Education and Health from an Interprofessional Perspective: Education Program for Work for Health - Health Care Networks – PET-RAS
Resumo O objetivo do presente estudo foi descrever os padr ões de prática de atividade física e analisar suas variações conforme as características sociodemográficas de adolescentes de um município da região nordeste do Brasil. A amostra foi de 2.350 adolescentes do município de João Pessoa (PB). Foram determinadas as prevalências de atividade f ísica e calculados os escores de prática (minutos/semana): geral e por tipos (esportes, exercícios físicos, deslocamento ativo e atividades recreativas). A regressã...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Standards of physical activity practices in adolescents in a city of Northeastern Brazil
Resumo O objetivo do presente estudo foi descrever os padr ões de prática de atividade física e analisar suas variações conforme as características sociodemográficas de adolescentes de um município da região nordeste do Brasil. A amostra foi de 2.350 adolescentes do município de João Pessoa (PB). Foram determinadas as prevalências de atividade f ísica e calculados os escores de prática (minutos/semana): geral e por tipos (esportes, exercícios físicos, deslocamento ativo e atividades recreativas). A regressã...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Bullying and health-related quality of life in children and adolescent Mexican students
The objective of this study was to analyze the association between being a victim of bullying and lower HRQoL among schoolchildren and adolescents in Mexico. This cross-sectional and correlational study involved 2225 students from 22 elementary, middle and high schools. HRQoL was assessed with the KIDSCREEN-10 questionnaire and bullying with the social adaptation dimension of KIDSCREEN-52. Bivariate associations were evaluated, and a multivariate logistic regression was utilized. The prevalence of victims of bullying was 17.3%. Being a victim of bullying was double the risk of having a lower HRQoL than not being a victim a...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Factors associated with sexually transmitted infections: a population based survey in the city of São Paulo, Brazil
Resumo Descrevemos a frequ ência de infecções sexualmente transmissíveis (IST), os fatores associados e as orientações recebidas dos profissionais de saúde entre homens e mulheres no município de São Paulo. Estudo de corte transversal, com inquérito populacional, com indivíduos de 15 a 64 anos residentes em São Pa ulo. De 4057 indivíduos que iniciaram a vida sexual, 6,3% relataram IST durante a vida, 4,3% das mulheres e 8,2% dos homens. As IST mostraram associação, entre os homens, com: idade> 34 anos, n ão uso...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Tecobé in Marajó: trend of indicators for the monitoring of primary care before and during the More Physicians for Brazil Program
This study aimed to evaluate the performance of the Family Health Strategy after implementation of the More Physicians Program (MPBP) in the territory of Maraj ó-Pa-Brazil through an historical series of four primary care indicators during 2011-2015: population coverage, proportion of live births to mothers with/without prenatal consultations, hospitalization rates due to primary care sensitive condition (taxas de internações por condições sensíveis à atenção primária - ICSAP) and infant mortality rate. A trend of improvement was evident after implementa...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Breastfeeding of preterm newborn infants following hospital discharge: follow-up during the first year of life
Resumo Objetivo deste artigo é avaliar a prevalência de amamentação entre prematuros após a alta hospitalar. Coorte (idade gestacional
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

