Resumen

LOBATO, Lenaura de Vasconcelos Costa. Dilemmas of the institutionalization of social policies in twenty years of the Brazilian Constitution of 1988. Ciênc. saúde coletiva [online]. 2009, vol.14, n.3, pp. 721-730. ISSN 1413-8123.  http://dx.doi.org/10.1590/S1413-81232009000300008.

The objective is to discuss and analyze some elements of the process of institutionalization of social policies in Brazil after the Constitution of 1988, especially those of social welfare (social security, health and social assistance). It is assumed that this process present hybrids that compromise the results prescribed by the Constitution. From one hand, there are important advances in political and organizational apparatus and in the concept of the social question (treated here through three elements: constitutionalization, scope and expansion). Moreover, obstacles remain, particularly in universalization, financing and quality of services, which are contradictory to the advances achieved. The permanence of these hybrids prevents the fairness and citizenship aimed by the 1988 Constitution.

Palabras llave : Social policies; Institutionalization of social policies; Brazilian social welfare.