CLÍNICAS MÉDICAS POPULARES E DESENVOLVIMENTO EM CAMPINA GRANDE: RELAÇÕES ENTRE O PÚBLICO E O PRIVADO

Abstract

The general theme of this study refers to discussions on the Brazilian public health system and its policies, on the one hand, and, on the other, debates concerning neoliberalism and its impacts on society, that together raise questions related to investments in health in the context of public-deprived relations within the neoliberal model of governance and its relationship with regional development. This research is justified by the importance that the health theme assumes in the search for regional development, considering the current characteristics of the financing of the public health system in Paraíba. The intention of this study is to provide subsidies to analyze the causes and effects of the implementation of new health enterprises, called "popular clinics", in Campina Grande-PB. The general objective is to analyze the main characteristics of the investment in the public and private health system in the region of the city of Campina Grande-PB in the period 2016-2020 and possible correlation with the emergence of "popular clinics”. As specific objectives, this research seeks to evaluate correlations between the emergence of popular clinics in the last 4 years in the city and investments in public health in the context of the regional development of the city and to know the perception of the peasant physicians about the provision of public and private health services in the city of Campina Grande-PB. Regarding the methodology, the consultation of the specific theoretical framework on health and development was adopted at the first moment, to support the second moment of the investigation, conducting a documentary research, in which it is sought, through the analysis of the documents related to the study conducting a documentary research, to meet the objectives proposed therein. In third moment, qualitative research was carried out with semi-structured interviews applied with physicians who are inserted in the context of public and private health services. Preliminary evidence collected in field research indicate that there is a correlation between the poor provision of public health services – due to the lack of transfer of investment from the State – and the expansion of popular private clinics, which profit from the poorest population supplying this demand. It is intended to investigate in depth the most specific causes of this phenomenon and its relationship with development.