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Mad activisms in mental health: a integrative review. 精神健康中的疯狂行动主义:一个综合综述。
IF 0.6 4区 医学
Salud Colectiva Pub Date : 2023-11-28 DOI: 10.18294/sc.2023.4627
Juan Carlos Cea Madrid
{"title":"Mad activisms in mental health: a integrative review.","authors":"Juan Carlos Cea Madrid","doi":"10.18294/sc.2023.4627","DOIUrl":"10.18294/sc.2023.4627","url":null,"abstract":"<p><p>The following text presents the results of a integrative review whose purpose was to identify and analyze the production of academic literature on mad activism in the field of mental health and its link with the notions of disability and neurodiversity. From searches conducted in May 2023 in the Web of Science, Scopus, and PubMed databases, 52 articles were selected, and thematic content analysis strategies were applied. The results account for various articulations between the concepts addressed, establishing a critical look at the biomedical model in mental health. In the forms of mad activism, the human rights approach, the fight against stigma and its influence on the reform processes of the mental health system become relevant. On the other hand, a framework of social justice, identity policies and practices of mutual support from the community are established. As a whole, they emphasize methodological innovations and an intersectional perspective on the production of knowledge. It is concluded that it is possible to situate madness as a field of constitution of a political actor and epistemic subject. Based on this, possible lines of research on mad activisms in Latin America are formulated.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4627"},"PeriodicalIF":0.6,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Collective health within the framework of global bioethics. 全球生物伦理框架内的集体健康。
IF 0.6 4区 医学
Salud Colectiva Pub Date : 2023-11-27 DOI: 10.18294/sc.2023.4737
Volnei Garrafa, Gabriela Irrazábal, Camilo Hernán Manchola Castillo
{"title":"Collective health within the framework of global bioethics.","authors":"Volnei Garrafa, Gabriela Irrazábal, Camilo Hernán Manchola Castillo","doi":"10.18294/sc.2023.4737","DOIUrl":"10.18294/sc.2023.4737","url":null,"abstract":"","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4737"},"PeriodicalIF":0.6,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The right to legal, safe and free abortion in Argentina: obstacles and challenges to the policy in force, 18 months after its implementation (2021-2022). 阿根廷合法、安全和自由堕胎的权利:实施18个月后(2021-2022年)现行政策面临的障碍和挑战。
IF 0.6 4区 医学
Salud Colectiva Pub Date : 2023-11-24 DOI: 10.18294/sc.2023.4613
Claudia C Anzorena
{"title":"The right to legal, safe and free abortion in Argentina: obstacles and challenges to the policy in force, 18 months after its implementation (2021-2022).","authors":"Claudia C Anzorena","doi":"10.18294/sc.2023.4613","DOIUrl":"10.18294/sc.2023.4613","url":null,"abstract":"<p><p>In Argentina, in January 2021 the bill for the Voluntary Interruption of Pregnancy (Ley 27.2610) was approved, enabling voluntary abortion until week 14 and unreservedly in cases of rape or pregnancy-induced health risks. From a feminist approach to collective health, this bill poses enormous challenges regarding the implementation of sexual and reproductive rights policies within the healthcare system. This article addresses the processes of  political strategizing, healthcare organization and technical-administrative action regarding the policy in force. The aim is to explore the obstacles, differences and inequalities impacting the access to sexual health, and to examine the articulations of healthcare officials/personnel and sexual rights activists, in order to understand the relations between state intervention and practices/experiences. The methodological strategy is qualitative. The main techniques for data collection are documentary and policy instruments analyses.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4613"},"PeriodicalIF":0.6,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuing education practices in primary health care for addressing users with tuberculosis. 初级卫生保健中针对肺结核患者的继续教育做法。
IF 0.6 4区 医学
Salud Colectiva Pub Date : 2023-11-23 DOI: 10.18294/sc.2023.4542
Letícia Vieira Lourenço, Karla Santa Cruz Coelho, Emerson Elias Merhy
{"title":"Continuing education practices in primary health care for addressing users with tuberculosis.","authors":"Letícia Vieira Lourenço, Karla Santa Cruz Coelho, Emerson Elias Merhy","doi":"10.18294/sc.2023.4542","DOIUrl":"10.18294/sc.2023.4542","url":null,"abstract":"<p><p>Interruption of tuberculosis treatment constitutes one of the obstacles to disease control. The standards established in health policies, at times, prove to be inflexible, tending to obscure the difficulties experienced by individuals in treatment. The aim of this article is to analyze the practices of continuous health education developed by family health teams at healthcare units in Maré, Rio de Janeiro, Brazil, in cases of tuberculosis treatment interruption. An exploratory qualitative study was conducted with twelve healthcare professionals from the team between August and November 2021. The findings from this research regard continuous health education as a strategy to enhance care processes, fostered through the lived experiences of the healthcare workers, enabling the creation of knowledge and exchanges that expand the effective treatment of tuberculosis with creativity and flexibility in the dynamics of interactions with users. This care takes place in the live work in action, whether in the hallways of healthcare units or within the community, as it occurs in real-time practice.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4542"},"PeriodicalIF":0.6,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Studies on the ecology of medical care: a comparative analysis in historical perspective, 1928-2018. 医疗生态研究:历史视角下的比较分析，1928-2018。
