Navegando por Palavras-chave "delivery of health care"

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    Colonialismo ou solidariedade nas relações entre trabalhadores de saúde e usuários? Implicações para a continuidade do cuidado
    (Universidade Federal de São Paulo (UNIFESP), 2013-02-27) Schimith, Maria Denise [UNIFESP]; Bretas, Ana Cristina Passarella Bretas [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This research is inserted in the theme of comprehensive care of the Unified Health System, contemplating the issue continuity of care in the Health Care Networks and having as object the relations that are established in a Family Health Unit of the city of Santa Maria, Rio Grande do Sul. The objectives were: to analyze the process of implementation and monitoring of the Family Health Strategy in Santa Maria; to understand the relation between workers and users during the care practices realized in a Family Health Unit of the city of Santa Maria, relating them to the effective continuity of care in the Health Care Network of the Unified Health System (UHS). It is a social research, with qualitative methodological approach. The objectives of this thesis were developed in two stages. For the first objective, the data collection was conducted through document analysis and semi-structured interviews with managers. We analyze the resolutions, minutes and documents of the Municipal Health Council. The interviews were realized with 16 managers, indicated intentionally, starting with the Municipal Health Secretary which implemented the Family Health Strategy. The presentation of results was organized in themes: The Primary Care in Santa Maria before the implementation of Family Health Strategy, "was how the strategy began in Santa Maria: the presence of UHS in people's lives"; The transition in exchange of management; New management: is it new choices? and Challenge to explain the ups and downs of the Family Health Strategy in Santa Maria. The second objective had the case study as methodological reference. The analysis unit was a Family Health Unit of the city of Santa Maria. The data collection happened for participant observation, direct and unstructured, semi-structured interviews, analysis of documents and records. The research subjects were health workers and users. The analysis was guided for the data collection, mediated by theoretical orientation and premises established. The following themes presented the results: The different ways that the user is subject in Health Care Network; The user participation in the decision of referral: is it possible negotiation?; Use refereed to the Health Care Network: factors that affect this to walk; the manage mode influencing in the autonomy and responsibility of workers; User generalized, disrespected. We learn that the choices of management or the proposed of government are need for improvement or degradation of the Unified Health System. The course of the Family Health Strategy is reflected in daily of the teams, with intends that must be coped to become ineffective and inefficient the restructuration of care model. We advocate the transparency, publicity and the collective construction of criteria, technical and unique, to be used for teams in order to develop new ways to seek the comprehensive care and regulate the Health Care Network. It is need to reverse the pattern of relationship between users and workers, going from colonialism to the solidarity and of cultural invasion to the health promotion.
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    Conceptions held by health professionals on violence against children and adolescents within the family
    (Univ Sao Paolo, 2008-01-01) Nunes, Cristina Brandt; Sarti, Cynthia Andersen; Silva Ohara, Conceiao Vieira da [UNIFESP]; Mat Grosso do Sul Fed Univ; Universidade Federal de São Paulo (UNIFESP)
    The present study sought to understand the conceptions held by health professionals with regards to violence within the family against children and adolescents. Qualitative case-study methodology and techniques of participant observation, interviewing, and search in documents were used. Participants were staffed in a government-run Family Health Basic Unit in Brazil. Health professionals were found to associate violence with the economic, social, and political juncture and with cultural aspects; for some, violent acts are part of the intergenerational cycle and family dynamics. Physical punishment, considered as violence by some, is advocated as an educational measure by others. Participants also base their definition of violence on an a priori construction of subjects as either victims or aggressors, thus missing the relational dimension of the phenomenon. Health professionals were found to have difficulty in understanding violence in the context that gives it a meaning and to recognize it as consequence of a complex relational dynamics.