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A integralidade na saúde da mulher: possibilidades de atenção à mulher com câncer de colo uterino nos serviços de saúde; The integrality in the woman's health: possibilities in the attention to the woman with cancer of uterine of the services of health

Soares, Marilú Correa
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 15/10/2007 Português
Relevância na Pesquisa
65.55%
Este estudo teve como objetivo geral compreender como os serviços de saúde do Sistema Único de Saúde - SUS estão organizados, de modo a contemplar a integralidade da assistência à mulher, quando pensamos os processos de produção de cuidado no controle do câncer de colo uterino, a partir da experiência das mulheres acometidas por esse agravo, identificando e analisando o percurso assistencial dessas mulheres, apontando as dificuldades por elas enfrentadas, na perspectiva da integralidade da atenção. A pesquisa teve como suporte teórico a integralidade da atenção, em suas distintas apreensões, desde sua compreensão, não só como um princípio do SUS, mas também como exercício de boas práticas de produção de cuidado e de referência para políticas governamentais. Estudo de abordagem qualitativa, realizado junto a mulheres com diagnóstico de câncer de colo uterino, no período de 2003-2005, em um município do sul do Brasil. Os dados foram coletados de julho a dezembro de 2006, utilizando-se a observação participante da atenção dispensada às mulheres, nos serviços de saúde, e a entrevista semi-estruturada, para captação do empírico. Para os procedimentos analíticos, optou-se pela análise temática...

Sobre família e saúde mental: as representações de profissionais da estratégia saúde família (ESF); About family and mental health: the representations of professionals of Family Health Strategy

Cavini, Priscilla Nogueira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 16/05/2012 Português
Relevância na Pesquisa
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Em consequência da consolidação da Estratégia Saúde da Família (ESF) como modelo prioritário de atenção primária à saúde no Sistema Único de Saúde (SUS), a família ganha destaque e se reafirma no cenário e na agenda das políticas públicas de saúde no Brasil. A ESF desloca o olhar das equipes de saúde do indivíduo para o espaço próprio das famílias e comunidades, fazendo-se necessário abandonar a universalidade de um único conceito de família, que ignora as especificidades e diversidades de arranjos, configurações e contextos culturais. Nesse sentido, as equipes assumem o desafio de propor intervenções sensíveis aos contextos das populações, resguardando-se da tendência de modular suas práticas a partir de concepções pessoais e/ou sociais que tornem impeditivo o trabalho, por não considerarem o grupo familiar em sua subjetividade e realidade próprias. O objetivo desta dissertação é conhecer as representações dos profissionais da ESF das famílias atendidas, em particular, aquelas identificadas por eles como famílias com necessidade de atenção em Saúde Mental, a partir do referencial da Teoria das Representações Sociais. Para tanto, trabalhou-se com uma equipe de saúde da família, a partir de observações de suas reuniões de trabalho e da realização de grupos focais com a equipe. Com a análise qualitativa dos dados...

Research Careers for American Indian/Alaska Native Nurses: Pathway to Elimination of Health Disparities

Henly, Susan J.; Struthers, Roxanne; Dahlen, Barbara K.; Ide, Bette; Patchell, Beverly; Holtzclaw, Barbara J.
Fonte: © American Journal of Public Health 2006 Publicador: © American Journal of Public Health 2006
Tipo: Artigo de Revista Científica
Publicado em /04/2006 Português
Relevância na Pesquisa
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The health status of American Indians/Alaska Natives lags behind that of the US population. American Indian/Alaska Native (AIAN) nurses are on the front lines of health services for AIAN people. They have the potential to make scientific contributions as well, but are under-represented among researchers working to understand health disparities.

Proximal, Distal, and the Politics of Causation: What’s Level Got to Do With It?

Krieger, Nancy
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Publicado em /02/2008 Português
Relevância na Pesquisa
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Causal thinking in public health, and especially in the growing literature on social determinants of health, routinely employs the terminology of proximal (or downstream) and distal (or upstream).

The politics of researching global health politics : Comment on "Knowledge, moral claims and the exercise of power in global health"

Rushton, Simon
Fonte: Kerman University of Medical Sciences Publicador: Kerman University of Medical Sciences
Tipo: Artigo de Revista Científica
Publicado em 04/03/2015 Português
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In this comment, I build on Shiffman’s call for the global health community to more deeply investigate structural and productive power. I highlight two challenges we must grapple with as social scientists carrying out the types of investigation that Shiffman proposes: the politics of challenging the powerful; and the need to investigate types of expertise that have traditionally been thought of as ‘outside’ global health. In doing so, I argue that moving forward with the agenda Shiffman sets out requires social scientists interested in the global politics of health to be reflexive about our own exercise of structural and productive power and the fact that researching global health politics is itself a political undertaking.

