Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement

Authors

  • Fernando Mussa Abujamra Aith Universidade de São Paulo. Faculdade de Saúde Pública
  • Ana Claudia Camargo Germani Universidade de São Paulo. Faculdade de Medicina
  • Rachelle Balbinot Universidade de São Paulo
  • Sueli Gandolfi Dallari Universidade de São Paulo. Faculdade de Saúde Pública

DOI:

https://doi.org/10.11606/issn.2316-9044.v19i2p198-218

Keywords:

Health Law, Health Professions, Health Professions Regulation, Health Regulation, Regulatory Model

Abstract

The legal regulation of health professions in Brazil is composed by a set of broad, complex and fragmented norms, based on the Federal Constitution of 1988 (CF 88) and complemented by an extensive amount of laws, decrees, ordinances, and mainly resolutions issued by the professional councils. This article aims to identify the main legal frameworks that structure the regulation of professional practice in the Brazilian health sector, using the results to outline a model of regulation of the Health Professions in Brazil. The method used was normative and jurisprudential research followed by a qualitative analysis of the selected data. Based on the current laws, we first identified the different state institutions with legal competence to regulate the health professions in Brazil and the main edited norms for that purpose. Next, we searched for the regulatory conflicts brought by these institutions before the higher courts. The analysis of the selected laws and decisions allowed the characterization of what we call the Brazilian Health Professions Regulation Model, with the identification and analysis of the different state regulatory institutions and the main current norms that regulate the 14 health professions recognized by the National Health Council. The results presented in this article outline the current Model of Regulation of Health Professions in force in Brazil and contribute to the deepening of knowledge on the subject, allowing reflections for the improvement of the current Brazilian legal-institutional model.

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Author Biographies

  • Fernando Mussa Abujamra Aith, Universidade de São Paulo. Faculdade de Saúde Pública

    Head Professor of the Public Health Faculty of Universidade de São Paulo (FSP/USP). Associate Professor in General Theory of the State at the Law Faculty of Universidade de São Paulo (FADUSP); Postdoc in Public Law by Faculdade de Direito da Université Paris 2 (França); Doctor in Public Health by FSP/USP; Master in Philosophy and General Theory of Law by FADUSP; Graduate in Law by FADUSP. Scientific Co-director of the Health Law Research Nucleus at USP (NAP-DISA/USP). São Paulo/SP

  • Ana Claudia Camargo Germani, Universidade de São Paulo. Faculdade de Medicina

    Doctor and Master by Faculdade de Medicina da Universidade de São Paulo (FMUSP); Graduate in Medicine by Faculdade de Medicina do ABC. Assistant Professor at FMUSP. São Paulo/SP

     

  • Rachelle Balbinot, Universidade de São Paulo

    Postdoc in Collective Health by Universidade Federal de São Paulo; Postdoc in Public Health by Universidade de São Paulo (USP); Doctor in Latin America Integration by USP; Master in Law by Universidade Federal de Santa Catarina; Graduate in Law by Universidade Federal de Santa Maria. Researcher of the Health Law Research Nucleus at USP (NAP-DISA/USP). São Paulo/SP

  • Sueli Gandolfi Dallari, Universidade de São Paulo. Faculdade de Saúde Pública

    Head Professor at Public Health Faculty of Universidade de São Paulo (FSP/USP). Postdoc in Medical Law by Université Paris 12 (France); Postdoc in Public Health by Columbia University (United States); Associate Professor; doctor and master in Public Health by FSP/USP. Scientific Coordinator at Health Law Research Nucleus at USP (NAP-DISA/USP). Lawyer. São Paulo/SP

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Published

12/11/2018

Issue

Vol. 19 No. 2 (2018)

Section

Argument

License

The Revista de Direito Sanitário/ Journal of Health Law adopts the conditions of the Creative Commons Attribution 4.0 Internacional. This license allows to share - "copy and redistribute the material in any medium or format for any purpose, even commercially" and adapt - "remix, transform, and build upon the material for any purpose, even commercially." Details at: https://creativecommons.org/licenses/by/4.0/deed.en

How to Cite

Aith, F. M. A., Germani, A. C. C., Balbinot, R., & Dallari, S. G. (2018). Health professions regulation: fragmentation and complexity of the Brazilian model and challenges for its improvement. Journal of Health Law, 19(2), 198-218. https://doi.org/10.11606/issn.2316-9044.v19i2p198-218