This article provides an overview of governance arrangements and changes in the Brazilian public health system since 1988, when the "Citizen's Constitution" declared health to be a universal right. Since then, population coverage has grown substantially and health indicators have improved. Despite these achievements, inequities in access remain an important barrier to universal coverage, in particular for marginalized groups such as indigenous peoples. This article discusses the innovation cycle that produced the gains and recent efforts to guarantee more equitable access to health services for the indigenous population in a continent-sized country historically plagued by great inequalities.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.37757/MR2011V13.N3.12 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Co-design in healthcare with and for First Nations Peoples of the land now known as Australia: a narrative review.
Int J Equity Health
January 2025
Discipline of Podiatry, School of Health Sciences, Western Sydney University, Dharawal Country, Campbelltown, NSW, Australia.
Increasing use of co-design concepts and buzzwords create risk of generating 'co-design branded' healthcare research and healthcare system design involving insincere, contrived, coercive engagement with First Nations Peoples. There are concerns that inauthenticity in co-design will further perpetuate and ingrain harms inbuilt to colonial systems.Co-design is a tool that inherently must truly reposition power to First Nations Peoples, engendering both respect and ownership.
View Article and Find Full Text PDFReclaiming Indigenous systems of healing: experiences of disabled Māori of Māori-centric health service responses in Aotearoa New Zealand during the COVID-19 pandemic.
BMC Health Serv Res
January 2025
School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand.
Background: The impact of the pandemic on Indigenous and disabled people's access to healthcare has resulted in significant disruptions and has exacerbated longstanding inequitable healthcare service delivery. Research within Aotearoa New Zealand has demonstrated that there has been success in the provision of healthcare by Māori for their community; however, the experiences of tāngata whaikaha Māori, disabled Māori, have yet to be considered by researchers.
Methods: Underpinned by an empowerment theory and Kaupapa Māori methodology, this research explores the lived realities of tāngata whaikaha Māori or their primary caregivers.
Commissioning health services for First Nations, regional, and remote populations: a scoping review.
BMC Health Serv Res
January 2025
Reform Office, Strategy, Policy and Reform Division, Queensland Health, Floor 13, 33 Charlotte Street, Brisbane, QLD, 4000, Australia.
Background: Commissioning for health services has been implemented as one approach to improve the quality and access to healthcare for First Nations, regional and remote populations. This review systematically scoped the literature for studies that described or evaluated the governance, funding, implementation and outcomes from health service commissioning targeting these groups in Canada, Australia, Aotearoa/New Zealand and the United States (CANZUS nations).
Methods: Seventeen databases were searched for relevant peer reviewed and grey literature studies published in English from 2010 to 2023.
A novel RFE-GRU model for diabetes classification using PIMA Indian dataset.
Sci Rep
January 2025
Department of Computer Science, Faculty of Computers and Information, Suez University, P. O. Box 43221, Suez, Egypt.
Diabetes is a long-term condition characterized by elevated blood sugar levels. It can lead to a variety of complex disorders such as stroke, renal failure, and heart attack. Diabetes requires the most machine learning help to diagnose diabetes illness at an early stage, as it cannot be treated and adds significant complications to our health-care system.
View Article and Find Full Text PDFPatient, Caregiver, and Provider Perspectives on Improving Provider-Patient Interactions in Hemodialysis: A Qualitative Study.
Can J Kidney Health Dis
January 2025
Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Background: Improving interactions between people receiving hemodialysis and health care providers of facility-based hemodialysis care is a top priority for patients, caregivers, and health care providers.
Objective: To identify challenges for high-quality clinical interactions in facility-based hemodialysis care as well as potential solutions.
Design: Multicentre qualitative study using focus groups and semi-structured interviews to elicit the perspectives of patients, caregivers, and health care providers.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!