[The Unified National Health System and the third sector: Characterization of non-hospital facilities providing basic health care services in Belo Horizonte, Minas Gerais, Brazil].
In Brazil, nonprofit or charitable organizations are the oldest and most traditional and institutionalized form of relationship between the third sector and the state. Despite the historical importance of charitable hospital care, little research has been done on the participation of the nonprofit sector in basic health care in the country. This article identifies and describes non-hospital nonprofit facilities providing systematically organized basic health care in Belo Horizonte, Minas Gerais, Brazil, in 2004. The research focused on the facilities registered with the National Council on Social Work, using computer-assisted telephone and semi-structured interviews. Identification and description of these organizations showed that the charitable segment of the third sector conducts organized and systematic basic health care services but is not recognized by the Unified National Health System as a potential partner, even though it receives referrals from basic government services. The study showed spatial and temporal overlapping of government and third-sector services in the same target population.
Canabrava
Claudia Marques
CM
Departamento de Medicina Social e Preventiva, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil. cmbrava@yahoo.com.br
Andrade
Eli Iôla Gurgel
EI
Janones
Fúlvio Alves
FA
Alves
Thiago Andrade
TA
Cherchiglia
Mariangela Leal
ML
D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil; D002608:Charities; D002648:Child; D003695:Delivery of Health Care / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated; D004502:Education, Medical, Continuing; D019538:Health Care Surveys; D006801:Humans; D008875:Middle Aged; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration*; D009939:Organizations, Nonprofit / Q000191:economics / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D012947:Social Work