The Political Economy of Health Services Provision and Access in Brazil

Mushfiq Mobarak, Ahmed; Rajkumar, Andrew Sunil; Cropper, Maureen
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Português
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The authors examine the impact of local politics and government structure on the allocation of publicly subsidized (SUS) health services across municipios (counties) in Brazil, and on the probability that uninsured individuals who require medical attention actually receive access to those health services. Using data from the 1998 PNAD survey they demonstrate that higher per capita levels of SUS doctors, nurses, and clinic rooms increase the probability that an uninsured individual gains access to health services when he, or she seeks it. The authors find that an increase in income inequality, an increase in the percentage of the population that votes, and an increase in the percentage of votes going to left-leaning candidates are each associated with higher levels of public health services. The per capita provision of doctors, nurses, and clinics is also greater in counties with a popular local leader, and in counties where the county mayor and state governor are politically aligned. Administrative decentralization of health services to the county decreases provision levels, and reduces access to services by the uninsured, unless it is accompanied by good local governance.

Strategic integration: the practical politics of integrated research in context

van Kerkhoff, Lorrae
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Journal article; Published Version Formato: 20 pages
Português
Relevância na Pesquisa
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Designing an integrative research program requires that research leaders negotiate a balance between the scientific interest of research and the practical interests of non-scientific partners. This paper examines the ways integrated research is formally categorised, and analyses the tangible expressions of the practical politics involved in reconciling scientific and practical interests. Drawing on a comparative study of two Australian Cooperative Research Centres, I argue that categories used by the research leaders to describe the research programs embody three different strategies for structuring the relationships between researchers and their partners. These include matching research program categories to partners’ implementation program categories, reproducing existing integrative partnership models, and filling gaps in understanding with new technical approaches. These strategies offer different advantages and disadvantages. The cases suggest that the integrative approach favoured by each Centre depended on issues such as the geographic scope of policy arenas, sources of scientific credibility, and the political risks facing partners. The practical politics of research organisation offers a new lens for understanding both the practice and theory of integrated research.

Community context of health system development: implications for health sector reform in Pakistan

Mahmood, M.; Moss, J.; Karmaliani, R.
Fonte: World Health Organization, Regional Office for the Eastern Mediterranean Publicador: World Health Organization, Regional Office for the Eastern Mediterranean
Tipo: Artigo de Revista Científica
Publicado em //2003 Português
Relevância na Pesquisa
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To describe local sociopolitical and organizational factors that influence health system development in Karachi, Pakistan, we conducted participant observation while working with health providers and communities in one urban district to reorient services towards a primary health care district health system. We found that the community characteristics, particularly the diverse socialpolitical and cultural make-up and organizational complexity that involved multiple levels of government, influenced efforts towards collaboration and shaped the development of the health system. We conclude that for effective implementation of health sector reform there is a need to comprehend fully the community context and complexity of existing health service provision.; M.A. Mahmood, J. Moss and R. Karmaliani; © World Health Organisation. Regional Office for the Eastern Mediterranean

Democratic decentralisation and pro-poor policy reform in Indonesia: the politics of health insurance for the poor in Jembrana and Tabanan

Rosser, A.; Wilson, I.
Fonte: National University of Singapore, Faculty of Arts and Social Sciences, Department of Sociology Publicador: National University of Singapore, Faculty of Arts and Social Sciences, Department of Sociology
Tipo: Artigo de Revista Científica
Publicado em //2012 Português
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This paper explores the conditions under which democratic decentralisation has contributed to pro-poor policy reform in Indonesia by examining the politics of health insurance for the poor in two Indonesian districts, Jembrana and Tabanan, both located in Bali. Governments in these districts have responded quite differently to the issue of health insurance for the poor since they gained primary responsibility for health policy as a result of Indonesia’s implementation of decentralisation in 2001. We argue that this variation has reflected differences in the nature of district heads’ political strategies — particularly the extent to which they have sought to develop a popular base among the poor — and that these in turn have reflected differences in their personal networks, alliances and constituencies. Comparative research suggests that pro-poor outcomes have only occurred in developing countries following democratic decentralisation when social-democratic political parties have secured power at the local level. In the Indonesian case, we suggest, political parties are not well defined in ideological and programmatic terms and tend to act as electoral vehicles for hire and mechanisms for the distribution of patronage, while local-level politics is increasingly dominated by the executive arm of government. Hence the pathway to pro-poor policy reform has been different — namely...