The self-confrontation with own time as an analytical perspective in the study of relations between teams and health
Resumo O presente estudo visou desenvolver um dispositivo que conjuga um instrumento quantitativo sobre o uso do tempo, com uma t écnica qualitativa de entrevista, buscando revelar possíveis relações entre o tempo e a saúde. Foi realizada pesquisa de campo com enfermeiros de um hospital na região metropolitana do Rio de Janeiro. Através do uso de uma caderneta de atividades adaptada de diários de uso do tempo, os sujei tos registraram os horários das atividades ao longo de uma semana. As entrevistas se inspiraram na autoconfrontação, no sentido de...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Use of health services and medicines by hypertensive and diabetic patients in the municipality of Rio de Janeiro, Brazil
This study aimed to describe and analyze factors associated with emergency care and hospitalization of hypertensive and diabetic patients in the municipality of Rio de Janeiro, especially those related to the use of medicines. This is across-sectional study using secondary database from a household survey that approached hypertensive and diabetic patients. The outcome variables were: 1) seek for emergency careasa resultof complications related to hypertension and diabetes in the 12months preceding the interviews; 2) hospitalizationin the same period andfor the same reasons. Uni and bivariate analysis between exposure varia...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Maternal nutritional status and its association with birth weight in high-risk pregnancies
Resumo O estado cl ínico e o nutricional da gestante representam importantes variáveis para o risco de inadequações de peso ao nascer. Assim, o presente estudo visou avaliar o estado nutricional de gestantes de alto risco e sua associação com o peso ao nascer de seus conceptos. Estudo transversal com gestantes d e alto risco assistidas no Hospital Universitário de Maceió-AL e seus recém-nascidos. O estado nutricional das gestantes e de seus conceptos foi avaliado segundo o Índice de Massa Corporal para a idade gestacional e o peso ao nascer, respectivame...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Parents and children suffering from mental distress: coping mechanisms, understanding and fear of the future
Resumo O objetivo do estudo foi conhecer experi ências de enfrentamento de pais em relação ao sofrimento mental dos filhos. Trata-se de um estudo etnográfico. Os dados foram analisados por meio da análise de conteúdo. Foram identificadas três categorias: 1. Enfrentamento das situações do cotidiano 2. Compreensão do sofrimento mental com o uma situação de vida; 3. Medo do futuro, sentimento de desamparo social e governamental. O sofrimento mental impõe às famílias situações que necessitam ser rapidamente reso...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Circumstances and consequences of care: a prospective study in palliative care
Resumo As v árias circunstâncias que afetam a prestação de cuidados em fim-de-vida podem ter um papel determinante no resultado desta experiência, nomeadamente nos níveis de morbilidade psicológica antes e depois da perda. Este estudo tem por objetivos descrever a prevalência da sobrecarga e sintomatolo gia psicopatológica dos cuidadores familiares em cuidados paliativos e identificar as circunstâncias que lhe estão associadas. Pretendemos ainda avaliar a evolução da sintomatologia, identificando os fatores circunstanciais que interferem...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Social Support patterns in Primary Health Care: differences between having physical diseases or mental disorders
Resumo A rede de apoio é considerada um agente protetor da saúde em seus aspectos físico, mental e psicológico, proporcionando melhor qualidade de vida, favorecendo adaptação à condições adversas, promovendo resiliência e a mobilização de recursos no enfrentamento de eventos de vida negativos que podem levar a o adoecimento. O nosso objetivo foi estudar a relação entre doenças físicas, transtorno mental comum e a rede de apoio social dos pacientes atendidos na Atenção Primária à Sa&uacu...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Harm reduction strategies regarding the misuse of alcohol and other drugs: a review of the literature
O presente estudo traz uma sistematiza ção acerca de experiências de atenção à saúde a pessoas que fazem uso prejudicial de álcool e outras drogas que têm por base as diretrizes da redução de danos no Brasil e no mundo. Foi realizado um levantamento bibliográfico em publicações de língua portuguesa e inglesa dos últimos d ez anos hospedadas nas bases de dados SciELO, Lilacs, Medline e PsycINFO. Após a seleção do corpus, recorreu-se à metassíntese a fim de integrar o material obtid...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Displacement of social security and social disprotection in Brazil
Resumo Ap ós 30 anos de vigência, a CF-88 deve ser resgatada, comemorada, mas também avaliada sobre quanto adquiriu de resistências social e política para efetivar suas determinações que, não só, conflitam com aquelas do período ditatorial, que a antecederam, como se mostraram pouco atraentes para a s forças neoliberais do final da década de 1980 e início dos anos 1990, no Brasil, plenamente reconhecidas hoje como conservadoras. Uma das principais indicações da CF-88, objeto deste artigo, foi a concepção de ...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

