%0 Journal Article
%T A reconceptualiza  o dos modos de produ  o de sa¨²de no contexto da reforma hospitalar portuguesa The Reconceptualisation of Modes of Healthcare Production within the Context of the Portuguese Hospital Reform La reconceptualisation des modes de production de sant¨¦ dans le contexte de la r¨¦forme hospitali¨¨re portugaise
%A Tiago Correia
%J Revista Cr¨ªtica de Ci¨ºncias Sociais
%D 2012
%I Centro de Estudos Sociais da Universidade de Coimbra
%R 10.4000/rccs.350
%X Este artigo debru a-se sobre as recentes reformas desenvolvidas no sector hospitalar portugu¨ºs. Trata-se da implementa  o de princ¨ªpios da Nova Gest o P¨²blica, n o sendo, por isso, uma op  o pol¨ªtica exclusiva nem inovadora em Portugal. Decorrente do processo de tendencial empresarializa  o dos hospitais p¨²blicos, elege-se como objectivo perceber em que medida estas reformas afectam o significado da presta  o p¨²blica de cuidados. A abertura ¨¤s regras de mercado e, consequentemente, a um contexto de concorr¨ºncia entre os prestadores p¨²blicos e entre os prestadores p¨²blicos e privados associa a empresarializa  o ¨¤ mercadoriza  o da presta  o p¨²blica de cuidados. N o estando em causa o fim de um modo de produ  o de sa¨²de estatal, apresentam-se argumentos que parecem comprovar que estas reformas afectam conceptualmente o modo de produ  o de sa¨²de estatal definido por Boaventura de Sousa Santos em 1987, esbatendo algumas das fronteiras em rela  o ao modo de produ  o de sa¨²de capitalista. This article focuses on the recent reforms that have taken place in the Portuguese hospital sector, namely the implementation of New Public Management principles, a political option that is neither innovative nor exclusive to Portugal. Given the trend towards adopting a business model for state hospitals, the objective is to understand to what extent these reforms affect the public provision of healthcare. The opening up to market rules and, consequently, to competition between public providers as well as between public and private providers, links this business model to the commodification of public provision of healthcare. Although the end of the public mode of healthcare production is not at stake, the article presents evidence that appears to prove that these reforms are conceptually affecting the state mode of healthcare production defined by Boaventura de Sousa Santos in 1987, blurring some of the dividing lines associated with the capitalist mode of healthcare production. Cet article se penche sur les r¨¦centes r¨¦formes d¨¦velopp¨¦es dans le secteur hospitalier portugais. Il s¡¯agit de la mise en  uvre de principes de la Nouvelle Gestion Publique et non pas, d¨¨s lors, d¡¯une option politique exclusive ou innovatrice au Portugal. D¨¦coulant du processus d¡¯entrepreneurialisation tendancielle des h pitaux publics, l¡¯objectif est de comprendre dans quelle mesure ces r¨¦formes affectent le sens de la prestation publique de soins. L¡¯ouverture aux r¨¨gles de march¨¦ et, par cons¨¦quent, ¨¤ un contexte de concurrence entre les prestataires publics et entre les prestataires publics et pr
%K commodification
%K modes of healthcare production
%K entrepreneurialization of hospitals
%K New Public Management
%K marchandisation
%K modes de production de la sant¨¦
%K entrepreneurialisation de l¡¯h pital
%K Nouvelle Gestion Publique
%K modos de produ  o de sa¨²de
%K mercadoriza  o
%K empresarializa  o hospitalar
%K Nova Gest o P¨²blica
%U http://rccs.revues.org/350