Navegando por Palavras-chave "cuidado em saúde"

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    Corpo múltiplo trans: praxiografia de cuidado
    (Universidade Federal de São Paulo (UNIFESP), 2019) Costa Girotto, Lúcio [UNIFESP]; Pereira, Pedro Paulo Gomes [UNIFESP]; http://lattes.cnpq.br/1474930426841995; http://lattes.cnpq.br/9243845569139596; Universidade Federal de São Paulo (UNIFESP)
    Transsexuality is a body multiple not based on concise goals, on psychological, endocrinological, and surgical nosologies. The enconters between health personnel, transgender people and technologies perform multiple trans corporalities. Multiple realities in tension or alliances that are never closed. Transexuality here is not a disease but requires interventions and care practices. The aim of this dissertation is to describe the health care practices envolved during encounter with Health Perssonel, technologys and transgender people in a health care service for Transgender and Travestis People of Universidade Federal de São Paulo. We used the praxiografy method to describe multiple realities produced in and by practices. It was described practices: nursing, social assistance, phonoaudiology, of the psychology in the construction of a document for name rectification, the practices of masculinizing mamoplasty and the way of a multiple body trans, intersex. It was multiple the results from this dissertation that tried to describe a transsexuality body multiple, which has neither beginning nor end. It is not complete in dichotomies. It is always open to encounters with disciplines and the singularities of the singular lives.
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    Nem herói, nem vilão: elementos da prática médica na atenção básica em saúde
    (Universidade Federal de São Paulo (UNIFESP), 2015-10-26) Reis, Denizi de Oliveira [UNIFESP]; Cecilio, Luiz Carlos de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Despite all the improvements in understanding the importance of multiprofessional and interdisciplinary work ? gathered together in the health care team ? physicians remain as central figures for health care production in all levels of the health system, although quite never presenting the adhesion expected from them towards the construction of a universal as well as resolutive basic network. This issue was the starting point for this investigation. The educational background provided by medical schools (framed by the scientific Medical Science paradigm), the continuity of a certain ideal of autonomy within their practice, and their ideological resistance against the proposal of implementing a universal public health care system stand for the most common explanations to defend such non-adhesion ? a main and almost unanimous point for people who work with the management of health services in present-time Brazilian National Health Service (SUS). Objectives: Recognize and bring into question the elements found in medical practice that might contribute to a wider view of the low adhesion to building a primary health care system as defined by the National Primary Health Care Policy (PNAB). Methodology: The study works on data obtained from two qualitative pieces of research. The first research worked on interviews made with managers in two cities of the so-called ABCD Paulista Region, in the State of São Paulo, Brazil, in which the ?medical issue? showed up intensively, especially referring to the hard adhesion on part of medical doctors to the work in primary health care units. This fact was considered by the interviewees as an important stumbling-block for a successful PNAB. The second investigation ? an ethnographic/cartographic piece of research carried out for nearly ten month in three cities, encompassing seven primary health care units ? made use of daily-life medical practice scenarios as registered by the researchers. These scenarios involved spontaneous occasions when medical doctors thought over their own practice "the reflexive doctor", in addition to "medical care snapshots" registered by the field researchers and comments made by the team in reference to the practice of such professionals. The thesis is elaborated on the passage between these two investigations. Results: The feature of being a ?passage? opened the way to the construction of two analytical plans regarding the medical practice. Displaying the viewpoint of managers, the first plan presents the ?villain doctors?, a title derived from the remarkable responsibility ascribed to doctors to explain the dark sides of primary health care. The second plan observes medical practice more closely, in its micropolitical and daily realization. Elements for the characterization of a more complex, weakened, and contradictory professional emerge from this plan as medical doctors witness important transformations in their practice: the anti-heroes. Conclusions: This thesis aggregates new elements that might explain the low adhesion to the construction of primary health by disclosing medical doctors who are seldom aware of the model proposed for primary health care, particularly the space that is reserved for clinical practice; medical doctors who find it difficult to engage in teamwork; ; medical doctors that feel excluded from management processes; medical doctors limited to produce more effective responses for people's demands as their diagnostic as well as therapeutical arsenals cannot deal with the "social issues" that invade the physician-patient relationship; medical doctors who see themselves as exempted from the classic regulatory functions of liberal medicine, among other aspects that can only be perceived as their professional daily life is observed more closely. It was through this ?intimacy? with medical practice, which was made possible by means of the methodological approach adopted in the research, that allowed for the characterization of the medical doctor as not a hero, not a villain, but rather a human, all too human being. Finally, the study suggests that conversational/hearing devices should be experienced with medical doctors to sustain interactive strategies involving medical doctors and the daily-life practices of primary health care units.