IF 0.6 4区 医学
Salud Colectiva Pub Date : 2023-11-22 DOI: 10.18294/sc.2023.4549
Hugo Spinelli, Andrés Trotta, Viviana Martinovich, Marcio Alazraqui
{"title":"Studies on the ecology of medical care: a comparative analysis in historical perspective, 1928-2018.","authors":"Hugo Spinelli, Andrés Trotta, Viviana Martinovich, Marcio Alazraqui","doi":"10.18294/sc.2023.4549","DOIUrl":"10.18294/sc.2023.4549","url":null,"abstract":"<p><p>In the definition of health policies and decision-making on the part of health officials, there is often a prevailing separation between clinical practice, epidemiology, and public health. Although this division is naturalized from the viewpoint of hospitals and public agencies, it is artificial in the context of concrete territories and communities, where problems are not structured according to the fragmentation of knowledge, but rather express the complexities of the problems faced by individuals and population groups. In this context, this article compiles and analyzes studies on the ecology of medical care carried out between 1928 and 2018 that have revisited the pioneering study \"The ecology of medical care\" by White, Williams and Greenberg. The discussion is structured around three central issues: 1) recurrent themes in studies on the ecology of medical care; 2) health information systems and health surveys; and 3) the institutional hegemony of hospitals in the health field.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4549"},"PeriodicalIF":0.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[History of Health Services Research Project: Interview with Kerr White.] 卫生服务研究项目的历史:采访克尔·怀特。
IF 0.6 4区 医学
Salud Colectiva Pub Date : 2023-11-22 DOI: 10.18294/sc.2023.4702
Edward D Berkowitz
{"title":"[History of Health Services Research Project: Interview with Kerr White.]","authors":"Edward D Berkowitz","doi":"10.18294/sc.2023.4702","DOIUrl":"10.18294/sc.2023.4702","url":null,"abstract":"<p><p>The interview conducted in 1998 with Kerr L. White (1917-2014) is presented, translated into Spanish. White, an economist, epidemiologist, statistician, general physician, and health advocate, was highly critical of the separation between research, clinical practice, epidemiology, public health, and health policies. He was one of the pioneers in healthcare services research. His primary concern was society's responsibility to allocate healthcare resources in the most appropriate way to improve the health of populations. White's work critically addresses the absence of a population perspective in epidemiology applied to healthcare services and systems, and the lack of evaluation of the social and economic impact of practices. He also highlights the dehumanization of care processes. Despite being undercited in health literature, we reintroduce his figure with the aim of disseminating the relevance of his thoughts and contributions.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4702"},"PeriodicalIF":0.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Some present and future ethical dilemmas surrounding advancements in in vitro fertilization.] 一些目前和未来的伦理困境围绕着体外受精的进展。
IF 0.6 4区 医学
Salud Colectiva Pub Date : 2023-11-16 DOI: 10.18294/sc.2023.4462
Marta Reguera Cabezas
{"title":"[Some present and future ethical dilemmas surrounding advancements in in vitro fertilization.]","authors":"Marta Reguera Cabezas","doi":"10.18294/sc.2023.4462","DOIUrl":"10.18294/sc.2023.4462","url":null,"abstract":"<p><p>The growing field of assisted human reproduction has achieved unimaginable milestones. Its continuous development and the innovations it generates at times pose both ethical and legal dilemmas. This essay aims to elucidate the progressive changes occurring in the realm of the origin of life due to the development of new options and strategies in assisted human reproduction. First, it constructs an interdisciplinary reflection on human nature and the changes society faces from the perspectives of science, ethics, and law, particularly from the perspective of Spain. Second, it provides a brief overview of current or future biomedical techniques in the field of human reproduction. It concludes with a discussion of the need to reflect on the rapid advancement of science in assisted human reproduction.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"19 ","pages":"e4462"},"PeriodicalIF":0.6,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Participación social en el sistema de salud de Chile: aportes reflexivos desde la bioética 智利卫生系统的社会参与:来自生命伦理学的反思贡献
