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Master's Dissertation
DOI
10.11606/D.84.2001.tde-30102001-171810
Document
Author
Full name
Umberto Catarino Pessoto
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2001
Supervisor
Committee
Carvalheiro, Jose da Rocha (President)
Barata, Rita de Cassia Barradas
Medina, Cremilda Celeste de Araujo
Title in Portuguese
As políticas de saúde para América Latina e Caribe da Organização Pan-América de Saúde e do Banco Mundial: uma análise dos documentos e seus discursos.
Keywords in Portuguese
América Latina e Caribe
análise do discurso
OPAS e Banco Mundial
políticas de saúde
Abstract in Portuguese
Este estudo faz uma análise dos discursos da Organização Pan-Americana da Saúde (OPAS) sobre políticas de saúde para a América Latina e Caribe, no período compreendido entre os anos de 1986 a 1994. A análise é realizada tendo como contraposição os discursos do Banco Mundial, no mesmo período. Procura-se demonstrar que os dois discursos se construíram, se realizaram e se atualizaram em relação de heterogeneidade constitutiva. Para a realização desta tarefa apoia-se na corrente denominada de 'escola francesa de análise do discurso' (AD). Após a manutenção de uma longa polêmica discursiva, foi possível chegar à conclusão que a OPAS atualizou seu discurso a partir dos temas apresentados pelo Banco Mundial: financiamento, eficácia e eficiência. Houve um desequilíbrio associativo semântico entre universalidade, integralidade e gratuidade da atenção à saúde defendida pela OPAS. A defesa do principio da não-exclusividade, pelo Banco, foi decisiva para aquele desequilíbrio.
Title in English
The PAHO and World Bank Health Policies to Latin America and Caribbean: discourses and documents analysis.
Keywords in English
french school of speech analysis
health policies
Latin America and Caribbean
PAHO and World Bank
Abstract in English
This study analyses the Pan American Health Organization (PAHO) discourses about Health Policies to Latin America and Caribbean Islands, from 1986 to 1994. The analysis was based on the World Bank discourses, as a counterpoint, during the same period. The objective is to demonstrate that both discourses were built, turn into reality and became up to date in heterogeneity constitutive relationship. The 'French school of speech analysis' (SA) is the technique used to support the analysis. After a long and controversial discoursive dispute, it was possible to conclude that the PAHO updated its discourse using as starting point the themes presented by the World Bank: financing, efficacy and efficiency. There was a semantic associative lack of balance between universality, integrality and gratuitousness for the health care defended by the PAHO. The defense of the principle of non-exclusivity, by the World Bank, was decisive for that lack of balance.
 
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tde.pdf (202.24 Kbytes)
Publishing Date
2001-11-06
 
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