This article aims to describe and analyze the main
nuances of the public and private relationship
in the Brazilian health system. In this sense, in
addition to presenting a discussion on public
and private concepts, characteristics, trends
and impacts of the public-private mix in the
Brazilian health system will also be punctuated. A
bibliographic survey was carried out in the form
of a narrative review on the classical and current production of scientific articles, dissertations,
theses and research reports that presented
pertinent reflections on the topic in the last ten
years. The results were categorized in the following
axes: Considerations about the concepts of public
and private; Characteristics of the Brazilian Health
System; Trends and Impacts of the Public-Private
Mix in the Brazilian Health System. It was clear the
existence of a conceptual polysemy on the public
and private terms and due to the arrangements
between these two dimensions in the structure
of the Brazilian health system, it is based on the
premise that it is a mixed system, where the
public sector And the private sector coexist in the
provision, financing, demand and use of health
services. Within this context, problems of the
systems with duplicate coverage were found, with
impacts on equity, financing, production, use and
access to health services. Therefore it is urgent to
create strategies and mechanisms of resistance
that guarantee an integrated regulatory action for
a National Health System that, among other things,
defines the public / private relation, besides the
need to integrate public policies, not only aimed
at For development, but also for well-being.
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