Evaluation of the degree of integration of primary health care with specialized care in the model of local health unit experienced in Portugal
Resumo A integra ção da atenção primária à saúde com a atenção especializada em hospitais foi um importante desafio colocado ao sistema de saúde português. Iniciado em 1999, por intermédio de uma experiência-piloto, essa integração ocorreu com a criação de Unidades Locais de Saúde. Toda a assistên cia (atenção primária e especializada) na mesma região passou a depender de uma só equipe de gestão, com as mesmas regras e modelos de funcionamento. Embora o modelo tenha já vários anos e atualmente existam oito Unidades Locais de Saúde, não há pesquisas que avaliem essa transformação. Diante des...
Source: Saude e Sociedade - April 21, 2021 Category: International Medicine & Public Health Source Type: research
Evidence of power expressed in architectural projects of the Hospital Santa Catarina (1974-2002)
Resumo A arquitetura hospitalar é um elemento disciplinador que contribui para a categorização, a classificação e a individualização dos atores sociais que compartilham esse espaço. Este estudo histórico analisou a trajetória da autoria dos projetos e do fluxo de pessoas, coisas e informação, além da disposição, da denominação e das dimensões dos compartimentos do Hospital Santa Catarina. Os achados foram interpretados à luz da literatura científica encontrada sobre o tema e do referencial teórico de Michel Foucault, o que permitiu compreender como se deram as disputas de poder por esses atores sociais...
Source: Saude e Sociedade - March 29, 2021 Category: International Medicine & Public Health Source Type: research
Theoretical perspectives on health and migration: social determinants, transnationalism, and structural vulnerability
This article critically analyzes the three major contemporary theoretical approaches in addressing health and migration: the social determinants of health approach of the World Health Organization; studies on transnationalism and health; and current proposals on structural vulnerability. To this end, the core ideas that characterize each of these approaches and the main criticisms made are presented. Given that most of the current literature is being published in English, this article summarizes some of the main contributions in the field for the Spanish-speaking public, constituting the first work of this type to include ...
Source: Saude e Sociedade - March 29, 2021 Category: International Medicine & Public Health Source Type: research
Grounded theory research on the factors that lead to doctor moral hazard
This study explored the factors that lead to doctor moral hazard, as well as the interrelationships and internal regularity of these factors. This study takes doctor moral hazard as the research content and the inducing factors as the core theme, conducting grounded theory research on the causes of doctor moral hazard. Scientific understanding of doctor behavior would facilitate the prevention and control of doctor moral hazard behavior. This study used the principles and methodology of Glaser and Strauss ’ s grounded theory. Theoretical and snowball samplings were used to identify 24 subjects. Semi-structured in-depth i...
Source: Saude e Sociedade - March 29, 2021 Category: International Medicine & Public Health Source Type: research
Institutional analysis of health surveillance in a city in the Metropolitan Region of Porto Alegre, Rio Grande do Sul, Brazil
Resumo O artigo tem por objetivo identificar e analisar a institucionaliza ção das ações de vigilância em saúde em um município da região metropolitana de Porto Alegre/RS visando perceber suas dimensões instituídas e instituintes, bem como caracterizar as lógicas de atuação dessa vigilância. O referencial teórico-metodológico utilizado foi a análise instit ucional, na vertente socioanalítica. A pesquisa foi realizada em dois momentos, usando como ferramentas de coleta de informações a observação participante, as reuniões de grupo com o coletivo dos trabalhadores e o diário da primeira autora. Aparec...
Source: Saude e Sociedade - March 29, 2021 Category: International Medicine & Public Health Source Type: research
Sanitary democracy: advancements and resistance in the participation process of patients/users of the French healthcare system
This article thus outlines a brief history about the participation of patients/users of the French health system and to point out the main achievements and difficulties today. Three main sources were used: official archives, documents produced by patient associations, and journal articles. In France, patient participation is part of a complex scenario that can be seen in the term “ Sanitary Democracy ” , which brought together health and politics, so that the structured power relations between patients and health professionals could be questioned and a debate between science and democracy could take place. The AIDS epi...
Source: Saude e Sociedade - March 29, 2021 Category: International Medicine & Public Health Source Type: research
Content validity of the scale Perceptions on Interpersonal Racial Discrimination in Brazilian Healthcare Facilities (Driss)
Resumo Com o objetivo de elaborar e validar o conte údo do instrumento de medida das Percepções sobre Discriminação Racial Interpessoal nos Serviços de Saúde Brasileiros (Driss), foi conduzido um estudo do tipo metodológico com base na Teoria Clássica dos Testes. O pool de itens inicial, com 49 itens, foi elaborado a partir dos resultados de uma revisão abrangente de literatura, um estudo qualitativo prévio e recomendações de um grupo de pesquisa sobre desigualdades étnico-raciais. Para a validação de conteúdo, um comitê de especialistas foi formado. Critérios qualitativos e quantitativos foram empregad...
