{"id":"https://openalex.org/W2811120451","doi":"https://doi.org/10.1590/1413-81232018236.05732018","title":"Notas sobre o futuro do SUS: breve exame de caminhos e descaminhos trilhados em um horizonte de incertezas e desalentos","display_name":"Notas sobre o futuro do SUS: breve exame de caminhos e descaminhos trilhados em um horizonte de incertezas e desalentos","publication_year":2018,"publication_date":"2018-06-01","ids":{"openalex":"https://openalex.org/W2811120451","doi":"https://doi.org/10.1590/1413-81232018236.05732018","mag":"2811120451","pmid":"https://pubmed.ncbi.nlm.nih.gov/29972512"},"language":"pt","primary_location":{"id":"doi:10.1590/1413-81232018236.05732018","doi":"https://doi.org/10.1590/1413-81232018236.05732018","is_oa":true,"landing_page_url":"https://doi.org/10.1590/1413-81232018236.05732018","pdf_url":"http://www.scielo.br/pdf/csc/v23n6/en_1413-8123-csc-23-06-2051.pdf","source":{"id":"https://openalex.org/S53297675","display_name":"Ci\u00eancia & Sa\u00fade Coletiva","issn_l":"1413-8123","issn":["1413-8123","1678-4561"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["dongbi-b","jufo-1","medline","poland-20","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310312543","host_organization_name":"Associa\u00e7\u00e3o Brasileira de Sa\u00fade Coletiva","host_organization_lineage":["https://openalex.org/P4310312543"],"host_organization_lineage_names":["Associa\u00e7\u00e3o Brasileira de Sa\u00fade Coletiva"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ci\u00eancia & Sa\u00fade Coletiva","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://www.scielo.br/pdf/csc/v23n6/en_1413-8123-csc-23-06-2051.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066855633","display_name":"Jos\u00e9 Carvalho de Noronha","orcid":"https://orcid.org/0000-0003-0895-6245","observed_orcids":["https://orcid.org/0000-0003-0895-6245"]},"institutions":[{"id":"https://openalex.org/I52325","display_name":"Funda\u00e7\u00e3o Oswaldo Cruz","ror":"https://ror.org/04jhswv08","country_code":"BR","type":"facility","lineage":["https://openalex.org/I52325"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Jos\u00e9 Carvalho de Noronha","raw_affiliation_strings":["Fiocruz,  Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fiocruz,  Brasil","institution_ids":["https://openalex.org/I52325"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013656229","display_name":"Gustavo Souto de Noronha","orcid":"https://orcid.org/0000-0001-7860-6641","observed_orcids":["https://orcid.org/0000-0001-7860-6641"]},"institutions":[{"id":"https://openalex.org/I4405280464","display_name":"Instituto Nacional de Coloniza\u00e7\u00e3o e Reforma Agr\u00e1ria","ror":"https://ror.org/02zc5nb57","country_code":"BR","type":"government","lineage":["https://openalex.org/I4405280464"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Gustavo Souto de Noronha","raw_affiliation_strings":["Instituto Nacional de Coloniza\u00e7\u00e3o e Reforma Agr\u00e1ria,  Brasil","Instituto Nacional de Colonizacao e Reforma Agraria. Rio de Janeiro RJ Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Instituto Nacional de Coloniza\u00e7\u00e3o e Reforma Agr\u00e1ria,  Brasil","institution_ids":["https://openalex.org/I4405280464"]},{"raw_affiliation_string":"Instituto Nacional de Colonizacao e Reforma Agraria. Rio de Janeiro RJ Brasil","institution_ids":["https://openalex.org/I4405280464"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101657220","display_name":"Telma Ruth Pereira","orcid":"https://orcid.org/0000-0002-2356-5544","observed_orcids":["https://orcid.org/0000-0002-2356-5544"]},"institutions":[{"id":"https://openalex.org/I52325","display_name":"Funda\u00e7\u00e3o Oswaldo Cruz","ror":"https://ror.org/04jhswv08","country_code":"BR","type":"facility","lineage":["https://openalex.org/I52325"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Telma Ruth Pereira","raw_affiliation_strings":["Fiocruz,  Brasil","Iniciativa Brasil Saude Amanha, Fiocruz. Rio de Janeiro RJ Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fiocruz,  Brasil","institution_ids":["https://openalex.org/I52325"]},{"raw_affiliation_string":"Iniciativa Brasil Saude Amanha, Fiocruz. Rio de Janeiro RJ Brasil","institution_ids":["https://openalex.org/I52325"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091790721","display_name":"Ana Maria Costa","orcid":"https://orcid.org/0000-0002-1931-3969","observed_orcids":["https://orcid.org/0000-0002-1931-3969"]},"institutions":[{"id":"https://openalex.org/I4210146757","display_name":"Escola Superior de Ci\u00eancias da Sa\u00fade","ror":"https://ror.org/04qjmsq15","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210146757","https://openalex.org/I4405266701"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ana Maria Costa","raw_affiliation_strings":["Escola Superior de Ci\u00eancias da Sa\u00fade do Distrito Federal,  Brasil","Escola Superior de Ciencias da Saude do Distrito Federal. Brasilia DF Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Escola Superior de Ci\u00eancias da Sa\u00fade do Distrito Federal,  Brasil","institution_ids":["https://openalex.org/I4210146757"]},{"raw_affiliation_string":"Escola Superior de Ciencias da Saude do Distrito Federal. Brasilia DF