4区 医学
Salud Colectiva Pub Date : 2023-10-30 DOI: 10.18294/sc.2023.4486
Camilo Guerrero-Nancuante, Andrea Melo, Paulina Gundelach, Nicolás Fuster
{"title":"Participación social en el sistema de salud de Chile: aportes reflexivos desde la bioética","authors":"Camilo Guerrero-Nancuante, Andrea Melo, Paulina Gundelach, Nicolás Fuster","doi":"10.18294/sc.2023.4486","DOIUrl":"https://doi.org/10.18294/sc.2023.4486","url":null,"abstract":"Social participation in health is related to the ability of collectives to intervene in the healthcare system. From a bioethical perspective, the relevance of social participation in health has been emphasized due to its positive effects at the level of social groups, the healthcare structure, and democratic political systems. To ensure social participation in health, bioethics advocates for the incorporation of deliberation as a tool for making binding decisions. The aim of this essay is to reflect on social participation in the history of Chile's healthcare system from a bioethical perspective. The main reflections indicate that participation is consultative in nature, lacking deliberation and, therefore, the distribution of power. Additionally, social participation has been redefined under the label of \"citizen,\" promoting an instrumental, individual, and client-oriented character in healthcare. To subvert this situation, it is necessary to incorporate bioethical reflections into the healthcare structure to enable communities to consistently influence the healthcare system.","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136022895","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
Los comités de ética de investigación en la Ciudad Autónoma de Buenos Aires: a catorce años de la implementación de la Ley 3301 布宜诺斯艾利斯自治市的研究伦理委员会:第3301号法律实施14年后
4区 医学
Salud Colectiva Pub Date : 2023-10-30 DOI: 10.18294/sc.2023.4482
Cecilia Quattrucci, Andrés Martín Pereira, Agustina L. Galletti, Luciana B. Scolaro, Lucila A. Pastori, Verónica M. Sandez, Fabio O. Barceló
{"title":"Los comités de ética de investigación en la Ciudad Autónoma de Buenos Aires: a catorce años de la implementación de la Ley 3301","authors":"Cecilia Quattrucci, Andrés Martín Pereira, Agustina L. Galletti, Luciana B. Scolaro, Lucila A. Pastori, Verónica M. Sandez, Fabio O. Barceló","doi":"10.18294/sc.2023.4482","DOIUrl":"https://doi.org/10.18294/sc.2023.4482","url":null,"abstract":"El presente artículo se propone analizar el proceso de implementación de los comités de ética en investigación en la Ciudad Autónoma de Buenos Aires, cuya conformación se observa en el marco de un proceso histórico de implementación de políticas de investigación en salud a nivel nacional y jurisdiccional. Desde un enfoque de investigación cualitativo, observacional y de corte transversal, se realizó un relevamiento de fuentes secundarias de información pública, y entrevistas semiestructuradas y en profundidad a integrantes de los comités de la Ciudad Autónoma de Buenos Aires. Los resultados se presentan agrupados en tres ejes: 1) la conformación de los comités de ética en investigación; 2) procesos de trabajo, haciendo hincapié en el impacto de la pandemia de covid-19; y 3) obstáculos y propuestas, que se focaliza en las mejoras identificadas por sus integrantes.","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"264 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136103460","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
Metapresencialidad: concepto fundante de una teoría crítica de la salud digital 元现实性:数字健康批判理论的基础概念
4区 医学
Salud Colectiva Pub Date : 2023-10-19 DOI: 10.18294/sc.2023.4655
Naomar Almeida Filho
{"title":"Metapresencialidad: concepto fundante de una teoría crítica de la salud digital","authors":"Naomar Almeida Filho","doi":"10.18294/sc.2023.4655","DOIUrl":"https://doi.org/10.18294/sc.2023.4655","url":null,"abstract":"En este texto, propongo el concepto de “metapresencialidad” como elemento fundante para una teoría crítica de la salud digital. En primer lugar, presento los conceptos de técnica, tecnología y objeto técnico, centrales en las teorías de Álvaro Vieira Pinto y Milton Santos. En segundo lugar, a partir de la filosofía de la información de Luciano Floridi, cuestiono la pertinencia de la dicotomía real-material-concreto versus digital-virtual-informacional como fundamento ontológico de los conceptos de realidad, lugar y presencia, destacando las nociones de realidad virtual y realidad extendida. En tercer lugar, introduzco una crítica etimológica e histórica de la serie presencia-telepresencia-metapresencia, enfocando la noción emergente de metapresencialidad en forma de protoconcepto y su eventual formalización como fundamento conceptual para una apropiación sociotécnica y una integración tecnosocial de las tecnologías digitales. Finalmente, discuto la salud digital como campo de saberes, técnicas y prácticas y evalúo las ventajas epistemológicas y pragmáticas de la metapresencialidad como concepto en los campos de la informática, la educación y la salud.","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135779507","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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