Source: Saude e Sociedade - March 29, 2021 Category: International Medicine & Public Health Source Type: research
Considerations on COVID-19 impact on the individual-society relationship: from vaccine hesitancy to the clamor for a vaccine
Resumo Desde mar ço de 2020, quando a Organização Mundial de Saúde declarou que o mundo vivia uma pandemia de covid-19, acompanhamos um quadro sanitário sem precedentes nos últimos 100 anos. As medidas atuais contra a doença têm como objetivo o controle da transmissão e envolvem ações individuais e coleti vas de higiene e distanciamento físico, enquanto a busca por uma vacina se apresenta como a esperança para vencer a pandemia. Considerando o contexto social de clamor por uma nova vacina, este ensaio crítico discute o paradoxo e as contradições da relação indivíduo-sociedade no contexto da c ovid-19 à ...
Source: Saude e Sociedade - March 19, 2021 Category: International Medicine & Public Health Source Type: research
Suicide in dispute: a critical approach to the association between suicide and non-heteronormative sexualities
This study analyzes how social groups with non-heteronormative sexualities are often associated with suicide and posits some consequences of this association in academic and social contexts. This reflection contributes to a necessary conversation that extends beyond the theoretical positions of researchers and has a social effect. In this paper I highlight some of the experienced effects produced by the association between suicide and sexual diversity by acknowledging how sexuality assumes a specific social meaning. The article is divided into four sections. In the first two, I analyze how the notion of epidemiological ris...
Source: Saude e Sociedade - March 19, 2021 Category: International Medicine & Public Health Source Type: research
Legitimizers of violence in heterosexual couples, taking into account gender as a social practice structure
This study aimed to show the social representations related to female victims, aggressors and services providers as great legitimizers of violence against women, considering their gender and social practice in Barranquilla, Colombia. This is a qualitative research, with a phenomenological-hermeneutic approach and the theory of social representations, which used in depth interviews and content analysis as data collection technique. Findings suggest violence used to regulate behavior, passionate jealousy, conciliatory strategies and the assumed women satisfaction are legal means of violence in heterosexual couples. We conclu...
Source: Saude e Sociedade - March 19, 2021 Category: International Medicine & Public Health Source Type: research
From the Amazon to the guidelines: the dilemmas between quilombola foods and the recommendations of the dietary guidelines for the Brazilian population
The objective of this study is to analyze the food habit of quilombola families in Par á, following the guidelines of the Food Guide for the Brazilian Population published by the Brazilian Health Ministry in 2014. Semi-structured interviews were conducted in the communities of Santo Antônio (Concórdia do Pará, in the Northeast) and São João (Salvaterra, on Marajó Island) under protocol CEP 060/07. Analysis of consumption and preferences were made according to the guide. The results show a high consumption of sweetened coffee, beans, rice and flour, and a low participation of vegetables and fruits in the interviewees...
Source: Saude e Sociedade - March 19, 2021 Category: International Medicine & Public Health Source Type: research
Do older adults attempt suicide for attention?
This study analyzes part of the results of a multicentric national research that investigated suicidal ideation and suicide attempts in older adults. The text aims to question the so-called “ attention seeking ” behavior, used by health professionals and families of older patients when referring to their motivation for self-destructive behavior. This qualitative research used semi-structured interviews to thoroughly understand this phenomenon. We analyzed 12 cases of older adults with suicidal ideation and/or suicide attempts and reports from four professionals who expressed their opinion on the “ attention seeking ...
Source: Saude e Sociedade - February 23, 2021 Category: International Medicine & Public Health Source Type: research
Education, work and health: realities of transgender women living in Bogotá, Colombia
In conclusion, we offer some reflections about the debts that the State and the institutions have about transgender women today in order to guarantee education, health and work to them. (Source: Saude e Sociedade)
Source: Saude e Sociedade - February 23, 2021 Category: International Medicine & Public Health Source Type: research
Health assistantship policy at São Paulo’s First Republic: an analysis of the government’s budget plan
This study analyzes how S ão Paulo state government promoted public assistantships policies during the First Republic. During this time, the government aimed at controlling epidemies and endemics, leaving individual care to private institution. Through budget plans, reports from the Secretary of Interior, speeches at the Ch amber of Deputies, and newspaper articles, we observed that there was a budget policy which allowed the government to spend money on institutions that assisted immigrants and poor people. Besides an annual expenditure, the government could also send extra budget during epidemics, and also developed per...
Source: Saude e Sociedade - February 23, 2021 Category: International Medicine & Public Health Source Type: research
Public policy networks: an approach to analyze the governance of Food and Nutrition Security
Resumen El concepto de gobernanza adquiere cada vez m ás relevancia en los debates y práctica de la gestión de estrategias políticas de Seguridad Alimentaria y Nutricional (SAN). Sin embargo, su análisis demuestra una complejidad por la influencia de actores locales, regionales, nacionales e internacionales. El enfoque sistémico de la SAN contemp la, dentro de otros principios, la participación y la intersectorialidad, tales estrategias parten de una perspectiva multidisciplinaria que no presupone homogeneidad, sino que se conforma de diversos actores y sus distintas formas de relacionamiento multinivel. Para compre...
Source: Saude e Sociedade - February 23, 2021 Category: International Medicine & Public Health Source Type: research
