Abstract
Within the context of the return to democracy, the new constitution enacted in 1988 transformed health into an individual right and initiated the process of creating a public, universal and decentralized health system, profoundly altering the organization of public health in Brazil. This article discusses the main institutional, political and social aspects of this health reform, along with the changes, the continuities and the major initiatives, based on the literature published by the most widely read authors in this field of study. Without purporting to offer an exhaustive analysis, we discuss how the historiography written by authors who were also actors in the process assess its main features, along with the genesis of the process and the legacy of health reform in Brazil.
Highlights
In October 1988 the enactment of the new Federal Constitution completed the process of the return to democracy in Brazil
It was responsible for a profound change in the organization of public health in Brazil
This choice has allowed us to bypass a number of contributions which, albeit important, were the work of commentators who played no part in health reform and were not necessarily committed to its ideas
Summary
PAIVA, Carlos Henrique Assunção; TEIXEIRA, Luiz Antonio. Health reform and the creation of the Sistema Único de Saúde: notes on contexts and authors. Ciências, Saúde – Manguinhos, Rio de Janeiro.
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