Navegando por Palavras-chave "política de saúde"
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- ItemAcesso aberto (Open Access)Cuidadores de idosos e o sistema único de saúde(Associação Brasileira de Enfermagem, 2003-06-01) Brêtas, Ana Cristina Passarella [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This research has the objective of proposing some reflections about the theme of people who take care of the elderly, taking as the theoretical, conceptual, and political reference the Brazilian public health system. It is broken down into four topics. First of all, I attempt to briefly discuss the interfaces of the theme Aging and Health with the purpose of laying a theoretical groundwork where this is proposed. Secondly, I try to present the Public Health System (SUS) as a scenario for the discussion on the issue of taking care of the elderly. Thirdly, I present some paradigms about this care as a human attitude and bring to the discussion the person who takes care of the elderly. Finally, I present some final considerations.
- ItemAcesso aberto (Open Access)Iniquidades raciais e saúde: o ciclo da política de saúde da população negra(Centro Brasileiro de Estudos de Saúde, 2013-12-01) Batista, Luís Eduardo; Monteiro, Rosana Batista; Medeiros, Rogerio Araujo [UNIFESP]; Secretaria de Estado da Saúde de São Paulo Instituto de Saúde; Universidade Federal de São Carlos; Universidade Federal de São Paulo (UNIFESP)This paper describes the cycle describe by the National Policy of Integral Healthcare of the Black Population (Política Nacional de Atenção Integral a Saúde da População Negra) - PNSIPN in the State of São Paulo' Health Secretariat within the years 2003 to 2010. Epidemiological studies showed racial inequalities and their impact on health. The remedy found by SES-SP was to formulate and implement a policy to ensure attention to the black population health, being the policy inserted into the State Health Plan, Annual Operating Plans, Terms of Commitment and Management Report. The paper reports the strategies, challenges and mistakes and suggests alternatives for those managers concerned about proposing actions for reduction of racial inequities in health.
- ItemAcesso aberto (Open Access)Política de Saúde do Trabalhador: revisitando o caso do Centro de Referência em Saúde do Trabalhador de Campinas(Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho - FUNDACENTRO, 2013-06-01) Medeiros, Maria Angélica Tavares de [UNIFESP]; Salerno, Vera Lúcia; Silvestre, Mírian Pedrollo; Magalhães, Lilian Vieira; Universidade Federal de São Paulo (UNIFESP); Prefeitura Municipal de Campinas Centro de Referência Regional em Saúde do Trabalhador; Western University Faculty of Health SciencesINTRODUCTION: The Regional Occupational Health Reference Center (Cerest) opened in Campinas, São Paulo State, Brazil, in 1986, as a union demand. OBJECTIVE: To analyse the trajectory of Cerest-Campinas comparing the challenges identified in a 2001 study with the 2012 reality. METHODS: Secondary analysis was carried out comparing the current moment with data from 2001. For content analysis, the authors recorded Cerest workers' reflections and testimonies in a field notebook. RESULTS: Although there are structural limitations concerning Surveillance, especially regarding marginalization of the Occupational Health Policy, there has been progress in Health Care. Neverthless, the obstacles faced in 2001 are greater nowadays. Difficulties in management and financing coupled with municipal administration problems caused a crisis culminating in a movement In defence of Cerest (2011). As in the previous study, a relevant fact was the degree of personal involvement of Cerest workers, as they, in spite of all difficulties, kept resisting. CONCLUSION: Cerest survives amidst contradictions, and challenges remain. The threat of its closing called back the commitment of historical actors (professionals and unions) involved, suggesting possibilities, which, depending on rearrangement of political institutional powers, can consolidate workers' health policy, in local and nationwide levels.
- ItemAcesso aberto (Open Access)Saúde e cogestão popular: os limites e desafios da implantação e efetivação dos conselhos locais de saúde em um território da cidade de Santos/SP(Universidade Federal de São Paulo (UNIFESP), 2014-08-26) Benedito, Ivone Leal [UNIFESP]; Acosta, Ana Rojas [UNIFESP]; http://lattes.cnpq.br/4761034356311819; http://lattes.cnpq.br/2679034722235011; Universidade Federal de São Paulo (UNIFESP)The present study aimed to investigate the development, operation and impact of Conselhos Locais de Saúde (CLS) in the co-management of primary care of the Sistema Único de Saúde (SUS) of Santos / SP from a specific territory, which was the region of Morros. The methodological path followed was the qualitative approach, carrying out field research to collect primary source. During the exploratory phase visits in locus were conducted in seven of eight primary care units belonging to the territory searched.These visits were analyzed all the minutes of the Board since their election. It was also made visits to the Conselho Municipal de Saúde de Santos (CMS) in order to understand and know about the process of implementation and monitoring of these CLS. To support this research semi-structured interviews were conducted with the directors (manager / user / professional area), as well as professionals and users who are not as representatives of the Local Council of the same units. Found on analysis that arise from the Local Councils intention of encouraging closer relations between primary care units with the local community. The CLS was created by resolution of CMS in 2006, but only in 2008 the municipal administration chose to start the implementation process into three units healths with one primary care unit located on the territory searched. After two years of experience, CMS opened the electoral process in other primary care units in the city. In the region of hills, elections were held between October 2010 to September 2011, lasting almost a year. In this period, since the elections, we observe that these CLS suffered decline in the frequency of meetings and solidification of CLS. However, we identify as potential local comanagement enriching experiences to think about participation, social control and local health policy. But although they have lived these experiences, the CLS still cannot play a role of co-management in health policy and those involved are very fragile in the public participation process. Much disinformation and poor coordination between the actors and agencies involved in the process of social control has been found. The CLS are privileged to units and territories spaces but require reflection and encouragement in political education by all stakeholders: local and municipal government; directors of CLS; CMS; health professionals and the SUS.