Brazilian State reform: social healthcare organizations

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Nivaldo Carneiro Junior
Paulo Eduardo Elias

Abstract

Social organizations (SOs) are strategic institutional innovations of the Brazilian State reform because they allow the redefinition of the State’s role and size through the participation of the civilian society in rendering social services. They also follow the decentralization guidelines of the State reform movement’s ideology, which has taken different shapes in each country. The
SOs are considered a device for changing public management patterns, as they establish a management contract between both parts, thus allowing assessment and control over the agreed results, a requirement of managerial administration. The OS institutional model has been implemented since 1998. Several Brazilian states have approved and enforced legislation on
different social areas. São Paulo, for example, has created social healthcare organizations (SHOs). This paper analyzes that initiative in the perspective of the State’s health sector reform, discussing its potential for public health management.

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How to Cite
Junior, N. C., & Elias, P. E. (2003). Brazilian State reform: social healthcare organizations. Brazilian Journal of Public Administration, 37(2), 201 a 226. Retrieved from https://periodicos.fgv.br/rap/article/view/6484
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