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 |
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] |