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[The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community]. [在里约热内卢一个社区，地域护理对精神分裂症和妄想症患者治疗的影响]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-03-17 DOI: 10.18294/sc.2021.3020
Joana Thiesen, Sandra Fortes, Maria Tavares Cavalcanti
{"title":"[The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community].","authors":"Joana Thiesen,&nbsp;Sandra Fortes,&nbsp;Maria Tavares Cavalcanti","doi":"10.18294/sc.2021.3020","DOIUrl":"https://doi.org/10.18294/sc.2021.3020","url":null,"abstract":"<p><p>Care for people diagnosed with schizophrenia and delusional disorders involves many challenges, especially in territorial contexts of pronounced social vulnerability. In Rio de Janeiro, the two decades after the passing of Federal Law 10,216 on Psychiatric Reform in 2001 have been characterized by the transition from a hospital-centered model to one based on community services. Taking the case of a community in Rio de Janeiro, data was extracted from the medical records of 94 patients diagnosed with schizophrenia, schizotypal disorders, and delusional disorders (ICD-10 codes F20 to F29) in five public health services. Covering the period from 2003 to 2016, indicators of the quality of treatment provided were analyzed. As a result of this transition, psychiatric hospitals have all but emptied and a low number of currently untreated patients can be observed. In addition, crisis care and long-term hospitalizations have been replaced by territorial care, and clinical comorbidities are monitored and treated at Family Health Units.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3020"},"PeriodicalIF":0.8,"publicationDate":"2021-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25580071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Subverting medical vulneration: Dissident bodily itineraries of disability in Chile]. [颠覆医疗脆弱性:智利持不同政见的残疾人身体行程]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-03-12 DOI: 10.18294/sc.2021.3021
Juan Andrés Pino-Morán, Pía Rodríguez-Garrrido, Inmaculada Zango-Martín, Enrico Mora-Malo
{"title":"[Subverting medical vulneration: Dissident bodily itineraries of disability in Chile].","authors":"Juan Andrés Pino-Morán,&nbsp;Pía Rodríguez-Garrrido,&nbsp;Inmaculada Zango-Martín,&nbsp;Enrico Mora-Malo","doi":"10.18294/sc.2021.3021","DOIUrl":"https://doi.org/10.18294/sc.2021.3021","url":null,"abstract":"<p><p>Acknowledging dissident bodies of persons with disabilities is an act of continuous resistance, and as such our objective in this article is to analyze the vulnerability and bodily violation of disability activists in Chile. In order to do so, between September 2018 and February 2019 we conducted 11 in-depth interviews using the technique of bodily itineraries, as well as 6 discussion groups. Through qualitative thematic analysis, several categories emerged: the central category of \"Bodily change or difference: experiences of medicalized fragility;\" and three subcategories, \"Bodily diagnosis: the institutional management of differences;\" \"Medical treatment: correcting bodily and social abnormality;\" and \"Rehabilitation: to function once again as a normative body.\" Activists' itineraries reveal the coaptation and bodily violation that they are subjected to by the biomedical apparatus, where they are systematically denied their human rights; however, despite attempts to discipline and control them, they create subversive strategies to validate their corporealities.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3021"},"PeriodicalIF":0.8,"publicationDate":"2021-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25580074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Reduction of social coverage for symptomatic slow-acting drugs for osteoarthritis: a disinvestment initiative in Argentina, 2015-2017]. [降低治疗骨关节炎症状性慢动作药物的社会覆盖率:阿根廷的撤资举措，2015-2017]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-03-06 DOI: 10.18294/sc.2021.3246
Martín A Urtasun, María Noble, Martín Cañás, Julián Bustin, Ricardo C Mastai, Alejandro J Regueiro
