Erratum
Resumo A Resolu ção nº 510/2016 do Conselho Nacional de Saúde determina diretrizes éticas específicas para as ciências humanas e sociais (CHS) e é resultado de anos de trabalho de pessoas e instituições que há muito apontavam a inadequação de uma única orientação de cunho biomédico para pesquisas e m diferentes áreas. Discutem-se aqui as principais diferenças entre a pesquisa em CHS e a pesquisa biomédica. A disputa pelo poder de definir o que é ciência caracteriza o campo ci...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

The approval of Resolution CNS no. 510/2016 is a progress for Brazilian science
Resumo A Resolu ção nº 510/2016 do Conselho Nacional de Saúde determina diretrizes éticas específicas para as ciências humanas e sociais (CHS) e é resultado de anos de trabalho de pessoas e instituições que há muito apontavam a inadequação de uma única orientação de cunho biomédico para pesquisas e m diferentes áreas. Discutem-se aqui as principais diferenças entre a pesquisa em CHS e a pesquisa biomédica. A disputa pelo poder de definir o que é ciência caracteriza o campo ci...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

The challenge for regulatory agencies around the world in the use of glyphosate
Resumo Este artigo avalia a rela ção de custos entre a saúde pública e a implementação do saneamento básico na capital da Guiné-Bissau. Analisaram-se seis cenários, incluindo três opções para o sistema de esgotamento sanitário (sistema coletivo com rede coletora e estação elevatória de esgoto, sistema simplificado i ndividual por latrina e sistema coletivo completo com rede coletora, estação elevatória e estação de tratamento de esgoto) e duas para o sistema de abastecimento de &...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

The relationship between basic sanitation and public health in Bissau, Guinea-Bissau
Resumo Este artigo avalia a rela ção de custos entre a saúde pública e a implementação do saneamento básico na capital da Guiné-Bissau. Analisaram-se seis cenários, incluindo três opções para o sistema de esgotamento sanitário (sistema coletivo com rede coletora e estação elevatória de esgoto, sistema simplificado i ndividual por latrina e sistema coletivo completo com rede coletora, estação elevatória e estação de tratamento de esgoto) e duas para o sistema de abastecimento de &...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

The Leser Reform: the architecture of a São Paulo (Brazil) public health project, 1967-1979
This article recovers t he relevance of these actions, both in the sense of reorganization of the government ’ s public health machinery and for the contextual opening to the public health movement of S ão Paulo, which was organized, above all, within the state government ’ s machinery of the period. It is considered that the Leser Reform has had a relevant impact especially in the constitution of Primary Health Care (PHC) and in its consolidation as an important level for the health system, as it would be considered in the proposal and implementation of the Brazilian National Health System (SUS) after 1...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Medical error: concept, characterization and management
The objective of this study is to better understand the tensions involved in the fear of making an error due to the harm and risk this would pose to those involved. This is a qualitative study based on the narratives of the experiences lived by ten acting physicians in the state of S ão Paulo, Brazil. The concept and characterization of errors were discussed, as well as the fear of making an error, the near misses or error in itself, how to deal with errors and what to do to avoid them. The analysis indicates an excessive pressure in the medical profession for error-free practi ces, with a well-established physician...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

“A man is a man and a woman is a woman; everything else is hanky-panky”: social representations of transsexuality on internet comments
The objective of this study was to identify social representations about transsexuality based on the comments described in social networks (Facebook and Instagram). This is a qualitative study with a descriptive exploratory approach, using the method of documentary research and based on the theory of social representations. Data were collected from some series of reports of a Brazilian journalistic program with national impact. Data analysis was performed based on content analysis with the aid of Atlas.ti software. The results allowed the generation of 14 codes, which were grouped into four categories: origin of transsexua...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Education and governance of bodies today: an analysis of the “Movimento 21 dias por uma vida mais saudável”
Resumo Este trabalho teve como objetivo analisar os enunciados do programa de promo ção da saúde “ Movimento 21 dias por uma vida mais saud ável ” (M21), vinculado à Secretaria de Estado da Saúde do Espírito Santo. Para realizar tal proposta, investigamos, no período de setembro de 2015 a junho de 2017, os materiais disponíveis no site do programa, como notícias, textos, imagens, vídeos e peças publicitárias, dando ênfase aos elementos mais recorrent es. Nosso escopo de análise foi baseado no aporte foucaulti...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