"O Conselho Municipal de Saúde de Franca: estudo sobre a participação e o controle social" ; Municipal Council of Health of Franca: study about the participation and the social control

Liporoni, Andréia Aparecida Reis de Carvalho
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 18/05/2006 Português
Relevância na Pesquisa
65.63%
O Conselho Municipal de Saúde é um importante instrumento de interlocução regulada e institucionalizada na formulação de diretrizes e na fiscalização e avaliação da política de saúde no Brasil. Este estudo analisa a atuação do Conselho Municipal de Saúde de Franca - SP. Nosso objetivo foi conhecer a dinâmica do CMS no processo de gestão, financiamento e controle da política de saúde do município e como a administração municipal reconhece o Conselho como seu interlocutor na gestão do setor saúde. A pesquisa foi realizada entre fevereiro de 2004 a julho de 2005 e utilizada a abordagem qualitativa de pesquisa em saúde. A partir da análise documental das Atas do CMS, de matérias de jornais veiculadas na cidade no mesmo período e das entrevistas com os conselheiros municipais identificamos assuntos temáticos que nortearam a discussão de nosso estudo. Assim, constatamos um grande esforço dos conselheiros em assumir seu papel no desempenho de suas funções, porém encontramos alguns limites que dificultam a efetividade do controle social. Podemos citar assim, a questão político-partidária dos membros do conselho e a manipulação por parte da administração municipal. Encontramos também potencialidades para efetivação do direito à participação nas decisões que vão desde a capacitação dos conselheiros até a criação de mecanismos para dar maior visibilidade ao Conselho e assim propiciar que este possa dar voz as demandas da população. ; Municipal Council of Health is an important instrument of regulated dialogue and institutionalized in the formulation of guidelines and in the surveillance and evaluation of the politics of health in Brazil. This study analyzes the performance of Municipal Council of Health of Franca-SP. Our objective was to know the dynamics of the CMS in the management process...

Building a state or saving lives? : the processes, motives and politics behind the reconstruction of Afghanistan's health system

Tulier, Melody Esther, 1980-
Fonte: Massachusetts Institute of Technology Publicador: Massachusetts Institute of Technology
Tipo: Tese de Doutorado Formato: 79 leaves; 4906454 bytes; 4915824 bytes; application/pdf; application/pdf
Português
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Startlingly poor health statistics in Afghanistan clearly indicate that, in order to enhance the socio-economic status and overall stability of the state, a complete overhaul of its health care system is imperative. However, providing health is not simply a technical endeavor involving the construction of clinics, the training of doctors, and adequate medical supplies, for instance. In the stage of policy formulation for the reconstruction of Afghanistan's health system, there was in fact a dynamic, political process. The specific form of health reconstruction being implemented in Afghanistan was a result of a global consensus regarding the importance of health and general best-practice methods for health reform, external pressure to act quickly, power dynamics, and differing priorities of participating actors. The decisions and the resulting nuances of the plan conceived during this period also have broader implications regarding how and if long-term goals of development for Afghanistan, such as state building, could be reinforced or neglected. Development aid that overtly includes long-term state building goals seems like a plausible and possibly even more appealing solution than the current plan that concentrates on quick, high-impact health results. However...

The New Left and Public Health The Health Policy Advisory Center, Community Organizing, and the Big Business of Health, 1967–1975

Chowkwanyun, Merlin
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Publicado em /02/2011 Português
Relevância na Pesquisa
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Soon after its founding in the politically tumultuous late 1960s, the Health Policy Advisory Center (Health/PAC) and its Health/PAC Bulletin became the strategic hub of an intense urban social movement around health care equality in New York City. I discuss its early formation, its intellectual influences, and the analytical framework that it devised to interpret power relations in municipal health care. I also describe Health/PAC's interpretation of health activism, focusing in particular on a protracted struggle regarding Lincoln Hospital in the South Bronx. Over the years, the organization's stance toward community-oriented health politics evolved considerably, from enthusiastically promoting its potential to later confronting its limits. I conclude with a discussion of Health/PAC's major theoretical contributions, often taken for granted today, and its book American Health Empire.