{"title":"[Reduction of social coverage for symptomatic slow-acting drugs for osteoarthritis: a disinvestment initiative in Argentina, 2015-2017].","authors":"Martín A Urtasun,&nbsp;María Noble,&nbsp;Martín Cañás,&nbsp;Julián Bustin,&nbsp;Ricardo C Mastai,&nbsp;Alejandro J Regueiro","doi":"10.18294/sc.2021.3246","DOIUrl":"https://doi.org/10.18294/sc.2021.3246","url":null,"abstract":"<p><p>In April 2016, the National Institute of Social Services for Retirees and Pensioners discontinued its policy of 100% coverage for 159 drugs (the \"social subsidy\"), including symptomatic slow-acting drugs for osteoarthritis (SYSADOAs), due to insufficient evidence of significant clinical benefit. We evaluated the effect of this measure on the use of SYSADOAs as well as non-steroidal anti-inflammatory drugs (NSAIDs), which were unaffected by this policy change. We compared outpatient dispensations of SYSADOAs and NSAIDs from 2015 to 2017, measuring dispensed units, retail price, and out-of-pocket expenses for beneficiaries each month. After the change in coverage, there was a 61.6% total decrease in SYSADOA units dispensed, and a 63.4% decrease in the final sales price to the public, measured in constant values. Dispensation was not reoriented towards NSAIDs, which fell by 6.1%. The incidence of new treatments decreased (from 6.4 to 3.3 treatments per 1,000 beneficiaries per month), as did their continuity. Beneficiaries' out-of-pocket spending on SYSADOAs increased by 75.8% (at constant values). Disinvestment in interventions with questionable therapeutic value is an important tool in working toward the sustainability of health systems.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3246"},"PeriodicalIF":0.8,"publicationDate":"2021-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25564469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The relationship between violence and depression in migrant women through their experiences in care services. 通过移徙妇女在护理服务中的经历了解其暴力与抑郁之间的关系。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-03-04 DOI: 10.18294/sc.2021.3054
Nadia Irina Santillanes Allande
{"title":"The relationship between violence and depression in migrant women through their experiences in care services.","authors":"Nadia Irina Santillanes Allande","doi":"10.18294/sc.2021.3054","DOIUrl":"https://doi.org/10.18294/sc.2021.3054","url":null,"abstract":"<p><p>Based on ethnographic work with undocumented immigrant women who developed depressive episodes due to various forms of violence, this article recovers the women's experience of care in the clinic space of their host country. Through therapeutic itineraries of care, the article focuses on the case studies of two women of Mexican origin in New York City to describe, based on their experience, the communication and the encounter between the doctor and patient; the expectations of migrant women regarding mental health care services; and the explanatory models of depression of both the patients and the treating physicians. This analysis seeks to contribute to the knowledge regarding ways of treating the mental health problems of undocumented women in contexts of violence.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3054"},"PeriodicalIF":0.8,"publicationDate":"2021-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25564466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Ways of governing street life during the pandemic: discourses, technologies, and practices]. [流行病期间管理街头生活的方式:论述、技术和实践]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-02-24 DOI: 10.18294/sc.2021.3338
Luana Marçon, Patrícia Carvaho Silva, Jonathas Justino, Cathana Freitas de Oliveira, Sérgio Resende Carvalho, Thais Machado Dias
{"title":"[Ways of governing street life during the pandemic: discourses, technologies, and practices].","authors":"Luana Marçon,&nbsp;Patrícia Carvaho Silva,&nbsp;Jonathas Justino,&nbsp;Cathana Freitas de Oliveira,&nbsp;Sérgio Resende Carvalho,&nbsp;Thais Machado Dias","doi":"10.18294/sc.2021.3338","DOIUrl":"https://doi.org/10.18294/sc.2021.3338","url":null,"abstract":"<p><p>Drawing on multiple sources, this article presents an analysis of a national survey implemented by Street Clinic teams in Brazil on the homeless population and the COVID-19 pandemic. Through the lens of certain ethical-political principles and methodological decisions, we focus our analysis on discourses about who lives and works on the streets during the pandemic, connecting discourse with experience. From the perspective of governmentality and biopolitics, we seek to shed light on power relations that reveal modes of government embodied at the street level - mainly related to isolation measures and social distancing - to create tensions surrounding the emergence of the notion of the homeless population in the midst of the pandemic. We conclude with a discussion of the precariousness that circumscribes life on the streets as a shared condition, and search for ways to comprehend forms of resistance and the right to exist.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3338"},"PeriodicalIF":0.8,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25564465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
