Navegando por Palavras-chave "Healthcare management"
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- ItemAcesso aberto (Open Access)Apontamentos teórico-conceituais sobre processos avaliativos considerando as múltiplas dimensões da gestão do cuidado em saúde(UNESP, 2011-06-01) Cecilio, Luiz Carlos de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This paper presents a discussion on health evaluation that considers the multiple dimensions of healthcare management (individual, family, professional, organizational, systemic, and societal) through a gradation of tools and objectives related to the evaluative processes, which, by taking the societal and systemic dimensions as a starting point, with their demand for harder and well-shaped indices, are carried out towards healthcare processes that present more micropolitical aspects. Therefore, it proposes a mobile equation that translates the outer relation (administrators, researchers, managers) and the inner relation (teams acting as healthcare providers) so that the micropolitical level is envisaged in all its wealth and specificity. An evaluative logic that not only stands for the mere decoding and operationalization of the hard indices as defined by the administrators (from outside), but is produced within itself (inside the health care).
- ItemAcesso aberto (Open Access)Gestão em rede e apoio institucional: caminhos na tessitura de redes em saúde mental no cenário regional do Sistema Único de Saúde (SUS)(UNESP, 2014-12-01) Almeida, Aline Barreto de [UNIFESP]; Aciole, Geovani Gurgel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This report is a cartographic record of institutional support at a state health department, in organizing a regional mental health network. Institutional support is a strategy of the National Humanization Policy in healthcare networks and a device for fostering comanagement spaces. This report is guided by three strands: collective production and affection in meetings between managers and workers; action linking institutional support, offers under analysis and collegiate implications; and desires for and collective construction of investment objects. With the experience of the support function as a pathway for linking and extracting the meanings of this action through the desires that mobilize it, we take a critical look at the strengths and weaknesses of institutional subjects and their roles in the collegiate production of mental health care.
- ItemAcesso aberto (Open Access)A morte de Ivan Ilitch, de Leon Tolstói: elementos para se pensar as múltiplas dimensões da gestão do cuidado(UNESP, 2009-01-01) Cecilio, Luiz Carlos de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The author uses the short story The Death of Ivan Ilyich, by Leo Tolstoy, to explore the theme of the multiple dimensions of healthcare management (professional, organizational and systemic) by pointing out the omnipresence and complementariness of these dimensions. Although recognizing that there is no hierarchy between these three dimensions, the discussion focuses on the professional dimension, within which professionals meet users, and highlights how this has been the favored territory for management strategies governed by the search for increasing rationality, predictability and control over current health practices, either in the public or in the private healthcare sector. The author points out the risk that qualification and humanization healthcare programs might be contributing towards instrumentalization and excessive formalization of the meeting point between workers and users, which adds further difficulty to truly caring encounters like the one narrated by Tolstoy in his short story, or even makes them impossible.