{"id":"https://openalex.org/W4415318629","doi":"https://doi.org/10.56238/arev7n10-190","title":"REFORMAS E CONTRARREFORMAS DO SUS: PERSPECTIVAS PARA A POL\u00cdTICA P\u00daBLICA DE SA\u00daDE","display_name":"REFORMAS E CONTRARREFORMAS DO SUS: PERSPECTIVAS PARA A POL\u00cdTICA P\u00daBLICA DE SA\u00daDE","publication_year":2025,"publication_date":"2025-10-18","ids":{"openalex":"https://openalex.org/W4415318629","doi":"https://doi.org/10.56238/arev7n10-190"},"language":"pt","primary_location":{"id":"doi:10.56238/arev7n10-190","doi":"https://doi.org/10.56238/arev7n10-190","is_oa":true,"landing_page_url":"https://doi.org/10.56238/arev7n10-190","pdf_url":"https://periodicos.newsciencepubl.com/arace/article/download/9044/10945","source":{"id":"https://openalex.org/S4404675830","display_name":"Arac\u00ea.","issn_l":"2358-2472","issn":["2358-2472","2447-8598"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210096522","host_organization_name":"Associa\u00e7\u00e3o Nacional de Direitos Humanos, Pesquisa e P\u00f3s-Gradua\u00e7\u00e3o","host_organization_lineage":["https://openalex.org/I4210096522"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ARAC\u00ca","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://periodicos.newsciencepubl.com/arace/article/download/9044/10945","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090158519","display_name":"Francisco Daniel Leal Sousa","orcid":"https://orcid.org/0009-0000-0679-337X","observed_orcids":["https://orcid.org/0009-0000-0679-337X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francisco Daniel Leal Sousa","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021945287","display_name":"Lu\u00eds Paulo Souza e Souza","orcid":"https://orcid.org/0000-0002-9801-4157","observed_orcids":["https://orcid.org/0000-0002-9801-4157"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lu\u00eds Paulo Souza e Souza","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016662553","display_name":"Lu\u00eds Silva","orcid":"https://orcid.org/0000-0002-3434-6056","observed_orcids":["https://orcid.org/0000-0002-3434-6056"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Luana D\u00e1ria Medeiros Silva","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113742670","display_name":"Ilka Santos Pinto","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ilka Santos Pinto","raw_affiliation_strings":["Universidade de Juazeiro do Norte"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade de Juazeiro do Norte","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006716341","display_name":"Silas Augusto Marquito Rocha","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Silas Augusto Marquito Rocha","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Sara Maria Teles De Figueiredo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102939073","display_name":"Universidade Estadual do Cear\u00e1","ror":"https://ror.org/00sec1m50","country_code":"BR","type":"education","lineage":["https://openalex.org/I102939073"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Sara Maria Teles De Figueiredo","raw_affiliation_strings":["Mestre em Ensino na Sa\u00fade Institui\u00e7\u00e3o : Universidade Estadual do Cear\u00e1"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mestre em Ensino na Sa\u00fade Institui\u00e7\u00e3o : Universidade Estadual do Cear\u00e1","institution_ids":["https://openalex.org/I102939073"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Elen Patr\u00edcia Licar Da Silva","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Elen Patr\u00edcia Licar Da Silva","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028973216","display_name":"Larissa Borges e Silva","orcid":"https://orcid.org/0009-0001-8011-9460","observed_orcids":["https://orcid.org/0009-0001-8011-9460"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Larissa Borges e Silva","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124367814","display_name":"Inara de Jesus Bomfim","orcid":"https://orcid.org/0009-0001-9746-0761","observed_orcids":["https://orcid.org/0009-0001-9746-0761"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Inara de Jesus Bomfim","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"Maria Gabriela Da Silva","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126158947","display_name":"Universidade Federal da