["If there is a risk, I should have a choice:" Risk management and risk perception in Italian vaccine hesitancy movements]. [“如果存在风险，我应该有一个选择:”意大利疫苗犹豫运动中的风险管理和风险认知]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-02-10 DOI: 10.18294/sc.2021.3231
Valentina Sbocchia
{"title":"[\"If there is a risk, I should have a choice:\" Risk management and risk perception in Italian vaccine hesitancy movements].","authors":"Valentina Sbocchia","doi":"10.18294/sc.2021.3231","DOIUrl":"https://doi.org/10.18294/sc.2021.3231","url":null,"abstract":"<p><p>In Italy, the passing of mandatory pediatric vaccinations in 2017 was a consequence of increasing vaccine hesitancy in the country, a phenomenon that has largely spread on social networks. This article examines risk management and risk perception regarding pediatric vaccinations through an analysis of online content shared by Italian vaccine hesitancy movements between December of 2019 and April of 2020. Results show that these movements carry out a reinterpretation of risk, scientific evidence, and parental responsibility, especially with regard to the alleged correlation between the measles vaccine and autism. The limitations of political decisions surrounding vaccines are due to the application of punitive measures such as administrative penalties and licensing bans for doctors who express \"anti-vax\" ideas, aspects which may increase distrust towards the political establishment and the medical profession.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3231"},"PeriodicalIF":0.8,"publicationDate":"2021-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25580072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
[Public policies for people who use drugs: Strategies for the elimination of stigma and the promotion of human rights]. [针对吸毒者的公共政策:消除耻辱和促进人权的战略]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-01-28 DOI: 10.18294/sc.2021.3041
Antoniu Llort Suárez, Rafael Clua-García
{"title":"[Public policies for people who use drugs: Strategies for the elimination of stigma and the promotion of human rights].","authors":"Antoniu Llort Suárez,&nbsp;Rafael Clua-García","doi":"10.18294/sc.2021.3041","DOIUrl":"https://doi.org/10.18294/sc.2021.3041","url":null,"abstract":"<p><p>This paper aims to provide theoretically informed practical proposals for the improvement of current drug policies, which are based on a biological model of disease and the criminalization of people who use drugs. First, we present alternatives to a biologically-oriented scientific conception centered around neuroscientific postulates, which support the idea that the etiology of addiction materializes in the brain, in favor of models based on the social sciences where context plays a relevant role in the description and management approaches regarding different uses of psychoactive substances. Second, epistemological models and proposals are offered from a practical perspective to sustain or implement policies and programs in accordance with a more sustainable approach based on the elimination of stigma and the promotion of political participation of people who use drugs. In short, drug policies based on human rights.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3041"},"PeriodicalIF":0.8,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25564468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
New problems of a new health system: the creation of a national public policy of rare diseases care in Brazil (1990s-2010s). 新卫生系统的新问题：巴西罕见病护理国家公共政策的制定（1990-2010 年代）。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2020-04-05 DOI: 10.18294/sc.2020.2210
Luiz Alves Araújo Neto, Luiz Antonio Teixeira
{"title":"New problems of a new health system: the creation of a national public policy of rare diseases care in Brazil (1990s-2010s).","authors":"Luiz Alves Araújo Neto, Luiz Antonio Teixeira","doi":"10.18294/sc.2020.2210","DOIUrl":"10.18294/sc.2020.2210","url":null,"abstract":"<p><p>This study discusses actors and institution movements leading to the disclosure in 2014 of Resolution 199 by the Brazilian Ministry of Health, which establishes the National Policy for the Comprehensive Care of Persons with Rare Diseases. Taking as sources the mainstream newspapers, drafts law, and secondary literature on the subject, we begin our analysis in the early 1990s when the first patient associations