From abominable to estimable (or tolerable) “home”: reconfiguring representations related to institutionalization
This study aims to identify and analyze representations of institutionalized elderly regarding the residential facilities where they live. The hypothesis formulated in this study is that elderly people, when institutionalized, may change their representations, which entail negative evaluative contents, depending on the scenario they encounter. This study used a qualitative approach, with a semi-structured interview specifically designed for empirical data collection. Serge Moscovici ’ s social representation theory was used as the theoretical framework to test the hypothesis that the experience of being admitted to a...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Perspective of deinstitutionalization: reading keys to understand a national mental health policy aligned with the psychiatric reform
This study has shown that they are interrelated and embedded in practical field, comprising the need to: questioning the object of psychiatry, reflect on the articulation between institutional apparatuses that maintain segregation and custody of deviants; identify power relations and refuse the social mandate of workers; operate dialectically with contradictions in daily practices of substitutive services; and to sustain institution ’ s openness to the multiplicity of modes of expression and interaction, being critical and keeping attention to closing moments. It must be emphasized that it is by practical action that...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Morrinhos’ lynching (rumor, stigma and violence)
This study aims to analyze the sociocultural context related to this event: the lynching of a mentally ill woman. Traditional anthropology research methods were utilized, among them ethnographic observation and in-depth interviews with Morrinhos ’ inhabitants. The data analysis allowed us to point out that violence is vividly present there and is directly related to everyday conflicts and social disputes of all possible contexts in the neighborhood - especially those manifested through violence against the mentally ill. The spreading of those rumors is frequent in Morrinhos and has an important role in maintaining a ...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Violence and social suffering in the school context: a case study in Porto Alegre, Rio Grande do Sul, Brazil
Resumo A pesquisa analisou a viol ência e o sofrimento social em uma escola de Porto Alegre (RS) a partir do discurso de professores, buscando compreender como a violência tem feito parte das relações no contexto escolar. Trata-se de estudo de caso qualitativo realizado por meio de 23 entrevistas individuais semiestruturadas e g rupo focal com professoras, contextualizados a partir de observação participante na escola e na comunidade ao longo de um ano. A análise temática de conteúdo resultou em dois eixos analíticos: “ Macroviol ência: repercu...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Educational-communicative action in the relationship of social workers with family and users: integrality in mental health care
Resumo Este trabalho tem por objetivo provocar reflex ões sobre o potencial das relações humanas para o cuidado em saúde mental a partir da articulação entre o agir educativo de Paulo Freire e o agir comunicativo de Jürgen Habermas, propondo um construto teórico denominado “ agir educativo-comunicativo ” na rela ção das/dos assistentes sociais com familiares e usuárias/os no processo de trabalho desenvolvido em Centros de Atenção Psicossocial. O construto teórico do agir educativo-comunicativo emergiu de categorias f...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Psychodynamics of Work: a study on pleasure and suffering in teaching work at Universidade Óscar Ribas
Resumo Este artigo tem por base uma investiga ção realizada entre novembro de 2013 e janeiro de 2017, na Universidade do Minho (Portugal), sobre os docentes da Universidade Óscar Ribas (UOR) (Angola). Foi alicerçado num referencial teórico, a Psicodinâmica do Trabalho de Christophe Dejours, e teve como objetivos analisar os sintomas biops icossociais e os sentimentos de prazer e/ou de sofrimento relacionados com o trabalho docente. Foi utilizada a metodologia quantitativa, que teve por base a aplicação de um questionário e duas escalas a 56 docentes da UOR. Veri...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Perceptions and experiences of benzodiazepine users in primary health care in Cuba
Resumen A pesar de que son ampliamente conocidos los perfiles de utilizaci ón de las benzodiazepinas (BZD) y los riesgos asociados, este conocimiento no ha conducido a visibles transformaciones que mejoren la seguridad de los tratamientos y la salud de los pacientes. Por tanto, es necesaria una mejor compresión del contexto de su utilización, con el fin de implementar a cciones educativas eficaces, tomar decisiones clínicas pertinentes y perfeccionar su regulación en los servicios de salud. Este artículo se propone caracterizar el perfil de utilización de benzodiazepinas en ...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Politic and policies for food and nutrition security: meanings given by urban community leaders and residents of Salvador, Bahia, Brazil
This article analyzes the perceptions of community leaders and/or residents of a poor neighborhood in Salvador, Bahia, Brazil, regarding the State ’ s action in FNS. The methodology combined conceptual maps and focus group that were implemented in two different moments (2014 and 2016, respectively) of a participatory action research. Results highlight, at both times, the distance of local actors regarding FNS policies. At the beginning of the action research, perceptions on FNS emphasized individuals ’ responsibility, showing the unawareness on the human right to food. Two years later, narratives of the focus g...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

