Saude em Debate最新文献_第6页

Analysis of the implementation of the Hospital Component in the Emergency Care Network 急诊护理网络中医院组成部分的实施分析

Saude em Debate Pub Date : 2023-03-01 DOI: 10.1590/0103-1104202313602i

Marilei Elisangela Radel, Helena Eri Shimizu

{"title":"Analysis of the implementation of the Hospital Component in the Emergency Care Network","authors":"Marilei Elisangela Radel, Helena Eri Shimizu","doi":"10.1590/0103-1104202313602i","DOIUrl":"https://doi.org/10.1590/0103-1104202313602i","url":null,"abstract":"ABSTRACT This study aims to describe the implementation of the Hospital Component of the Urgent and Emergency Care Network (RUE), and to evaluate the delivery of priority Lines of Care in places that serve as gateways in Brazilian regions, between 2011 and 2019. This is a descriptive and analytical study, using data from the National Registration System of Health Institutions (CNES) of the Ministry of Health. To assess significant differences before and after the implementation of Priority Lines of Care, the Wilcoxon test was used. It was found that the Southeast region had the largest increase, including the implementation of technologically denser care points, followed by the Northeast, South, North, and Midwest regions. The South region stood out for the implementation of Priority Lines of Care. Not only did it implement the most of these lines, but it also increased the number of visits and decreased the average length of stay. The Trauma Line of Care was found to be the most effective, when verifying the number of visits with population growth. It was concluded that the Hospital Component of the RUE has made considerable advance, but regional inequalities are still significant.","PeriodicalId":31225,"journal":{"name":"Saude em Debate","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45531778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The reconstruction of the SUS and the fight for rights and democracy SUS的重建与争取权利和民主的斗争

Saude em Debate Pub Date : 2023-03-01 DOI: 10.1590/0103-1104202313600i

Arthur Chioro, Ana Maria Costa

引用次数: 0

Esquizofrenia, modelo biomédico e a cobertura da mídia 精神分裂症，生物医学模型和媒体报道

Saude em Debate Pub Date : 2023-03-01 DOI: 10.1590/0103-1104202313606

A. Melo, F. Freitas

{"title":"Esquizofrenia, modelo biomédico e a cobertura da mídia","authors":"A. Melo, F. Freitas","doi":"10.1590/0103-1104202313606","DOIUrl":"https://doi.org/10.1590/0103-1104202313606","url":null,"abstract":"RESUMO A esquizofrenia, marcada por alterações significativas na percepção da realidade e, em muitos casos, pelo declínio social e ocupacional, continua sendo um desafio etiológico e terapêutico. A despeito de décadas em investigações científicas sobre suas possíveis causas, apenas modestos avanços foram alcançados. Atualmente, as pesquisas indicam que a esquizofrenia é uma condição complexa e que sua etiologia é multifatorial. No entanto, o modelo biomédico em saúde mental, caracterizado pela ideia de que transtornos mentais são doenças do cérebro, frequentemente procura delimitar a esquizofrenia aos seus aspectos biológicos, menosprezando a influência do ambiente. A concepção de transtornos mentais como doenças cerebrais tem repercutido na população em geral, que, em parte, é informada sobre o tema a partir da divulgação científica pela mídia tradicional. O objetivo do artigo é analisar como as causas da esquizofrenia têm sido divulgadas pela mídia impressa. Para tanto, a partir de uma Análise de Discurso Crítica, foi conduzida uma busca no acervo digital dos três maiores jornais brasileiros, de maneira a evidenciar quem é convocado a falar sobre a esquizofrenia e quais as principais explicações causais divulgadas ao público. Os resultados mostram um domínio do discurso biomédico e um enfoque em aspectos genéticos e neuroquímicos da esquizofrenia.","PeriodicalId":31225,"journal":{"name":"Saude em Debate","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47239967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Política externa e saúde no Brasil (1995-2010): uma análise da diplomacia de saúde brasileira – da Aids ao ‘Fome Zero’ 巴西的外交政策与卫生（1995-2010）：从艾滋病到“零饥饿”的巴西卫生外交分析

