Navegando por Palavras-chave "health policy"
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- ItemAcesso aberto (Open Access)Cuidadores de idosos e o sistema único de saúde(Associação Brasileira de Enfermagem, 2003-06-01) Brêtas, Ana Cristina Passarella [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This research has the objective of proposing some reflections about the theme of people who take care of the elderly, taking as the theoretical, conceptual, and political reference the Brazilian public health system. It is broken down into four topics. First of all, I attempt to briefly discuss the interfaces of the theme Aging and Health with the purpose of laying a theoretical groundwork where this is proposed. Secondly, I try to present the Public Health System (SUS) as a scenario for the discussion on the issue of taking care of the elderly. Thirdly, I present some paradigms about this care as a human attitude and bring to the discussion the person who takes care of the elderly. Finally, I present some final considerations.
- ItemAcesso aberto (Open Access)Um estudo sobre o Nasf-AB em um município paulista de pequeno porte(Universidade Federal de São Paulo (UNIFESP), 2019) Coneglian, Rosana Cristina [UNIFESP]; Pereira, Pedro Paulo Gomes [UNIFESP]; Junqueira, Virginia; http://lattes.cnpq.br/5029984524343235; http://lattes.cnpq.br/1474930426841995; http://lattes.cnpq.br/3375231893599759; Universidade Federal de São Paulo (UNIFESP)In Brazil, the National Policy of Basic Attention met and systematized formulations guided by the principles and directives of Public Health System, notably integrality, universality and equal access. In our country of continental dimensions, in which most municipalities are small, the federal manager has induced policies and devices to strengthen PHC. However, there are several obstacles in this trajectory, especially regarding integrality. One of the devices financially induced by the federal manager is the Expanded Nucleus of Family Health and Basic Care, created in 2008, and consists of multiprofessional teams whose attributions are technical-pedagogical support and assistance to the PHC teams and the users. This thesis, the result of a qualitative research of the ethnographic type, conducted by the author during two years of work in a Expanded Nucleus of Family Health and Basic Care of a small municipality, has the objective of discussing some questions and aspects that seemed central in the experience of the problems that were placed in the day to day work. The spectrum of impediments and embarrassment is wide ranging from national, state, and local policy issues, which include system funding, management, training and hiring of the workforce, to power relations within teams, with the municipal Public Health System authorities, among PHC professionals and users, among others. In the reality of a public health system in a small municipality, research questions were posed to the Expanded Nucleus of Family Health and Basic Care researcher/worker, concerning questions about the (im)possibilities of effective responses to the health situation of the population of the municipality by the PHC teams, be it from the Expanded Nucleus of Family Health and Basic Care or the Family Health units, considering the restrictions and working conditions that generated evident repercussions on the health of the local workers.
- ItemSomente MetadadadosEvolução do projeto centro de convivência e cooperativa no município de São Paulo(Universidade Federal de São Paulo (UNIFESP), 2016-11-29) Santos, Fernando Augusto dos [UNIFESP]; Marcolan, Joao Fernando Marcolan [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: In 1989, the municipal government of São Paulo was committed to the principles and guidelines of health and psychiatric reform. The Municipal Health Secretariat of São Paulo created support network, as well as cutting-edge equipment, in order to facilitate the inclusion of the excluded population groups from society, the possibilities of culture, leisure and health. They were designed and built Centers of Living together (“Convivência”) and Cooperatives (CECCOs). Objectives: To analyze the perception of retired professionals who worked in the Family Center and Cooperative (CECCO) in São Paulo on the evolution of assistance since its creation; analyze the factors involved in the operation of this service throughout their professional experience; analyze the inclusion and importance of this service to the mental health network in São Paulo, the Psychosocial Network in the territory and the National Policy on Mental Health and the Psychosocial Care Network. Methods: descriptive exploratory qualitative study with methodological reference the Content Analysis. Sample of retired professionals CECCOs; interview was recorded in audio based on guiding questions prepared by the researchers. Results: The CECCO brought in its wake a paradigm shift in the assistance in mental health, as with its technical and ideological innovation brought important insights on how to accommodate the difference without classifying and take the power of the subject. Conclusions: In speaking of CECCO speak of diversity, the mosaic that we can build with different pieces, but no time given for this, or special glue.
- ItemAcesso aberto (Open Access)Health technology assessment: the process in Brazil(Pan Amer Health Organization, 2017) Abuleac, Fernanda Lessa [UNIFESP]; Ferraz, Marcos Bosi [UNIFESP]Objectives. To describe, analyze, and compare the opinions of decision makers involved in the health technology assessment (HTA) process in Brazil in 2011. Methods. A cross-sectional study was conducted using a structured questionnaire to evaluate the opinions of a convenience sample of health care professionals from both the public and private health care systems (HCS). The survey collected demographic data for each respondent along with their input on national regulations. Data analysis included descriptive statistics, including chi-square tests to compare groups. Results. Of the 200 completed questionnaires, 65% of the respondents were 31-50 years of age
- ItemAcesso aberto (Open Access)Política de Saúde do Trabalhador: revisitando o caso do Centro de Referência em Saúde do Trabalhador de Campinas(Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho - FUNDACENTRO, 2013-06-01) Medeiros, Maria Angélica Tavares de [UNIFESP]; Salerno, Vera Lúcia; Silvestre, Mírian Pedrollo; Magalhães, Lilian Vieira; Universidade Federal de São Paulo (UNIFESP); Prefeitura Municipal de Campinas Centro de Referência Regional em Saúde do Trabalhador; Western University Faculty of Health SciencesINTRODUCTION: The Regional Occupational Health Reference Center (Cerest) opened in Campinas, São Paulo State, Brazil, in 1986, as a union demand. OBJECTIVE: To analyse the trajectory of Cerest-Campinas comparing the challenges identified in a 2001 study with the 2012 reality. METHODS: Secondary analysis was carried out comparing the current moment with data from 2001. For content analysis, the authors recorded Cerest workers' reflections and testimonies in a field notebook. RESULTS: Although there are structural limitations concerning Surveillance, especially regarding marginalization of the Occupational Health Policy, there has been progress in Health Care. Neverthless, the obstacles faced in 2001 are greater nowadays. Difficulties in management and financing coupled with municipal administration problems caused a crisis culminating in a movement In defence of Cerest (2011). As in the previous study, a relevant fact was the degree of personal involvement of Cerest workers, as they, in spite of all difficulties, kept resisting. CONCLUSION: Cerest survives amidst contradictions, and challenges remain. The threat of its closing called back the commitment of historical actors (professionals and unions) involved, suggesting possibilities, which, depending on rearrangement of political institutional powers, can consolidate workers' health policy, in local and nationwide levels.