African refugee families: quality of life, needs and expectations regarding health
The objective of this research is to measure their quality of life and to understand the needs and expectations of African refugee families in relation to health. The study was performed in two moments: a quantitative and a qualitative one. Participants responded to the WHOQOL-Bref quality of life scale. A sample family was extracted to compose the structural genogram and to participate in a semi-structured interview with a guiding question. The quantitative analysis was done by descriptive statistics and the discourses obtained were evaluated by the content analysis proposed by Laurence Bardin. Results showed, in the 0 to...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Barriers to access for interstitial lung diseases care in Colombia
This article aims to explore the perspectives of pulmonologists about the barriers in the diagnosis and treatment of patients with interstitial lung diseases in Colombia. For this purpose, we conducted a qualitative study whose methodological approach was phenomenological. Focus groups were formed with pulmonologists to explore the barriers in access to health services. The data were analyzed using an inductive thematic analysis. The participants expressed the existence of barriers derived from the lack of training in primary care, the lack of integrated services and the scarcity of multidisciplinary discussion groups. Ine...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Discourses of professionals and adolescents about the access of adolescents to Health Services in Venezuela, 2017
Resumen El objetivo fue analizar los discursos de profesionales y adolescentes sobre los factores que dificultan y potencializan el acceso de esta poblaci ón a los servicios de salud (SS) y los efectos que generan en el alcance de la equidad en un estado de Venezuela. Se realizaron 12 entrevistas con adolescentes y 12 con profesionales, teniendo como base el Análisis Crítico del Discurso (ACD) y la estructura triangular de Thiede, Akweongo y McInty re. Los resultados se estructuraron en tres temas: el poder de los estereotipos y creencias; la ley al margen del derecho a la salud y construyendo pr&aacut...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Navigating the public health services: the experiences of women who live in the periphery of Buenos Aires city
Resumen Con base en datos cualitativos de seis grupos focalizados, realizados durante los a ños 2015 y 2016, con mujeres de 18 a 60 años residentes en un barrio de sectores populares del conurbano norte bonaerense, analizamos las lógicas de utilización y sus experiencias con los servicios de salud públicos. Nos centramos en las barreras que las participantes identifican para acceder a la infraestructura sanitaria pública del barrio (Centro de Salud y postas sanitarias) y en los establecimientos hospitalarios de la localidad, considerando las necesidades, expectativas y demandas de ...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Participating in the analysis, analyzing the participation: methodological aspects of a participatory research-intervention on mental health
This article discusses the articulation between the participants and data analysis according to the methodology in participatory research-intervention linked to the Gaining Autonomy& Medication Management (GAM) approach. For this intervention study, all participants are researchers, which alters the prevailing understanding about how to analyze in a study. We understand that there is a circular relationship between participation and analysis: effective participation depends on the collective achievement of the analysis by all researchers; the analysis allows the identification and transformation of different qualities ...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Narrative policy in participatory research-intervention
This article is based on two research projects already completed, carried out in Psychosocial Care Centers of inland cities of the state of Rio de Janeiro. We talk about narrativity policy as the production of narratives evidences the necessary legitimation of commonly excluded points of view. Such policy concerns, on the one hand, the operation of intervention groups with users, workers and researchers as spaces for sharing experiences and discussing about medication. On the other hand, it concerns the translation of this dialogue in the form of written texts, related to the research register (memories) and to the restitu...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Intervention research as research-support: the case of POP RUA
This article discusses the production of knowledge in the field of public health, developing the idea of research-support as a modulation of participatory intervention research in the field of health. Participatory intervention research was used and perfected by Enativos Research Group of Universidade Federal Fluminense, in the scope of Gaining Autonomy& Medication Management (GAM) in the field of mental health. In these experiments, the production of autonomy and the increase of participation in health practices were in question. The issues of the field have ended up modifying their own research practices. This resear...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Institutional support for the Forum of São Pedro da Aldeia Mental Health Network as a dimension of the Gaining Autonomy & Medication Management research
This article shares an experience of institutional support for a group of workers of a municipality of Regi ão dos Lagos, Rio de Janeiro, Brazil, in the period 2011-2014. This experience is the result of the intervention research that implemented and validated the Gaining Autonomy& Medication Management device at the Casar ão da Saúde Psychosocial Care Center, in the municipality of São Pedro da Aldeia. The research stimulated the creation of a forum of workers of the Psychosocial Care Network (Raps) which works as a permanent space for negotiations and collective care of the experience of c...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Gaining Autonomy & Medication Management (GAM) as a psychosocial care device in primary care and support to mental health care
This study discusses the construction of devices for the production of psychosocial care, which are based on the proposal of Gaining Autonomy& Medication Management in Primary Health Units in S ão Paulo, where groups were formed based on co-management and sharing of experiences, formed by psychiatric medication users. Workers moderated these groups and attended weekly support workshops for 15 months. This process has given visibility to a complex problematic condition in which the increas ing mass prescription of psychiatric drugs over the years in primary care and the concentration of health responsibility on m...
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Gaining Autonomy & Medication Management: methodological innovations in the public health field
(Source: Saude e Sociedade)
Source: Saude e Sociedade - December 9, 2019 Category: International Medicine & Public Health Source Type: research