The Right to healthcare and fiscal austerity: the Brazilian case from an international perspective
Resumo O artigo analisa implica ções da política de austeridade no Brasil sobre a garantia do direito social universal, com foco no financiamento do Sistema Único de Saúde (SUS) e no direito à saúde. Os efeitos da política de austeridade brasileira são analisados em perspectiva internacional, com base em evidências produ zidas em diferentes contextos, identificadas por revisão da literatura, a fim de embasar os argumentos desenvolvidos no artigo. São apresentadas informações sobre as medidas de austeridade fiscal que vêm ...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Meanings of Neglected Diseases in the Global Health agenda: the place of populations and territories
Resumo A agenda da sa úde global tem apresentado avanços significativos no campo das doenças negligenciadas. Num movimento dinâmico, assume prioridades, estratégias e sentidos diversos ao longo das duas últimas décadas. Entretanto, permanecem desafios importantes em termos geopolítico, econômico, epistemológico e do desenvolvimento social. A designação e localização das doenças negligenciadas em determinados territórios e populações guarda relação, historicamente, com algumas dinâm...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Pharmaceutical Services in Mozambique: foreign aid in public provision of medicines
This article examines the activities of national and international actors in Pharmaceutical Services (PS) in Mozambique from 2007 to 2012, focusing on the public provision of HIV/Aids, malaria and tuberculosis medicines. It describes how PS functions in the country, what actors are involved in this area and the relations among them, pursuing salient issues in the modus operandi of partners in cooperation. The methodology combines literature review, document survey and analysis and interviews. The theoretical and analytical framework was given by the policy analysis approach, focusing on the role of the State and its interr...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Challenges for work in healthcare: comparative study on University Hospitals in Algeria, Brazil and France
This study compares the challenges for work in emergency services of publicuniversity hospitals in Algeria, Brazil and France. The description and analysis are organized in three topics: context and trajectory of the health systems; hospitals and emergency services; and the challenges that are faced. The research carried out interviews, surveys, observation and “ groupes de rencontre du travail ” / GRT. The data analysis was done using participatory appraisal techniques associated to triangulation of sources and data. The main challenges found were: workforce deficit; lack of hospitals beds in inpatient units; ...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Health policies in Southern Europe and deregulation of labour relations: a glimpse of Portugal
Resumo Sob o efeito do Memorando da Troika (2011-2015), as pol íticas de saúde em Portugal conhecem uma agenda política, empresarial e organizacional orientada por princípios de privatização, desregulação e subfinanciamento dos serviços públicos por parte do Estado. Neste artigo, faz-se uma revisão da literatura sobre os sistemas de saúde dos paíse s do Sul, destacando-se a situação portuguesa quanto aos processos de reforma e principais desigualdades de saúde antes e durante a crise econômica. Complementar...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Decentralization and regionalization of health policy: a historical-comparative approach between Brazil and Spain
This article discusses the processes of de centralization and regionalization of health policy in Brazil and Spain between 1980 and 2015. The study was developed with contributions of the historical institutionalism and of the historical com parative method, by means of three dimensions of analysis: State context; trajectory and institution ality of the decentralization and regionalization of health; and constraints. The study showed that,in both countries, the more general context of re-democratization and decentralization of the State conditioned the reforms of health systems and their political-administrative organizati...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Stewardship and governance: structuring dimensions for Implementation Primary Health Care Policies in Paraguay, 2008-2017
This study analyzes the conduction patterns of implementing Primary Health Care (PHC) in Paraguay in three government periods (2008-2012, 2012-2013 and 2013-2017) and three management levels (national, regional and local). This is a qualitative study based on grounded theory. A priori categories on PHC stewardship and governance in Paraguay were analyzed. An open-ended questionnaire was applied to a sample of social, political and technical stakeholders: ministers, coordinators, managers, consultants, and international organizations ’ experts. Data were processed combining the use of Atlas Ti software and sorting fin...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Network integration and care coordination: the case of Chile’s health system
Resumo O artigo analisa a implementa ção de redes integradas de serviços de saúde (RISS) e de estratégias para a coordenação do cuidado pela APS no sistema de saúde do Chile em seu segmento público. Foram realizadas entrevistas semiestruturadas com “ policymakers ” do sistema p úblico de saúde e academia, complementado por análise documental e revisão bibliográfica. O país destaca-se pela institucionalização de instrumentos de coordenação do cuidado amplamente reconhecidos como ma...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Health Policies in Argentina, Brazil and Mexico: different paths, many challenges
Resumo Nas últimas décadas, vários sistemas de saúde latino-americanos passaram por reformas. O artigo analisa as políticas de saúde na Argentina, Brasil e México de 1990 a 2014, explorando estratégias, condicionantes e efeitos das reformas sobre a configuração dos sistemas de saúde. Adotou-se a abo rdagem histórico-comparativa, considerando os eixos: trajetória da política de saúde; contexto político e econômico; agendas, processos e estratégias de reforma; mudanças na configuraç&atild...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