Saude em Debate Pub Date : 2023-03-01 DOI: 10.1590/0103-1104202313601

C. Almeida, Thais dos santos Lima, Rodrigo Pires de Campos

{"title":"Política externa e saúde no Brasil (1995-2010): uma análise da diplomacia de saúde brasileira – da Aids ao ‘Fome Zero’","authors":"C. Almeida, Thais dos santos Lima, Rodrigo Pires de Campos","doi":"10.1590/0103-1104202313601","DOIUrl":"https://doi.org/10.1590/0103-1104202313601","url":null,"abstract":"RESUMO Este artigo analisa como a saúde entrou na política externa brasileira entre 1995 e 2010 e apoiou a posição internacional do País, utilizando o enfoque de análise de políticas. Essa questão raramente é examinada na literatura brasileira sobre diplomacia da saúde. A partir de revisão de literatura, análise documental e entrevistas com atores-chave, examinamos as políticas impulsionadas por complexos processos históricos de mudança no Brasil. Há importantes inter-relações entre política externa e política social, incluindo saúde. Durante os governos Lula (2003-2010), a internacionalização das políticas domésticas brasileiras, vinculadas à cooperação Sul-Sul, teve papel central. A saúde na agenda da política externa foi um importante suporte à crescente presença internacional do Brasil. Esses desenvolvimentos foram possibilitados pelo ativismo e comprometimento de diversos atores estatais e não estatais, que atuaram em dois níveis: advocacia nacional e transnacional e atividades coordenadas entre representantes do governo, incluindo diplomatas, e atores da sociedade civil. O principal argumento deste estudo é que as políticas nacionais e internacionais são interrelacionadas nesse processo, e a dinâmica doméstica e o engajamento societal são essenciais, mas não suficientes: escolhas governamentais são também determinantes. Os arranjos institucionais e políticos mudaram em diferentes conjunturas e são constantemente propensos a conflitos e mudanças.","PeriodicalId":31225,"journal":{"name":"Saude em Debate","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48806158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acceptability of HIV self-test among adolescent Men who have Sex with Men, travestis and transgender women in Brazil 巴西男男性行为青少年、同性恋者和变性妇女艾滋病毒自我检测的可接受性

Saude em Debate Pub Date : 2023-03-01 DOI: 10.1590/0103-1104202313603i

Érica Dumont-Pena, D. Ferraz, Marília Greco, Ana Paula Silva, Leo Pedrana, Inês Dourado, D. B. Greco, Marcelo Eduardo Pfeiffer Castellanos

{"title":"Acceptability of HIV self-test among adolescent Men who have Sex with Men, travestis and transgender women in Brazil","authors":"Érica Dumont-Pena, D. Ferraz, Marília Greco, Ana Paula Silva, Leo Pedrana, Inês Dourado, D. B. Greco, Marcelo Eduardo Pfeiffer Castellanos","doi":"10.1590/0103-1104202313603i","DOIUrl":"https://doi.org/10.1590/0103-1104202313603i","url":null,"abstract":"ABSTRACT Introduction: The objective of this study is to analyze the acceptability of the HIV self-test among male adolescents who have sex with male and transgender women in three Brazilian capitals. Method: qualitative study, with 6 focus groups and 37 in-depth interviews with 58 participants, from the cities of Belo Horizonte, Salvador and São Paulo, whose thematic analysis was based on the Theoretical Framework of Acceptability. Results: the HIV self-test had good acceptability, although it was not homogeneous among participating adolescents. Positive aspects include, for example, agility, privacy, autonomy, monitoring one’s health, and emotional and stigma management. In another direction are concerns about how to deal with an eventual reactive result and whether self-testing is a prevention strategy. The place where self-tests are given out is decisive to improving their use, which depends on cultural competence to accommodate sexual and gender diversities of adolescents. Conclusion: This study has shown that HIV self-testing is a fundamental strategy to increase adolescent autonomy and self-care. These should be considered to better adapt the test to local youth cultures and, consequently, achieve better compliance.","PeriodicalId":31225,"journal":{"name":"Saude em Debate","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49194418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social Security: a way to solve the underfunding of the SUS, to fight inequality, and to rebuild democracy 社会保障:一种解决SUS资金不足、对抗不平等和重建民主的方法