Errata
Resumo Espa ço social de produção de saberes e práticas, a saúde coletiva (SC) é reconhecida por seus estudiosos como um campo, a partir da acepção de Pierre Bourdieu. O campo científico é um microcosmo social dotado de leis próprias, em que se inserem os agentes e as instituições que produzem/repr oduzem/difundem a ciência. Este ensaio visa propor, a partir da obra Homo academicus, de Bourdieu, um conjunto de indicadores para uma matriz de análise da distribuição de capitais de prestígio, notoriedad...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Scientific capital in public health: an analysis inspired by Homo academicus and its sources
Resumo Espa ço social de produção de saberes e práticas, a saúde coletiva (SC) é reconhecida por seus estudiosos como um campo, a partir da acepção de Pierre Bourdieu. O campo científico é um microcosmo social dotado de leis próprias, em que se inserem os agentes e as instituições que produzem/repr oduzem/difundem a ciência. Este ensaio visa propor, a partir da obra Homo academicus, de Bourdieu, um conjunto de indicadores para uma matriz de análise da distribuição de capitais de prestígio, notoriedad...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Expressions of precariousness in the work of community health agents: bureaucratization and estrangement of the work
Resumo O artigo analisa express ões da precarização do trabalho dos agentes comunitários de saúde (ACS) relacionando-as com o processo de reestruturação produtiva e de intensificação da precarização social do trabalho. Também é parte de pesquisa de doutorado concluída e fundamenta-se no materialismo histórico dialé tico. Entre os anos 2013-2017 realizaram-se 20 entrevistas e aplicou-se questionário a 105 dirigentes sindicais e de associações de ACS de todas as regiões do Brasil. A buro...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Diary as a device in multicenter research
This article is linked with a multicenter study conducted from 2013 to 2015 in four different scenarios or cities: S ão Paulo, Campinas, Ribeirão Preto, and Recife. It aims to present the use of Research Diary (RD) as a device of the Institutional Analysis, which made it possible to explore different dimensions of experiences of diary researchers and restore the analysis of the implications that have occurred in the movements provoked in and through the experiences of this multicenter project. The use of research diary in fieldworks was common practice among project team members. The production of records as ...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Therapeutic use of cannabidiol: the lawsuit in the state of Pernambuco, Brazil
The objective of this interdisciplinary research was precisely in this aspect, which was to analyze the constitutive exterior of the problem of access to the referred drug. For that, a documentary and exploratory research was performed, using the qualitative approach, in addition to the bibliographic review. The case study was carried out with the Judicial Processes of the Court of Justice of Pernambuco (TJ/PE) on the subject, located from the grouped insertion of the keywords “ supply ” and “ Cannabidiol ” in the field “ jurisprudence ” of the virtual site of this Court. As a result, it...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Homicides in Belo Horizonte, MG, Brazil: a portrait of urban inequality
The objective of this article is to describe homicides in Belo Horizonte in the light of a conceptual model, part of the evaluation process of a redevelopment project in the city. Based on a review of the literature, this conceptual model was constructed to assess the relationship between homicides and urban living in Brazil. A descriptive study of homicides was carried out using data on the period from 2002 to 2012, extracted from the Mortality Information System (Sistema de Informa ções sobre Mortalidade - SIM). The conceptual model reinforces that the most expressive determinants of homicides are found in ...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Does health news depend on patients’ nationality? An Ebola case study