The World Bank, state reform, and the adjustment of social policies in Latin America
This article briefly analyses the central points of the World Bank ’ s agenda for the reform of national states in Latin America, between 1980 and 2017. The text is based on World Bank documents and specialized literature. Initially some relevant aspects of the history of the World Bank and its configuration as a multilateral organization are presented. Next, it discusses the role of the institution in the encouragement of structural adjustment programs for the economies of the region during the 1980s, based on a hyper-market oriented agenda. Afterwards, the process of the renewal and expansion process of the Bank &r...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Social Determinants, Conditions and Performance of Health Services in Latin American Countries, Portugal and Spain
Resumo A compara ção é um recurso importante para identificar tendências ou intervenções que melhorem a qualidade dos serviços. Os países ibero-americanos não têm sido objeto de estudos dessa ordem, embora Portugal e Espanha venham acumulando um conhecimento relevante na condução de sistemas nacionais or ientados pela atenção primária. O trabalho apresenta os resultados da matriz analítica do Observatório Iberoamericano de Políticas e Sistemas de Saúde, discutindo aspectos que se destacaram no ...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Commodification in the reforms of the German, French and British health systems
The objective of this article is to demonstrate how market mechanisms were implemented in the functioning of these systems, german, british and french – from the 1980s. The “ mercantile ” reforms were justified on the premise that the insertion of market logic could both reduce the need for public spending and increase the efficiency of existing expenditure. The work presents different forms of commodification implemented in the reforms, with the distinction between processes of explicit commodification, in which there is an effective increase in private, and implicit presence, in which there is incorpora...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

The reshaping of healthcare systems in the age of financialization. Lessons from France and Brazil
Resumo Desde a segunda metade do s éculo XX, reformas tornaram-se contínuas no âmbito dos sistemas de proteção social, ampliando ou, com mais frequência, restringindo o escopo e a escala da provisão pública. Neste artigo, cotejamos a evolução recente dos sistemas de saúde na França e no Brasil, de modo a apreender os meca nismos através dos quais a “ financeiriza ção ” vem reformatando a provis ão pública. Essa abordagem comparada tem por finalidade explicitar dinâmicas diferenciadas de pen...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

The social issue in the BRICS Project
Resumo O BRICS, acr ônimo de Brasil, Rússia, Índia, China e África do Sul, é o primeiro grupo multilateral criado e dirigido por países fora do eixo de países ocidentais e desenvolvidos. O objetivo do grupo é influenciar a geopolítica e o mercado globais a partir da defesa e do direito dos países pobres e eme rgentes a participar em condições equitativas do desenvolvimento. A questão social está no centro das justificativas do grupo para seus objetivos. Nesse sentido, o objetivo deste artigo é analisar o tratamento dado ...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Global technological transformations and asymmetries: development strategy and structural challenges for the Unified Health System
Resumo Este artigo articula tem áticas contemporâneas da agenda de desenvolvimento como fenômenos globais que incidem sobre a difusão e a direção do progresso técnico em saúde, condicionando a sustentabilidade do Sistema Único de Saúde. Por meio da avaliação da dependência externa do Complexo Econômico Industrial da Saúde brasileiro; pela revisão bibliográfica da literatura referente à complexidade econômica e seus dados referentes à América Latina e ao Brasil; e, mediante o levantam...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Neoliberal meritocracy and financial capitalism: consequences for social protection and health
This article examines the above process and its consequences for social protection and health by reflecting upon two phenomena that threaten the principle of health as a social right: neoliberal ideas and policies; and financial capitalism. We argue that the common good must be defended or insulated from the negative effects of financial capitalism and from the erosion and fragmentation of public institutions and social protection systems caused by neoliberalism. (Source: Ciencia e Saude Coletiva)
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Is the Welfare State resisting? Recent developments of the social state in OECD countries
Resumo Neste artigo buscamos analisar alguns dos principais indicadores da evolu ção do estado de bem-estar social em países da OCDE entre 1980 e 2016. Em particular, buscamos avaliar se a crise iniciada em 2007-2008 teria implicado em contração do estado social. Nossa análise se desdobra no estudo do comportamento de três dimensões: o gasto social, seu financiamento tri butário e sua efetividade. Nossa investigação revela que o século XXI tem sido um período de expansão, com gastos crescentes e “ catch up ” de pa &...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Changing Systems of Social Protection in the Context of the Changing Political Economies since the 1980s
This article provides an overview of the profound changes in the more advanced welfare states in Europe and Latin America over the past 35 years. Deindustrialization, informalization, and the rise of unstable employment, combined with aging populations rendered traditional employment-based models of social protection less effective and at the same time increased demands on the welfare state. The two main responses to these challenges were efforts at cost containment and inclusion in non-contributory social protection schemes and health services of those in marginal labor market positions. The mix of these two responses and...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Sustaining Social Protection and Provision: the front line in the battle for the Good Society
Abstract In an era when social policy priorities are subordinated to regressive capitalist agendas, sustaining collective commitments to social protection and social provision defines the front line of the battle for the good society. The conflict manifests itself across a range of arenas, but health is analytically archetypal. This introductory article for the special issue assumes the dynamics of the contradiction between the inherently collective character of health provision and capitalist insistence on using individual consumption valued in market prices to measure societal success. Left unchecked, the elite bloc whos...
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

