初级卫生保健(PHC)服务的设计和提供中亚马逊独特性的不可见性:马瑙斯(AM)河畔农村地区的案例研究

IF 0.5 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
A. Sousa, Fernanda Fonseca, A. Bousquat
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引用次数: 0

摘要

亚马逊地区包含一个具有独特地理特征的异质领土,其中包含不同的弱势群体,这需要卫生服务的能力发展和创新。然而,面对一种倾向于使差异不可见并赋予某些领域特权的营销逻辑,这一挑战的答案变得更加遥远。在这种情况下,我们的研究分析了基本河流卫生单位(UBSF)的实施情况,试图了解如何将河边农村地区的需求和独特性纳入卫生服务的规划和执行。为此目的,对保健服务管理人员和专业人员进行了访谈,并对保健专业人员的日常活动进行了观察。结果表明,为亚马逊河流域地区预测具有特定形式和资源的服务是一个机会,可以证明该地区的特殊性,并考虑为这些地区提供更多资源,包括财政资源。然而,他们也表明,所提供的服务仍然以分层的方式规划,并为城市地区组织和执行,这表明需要进行调整。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The invisibility of Amazonian singularities in the design and delivery of Primary Health Care (PHC) services: A case study in the rural riverside area of Manaus (AM)
Abstract The Amazon region encompasses a heterogenous territory with singular geographic features, that harbous different vulnerable populations, which require the development of abilities and innovations by health services. However, answers to this challenge become even more distant in the face of a marketing logic that tends to make differences invisible and privilege certain territories. In this scenario, our study analyzed the implementation of a Basic River Health Unit (UBSF), seeking to understand how the needs and singularities of riverside rural areas are included in the planning and execution of health services. To that end, interviews with health services managers and professionals and observations of health care professionals during daily activities were carried out. The results showed the forecast of services, with specific formats and resources for the Amazonian fluvial areas, was an opportunity for the specificities of the region to be evidenced and for more resources, including financial ones, being considered for these localities. However, they also showed that the services offered are still planned in a hierarchical way and organized and executed for urban areas, which points to the need for adaptations.
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来源期刊
Saude E Sociedade
Saude E Sociedade PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.90
自引率
16.70%
发文量
45
审稿时长
12 weeks
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