Name: Fabiana Turino
Type: PhD thesis
Publication date: 30/10/2020
Advisor:

Namesort descending Role
Francis Sodré Advisor *

Examining board:

Namesort descending Role
Adauto Emmerich Oliveira Internal Examiner *
Carlos Eduardo Gomes Siqueira Co advisor *
Elda Coelho de Azevedo Bussinguer External Alternate *
Francis Sodré Advisor *
Jonathan Gonçalves Filippon External Examiner *
Lígia Bahia External Examiner *
Maria Angelica Carvalho Andrade Internal Examiner *
Thiago Dias Sarti Internal Alternate *

Summary: This PhD thesis focused on the theme of privatization of the Unified Health System
(SUS) through the entry of Social Health Organizations (OSS) in the management of
these services. The methodology used was a mixed, qualitative and quantitative
approach. The main objective was to investigate how the transfer of public resources
to private non-profit entities creates new characteristics for the Brazilian public health
system. To achieve this goal, management contracts and additive terms of the
agreements signed between the OSS and the health departments of the states of Rio
de Janeiro and São Paulo, as well as with their capitals, between 1998 and 2018
were analyzed. The results of this investigation are arranged in the thesis in four
articles. The first was a theoretical analysis and a systematic review that pointed to
New Public Management as a central argument for administrative reforms that
resulted in actions to reduce bureaucracy and make public management more
flexible. In the second article, the use of the management contract as a legal
instrument to enable the SUS privatization process was analyzed. The third article,
on the other hand, confirmed that the use of additive terms from management
contracts results in the instrumentalization of the privatization process. Finally, the
fourth article presented the double certification of non-profit organizations as a
problem, as they add entitlements - OSS and philanthropy - that enable tax
advantages. This evidence supports the conclusion that the transfer of the
management of public health services to OSS is a process of functional and
fluctuating privatization.

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