Introducing the theme of corruption into analysis of changes in health management models

Abstract

The work is an excerpt from a research on the privatization of health in the city of Rio de Janeiro. It addresses the main issue raised in the national and international literature on the results of managerial reforms in Public Administration in the context of neoliberalism, which is the lack of control over public- private partnerships and management contracts. In this case, Social Health Organizations/OSS have often been involved in corruption processes. A brief review of corruption is carried out, approaching its quantitative dimensions and current conceptions. The theoretical framework adopted is Marxism, especially from the analysis of post- or semi-colonial economic-social formations, where, in contemporary times, significant levels of corruption have been found. The case of Rio de Janeiro addressed 14 OSSs that established contracts with the City Hall between 2009 and 2015 using official public sources, newspapers and Public Ministry processes. In only four OSSs, no irregularities were identified, based on the sources cited. The most common ones involved irregularities in the rendering of accounts, overpricing and payment of bribes to public officials. It points out at the end that the State counter-reform in health, contrary to what was proposed in the 1990s, seems to be facilitating corruption, going against the principles of public administration that guided the 1988 Constitution.