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["I felt myself getting sick:" women's perceptions and understandings of a positive human papillomavirus test in Jujuy, Argentina]. [“我觉得自己要生病了:”阿根廷胡胡伊市妇女对人乳头瘤病毒检测呈阳性的看法和理解]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-08-23 DOI: 10.18294/sc.2021.3572
Lucila Szwarc, Victoria Sánchez Antelo, Melisa Paolino, Silvina Arrossi
{"title":"[\"I felt myself getting sick:\" women's perceptions and understandings of a positive human papillomavirus test in Jujuy, Argentina].","authors":"Lucila Szwarc,&nbsp;Victoria Sánchez Antelo,&nbsp;Melisa Paolino,&nbsp;Silvina Arrossi","doi":"10.18294/sc.2021.3572","DOIUrl":"https://doi.org/10.18294/sc.2021.3572","url":null,"abstract":"<p><p>With the purpose of analyzing women's perceptions and classifying their modes of understanding a positive human papillomavirus (HPV+) test, we conducted 38 in-depth interviews with women who had received an HPV diagnosis (normal and abnormal Pap smear), screened in Jujuy's public health system in 2016. A typology based on women's understandings of the result was developed: 1) understanding; 2) lack of understanding; a) underestimation; b) overestimation; c) confusion. The interviewees who experienced confusion over the results reported contradictory perceptions in relation to a positive HPV test and its severity; those who underestimated it tended to mention the absence of symptoms and expressed little concern over the result; while those who overestimated it considered themselves sick and described concern, narrating a biographical disruption and physical pain. These findings confirm the need to improve the delivery of results and the provision of information in order to decrease psychosocial impact and increase follow-up adherence in HPV-positive women.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3572"},"PeriodicalIF":0.8,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39602900","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: 3
[Social inequality and health: Food (in)security management in primary health care in Spain]. [社会不平等与健康:西班牙初级保健中的粮食安全管理]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-07-13 DOI: 10.18294/sc.2021.3461
Mireia Campanera, Mercè Gasull, Mabel Gracia-Arnaiz
{"title":"[Social inequality and health: Food (in)security management in primary health care in Spain].","authors":"Mireia Campanera,&nbsp;Mercè Gasull,&nbsp;Mabel Gracia-Arnaiz","doi":"10.18294/sc.2021.3461","DOIUrl":"https://doi.org/10.18294/sc.2021.3461","url":null,"abstract":"<p><p>Equity is an unresolved issue on the Spanish healthcare agenda. This paper explores the importance that health professionals give to social determinants of health and the means they possess to address them. It also analyzes the relationship between food insecurity and increases in certain diseases. One of its objectives is to ascertain how increasing uncertainty is being addressed in primary healthcare services. We present a qualitative study carried out in six primary care centers in the cities of Reus and Tarragona between 2018 and 2019, involving 19 practitioners active in the areas of nursing, family practice, and social work. Results indicate that the lack of resources in primary care centers makes it difficult to integrate a social determinants of health approach, and thus to mitigate inequalities. Furthermore, a lack of structural actions diminishes the ability to respond to citizens' healthcare needs.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3461"},"PeriodicalIF":0.8,"publicationDate":"2021-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39709845","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
[Social rights: difficult to construct, easy to destroy]. 【社会权利:建设难，破坏易】。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-06-07 DOI: 10.18294/sc.2021.3577
Sonia Fleury
{"title":"[Social rights: difficult to construct, easy to destroy].","authors":"Sonia Fleury","doi":"10.18294/sc.2021.3577","DOIUrl":"https://doi.org/10.18294/sc.2021.3577","url":null,"abstract":"<p><p>The purpose of this article is to reflect on contemporary tensions between the social protection system in Brazil - which in the past 30 years has come to be organized as a social right and has been part of the construction of democracy in the country - and the current process of its dismantling under an authoritarian populist regime. From the theoretical perspective adopted in this article, structural characteristics and circumstantial factors are examined in order to explain the difficulties that have been faced in constructing a legal and institutional architecture for social rights, and on the other hand, why at present it is so easy to destroy it in practice.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3577"},"PeriodicalIF":0.8,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39077280","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