Resumen La salud cada vez tiene m ás presencia en la prensa generalista, especialmente cuando los temas que se abordan afectan a países desarrollados. Esta investigación expone las diferencias que se generan en la cobertura periodista cuando ocurre un hecho relevante como pueda ser una epidemia y que afecta tanto a países occide ntales como a países africanos subdesarrollados. El trabajo que presentamos evidencia que en la epidemia de Ébola, reconocida como tal por la Organización Mundial de la Salud en el año 2014, el volumen de las noticias sobre la epidemia solo au...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Body, health, and consumer society: the social construction of a healthy body
Resumo Ainda que a articula ção entre corpo, saúde e contexto político-econômico seja extremamente complexa e mediada por processos heterogêneos, é possível problematizar o discurso produzido pela mídia sobre corpo e saúde. Este estudo teve por objetivo apresentar algumas reflexões sobre os discursos e práticas con temporâneos acerca da saúde, com enfoque nos aspectos corporais e na relação entre estética corporal e bem-estar do indivíduo. A linha argumentativa desenvolvida preconiza que, na rede discu...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Contents of parental training and its implications for adolescent behavior: elements from a review
The objective of this paper is to analyze the topics addressed in the training of parents and their relation with adolescent behavioral tendencies. A qualitative review of interventions and programs focused on strengthening the parenting process was carried out, establishing a concentration on the regulatory, communicative and emotional aspects of the parent-child relationship. Through a quantitative analysis, it was also identified that the topics addressed have significant effects on adolescents, such as the reduction of behavioral problems, adequate management of sexuality and a decrease in the tendency to use substance...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Education of people with autism spectrum disorders: state of knowledge in dissertations and theses in the Southern and Southeastern regions of Brazil (2008-2016)
This study aimed to analyze the state of knowledge about autism spectrum disorders, based on theses and dissertations produced in the southern and southeastern regions of Brazil from 2008 to 2016. The analysis showed autism is defined using different approaches, most of them being guided by explanations in the medical field, linked to a notion of psychological and social deficit and impairment. Studies guided by a critical perspective, which values the educational, social and historical conditions of the subject ’ s constitution were also observed. One concludes that, although knowledge about autism is still in the d...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Genders and sexualities in medical education: between the hidden curriculum and the integrality of care
Resumo As diretrizes curriculares nacionais dos cursos de gradua ção em Medicina reiteram a importância das questões de gênero e sexualidade para o desenvolvimento de competências relacionadas ao cuidado integral em saúde e promoção dos direitos humanos. Diante disso, foi implementado este debate no currículo de uma escola de Medicina no Brasil e discut ida a influência na educação e prática em saúde da matriz heteronormativa e seu consequente preconceito social e institucional. Os dados e reflexões desta experi&ecir...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