Bahia","ror":"https://ror.org/03k3p7647","country_code":"BR","type":"education","lineage":["https://openalex.org/I126158947"]},{"id":"https://openalex.org/I4210148707","display_name":"Universidade Estadual do Maranh\u00e3o","ror":"https://ror.org/04ja5n907","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210148707"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Maria Gabriela Da Silva","raw_affiliation_strings":["Universidade Estadual do Maranh\u00e3o","Universidade Federal da Bahia (UFBA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade Estadual do Maranh\u00e3o","institution_ids":["https://openalex.org/I4210148707"]},{"raw_affiliation_string":"Universidade Federal da Bahia (UFBA","institution_ids":["https://openalex.org/I126158947"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"7","issue":"10","first_page":"e9044","last_page":"e9044"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13915","display_name":"Public Health in Brazil","score":0.92330002784729,"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":0.92330002784729,"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":0.05180000141263008,"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":0.017999999225139618,"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/health-care-reform","display_name":"health care reform","score":0.8410000205039978},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.5680000185966492},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.859000027179718},{"id":"https://openalex.org/keywords/fiscal-framework","display_name":"fiscal framework","score":0.7160000205039978},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.9819999933242798},{"id":"https://openalex.org/keywords/digital-health","display_name":"digital health","score":0.9950000047683716},{"id":"https://openalex.org/keywords/universal-health-coverage","display_name":"universal health coverage","score":0.550000011920929},{"id":"https://openalex.org/keywords/intergovernmental-coordination","display_name":"intergovernmental coordination","score":0.8100000023841858},{"id":"https://openalex.org/keywords/health-governance","display_name":"health governance","score":0.5889999866485596},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.4059999883174896}],"concepts":[{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.6446999907493591},{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.48829999566078186},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.250900000333786},{"id":"https://openalex.org/C182306322","wikidata":"https://www.wikidata.org/wiki/Q1779371","display_name":"Order (exchange)","level":2,"score":0.2328999936580658},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.21480000019073486},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.21459999680519104},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.18930000066757202},{"id":"https://openalex.org/C139621336","wikidata":"https://www.wikidata.org/wiki/Q3190382","display_name":"Economic Justice","level":2,"score":0.18320000171661377},{"id":"https://openalex.org/C2778012447","wikidata":"https://www.wikidata.org/wiki/Q1034415","display_name":"Scope (computer science)","level":2,"score":0.1770000010728836},{"id":"https://openalex.org/C83009810","wikidata":"https://www.wikidata.org/wiki/Q11204","display_name":"Legislature","level":2,"score":0.17419999837875366}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.56238/arev7n10-190","doi":"https://doi.org/10.56238/arev7n10-190","is_oa":true,"landing_page_url":"https://doi.org/10.56238/arev7n10-190","pdf_url":"https://periodicos.newsciencepubl.com/arace/article/download/9044/10945","source":{"id":"https://openalex.org/S4404675830","display_name":"Arac\u00ea.","issn_l":"2358-2472","issn":["2358-2472","2447-8598"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210096522","host_organization_name":"Associa\u00e7\u00e3o Nacional de Direitos Humanos, Pesquisa e P\u00f3s-Gradua\u00e7\u00e3o","host_organization_lineage":["https://openalex.org/I4210096522"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ARAC\u00ca","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.56238/arev7n10-190","doi":"https://doi.org/10.56238/arev7n10-190","is_oa":true,"landing_page_url":"https://doi.org/10.56238/arev7n10-190","pdf_url":"https://periodicos.newsciencepubl.com/arace/article/download/9044/10945","source":{"id":"https://openalex.org/S4404675830","display_name":"Arac\u00ea.","issn_l":"2358-2472","issn":["2358-2472","2447-8598"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210096522","host_organization_name":"Associa\u00e7\u00e3o