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Table 2 Historical series of relevant private health events in Brazil

From: Brazilian private health system: history, scenarios, and trends

Period Event Description
1500–1822 Creation of hospital structures - Santas Casas [19]
1897 Creation of the General Directorate of Public Health [20]
1889–1930 Start of health care and social security system [20]
1933–1938 Extension of social security to most workers in urban areas [21]
1953 Creation of Ministry of Health [12]
1950–1960 Beginning of the first medical entities providing services financed by companies, with service predominantly focused on industrial workers [22]
1964 Initial development of private health companies (Decree-Law 200) [22]
1964 Expansion of hospital structures [12]
1964–1988 Crisis in the health system and social security
Expansion of the health system by private means [12, 23]
1988 Decentralization of the Health System [24]
1990 Creation of the Unified Health System (Law 8080 and 8142) [4]
1996 Creation of the Provisional Contribution on Financial Transactions [24]
1998 Regulation of private health plans [24]
1999 Creation of the National Health Surveillance Agency [24]
1999 Beginning of private equity practice in private health companies [25]
2000 Creation of the National Agency for Supplementary Health (Law 9961) [24]
2000 Definition of health financing responsibilities - Constitutional Amendment 29 [24]
2001 Psychiatric Reform Law [24]
2004 Start of capital opening of Brazilian health companies [25]
2006 Pact for Health [24]
2006 Creation of the National Primary Care Policy and the National Health Promotion Policy [24]
2008 Creation of 24-h Emergency Care Units [24]
2011 Creation of Private Plan Operators Program - ANS Resolution 277 [16]
2019 Minimum Governance Practices - ANS Resolution 443 [16]