were created in Brazil - mainly for claiming more funds for research on genetic diseases - and arrive at the late 2010s when negotiations for a national policy are taking place in the National Congress. Resolution 199 is part of an ongoing process and the path towards its disclosure and the complications that followed have given us elements to discuss contemporary aspects of the Brazilian public health. Based on the references of the history of the present time and the social studies of science, we argue that two aspects have been fundamental to creating a national policy: framing different illnesses within the terminology \"rare diseases\" and the construction of a public perception about the right of health which is guaranteed by the 1988 Brazilian Constitution.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"16 ","pages":"e2210"},"PeriodicalIF":0.8,"publicationDate":"2020-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10231662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'Repeat offenders' in care, but with no right to prevention: An analysis of the availability of post-exposure prophylaxis for HIV in Porto Alegre, Brazil. 接受护理的 "惯犯 "却无权获得预防：对巴西阿雷格里港艾滋病毒暴露后预防措施可用性的分析。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2020-03-27 DOI: 10.18294/sc.2020.2463
Bruno Kauss, Andréa Fachel Leal, Alexandre Grangeiro, Marcia Thereza Couto
{"title":"'Repeat offenders' in care, but with no right to prevention: An analysis of the availability of post-exposure prophylaxis for HIV in Porto Alegre, Brazil.","authors":"Bruno Kauss, Andréa Fachel Leal, Alexandre Grangeiro, Marcia Thereza Couto","doi":"10.18294/sc.2020.2463","DOIUrl":"10.18294/sc.2020.2463","url":null,"abstract":"<p><p>This study seeks to identify challenges in the implementation of post-exposure prophylaxis for HIV, based on an analysis of actions taken by healthcare professionals in the state-run health sector in Porto Alegre, Brazil. Based on a qualitative approach that included ethnographic observations and in-depth interviews, we found that contextual, institutional, and individual factors represented challenges to the implementation of post-exposure prophylaxis for HIV. Barriers to implementation included the historical context structuring healthcare services and practices, the lack of training and/or continued education in health, and certain attitudes on the part of healthcare professionals (ideas regarding both the strategy itself as well as the individuals that seek PEP). We conclude that there is a need for greater attention to specialized services for STI/HIV/AIDS as well as the professionals that provide these services, in order to guarantee greater effective access to this strategy at the local level.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"16 ","pages":"e2463"},"PeriodicalIF":0.8,"publicationDate":"2020-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10237161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adolescent males in a rural Mexican context: psychic suffering and care among peers. 墨西哥农村地区的青少年男性：精神痛苦与同龄人之间的关爱。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2020-03-13 DOI: 10.18294/sc.2020.2266
Hernando Hernández-Nava, Guillermo Hernández González, Pamela Garbus
{"title":"Adolescent males in a rural Mexican context: psychic suffering and care among peers.","authors":"Hernando Hernández-Nava, Guillermo Hernández González, Pamela Garbus","doi":"10.18294/sc.2020.2266","DOIUrl":"10.18294/sc.2020.2266","url":null,"abstract":"<p><p>An exploratory-descriptive study employing qualitative methods was carried out in San Antonio de la Cal, Tolimán, Querétaro, Mexico. The main purpose of the study was to analyze the forms of psychic suffering and care practices among adolescent male peers in a rural context. Nine semi-structured interviews were conducted, as well as a workshop with adolescent males selected from a non-probabilistic and voluntary sample. The study showed that the main sources of psychic suffering for participants included their relationships with parents and girlfriends. They presented difficulties in identifying and expressing emotions such as sadness and anger. Care practices among peers were paradoxical, as they simultaneously constituted risk practices. We interpret this in the context of transformations taking place in the dynamics of rurality.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"16 ","pages":"e2266"},"PeriodicalIF":0.8,"publicationDate":"2020-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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