[Mapping the intricacies of care networks for persons with disabilities, from the perspectives of users-citizens-guides]. [从使用者-公民-指南的角度描绘残疾人护理网络的复杂性]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-06-07 DOI: 10.18294/sc.2021.3334
Juliana Sampaio, Daniella de Souza Barbosa, Luciano Bezerra Gomes, Daniele Alves Peixoto, Tarcísio Almeida Menezes, Hariel Hegel Lins Zózimo, Maria Fernanda de Britto Lyra
{"title":"[Mapping the intricacies of care networks for persons with disabilities, from the perspectives of users-citizens-guides].","authors":"Juliana Sampaio,&nbsp;Daniella de Souza Barbosa,&nbsp;Luciano Bezerra Gomes,&nbsp;Daniele Alves Peixoto,&nbsp;Tarcísio Almeida Menezes,&nbsp;Hariel Hegel Lins Zózimo,&nbsp;Maria Fernanda de Britto Lyra","doi":"10.18294/sc.2021.3334","DOIUrl":"https://doi.org/10.18294/sc.2021.3334","url":null,"abstract":"<p><p>This article presents an analysis of the production of care networks for persons with disabilities in the state of Paraíba, Brazil. We employed a qualitative methodology with a cartographic approach, involving the participation of four users-citizens-guides. Weekly virtual meetings were held throughout the second half of 2020, in which we were able to collect, systematize, and theorize on four issues: 1) guilt and (non) life expectancy on the part of persons with disabilities; 2) the place of disability in family dynamics; 3) the production of specific core relational dependency networks; and 4) the public vs. private care offerings for persons with disabilities. Based on these findings, we were able to lend visibility to and explicitly affirm the ways in which these user-citizens participate in the complex process of care building for persons with disabilities and their families.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3334"},"PeriodicalIF":0.8,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39077281","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
[The suffering of women living in an informal settlement in São Paulo, Brazil: a challenge to the work of Primary Health Care]. [巴西圣保罗非正规住区妇女的苦难:对初级保健工作的挑战]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-06-03 DOI: 10.18294/sc.2021.3358
Aline Messias Mota, Rubens Bedrikow
{"title":"[The suffering of women living in an informal settlement in São Paulo, Brazil: a challenge to the work of Primary Health Care].","authors":"Aline Messias Mota,&nbsp;Rubens Bedrikow","doi":"10.18294/sc.2021.3358","DOIUrl":"https://doi.org/10.18294/sc.2021.3358","url":null,"abstract":"<p><p>Among the social effects of the COVID-19 pandemic, increased poverty, unemployment, and social inequality in Brazil have led to worsening health problems, especially in the poorest citizens. The purpose of this research was to discuss the potentialities and limitations of the work process in primary health care based on the Family Health Strategy. In order to do so, we conducted semi-structured interviews with four women living in an informal settlement in the interior of the state of São Paulo, Brazil, between January and February 2020. We found that the women experienced suffering in relation to issues such as housing precariousness, transience, social isolation, and silencing. The way in which primary health care is organized and professionals' work processes make it difficult for this population to access health services and for professionals to perceive their suffering. The findings of this research point to the need to reevaluate and improve the Family Health Strategy.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3358"},"PeriodicalIF":0.8,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39077282","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: 3
[The praxis of matrix support: Interdisciplinary work in primary health care]. [矩阵支持的实践:初级保健中的跨学科工作]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-06-02 DOI: 10.18294/sc.2021.3353
Tatiana de Vasconcellos Anéas