Brasil","institution_ids":["https://openalex.org/I4210146757"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":9.9077,"has_fulltext":true,"cited_by_count":34,"citation_normalized_percentile":{"value":0.97885987,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"23","issue":"6","first_page":"2051","last_page":"2059"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13915","display_name":"Public Health in Brazil","score":0.8554999828338623,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13915","display_name":"Public Health in Brazil","score":0.8554999828338623,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.12479999661445618,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.014499999582767487,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/unified-health-system-sus","display_name":"Unified Health System (SUS)","score":0.9570000171661377},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.6589999794960022},{"id":"https://openalex.org/keywords/decentralization-of-health-services","display_name":"decentralization of health services","score":0.8059999942779541},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.8899999856948853},{"id":"https://openalex.org/keywords/fiscal-benefits","display_name":"fiscal benefits","score":0.7009999752044678},{"id":"https://openalex.org/keywords/constitutional-amendment","display_name":"constitutional amendment","score":0.9480000138282776},{"id":"https://openalex.org/keywords/social-protection","display_name":"social protection","score":0.7039999961853027},{"id":"https://openalex.org/keywords/population-aging","display_name":"population aging","score":0.8989999890327454},{"id":"https://openalex.org/keywords/epidemiological-profile","display_name":"epidemiological profile","score":0.7900000214576721},{"id":"https://openalex.org/keywords/health-care-paradigm","display_name":"health care paradigm","score":0.5979999899864197},{"id":"https://openalex.org/keywords/foresight","display_name":"foresight","score":0.4429999887943268}],"concepts":[{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.5299438238143921},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.46144217252731323},{"id":"https://openalex.org/C2776154427","wikidata":"https://www.wikidata.org/wiki/Q7755","display_name":"Constitution","level":2,"score":0.4481901526451111},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44379955530166626},{"id":"https://openalex.org/C35219183","wikidata":"https://www.wikidata.org/wiki/Q5146","display_name":"Portuguese","level":2,"score":0.43362870812416077},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.4081733226776123},{"id":"https://openalex.org/C549774020","wikidata":"https://www.wikidata.org/wiki/Q851147","display_name":"Welfare economics","level":1,"score":0.39404428005218506},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.34255242347717285},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.2868233025074005},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.20048385858535767},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000375","descriptor_name":"Aging","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001938","descriptor_name":"Brazil","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D005380","descriptor_name":"Financing, Government","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009313","descriptor_name":"National Health Programs","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D009313","descriptor_name":"National Health Programs","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D009313","descriptor_name":"National Health Programs","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D017149","descriptor_name":"Private Sector","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D017150","descriptor_name":"Public Sector","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D061889","descriptor_name":"Healthcare Financing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1590/1413-81232018236.05732018","doi":"https://doi.org/10.1590/1413-81232018236.05732018","is_oa":true,"landing_page_url":"https://doi.org/10.1590/1413-81232018236.05732018","pdf_url":"http://www.scielo.br/pdf/csc/v23n6/en_1413-8123-csc-23-06-2051.pdf","source":{"id":"https://openalex.org/S53297675","display_name":"Ci\u00eancia & Sa\u00fade Coletiva","issn_l":"1413-8123","issn":["1413-8123","1678-4561"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["dongbi-b","jufo-1","medline","poland-20","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310312543","host_organization_name":"Associa\u00e7\u00e3o Brasileira de Sa\u00fade Coletiva","host_organization_lineage":["https://openalex.org/P4310312543"],"host_organization_lineage_names":["Associa\u00e7\u00e3o Brasileira de Sa\u00fade Coletiva"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ci\u00eancia & Sa\u00fade Coletiva","raw_type":"journal-article"},{"id":"pmid:29972512","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29972512","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ciencia & saude coletiva","raw_type":"Journal Article"},{"id":"pmh:oai:scielo:S1413-81232018000602051","doi":null,"is_oa":true,"landing_page_url":"http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232018000602051","pdf_url":null,"source":{"id":"https://openalex.org/S4306402641","display_name":"LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Cient\u00edficas)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4383465926","host_organization_name":"LA Referencia","host_organization_lineage":["https://openalex.org/I4383465926"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ci\u00eancia & Sa\u00fade Coletiva v.23 n.6 2018","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:americanae.aecid.es:2736539","doi":null,"is_oa":true,"landing_page_url":"http://americanae.aecid.es/americanae/es/registros/registro.do?tipoRegistro=MTD&idBib=2736539","pdf_url":null,"source":{"id":"https://openalex.org/S4306400786","display_name":"Americanae (AECID Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Ci\u00eancia & Sa\u00fade Coletiva v.23 n.6 2018","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:arca.fiocruz.br:icict/62178","doi":null,"is_oa":true,"landing_page_url":"https://arca.fiocruz.br/handle/icict/62178","pdf_url":null,"source":{"id":"https://openalex.org/S7407055450","display_name":"Arca - Reposit\u00f3rio Institucional da Fiocruz","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"journal article"},{"id":"pmh:oai:doaj.org/article:bebf4348722249f1833b20dd5a822f15","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/bebf4348722249f1833b20dd5a822f15","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Ci\u00eancia & Sa\u00fade Coletiva, Vol 23, Iss 6, Pp 2051-2059","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1590/1413-81232018236.05732018","doi":"https://doi.org/10.1590/1413-81232018236.05732018","is_oa":true,"landing_page_url":"https://doi.org/10.1590/1413-81232018236.05732018","pdf_url":"http://www.scielo.br/pdf/csc/v23n6/en_1413-8123-csc-23-06-2051.pdf","source":{"id":"https://openalex.org/S53297675","display_name":"Ci\u00eancia & Sa\u00fade Coletiva","issn_l":"1413-8123","issn":["1413-8123","1678-4561"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["dongbi-b","jufo-1","medline","poland-20","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310312543","host_organization_name":"Associa\u00e7\u00e3o Brasileira de Sa\u00fade Coletiva","host_organization_lineage":["https://openalex.org/P4310312543"],"host_organization_lineage_names":["Associa\u00e7\u00e3o Brasileira de Sa\u00fade Coletiva"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ci\u00eancia & Sa\u00fade Coletiva","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.4399999976158142,"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2811120451.pdf","grobid_xml":"https://content.openalex.org/works/W2811120451.grobid-xml"},"referenced_works_count":9,"referenced_works":["https://openalex.org/W2087352997","https://openalex.org/W2122518635","https://openalex.org/W2522926167","https://openalex.org/W2566884666","https://openalex.org/W2568455669","https://openalex.org/W2574816975","https://openalex.org/W3130021418","https://openalex.org/W3135091624","https://openalex.org/W6667088990"],"related_works":["https://openalex.org/W2892342906","https://openalex.org/W2885089610","https://openalex.org/W7213468969","https://openalex.org/W2802404296","https://openalex.org/W7212379588","https://openalex.org/W7213929757","https://openalex.org/W4387732568","https://openalex.org/W4406751400","https://openalex.org/W3036378931","https://openalex.org/W2955979922"],"abstract_inverted_index":{"This":[0],"article":[1,156],"reflects":[2],"on":[3,17],"the":[4,7,18,23,29,41,47,54,57,62,77,106,109,120,129,133,135,144,151,161,167,170,174,182,185],"future":[5],"of":[6,28,50,59,64,71,86,101,122,128,163,169,184],"Brazilian":[8],"Unified":[9],"Health":[10],"System":[11],"(SUS,":[12],"acronym":[13],"in":[14,46,91,108,119,143,150,166],"Portuguese),":[15],"based":[16],"foresight":[19],"exercises":[20],"conducted":[21],"by":[22,40,158],"Brasil":[24],"Sa\u00fade":[25],"Amanh\u00e3":[26],"initiative":[27],"Oswaldo":[30],"Cruz":[31],"Foundation.":[32],"The":[33,155],"text":[34,136],"briefly":[35],"reviews":[36],"some":[37],"paths":[38],"followed":[39],"SUS":[42],"as":[43],"referred":[44],"to":[45,176],"Federal":[48],"Constitution":[49],"1988.":[51],"It":[52,75,104],"highlights":[53],"movement":[55],"towards":[56],"decentralization":[58],"care":[60,153],"and":[61,79,84,140,173,190],"constraint":[63],"health":[65,130,152],"financial":[66],"resources":[67],"that":[68,88,117,180],"reduced":[69],"policies":[70,97],"increasing":[72],"public":[73,78,110],"expenditures.":[74],"examines":[76],"private":[80],"arrangements":[81],"for":[82,188],"financing":[83,112],"provision":[85],"services":[87],"have":[89],"resulted":[90,118],"sectoral":[92],"privatization,":[93],"mainly":[94],"from":[95],"economic":[96],"articulated":[98],"with":[99,147],"concession":[100],"fiscal":[102,164],"benefits.":[103],"analyzes":[105,141],"changes":[107,149],"sector":[111],"through":[113],"successive":[114],"constitutional":[115,186],"amendments":[116],"weakening":[121],"established":[123],"social":[124],"protection":[125],"policies,":[126],"particularly":[127],"sector.":[131],"For":[132],"future,":[134],"considers":[137],"population":[138],"aging":[139],"trends":[142],"epidemiological":[145],"profile,":[146],"consequent":[148],"paradigm.":[154],"concludes":[157],"pointing":[159],"out":[160],"consequences":[162],"strangling":[165],"organization":[168],"healthcare":[171],"system":[172],"need":[175],"reverse":[177],"legal":[178],"provisions":[179],"hamper":[181],"fulfillment":[183],"mandate":[187],"equity":[189],"universality.":[191]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":7},{"year":2020,"cited_by_count":9},{"year":2019,"cited_by_count":6}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2018-07-10T00:00:00"}