernandes; Karla Freire Rezende; Marcia Nery
Journal:  Clinics (Sao Paulo)       Date:  2011       Impact factor: 2.365

  1 in total

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