International context and national policies: challenges facing social protection and health systems in a changing world
(Source: Ciencia e Saude Coletiva)
Source: Ciencia e Saude Coletiva - July 16, 2018 Category: Occupational Health Source Type: research

Psychiatric reform in the SUS and the struggle for a society without asylums
This article presents a historical and epistemological study of the construction of public policies about mental health and psychosocial care in Brazil ´s Unified Health System, the SUS. To that end, it proposes an approach that identifies actions and strategies related to social participation in the construction of policies, one of the founding principles of SUS, seeking to delineate its importance in the specific trajectory of the psychiatric re form process. Subsequently, it highlights the originality and importance of actions that used culture as a means and as an end, in the sense of not restricting psychiatric ...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Interview with former Health Minister José Gomes Temporão
Resumo Nessa entrevista, o ex-Ministro da Sa úde, José Gomes Temporão, professor e pesquisador-titular aposentado da Fiocruz, Rio de Janeiro, apresenta a trajetória e os desafios da gestão no Ministério da Saúde, no período de 2007-2010, em que exerceu o cargo principal da pasta.Abstract In this interview, the former Minister of Health, Jos é Gomes Temporão, professor and retired tenured researcher from Fiocruz in Rio de Janeiro, outlines the trajectory and the challenges facing management in the Ministry of Health in the period from 2007 to 2010 when he...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

The future of the Brazilian Health System: a short review of its pathways towards an uncertain and discouraging horizon
This article reflects on the future of the Brazilian Unified Health System (SUS, acronym in Portuguese), based on the foresight exercises conducted by the Brasil Sa úde Amanhã initiative of the Oswaldo Cruz Foundation. The text briefly reviews some paths followed by the SUS as referred to in the Federal Constitution of 1988. It highlights the movement towards the decentralization of care and the constraint of health financial resources that reduced policies o f increasing public expenditures. It examines the public and private arrangements for financing and provision of services that have resulted in sectoral...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

The first 30 years of the SUS: an uncomfortable balance?
This article takes stock of the implementation of Brazil ’ s public health system in the period since the promulgation of the 1988 Constitution, which enshrines the right to health. It analyzes issues affecting the organizational effectiveness of health service provision such as funding and relations between different spheres of government. It focuses on the role of local government, the centralization of legislative powers, which has been shown to weaken the member states, and the financial dependence of local and state governments on federal government and how this has affected policy implementation. It also touche...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Financial sustainability of the Brazilian Health System and health-related tax expenditures
Resumo Este artigo estimou o gasto tribut ário em saúde tendo como base os dados oficiais da Receita Federal do Brasil entre 2003 e 2015. O Ministério da Saúde poderá assim avaliar o papel de tais subsídios no contexto do subfinanciamento do Sistema Único de Saúde. Para a análise dos dados, articularam-se dois eixos teóricos: os e studos relacionados à economia política da saúde e às finanças públicas. Vale dizer, ao lado da dimensão empírica do trabalho, se privilegiou a avaliação das...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

