SUS e NHS: aspectos comparativos dos sistemas públicos de saúde brasileiro e britânico

Abstract

This paper intends to make a comparative analysis between the Brazilian (SUS) and the British (NHS) public health systems, due to the difficulty of the operationalisation of the Brazilian public health, to try to find ways to make the last one a better system based on the foreign experience. The study was developed with bibliographic research, including books, articles, monographs, Master of Arts dissertation, Ph.D thesis and public bodies’ websites from Brazil and from the United Kingdom. In the first chapter, there is an analysis of the public health evolution in the two systems, comparing the historical contexts of the creation of both and their principles and duties. In the second one, the author chose to study the forms of state and the administrative organization of the countries that are the focus of this research, to try to understand, through the peculiar characteristics of the federalism and the unitary state, possible differences in the management of two universal and free health systems. In the third chapter, there are some information about the financing of the SUS and the NHS and the occurrence of the health demands judicialization phenomenon in Brazil and in the United Kingdom as a way to find access to medical treatment and medication not usually available by the government. The mentioned issues in this monograph were chosen by their potential to show the reasons why the SUS and the NHS demonstrate really distinct practical results though have the same purposes and guidelines.