Policy networks in metropolitan regions: the case of the health system in Brazil
Abstract Most policies, explicitly or implicitly, involve sharing responsibilities between different organizations, such as departments, government spheres, ministries, or private organizations. Thus, in recent decades, networks have become increasingly common in public policies. The Brazilian health system - given its size and geographic scope - is an example of complexity and sometimes fragmentation in policy implementation. In this context, the government adopts the concept of Healthcare Networks (RASs) in the operation of its health system. A characteristic that defines RASs is their regional character, since it is nec...
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
Transvestites’s experiences in access to SUS
Resumo Reconhecendo que as travestis enfrentam discrimina ção por conta da sua identidade de gênero, gerando com isso processos de adoecimento e sofrimento próprios de estigmas associados, o estudo teve por objetivo analisar e compreender as vivências de travestis acerca da atenção à saúde no SUS em Teresina-PI. Para o desenho metodológico, reali zou-se pesquisa qualitativa, em que participaram seis travestis que residem em Teresina, e que de forma direta ou indireta acessam os serviços de saúde. As participantes foram selecionadas pela técnica metodológica Snowball, e a coleta dos dados se deu através de gr...
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
Bond: a problematic concept in the Collective Health area
This article aims to focus on the semantic dimension of the use of the term "bond" in Collective Health, reviewing research and official texts of the sector policy that include it in its descriptors or point it as relevant in its results. We selected 52 articles in Lilacs and SciELO databases, including in the subject or title fields the word "bond", associating it with the descriptors: Primary Health Care, Basic Health Care, Single Health System, Family Health, Family Health Strategy, Collective Health, Public Health. We conclude that, although the studies refer to the term/concept noting its unequivocal importance in the...
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
The suicidal behavior of institutionalized elderly: life stories
This article summarizes and analyzes 16 life histories of elderly men and women residing in nine Long Stay Institutions in the State of Rio de Janeiro and who tried to end life or have suicidal behavior. The qualitative study was preceded by a survey of the profile of 122 elderly residents, using a form that includes: socioeconomic and demographic data: name, date of birth, age, sex, marital status, number of children living and dead, nationality, race, religion, degree of education, profession / occupation, income and time in which the institution resides; And five questions that guided the selection of people with ideati...
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
Written media representations for the attention deficit hyperactivity disorder in Brazil (2010-2014)
Resumo Explica ções biológicas vêm sendo cada vez mais utilizadas, no discurso científico, para explicar transtornos mentais, incluindo aqui o transtorno de deficit de atenção com hiperatividade (TDAH). Ao mesmo tempo, aumentam também as críticas aos argumentos de que este tipo de explicação é a única válida. Nesse cenário, podemos perguntar: como essas informações chegam à população? Nosso objetivo, portanto, é descrever de que forma o discurso científico sobre o TDAH vem sendo traduzido e apresentado pela mídia brasileira para a população, a partir da análise de 81 artigos jornalí sticos recen...
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
The scientific-technical controversy over benzodiazepines among public health professionals in Uruguay
This article presents some results from a research that aimed to analyze the role of benzodiazepine controversy in medical, psychiatric and psychological practices in Uruguayan public health services. This research methodology was qualitative, combining a review of national academic articles (1960-2012), in-depth interviews with 45 professionals and two discussion groups. Content analysis was carried out using four axes: anxiety in clinic practice, prescription, relationship between pharmacologic and non-pharmacologic treatment, and benzodiazepines valoration. We obtained a diachronic pictures of the academic controversy a...
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
The mental health clinic in the psychosocial care network: reflections on the clinic and the expansion of primary care policies
Resumo O movimento de Reforma Psiqui átrica e as recentes diretrizes no âmbito da Atenção Primária em Saúde redirecionam o modelo de assistência em saúde mental no Brasil e viabilizam grandes conquistas. Nesse contexto, este artigo aborda o ambulatório de saúde mental com o objetivo de afirmá-lo enquanto um dispositivo funda mental e potente na rede de atenção psicossocial. Tendo a clínica como eixo condutor, a discussão empreendida segue principalmente contribuições teóricas de referência sobre os fundamentos do campo da atenção psicossocial, as políticas públicas de saúde e de saúde mental, além...
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
Biological Psychiatry and Psychopharmacology: a techno-scientific network in debate
Resumo A Psiquiatria Biol ógica emerge nos anos de 1980, nos Estados Unidos, com a publicação do DSM-III (Diagnostic and Statistical Manual of Mental Disorders). Este manual tem a proposta de ser a-teórico e apresentar descrições objetivas dos, então, chamados “ dist úrbios mentais ” a partir de um crit ério classificatório que não inclui discussões acerca da etiologia destes “ dist úrbios ” . Isto implica que, apesar da denomina ção biológica conferida a esta vertente psiquiátrica, não houve nenhuma descoberta acerca da etiologia biológica destes distúrbios que justificasse sua denominação e...
