Lay agency and healthcare: producing healthcare maps

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dc.contributor.author Cecilio, Luiz Carlos de Oliveira [UNIFESP]
dc.contributor.author Carapinheiro, Graca
dc.contributor.author Andreazza, Rosemarie [UNIFESP]
dc.contributor.author Medeiros de Souza, Ana Lucia [UNIFESP]
dc.contributor.author Garcia Andrade, Maria da Graca
dc.contributor.author Santiago, Silvia Maria
dc.contributor.author Meneses, Consuelo Sampaio [UNIFESP]
dc.contributor.author Reis, Denizi Oliveira [UNIFESP]
dc.contributor.author Araujo, Eliane Cardoso [UNIFESP]
dc.contributor.author Pinto, Nicanor Rodrigues da Silva [UNIFESP]
dc.contributor.author Spedo, Sandra Maria [UNIFESP]
dc.date.accessioned 2016-01-24T14:37:30Z
dc.date.available 2016-01-24T14:37:30Z
dc.date.issued 2014-07-01
dc.identifier http://dx.doi.org/10.1590/0102-311X00055913
dc.identifier.citation Cadernos de Saude Publica. Rio de Janiero: Cadernos Saude Publica, v. 30, n. 7, p. 1502-1514, 2014.
dc.identifier.issn 0102-311X
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/37905
dc.description.abstract This study aimed to characterize which regulatory logics (other than government regulation) result in healthcare output, using a two-stage qualitative study in two municipalities in the ABCD Paulista region in São Paulo State, Brazil. the first stage included interviews with strategic actors (managers and policymakers) and key health professionals. the second phase collected life histories from 18 individuals with high health-services utilization rates. An analysis of the researchers' involvement in the field allowed a better understanding of the narratives. Four regulatory systems were characterized (governmental, professional, clientelistic, and lay), indicating that regulation is a field in constant dispute, a social production. Users' action produces healthcare maps that reveal the existence of other possible health system arrangements, calling on us to test shared management of healthcare between health teams and users as a promising path to the urgent need to reinvent health. en
dc.format.extent 1502-1514
dc.language.iso por
dc.publisher Cadernos Saude Publica
dc.relation.ispartof Cadernos de Saude Publica
dc.rights Acesso aberto
dc.subject Health Care Coordination and Monitoring en
dc.subject Delivery of Health Care en
dc.subject Qualitative Research en
dc.title Lay agency and healthcare: producing healthcare maps en
dc.title O agir leigo e o cuidado em saúde: a produção de mapas de cuidado pt
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Inst Univ Lisboa
dc.contributor.institution Universidade Estadual de Campinas (UNICAMP)
dc.description.affiliation Universidade Federal de São Paulo, Escola Paulista Med, BR-04023062 São Paulo, Brazil
dc.description.affiliation Inst Univ Lisboa, Inst Super Ciencias Trabalho & Empresa, Lisbon, Portugal
dc.description.affiliation Univ Estadual Campinas, Fac Ciencias Med, Campinas, SP, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Escola Paulista Med, BR-04023062 São Paulo, Brazil
dc.identifier.file S0102-311X2014000701502.pdf
dc.identifier.scielo S0102-311X2014000701502
dc.identifier.doi 10.1590/0102-311X00055913
dc.description.source Web of Science
dc.identifier.wos WOS:000341565100016



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