- ItemAcesso aberto (Open Access)Saúde e cogestão popular: os limites e desafios da implantação e efetivação dos conselhos locais de saúde em um território da cidade de Santos/SP(Universidade Federal de São Paulo (UNIFESP), 2014-08-26) Benedito, Ivone Leal [UNIFESP]; Acosta, Ana Rojas [UNIFESP]; http://lattes.cnpq.br/4761034356311819; http://lattes.cnpq.br/2679034722235011; Universidade Federal de São Paulo (UNIFESP)The present study aimed to investigate the development, operation and impact of Conselhos Locais de Saúde (CLS) in the co-management of primary care of the Sistema Único de Saúde (SUS) of Santos / SP from a specific territory, which was the region of Morros. The methodological path followed was the qualitative approach, carrying out field research to collect primary source. During the exploratory phase visits in locus were conducted in seven of eight primary care units belonging to the territory searched.These visits were analyzed all the minutes of the Board since their election. It was also made visits to the Conselho Municipal de Saúde de Santos (CMS) in order to understand and know about the process of implementation and monitoring of these CLS. To support this research semi-structured interviews were conducted with the directors (manager / user / professional area), as well as professionals and users who are not as representatives of the Local Council of the same units. Found on analysis that arise from the Local Councils intention of encouraging closer relations between primary care units with the local community. The CLS was created by resolution of CMS in 2006, but only in 2008 the municipal administration chose to start the implementation process into three units healths with one primary care unit located on the territory searched. After two years of experience, CMS opened the electoral process in other primary care units in the city. In the region of hills, elections were held between October 2010 to September 2011, lasting almost a year. In this period, since the elections, we observe that these CLS suffered decline in the frequency of meetings and solidification of CLS. However, we identify as potential local comanagement enriching experiences to think about participation, social control and local health policy. But although they have lived these experiences, the CLS still cannot play a role of co-management in health policy and those involved are very fragile in the public participation process. Much disinformation and poor coordination between the actors and agencies involved in the process of social control has been found. The CLS are privileged to units and territories spaces but require reflection and encouragement in political education by all stakeholders: local and municipal government; directors of CLS; CMS; health professionals and the SUS.
- ItemSomente MetadadadosTrabalho do enfermeiro na atenção primária à saúde no Brasil: recortes históricos e desafios profissionais(Universidade Federal de São Paulo (UNIFESP), 2013-12-20) Ximenes Neto, Francisco Rosemiro Guimaraes [UNIFESP]; Cunha, Isabel Cristina Kowal Olm Cunha [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Nursing, since 1920, has been developing important role in the Brazilian Public Health, especially in Primary Health Care (PHC). As the Unified Health System (SUS) started in the 1980s, the country was undergoing an intense process of decentralization of policies, programs, projects, services and health actions, PHC was one of the priority attention. Thus, the Ministry of Health has institutionalized policies such as Community Agent Health Strategy in 1991, and the Family Health Strategy (FHS), created in 1994 with the designation of the Family Health Program (FHP), in which the nurse receives a new strategic role. The study aimed to analyze the process of nursing work in the PHC in light of the Brazilian Health Policies from SUS, based on a documented research, analytical and critical, with historical and interpretation recovery of information based on logic dialectic, developed during the period of April to November 2013, using five institutional documents of the Ministry of Health, in the light of the analysis of referential context of Souza (2001), which examines the events, scenarios, actors, force and structures relationships after being referred to the content analysis of Minayo (2008), which derived the following category of results: Conjunctures of the Nursing work in the FHS. Events and structures that showed potent symbolism for the work of nurses in PHC were: the creation of the PSF in 1994 as decentralization strategy of the Brazilian PHC; the strengthening of health decentralization, with the institutionalization of the Basic Health Tread funding via FHP, by Basic Operational Norm-SUS 01/1996, augmented with Operational Norm for Health Care-SUS 01/2001, which led to the consolidation and expansion of PHC and internalization of the labor market in Health and Nursing; improving indicators and the rapid growth in the number of PSF teams throughout the country, as institutionalization reason of it as policy, the FHS in 1997; the revitalization and strengthening of FHS with National Primary Care Policy. Scenarios where the health production development of nurses in the PHC occurring are: in the territory, in the community, at home and at Basic Health Unit, having focus on care of the family and individuals. Actors that influence the nursing work environment at PHC depend on the organization of the work process, whether individual (physicians, nursing assistants and CHA) or collective (multidisciplinary team, with minimal staff, Oral Health of CHA among others. The main actors/elements that mediate the forces in the field of practice with FHS nurses are community, the established local culture, local political power, the Municipal health Management, the pyramidal system model of health organization, health workers team, which exercises also strong social and technical work, among other. The working process of nurses in PHC is socially determined, influenced by instituted and instituting health policies and the territorialized political scene.