About semantic slips and the contributions of gender theories to a new approach to the concept of intellectual disability
Resumo Este ensaio te órico é divido em três partes. A primeira realiza um breve panorama sobre os deslizamentos semânticos que culminaram na construção do conceito de deficiência mental. A segunda parte reflete sobre a consolidação da noção de deficiência mental pelo saber médico. Posteriormente analisa as transformações advindas das reivindicações do modelo social da deficiência, bem como sua ressonância na construção do conceito de deficiência intelectual adotado pelos campos...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

“Ideal childbirth”: medicalization and construction of a hospital delivery assistance script in Brazil in mid-20 th century
Resumo No Brasil, as pr áticas de parto e nascimento passaram por profundas transformações e intenso processo de medicalização, sobretudo em meados do século XX. Os partos, que ainda aconteciam em sua maioria nos domicílios com assistência de parteiras, passaram cada vez mais a ocorrer nos hospitais, assistidos por médicos obstetras, com intervenções, práticas e rotinas próprias. A partir da análise de 31 artigos publicados em periódicos científicos brasileiros da área da obstetrícia entre os anos de...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Mothers who are in situation of domestic/family violence in the context of foster care for their children: the paradox of full protection
This article analyzed the situation of vulnerable mothers who are vulnerable and victims of domestic/family violence, in the context of the foster care of their children by protection measures, as well as the main challenges of the support network. The methodology was qualitative through an ethnographic approach conducted between 2012 and 2015 at the Specialized Reference Center for Social Assistance and the foster care institution for children and adolescents in a town at Parana ’ s coast, Southern Brazil. The empirical results were discussed on an intersectional perspective with theoretical studies of gender, viole...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Performance of small-sized hospitals from small municipalities in health care networks
Resumo O objetivo deste artigo é compreender os valores sociais e a atuação e inserção dos hospitais de pequeno porte em municípios pequenos nas redes de atenção à saúde. Realizou-se estudo de natureza qualitativa, entrevistando os secretários de saúde e diretores dos hospitais de pequeno porte localizados em 14 munic ípios de até 20 mil habitantes do estado do Paraná, tendo como referencial teórico conceitos bourdieusianos de capital simbólico, habitus e campo. Verificou-se que há o discurso pela m...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Reasons for the expansion of inter-municipal health consortia in Pernambuco: perception of state managers
The objective of this study was to analyze the reasons for the expansion of intermunicipal health consortia conducted by the state sanitary authority as a new institutional political phenomenon in the regionalization of the SUS in Pernambuco. This is a retrospective analytical study with a qualitative approach. Four semi-structured interviews with state managers were carried out and analyzed using a method of condensation of meanings proposed by Kvale. The Theory of Social Representations guided the data analysis. The reasons for the induction of intermunicipal consortium were: the strengthening of the regionalization of h...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Mais Médicos Program in the context of changing strategies of medical training in the country: reflections and perspectives
Resumo A forma ção profissional, como estratégia de sustentabilidade da política pública de saúde, precisa se aproximar das necessidades do Sistema Único de Saúde (SUS) brasileiro. Nesse contexto, a formação médica tem capitaneado grande parte das iniciativas governamentais voltadas à mudança no model o formador em saúde. A mais recente, empreendida via Programa Mais Médicos (PMM), tem gerado um debate polêmico e revelador do jogo de forças e interesses que interferem no problema da insuficiência de v...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