{"title":"[The praxis of matrix support: Interdisciplinary work in primary health care].","authors":"Tatiana de Vasconcellos Anéas","doi":"10.18294/sc.2021.3353","DOIUrl":"https://doi.org/10.18294/sc.2021.3353","url":null,"abstract":"<p><p>Family health support centers have been implemented in Brazil in order to expand interdisciplinary work in primary care by hiring specialized professionals. The objective of this article is to detail the functioning of these centers and to analyze how matrix support methodology has been incorporated into primary care centers in the city of São Paulo. Between 2016 and 2017 a survey was carried out with 609 professionals, and participant observation and semi-structured interviews with strategic actors were conducted. Dialectical hermeneutics fusing quantitative and qualitative data was employed for data interpretation and analysis. The prospect of building matrix support is quite innovative. Despite the verticalization of power that obstructs the autonomy of workers in building a model of clinic co-management, there are also instances of construction and resistance.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3353"},"PeriodicalIF":0.8,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39093474","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
[Changes in suicide mortality trends in Chile, 1997-2018]. [1997-2018年智利自杀死亡率趋势变化]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-05-31 DOI: 10.18294/sc.2021.3363
Carolina Vidal, Carlos Faunes, Carol Toro Huerta, Cristóbal Ruiz-Tagle, Lorena Hoffmeister
{"title":"[Changes in suicide mortality trends in Chile, 1997-2018].","authors":"Carolina Vidal,&nbsp;Carlos Faunes,&nbsp;Carol Toro Huerta,&nbsp;Cristóbal Ruiz-Tagle,&nbsp;Lorena Hoffmeister","doi":"10.18294/sc.2021.3363","DOIUrl":"https://doi.org/10.18294/sc.2021.3363","url":null,"abstract":"<p><p>Using information from the mortality database at Chile's Department of Statistics and Health Information (Ministry of Health), an ecological time-series study was conducted to determine changing trends in suicide rates by sex and age group in Chile from 1997 to 2018. Results show that the mortality rate for men in 2018 was 20.1 per 100,000, almost five times higher than the rate for women. Trends in both sexes show a decrease in aver-age annual percent change of -5.4% [CI95% (-12.9; 1.9)] between 2009 and 2013. Over the same period, the average annual percent change for men was -5.8% [CI95% (-12.5; 2.3)], while for women it was -4.0 [CI95% (-5.8; -2.2)] between 2008 and 2018. No changes have been observed in trends for men aged 60 and over, the group with the high-est rates. Although suicide rates declined following the implementation of policies focus-ing on risk factors for suicide, it is necessary to evaluate the implementation of these pol-icies and devise similar actions geared toward populations with greater risk of suicide.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3363"},"PeriodicalIF":0.8,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39093470","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
[Doing, planning, "planning-doing:" a case of municipal pragmatism in collaboration with a university during the COVID-19 pandemic]. [做、规划、“做规划”:新冠肺炎大流行期间城市与大学合作的实用主义案例]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-05-28 DOI: 10.18294/sc.2021.3341
Helvo Slomp Junior, Karla Santa Cruz Coelho, Delba Machado Barros, Tulio Batista Franco, Kathleen Tereza da Cruz
{"title":"[Doing, planning, \"planning-doing:\" a case of municipal pragmatism in collaboration with a university during the COVID-19 pandemic].","authors":"Helvo Slomp Junior,&nbsp;Karla Santa Cruz Coelho,&nbsp;Delba Machado Barros,&nbsp;Tulio Batista Franco,&nbsp;Kathleen Tereza da Cruz","doi":"10.18294/sc.2021.3341","DOIUrl":"https://doi.org/10.18294/sc.2021.3341","url":null,"abstract":"<p><p>This article critically analyzes local governments' abilities to face the COVID-19 pandemic by examining an instance of technical-scientific cooperation between a municipality and a university located in the northern Rio de Janeiro (state) beginning in April 2020. This collaboration included: the implementation of a situation room, data processing and analysis for decision making and for public communication, a telemonitoring center, ongoing training with territorial healthcare teams, and an epidemiological study of COVID-19 in the municipality, among other actions. We situate our analysis within a conceptual framework that adopts a micropolitical view of concepts such as experience, pragmatism, \"live work in action,\" and desire. The notion of \"planning-doing\" is deployed as an inventive form of planning that is only narrated a posteriori, as an imperative act, a live government in action that depends on the movement of desire oriented by life, and that only takes place in collective spaces of management practices and health care.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3341"},"PeriodicalIF":0.8,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39077279","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