Health Policy and the Politics of Health: Priorities and Planning for Health Care in Puerto Rico

Dueño, Jaime Rivera
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /08/1981 Português
Relevância na Pesquisa
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Puerto Rico, with the rest of the Caribbean, inherited the historical legacy of colonialism, slavery, and ethnic diversity. With its neighbors, Puerto Rico shares a tropical climate, a strategic location, and an agricultural past. Despite such similarities, Puerto Rico's health systems have evolved at rates and in directions different from its Caribbean neighbors. The ways in which services are organized have varied as a function of each country's political relationship with its respective metropolitan power, its stage of economic development, its endowment in terms of natural and other resources, its size and population, and its cultural environment, among other factors. For this reason, the Caribbean presents a veritable kaleidoscope of patterns of delivering health care. The following comments are primarily devoted to Puerto Rico, where the author is directly involved with health policy and the politics of health.

Politics of Health Policy: Yesterday and Today

Jones, Judith Miller
Fonte: CENTERS for MEDICARE & MEDICAID SERVICES Publicador: CENTERS for MEDICARE & MEDICAID SERVICES
Tipo: Artigo de Revista Científica
Publicado em //1996 Português
Relevância na Pesquisa
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This executive summary of Judith Miller Jones' remarks was prepared by Julie Snyder of the University of Texas LBJ School of Public Affairs. The remarks were given in the context of a panel presentation moderated by Jones, entitled “Politics of Health Policy: Yesterday and Today.”

O princípio constitucional da integralidade de assistência à saúde e o projeto de lei n. 219/2007: interpretação e aplicabilidade pelo Poder Judiciário; The constitutional principle of the integrality of health assistance and the law project n. 219/2007: interpretation and applicability by the Judiciary Power

Marques, Silvia Badim
Fonte: Núcleo de Pesquisa em Direito Sanitário da Universidade de São Paulo Publicador: Núcleo de Pesquisa em Direito Sanitário da Universidade de São Paulo
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Peer-reviewed article; ; ; ; Avaliado pelos pares Formato: application/pdf
Publicado em 01/10/2009 Português
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Este artigo pretende analisar o Projeto de Lei n. 219 de 2007, do Senado Federal, de autoria do senador Tião Viana (PT/AC), que propõe a alteração do art. 6º da Lei n. 8.080, de 19 de setembro de 1990, para definir o conceito de integralidade de assistência à saúde, reduzindo-o à oferta dos procedimentos e medicamentos constantes na política pública de saúde. Pretende, também, analisar: a) a construção histórica do direito à saúde no Brasil; b) a aplicação do princípio constitucional de integralidade de assistência à saúde pelo Poder Judiciário e; c) o conflito que se trava hoje entre juízes e gestores públicos de saúde; e d) discutir as implicações de uma definição restritiva de tal princípio por uma lei emanada do parlamento, que pretende solucionar o conflito ora exposto.; This article intends to analyze the 2007 Law Project n. 219, from Federal Senate, whose authorship is Senator Tião Viana (PT/AC). This project intends to change the article 6th. of the Brazilian Law n. 8.080 (September 19, 1990) in order to define the concept of integrality of the health assistance, by reducing it to the offering of procedures and medicines included in the public politics of health. This work also intends to analyze: a) the historical construction of the right to health in Brazil; b) the application of the constitutional principle of integrality of health assistance by the Judiciary Power and (c) the conflict that exists today between judges and public managers of health and d) to discuss the implications of a restrictive definition of such principle for a law originated in the Parlament that intends to solve the mentioned conflict.

Organized civil society, public politics and politics of health in Brazil; Sociedad civil organizada, políticas publicas y políticas de salud em el Brasil; Sociedade civil organizada, políticas públicas e políticas de saúde no Brasil