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
Hearing voices: a netnographic study of virtual environments for peer suport
Resumo O artigo tem como foco de reflex ão a formação de uma rede social constituída através de uma mídia social da internet, a Intervoice, buscando compreender de que forma as redes sociais se integram em ofertas de ajuda mútua. Ao escolhermos como eixo de nossa abordagem a experiência vivida por ouvidores de vozes em ambientes v irtuais da Intervoice, buscamos identificar a existência de uma mudança de perspectiva em relação às abordagens tradicionais da psiquiatria no que concerne ao cuidado oferecido, no sentido mais amplo, ao seu público-alvo, bem como analisar se essa mídia social favorece o processo d...
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
O avanço do retrocesso
(Source: Physis: Revista de Saude Coletiva)
Source: Physis: Revista de Saude Coletiva - February 1, 2018 Category: International Medicine & Public Health Source Type: research
Use of the social name in the Brazilian Public Health System: elements for the debate on assistance provided to transvestites and transsexuals
Resumo A discrimina ção e, como consequência, a exclusão social sofrida pelas travestis e transexuais pode limitar e afastar seu acesso aos serviços de saúde. Como forma de combate às discriminações contra essa população, o uso do nome social nos serviços de saúde é garantido entre os direitos dos usuári os do SUS. Objetivamos discutir o uso do nome social no SUS como ferramenta para efetivação do acolhimento, humanização e integralidade da assistência a travestis e transexuais, através da elaboração de um ensaio teórico-reflexivo. Elegeram-se como categorias de análises: o acolhimento e a promoç...
Source: Physis: Revista de Saude Coletiva - September 28, 2017 Category: International Medicine & Public Health Source Type: research
In search of the common - the care practiced by community health workers in the Mental Health field
This article arises from an intervention research with community health workers (CHWs) in a Primary Health Care Center in Porto Alegre (Brazil). This research aims to study the strategies used by these professionals in mental health care. The research method applied was cartography, which intends to track the changes in the field of research, considering the co-production between the researcher and the object. Through meetings on Permanent Education in Health, paths were created/found to enhance the care practices of these professionals, guided by the reinvention of everyday perceptions and popular knowledge as tools for i...
Source: Physis: Revista de Saude Coletiva - September 28, 2017 Category: International Medicine & Public Health Source Type: research
Matrix Support in Food and Nutrition actions: the perspective of professionals of the Family Health Strategy
This article aimed to present the meanings attributed to the professionals of the Family Health Strategy and the Support Center for Family Health in Matrix Support in the actions of Food and Nutrition as a strategy for granting actions that enhance a nutritional care in the territory. It is a qualitative research, in which 18 semi-structured interviews were carried out and analyzed through Content Analysis. The interviewees' statements were classified in topics, composing the guiding axes of the discussion of results, that is: emphasis on health education; expansion of intersectoral actions; qualification of the teams and ...
Source: Physis: Revista de Saude Coletiva - September 28, 2017 Category: International Medicine & Public Health Source Type: research
Profile of crack users in the Brazilian media: analysis of a national newspaper and two magazines
This article is a documentary research with qualitative approach, resulting from a doctoral thesis, which sought to analyze the profile of users of crack presented by newspaper reports and two national edition magazines in the last five years. The material found was submitted to discursive textual analysis. In order to access the study object, our theoretical base was based on Michel Foucault, Erwin Goffman, Howard Becker and John Thompson, seeking to denature the ways in which discourses about crack users are placed by the media. The results showed that the discourse conveyed by the media studied builds a negative profile...
Source: Physis: Revista de Saude Coletiva - September 28, 2017 Category: International Medicine & Public Health Source Type: research
Mapping virtual spaces of information on ADHD and uses of methylphenidate
The objectives of this article are to map information on the use of this medicine in virtual networks, by first introducing the digital research methodology, specifically the application of social networking data extraction software (Facebook). The publicly accessed content was analyzed and categorized using anchoring about pharmaceuticalization, provided by the literature. Facebook provides an important virtual environment for the circulation of information on methylphenidate consumption, with a range of about 600,000 people. The virtual discussion forums address the main controversies about methylphenidate use, which are...
Source: Physis: Revista de Saude Coletiva - September 28, 2017 Category: International Medicine & Public Health Source Type: research