Data transparency for building a stronger healthcare system: A case study from Argentinean administrative drug utilization data sources. 建立更强大的医疗保健系统的数据透明度:来自阿根廷行政药物利用数据源的案例研究。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-05-27 DOI: 10.18294/sc.2021.3339
Martín Cañás, Gustavo H Marín, Martín A Urtasun, Lisiane Freitas Leal, Maribel Salas, Monique Elseviers, Luciane Cruz Lopes
{"title":"Data transparency for building a stronger healthcare system: A case study from Argentinean administrative drug utilization data sources.","authors":"Martín Cañás,&nbsp;Gustavo H Marín,&nbsp;Martín A Urtasun,&nbsp;Lisiane Freitas Leal,&nbsp;Maribel Salas,&nbsp;Monique Elseviers,&nbsp;Luciane Cruz Lopes","doi":"10.18294/sc.2021.3339","DOIUrl":"https://doi.org/10.18294/sc.2021.3339","url":null,"abstract":"<p><p>In order to compile an inventory of national data sources for drug utilization research (DUR) in Argentina and to verify publicly available data sources, we performed a cross-sectional study that sought to identify national and provincial databases of drug use. In July 2020, we searched the websites of government institutions, carried out a systematic query of bibliographic databases for \"drug utilization research\" conducted in Argentina, and conducted a survey with local experts. Data collected included: the institution responsible for the database, population covered, accessibility, source of the data, healthcare setting, geographic information, and whether data were individual or aggregated. Descriptive analyses were then performed. We identified 31 data sources for DUR; only one was publicly and conveniently accessible. Five published aggregated data and provide more detailed access by formal request. Only seven sources (23%) reported national data, and most (n=29) included only data from the public healthcare sector. Although data sources for DUR have been found in Argentina, limited access by researchers and policymakers is still an significant obstacle. Increasing health data transparency by making data sources publicly available for the purpose of analyzing public health information is crucial for building a stronger health system.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3339"},"PeriodicalIF":0.8,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39077283","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
[Paideia Education in primary care: an analysis of institutional democracy and power relations in health sector work practices]. [初级保健教育:对卫生部门工作实践中的体制民主和权力关系的分析]。
IF 0.8 4区 医学
Salud Colectiva Pub Date : 2021-05-27 DOI: 10.18294/sc.2021.3298
Mônica Martins de Oliveira Viana, Lilian Soares Vidal Terra
{"title":"[Paideia Education in primary care: an analysis of institutional democracy and power relations in health sector work practices].","authors":"Mônica Martins de Oliveira Viana,&nbsp;Lilian Soares Vidal Terra","doi":"10.18294/sc.2021.3298","DOIUrl":"https://doi.org/10.18294/sc.2021.3298","url":null,"abstract":"<p><p>This article looks at two pedagogical initiatives based on \"Paideia Education\" in order to analyze their contributions to the production of democratic relations and the co-production of care in primary health care. The first of these initiatives was a seminar on matrix support (2015-2016) that trained 94 specialists, and the second was a seminar on family care (2018-2020) that trained 149 professionals. The 243 participating health professionals came from five different municipalities in Brazil. The results obtained through questionnaires and field diaries kept during the seminars indicate that \"Paideia Education\" has the ability to motivate professionals to incorporate notions such as the expanded clinic and matrix support into primary health care, and fosters the sharing of care and the co-construction of autonomy with users. However, authoritarian management practices are still frequently directed towards professionals, practiced among professionals themselves, and directed towards patients, and therefore it is necessary to invest in a greater democratization of services beyond training.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3298"},"PeriodicalIF":0.8,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39077286","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: 3
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