Sistema Único de Saúde: 30 anos de luta!

Abstract

In the year in which we commemorate the 30th anniversary of the Unified Health System (SUS), Revista Ciência & Saúde Coletiva is proud to present a very wide-ranging selection of texts to our readers. The articles were submitted by more than 100 Brazilian researchers from all regions of the country, which affords us a retrospective overview of the advances, limits and challenges faced over the last three decades. Relevant themes of Public Health are addressed, such as the history of the SUS, health promotion, policies on tobacco control, food and nutrition, primary health care, health surveillance, coping with infectious and parasitic diseases, maternal and child health, health of the elderly, psychiatric reform, supply, access and use of the SUS. Federalism, regionalization and health networks, debate on universal health systems and universal coverage, the economic-industrial complex of health, management of education and work, pharmaceutical assistance, violence in the SUS, national information systems, health communication, environmental health, occupational health, gender and sexual rights are also studied. Financial dominance in health care, public finances and health tax waivers, international health cooperation, stricto sensu post-graduation in Public Health and SUS perspectives are similarly addressed. In this way, a good deal of the analysis and information assembled is revisited and updated 1. The many achievements of the SUS over the past three decades need to be highlighted. The various articles that make up this special issue stress the progress in health, delivery of care, training of professionals and workers, as well as in the production of scientific knowledge, technologies and innovations. At the same time, they record the difficulties, problems, misalignments and setbacks. From this standpoint, the greatest obstacle of the SUS has been under-financing, the greatest threat is the financialization of health and the greatest challenge is the political aspect. We trust that the texts will contribute to the record of the 30-year trajectory of the struggle in the process of construction of the Brazilian health system, serving as material for reflection by society, academia and for the formation of new public health professionals and other health workers in the country.mia and for the formation of new public health physiciansand other health workers in the country.

A educação como nutrição dos sistemas de saúde: construção da atenção básica e a gestão da educação na saúde

“…A criação do Sistema Único de Saúde (SUS) foi um avanço fundamental para melhorar a situação de saúde e o bem-estar da população brasileira, reduzindo iniquidades e desigualdades a partir de propostas e experiências de mudança na governança, organização, financiamento e modelo de atenção (Paim, 2018). Contudo, ao traçar um balanço dos 30 anos desse Sistema, Paim (2018) evidenciou que o subfinanciamento crônico, o avanço neoliberal e as políticas de austeridade contribuíram para as investidas de um projeto privatista, a hegemonia do modelo biomédico de atenção e a fragmentação das práticas de saúde, ameaças que colocaram em xeque o pleno funcionamento do SUS.…”

A construção do campo da Saúde Coletiva e as políticas de saúde - Contribuições da Revista Ciência & Saúde Coletiva

“…The reflection on health policies followed the different situations, like the discussion in the 1990s 105 that mapped "advances" and "difficulties". Also noteworthy are the commemorative events in which balances on the SUS performance are presented, such as that concerning the 20 years of the SUS 106 and the 30 years of SUS 107 .…”

Sistema Único de Saúde Distrito Federal: 30 anos

“…Gerson Oliveira Penna (https://orcid.org/0000-0001-8967-536X) 1 Daniel Soranz (https://orcid.org/0000-0002-7224-5854) 2 José Agenor Alvares da Silva (https://orcid.org/0000-0001-7966-0447) 3 Luiz Felipe Pinto (https://orcid.org/0000-0002-9888-606X) 4…”