Nacional de Direitos Humanos, Pesquisa e P\u00f3s-Gradua\u00e7\u00e3o","host_organization_lineage":["https://openalex.org/I4210096522"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ARAC\u00ca","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.5683000087738037,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4415318629.pdf","grobid_xml":"https://content.openalex.org/works/W4415318629.grobid-xml"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W1976410857","https://openalex.org/W4365519499","https://openalex.org/W4383220084","https://openalex.org/W4400475957","https://openalex.org/W4400839837","https://openalex.org/W4403399569","https://openalex.org/W4411494410"],"related_works":["https://openalex.org/W6912196475","https://openalex.org/W7138184651","https://openalex.org/W7128485405","https://openalex.org/W4411362436","https://openalex.org/W2886891655","https://openalex.org/W4383107291","https://openalex.org/W7214314729","https://openalex.org/W4404219652","https://openalex.org/W4405680817","https://openalex.org/W2085947650"],"abstract_inverted_index":{"A":[0],"an\u00e1lise":[1],"das":[2],"reformas":[3,194],"e":[4,29,35,54,96,106,125,134,149,154,178,202,215,221],"contrarreformas":[5,213],"do":[6,55,98,145,187],"Sistema":[7],"\u00danico":[8,113],"de":[9,16,67,71,73,75,79,85,87,91,94,114,147,162,176,192],"Sa\u00fade":[10,95],"evidencia":[11],"que":[12,139,164,184,195,210,217],"a":[13,143,155,219,222],"pol\u00edtica":[14],"p\u00fablica":[15],"sa\u00fade":[17,158,225],"no":[18],"Brasil":[19],"se":[20],"desenvolve":[21],"em":[22,45,57,64,209],"um":[23],"cen\u00e1rio":[24],"marcado":[25],"por":[26,32],"avan\u00e7os":[27],"institucionais":[28],"retrocessos":[30],"impostos":[31],"restri\u00e7\u00f5es":[33],"fiscais":[34,214],"administrativas.":[36],"Foi":[37],"realizada":[38],"uma":[39],"revis\u00e3o":[40],"narrativa":[41],"da":[42,59,69,100,117,127,157,181,190,224],"literatura,":[43],"conduzida":[44],"bases":[46],"como":[47,111,142,226],"Scientific":[48],"Electronic":[49],"Library":[50],"Online,":[51],"Literatura":[52],"Latino-Americana":[53],"Caribe":[56],"Ci\u00eancias":[58],"Sa\u00fade,":[60,65,88,101],"PubMed,":[61],"Biblioteca":[62],"Virtual":[63],"Portal":[66],"Peri\u00f3dicos":[68],"Coordena\u00e7\u00e3o":[70],"Aperfei\u00e7oamento":[72],"Pessoal":[74],"N\u00edvel":[76],"Superior,":[77],"Instituto":[78],"Pesquisa":[80],"Econ\u00f4mica":[81],"Aplicada,":[82],"Conselho":[83,89],"Nacional":[84,90],"Secret\u00e1rios":[86],"Secretarias":[92],"Municipais":[93],"documentos":[97],"Minist\u00e9rio":[99],"abrangeu":[102],"publica\u00e7\u00f5es":[103],"entre":[104],"2023":[105],"2025.":[107],"Foram":[108],"utilizados":[109],"descritores":[110],"\u201cSistema":[112],"Sa\u00fade\u201d,":[115],"\u201cfinanciamento":[116],"sa\u00fade\u201d,":[118,128],"\u201carcabou\u00e7o":[119],"fiscal\u201d,":[120],"\u201caten\u00e7\u00e3o":[121],"prim\u00e1ria":[122],"\u00e0":[123,174,179],"sa\u00fade\u201d":[124],"\u201cregionaliza\u00e7\u00e3o":[126],"intercruzados":[129],"com":[130],"operadores":[131],"booleanos":[132],"AND":[133],"OR.":[135],"Os":[136],"resultados":[137],"demonstram":[138],"iniciativas":[140],"recentes,":[141],"introdu\u00e7\u00e3o":[144],"\u00cdndice":[146],"Equidade":[148],"Dimensionamento":[150],"na":[151],"Aten\u00e7\u00e3o":[152],"Prim\u00e1ria":[153],"incorpora\u00e7\u00e3o":[156],"digital,":[159],"representam":[160],"esfor\u00e7os":[161],"reforma":[163],"podem":[165],"fortalecer":[166],"o":[167,185],"sistema,":[168],"mas":[169],"ainda":[170],"enfrentam":[171],"obst\u00e1culos":[172],"relacionados":[173],"insufici\u00eancia":[175],"recursos":[177],"fragmenta\u00e7\u00e3o":[180],"governan\u00e7a.":[182],"Conclui-se":[183],"futuro":[186],"SUS":[188],"depender\u00e1":[189],"capacidade":[191],"consolidar":[193],"garantam":[196],"financiamento":[197],"est\u00e1vel,":[198],"inova\u00e7\u00e3o":[199],"tecnol\u00f3gica":[200],"inclusiva":[201],"coordena\u00e7\u00e3o":[203],"interfederativa":[204],"efetiva,":[205],"ao":[206],"mesmo":[207],"tempo":[208],"resistam":[211],"\u00e0s":[212],"pol\u00edticas":[216],"comprometem":[218],"universalidade":[220],"integralidade":[223],"direito":[227],"constitucional.":[228]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-10-18T00:00:00"}