Saude em Debate Pub Date : 2023-01-01 DOI: 10.1590/0103-1104202313700i

E. Andrade, Ana Maria Costa, M. Rizzotto

引用次数: 0

Changes in the primary care policy and the (un)sustainability of the Family Health Strategy 初级保健政策的变化和家庭保健战略的(非)可持续性

Saude em Debate Pub Date : 2023-01-01 DOI: 10.1590/0103-1104202313701i

F. F. Mendonça, L. D. D. Lima, Adelyne Maria Mendes Pereira, Caroline Pagani Martins

引用次数: 1

Work and health conditions of women rural workers: an integrative review 农村女工的工作和健康状况:综合审查

Saude em Debate Pub Date : 2023-01-01 DOI: 10.1590/0103-1104202313721i

L. Beserra, É. Hennington, M. G. Pignatti

{"title":"Work and health conditions of women rural workers: an integrative review","authors":"L. Beserra, É. Hennington, M. G. Pignatti","doi":"10.1590/0103-1104202313721i","DOIUrl":"https://doi.org/10.1590/0103-1104202313721i","url":null,"abstract":"ABSTRACT Changes in the global rural workforce took place from 1980 onwards, above all, with the increase in female participation in salaried work. An integrative review of the literature on the working and health conditions of rural women workers, published from 2010 to 2020, was carried out. The databases consulted were BVS, SciELO and PubMed, and 43 studies, 11 national and 32 internationals, were analyzed. The results point to a diversity of work activities performed by rural women, in a salaried, autonomous and cooperative way, as well as unpaid activities. Working conditions in salaried jobs are generally precarious, with temporary contracts, low wages and long working hours. In autonomous work and in cooperatives, studies report greater control of activities, financial autonomy and greater satisfaction of workers. Stood out in all forms of work, the sexual division of labor and the work overload with the addition of productive activities, unpaid reproductive activities, housework and care work. Musculoskeletal disorders, suffering and mental illness, high exposure and poisoning to pesticides and violence in the work and domestic environment were identified as preponderant in the health-work relationships experienced by these rural women workers.","PeriodicalId":31225,"journal":{"name":"Saude em Debate","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67537331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Policy on Integrative Health Practices of Federal District in Brazil: Evaluability Study 巴西联邦区综合保健实践政策:可评价性研究

Saude em Debate Pub Date : 2023-01-01 DOI: 10.1590/0103-1104202313708i

M. K. Lemos, V. Luiza

引用次数: 0

Medical organization doctors and policy communities’ influence over Brazilian Health Workforce Policies 医疗组织医生和政策团体对巴西卫生人力政策的影响

Saude em Debate Pub Date : 2023-01-01 DOI: 10.1590/0103-1104202313712i

H. Pinto, S. Côrtes

{"title":"Medical organization doctors and policy communities’ influence over Brazilian Health Workforce Policies","authors":"H. Pinto, S. Côrtes","doi":"10.1590/0103-1104202313712i","DOIUrl":"https://doi.org/10.1590/0103-1104202313712i","url":null,"abstract":"ABSTRACT This article aims to analyze the influence of medical doctors as social actors on developing a policy for the medical workforce in Brazil. The analysis focuses on the years following 2003, when a seeking to include this policy within the scope of the National Health System took office at the Ministry of Health and met with resistance from medical societies. The study adopted sources were process tracing methodology, documents, and interviews. It is based on a neo-institutionalist theoretical approach. Findings reveal long-standing stability (1960-2002) in the policy and its institutional arrangement under the policy community formed by Liberal Medicine advocates (LM-PC); a period (2003-2009) when a thwarted attempt at change by the Ministry of Health met with the opposition of the LM-PC; a period (2010-2016) when such stability was undermined, and the policy was changed despite the opposition of the LM-PC; and, finally, a period when stability was recovered favoring the policy mentioned above community again, reversing several previous changes. However, the LM-PC could not implement its propositions since it faced opposition from other actors influencing the policy. Stability tended towards reproducing the status quo.","PeriodicalId":31225,"journal":{"name":"Saude em Debate","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67536093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0