Schmidt, Vera Viviane
Fonte: Universidade Federal de Santa Catarina Publicador: Universidade Federal de Santa Catarina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Descritivo Formato: application/pdf
Publicado em 01/04/2008 Português
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The structure of the Brazilian Public Health has been built in the interrelation State and Society, going by countless transformations to reach the configuration that today if it presents us. The government's representatives, institutions of health and the organized civil society, they have been making to represent their interests in front of the State that appears as mediator, executioner and/or backer of the social public politics. The reached results represent the consolidation of interests, through the weight of the ideas and of the involved actors. With the democratic opening and the political-administrative reforms that are followed the promulgation of the current Federal Constitution, the politics of health have been reaching a more democratic character and more universal that the precedent.; La estructura de la Salud Publica brasileña ha sido construida en la interrelación Estado y Sociedad pasando por muchas transformaciones para llegar a la configuración con que hoy se nos presenta. Representantes del gobierno, instituciones de salud y sociedad civil organizada han representado sus intereses para el Estado que aparece como mediador, ejecutor o financiero de las políticas publicas sociales. Los resultados alcanzados representan a la consolidación de los intereses por intermedio de la importancia de las ideas y de los actores participes. Con la abertura democrática y las reformas políticoadministrativas que se siguieron a la promulgación de la actual Carta Magna...

The politics of patents and drugs in Brazil and Mexico: the industrial bases of health policies

Shadlen, Kenneth C.
Fonte: The City University of New York Publicador: The City University of New York
Tipo: Article; PeerReviewed Formato: application/pdf
Publicado em /10/2009 Português
Relevância na Pesquisa
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After introducing pharmaceutical patents in the 1990s, Brazil subsequently adjusted the patent system to ameliorate its effects on drug prices, while Mexico introduced measures that reinforce and intensify these effects. The different trajectories are due to the nature of the actors pushing for reform and the patterns of coalitional formation and political mobilization. In Brazil government demand for expensive, patented drugs made health-oriented patent reform a priority. The existence of an autonomous local pharmaceutical sector allowed the Ministry of Health to build a supportive coalition. In Mexico government demand made reforms less urgent, and transformations of the pharmaceutical sector allowed patent-holding firms to commandeer a reform project. The existence of indigenous pharmaceutical capacities can broaden the political coalitions underpinning health reforms.

Book review: the politics of precaution: regulating health, safety, and environmental risks in Europe and the United States

Beinisch, Natalie
Fonte: Blog post from London School of Economics & Political Science Publicador: Blog post from London School of Economics & Political Science
Tipo: Website; NonPeerReviewed Formato: application/pdf
Publicado em 15/07/2012 Português
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The Politics of Precaution examines the politics of consumer and environmental risk regulation in the United States and Europe over the last five decades, explaining why America and Europe have often regulated a wide range of similar risks differently. It finds that between 1960 and 1990, American health, safety, and environmental regulations were more stringent, risk averse, comprehensive, and innovative than those adopted in Europe. But since around 1990, the book shows, global regulatory leadership has shifted to Europe. What explains this striking reversal? Natalie Beinisch finds out.

Status, morality and the politics of transformation: an ethnographic account of nurses in KwaZulu-Natal, South Africa

Hull, Elizabeth
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em //2009 Português
Relevância na Pesquisa
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This thesis examines the ways in which a deeply entrenched nursing hierarchy is being reconfigured and challenged, and the status of nurses reshaped, in relation to wider political and social processes in the post-apartheid context. Specifically, it offers an ethnographic analysis of nurses working at Bethesda Hospital, a rural government hospital in northern KwaZulu-Natal. It argues that at this moment of liminal uncertainty characterising the current political and social transformation, nurses’ experiences are made meaningful both through a nostalgic reconstruction of the hospital’s missionary past, as well as through idioms that generate opportunities for – and a sense of control over – the future. These are all manifestations of a contemporary post-apartheid moment, yet they are also extensions of longer historical processes. This thesis, therefore, poses important questions about the nature of ‘transition’ in South Africa, and to what extent this has been marked both by rupture and continuity, in the localised context of a rural government hospital and its surrounding area. The thesis begins with an historical account of Bethesda hospital from its inception in 1937 as a Methodist mission hospital, and its eventual transfer to state control...

Priorities for research to take forward the health equity policy agenda

Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2005 Português
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Despite impressive improvements in aggregate indicators of health globally over the past few decades, health inequities between and within countries have persisted, and in many regions and countries are widening. Our recommendations regarding research priorities for health equity are based on an assessment of what information is required to gain an understanding of how to make substantial reductions in health inequities. We recommend that highest priority be given to research in five general areas: (1) global factors and processes that affect health equity and/or constrain what countries can do to address health inequities within their own borders; (2) societal and political structures and relationships that differentially affect people's chances of being healthy within a given society; (3) interrelationships between factors at the individual level and within the social context that increase or decrease the likelihood of achieving and maintaining good health; (4) characteristics of the health care system that influence health equity and (5) effective policy interventions to reduce health inequity in the first four areas.