The dominance of finance in healthcare: political action of unlimited capital in the 21st century
This article gives, first, a historical account of the action of capital in healthcare in contemporary Brazil and then introduces a debate on the dominance of finance ( ‘ financial dominance ’ ) in healthcare based on one case to examine: the hypertrophy of the structure for intermediation in private healthcare existing in Brazil, using the theses of Jos é Carlos de Souza Braga as its principal reference. The article highlights the nebulous nature of what happens at the interface between the public and private elements of the Brazilian health system, and the limits inherent to the use of reductionary, or...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Post-graduation in Collective Health and the National Public Health System
This article deals with a public policy in education, Post Graduation in Collective Health, to identify forms of dialogue of this policy, with the public health policy, the SUS, starting in 1990. The main product of PGSC policy is the training of masters and doctors, essential for teaching and research in the field. Bibliographic review and analysis of CAPES documents and databases based the analysis. Education policy was consistent over time and core to social development, alongside health policy, without presenting formal points of intercession, and its impacts occur mainly through the formation of good and committed pro...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Institutionalizing the theme of violence within Brazil’s national health system: progress and challenges
This article reflects on the evolution of the theme of violence within the field of public health. It provides an overview of the strategies and actions developed within Brazil ’ s Unified Health System developed in response to the country ’ s main guiding policy on violence, the National Policy for the Reduction of Morbidity and Mortality due to Accidents and Violence, drawing on baseline documents, national and international research, data from the country ’ s main violence information systems, and the firsthand experiences of the authors from their participation in the abovementioned actions. Violence ...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Gender and sexual rights: their implications on health and healthcare
This article is an objective examination of aspects of gender and sexual rights, and their implications in the field of health field, using the methodology of an essay. The first part discusses femicide, highlighting that there are deaths of women due to the fact of being women, which constitute what could be described as the crimes of l èse-humanité or ‘ femi-genocide ’ . The second part discusses sexual and gender diversity, with an emphasis on the fragility of the ‘ right to have rights ’ expressed in the deterioration in health conditions of the population that is LGBTI (Lesbians, ...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Environmental health risk reduction in Brazil: conquests, limits and obstacles
Resumo A Constitui ção de 1988 representou importantes conquistas de direitos em torno de um projeto de país com um modelo de desenvolvimento socioeconômico orientado para a redução de risco de doenças e agravos e um meio ambiente ecologicamente equilibrado. Estas conquistas se manifestaram nas políticas, na i nstitucionalização e na criação de espaços institucionais de participação da sociedade. O objetivo deste artigo é situar as conquistas e também os limites e obstáculos na agenda de saúde...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

The Management of Work and Education in Brazil’s Unified Health System: thirty years of progress and challenges
This article presents a historical analysis of work management and education in the healthcare field over the three decades since the creation of Brazil ’ s Unified Health System (SUS, acronym in Portuguese). Using the sociology of professions as a frame of reference, it addresses the following topics: the health labor market; trends in healthcare employment; the healthcare workforce; and the regulation and dynamics of undergraduate programs in the health field. It analyzes each of the moments that characterize the area, from the pre-SUS period to the present day. The period has witnessed the following: a boom in hea...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

A brief history of worker’s health in Brazil’s Unified Health System: progress and challenges
This article draws on current understandings of workers ’ health in Brazil that emerged concomitantly with advances in the field of public health. It describes the institutional trajectory of the field of workers ’ health within the Unified Health System (SUS), emphasizing the challenges faced in developing actions in the sphere of workers ’ health surveillance. It synthesizes the often tortuous path taken over the last 30 years between multiprofessional training processes, coordination between different levels of the SUS, interinstitutional support, especially from public universities, and interaction wi...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Unified health system 30th birthday: health surveillance
This article presents an overview of the nature, functions and history of health surveillance in the structure of the Brazilian Unified Health System (SUS). Bibliographical sources and official documents were used, with references from the careers of the authors, who have worked in health surveillance. Extremely serious adverse events in the mid-1990s gave political visibility to the fragility of Brazilian health surveillance, and were reflected in serious problems for the SUS. The creation of Anvisa and the SNVS surveillance system, and the support for bodies in individual states and municipalities, resulted in improvemen...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Pharmaceutical Services and comprehensiveness 30 years after the advent of Brazil’s Unified Health System
This article examines pharmaceutical services and access to essential medicines in Brazil during the 30 years since the advent of Brazil ’ s Unified Health System from a comprehensiveness perspective. The following topics are addressed: the “ realignment ” of pharmaceutical services; human resources in pharmaceutical services; the essential medicines concept; the rational use of medicines; technological advances and drug manufacturing; and ethical regulation. With a strong regulatory focus and a structural framework centered on the National Medicines Policy, the past three decades represent a mixture of p...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Aging in Brazil: the building of a healthcare model
This article is particularly concerned with a care model that is of higher quality, and is more resolutive and cost-effective. (Source: Ciencia e Saude Coletiva)
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research

Reproductive, maternal, neonatal and child health in the 30 years since the creation of the Unified Health System (SUS)
This study presents an overview of public sector interventions and progress made on the women ’ s and child health front in Brazil between 1990 and 2015. We analyzed indicators of antenatal and labor and delivery care and maternal and infant health status using data from the Live Birth Information System and Mortality Information System, national surveys, published articles, and other sources. We also outline the main women ’ s and child health policies and intersectoral poverty reduction programs. There was a sharp fall in fertility rates; the country achieved universal access to antenatal and labor and delive...
Source: Ciencia e Saude Coletiva - June 28, 2018 Category: Occupational Health Source Type: research