15th National Health Conference: a case study
This article aims to analyze the participation of the National Council in the construction and realization of the 15th National Health Conference (CNS), as well as the main components of this event, the institutional design regarding its participatory dynamics, and the approved proposals and guidelines, relating this political phenomenon to the Brazilian context. This case study on the 15th CNS had, as data sources, the interviews with 27 national counselors and the documentary review of minutes, news and other sources of the Council related to the 15th Conference. The National Council developed strategies to politicize th...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

The dynamics of government attention on health policies in Brazil: balance and punctuation in the first decades after re-democratization (1986-2003)
Resumo Este trabalho tem o objetivo central de mapear e analisar a aten ção de alguns atores e instituições sobre as políticas de saúde no Brasil entre 1986 e 2003. Esse modelo de pesquisa sobre agenda governamental é conhecido sob o termo “ din âmica de políticas ” (policy dynamics) e analisa o processo de mudan ça de políticas públicas por meio da entrada e saída de temas nas prioridades dos policymakers. Mais de 10 mil dados, advindos de cinco fontes distintas (mensagens ao Congresso, produção legislativa,...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Governance in health: the implementation challenges
Resumo A massifica ção dos conceitos em geral torna-os, muitas vezes, difíceis de precisar. O conceito de governance tornou-se transversal a várias áreas, sendo orientado de acordo com a área em que é aplicado. Autores referem que a governance surge como um “ chap éu ” sob o qual se encaixam muitos temas, motivo pelo qual surgiram diversos conceitos, com influ ência das áreas em que eram aplicados. Embora pesem as diversas traduções para a língua portuguesa encontradas na literatura, de forma genérica, o termo &ldqu...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

The net is cast and the management rhythm snags
This article presents a researcher in post-doctoral internship and her advisor ’ s experience report about the events around the research, oriented by an experience that happened before the events themselves. It brings transformations occurred before the establishment of the Brazilian National Health System (SUS) and during its implantation process, including the Psychiatric Reform process based on the new legislation, which contributed to the deinstitutionalization. It shows that the organization of the De Volta para Casa Program (Back Home Program) and the implementation of the Residential Therapeutic Service allow...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Narratives and senses of the De Volta para Casa Program (Back Home Program): we are back, and now what?
This article presents and summarizes some of the main findings of the research about the repercussions of the De Volta para Casa Program (PVC - Back Home Program) at beneficiaries ’ existential territories, in the field of international and national studies on public policies and their evaluation by the beneficiary ’ s perspective. Due to data volume and extent, the analysis of structured narratives is presented in four main aspects: history of life, autonomy, in which form money has provided and provides power, and the relation with health services. Considering that the beneficiaries participating in the resea...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Building stories in slow tessitura: deinstitutionalization and narratives in research
Resumo As cr íticas ao modelo manicomial fazem frente não só à existência do hospital psiquiátrico como também, no caso da desinstitucionalização, às estruturas e lugares de poder que corroboram a desimplicação na vida e na própria dignidade do sujeito. Nesse sentido, estudos sobre os desafios do cu idado em liberdade e a produção de conhecimento advinda desse cenário se fazem indeclináveis. O artigo esmiúça a utilização de narrativas em uma pesquisa nacional multicêntrica ...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research

Shared knowledge production in mental health: the Research Monitoring Committee
This article intends to reflect on the functioning of the Research Monitoring Committee (CAP) adopted in the national study that evaluated the effects of the De Volta para Casa Program (PVC - Back Home Program) in the lives of the beneficiaries in eleven Brazilian municipalities. The research was approved by Research Ethics Committee and developed between 2015 and 2018. The CAP can be understood as: a device of interlocution by circulating opinions, questions and criticism of the social actors involved in the research process; a device of research qualification, considering that procedures ’ definitions and findings ...
Source: Saude e Sociedade - October 8, 2019 Category: International Medicine & Public Health Source Type: research