scholarly journals Health needs: a temporary analysis of the social representations of the concept

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Winckler ◽  
F Zioni ◽  
G Johson
Keyword(s):  
Political Participation ◽  
Health System ◽  
Social Representations ◽  
Public Policies ◽  
Civil Society Organizations ◽  
Health Needs ◽  
The Social ◽  
The Right ◽  
Brazilian Health System ◽  
Universal Health

Abstract Background This study aims to analyse the social representations of health needs in a Brazilian municipality, questioning the capacity that public policies developed and implemented by the Brazilian Health System (SUS) had to meet these needs. Methods Qualitative case study in which the data were analysed by: 1) the Health Needs Taxonomy (Matsumoto, 1999), as an instrument for assessing health needs, formatting the interview guide and organizing the empirical data; 2) the Theory of Social Representations (Jovchelovitch, 2000), to capture health needs; 3) Content Analysis (Bardin, 2004), as an instrument of analysis and comparison of perceived needs. The methodological path used was the same in the two moments in which this research is based (2009 and 2016). The entire municipal territory was analyzed and 26 representatives of civil society organizations were interviewed. Results Based on the results given, we state that health is a permanent and timeless need, but the mediations for its satisfaction have changed historically. The interface between quantitative indicators and subjectivity in assessing needs reveals the authoritarian architecture of its decision-making process, which has ruined the necessary democracy for prioritising and meeting those needs. The asymmetrical relationships present in the Brazilian society have both undermined the collective character of health needs and promoted the distance between who care and who are cared for. Most of the priorities listed by the interviewees in 2009 remain composing the social context of the municipality in 2016. Conclusions The challenges for comprehensive health care remain critical given both the decrease in popular political participation and in institutional spaces, which leads to the annulment of the right to a universal health. Interdisciplinary and participatory diagnostics remain essential to understand the complexity of social changes and the challenges for the consolidation of meeting health needs. Key messages The capacity that public policies developed and implemented by the Brazilian Health System (SUS) had to meet these needs. The challenges for meeting health needs remain critical given both the decrease in political participation and in institutional spaces, which leads to the annulment of the right to a universal health.

scholarly journals Social Representations of e-Mental Health Among the Actors of the Health Care System: Free-Association Study (Preprint)

2020 ◽  
Author(s):  
Margot Morgiève ◽  
Pierre Mesdjian ◽  
Olivier Las Vergnas ◽  
Patrick Bury ◽  
Vincent Demassiet ◽  
...  
Keyword(s):  
Mental Health ◽  
Health System ◽  
New Technologies ◽  
Mental Health Problems ◽  
Social Representations ◽  
Free Association ◽  
Well Being ◽  
Social Representation ◽  
System P ◽  
The Social

BACKGROUND Electronic mental (e-mental) health offers an opportunity to overcome many challenges such as cost, accessibility, and the stigma associated with mental health, and most people with lived experiences of mental problems are in favor of using applications and websites to manage their mental health problems. However, the use of these new technologies remains weak in the area of mental health and psychiatry. OBJECTIVE This study aimed to characterize the social representations associated with e-mental health by all actors to implement new technologies in the best possible way in the health system. METHODS A free-association task method was used. The data were subjected to a lexicometric analysis to qualify and quantify words by analyzing their statistical distribution, using the ALCESTE method with the IRaMuTeQ software. RESULTS In order of frequency, the terms most frequently used to describe e-mental health in the whole corpus are: “care” (n=21), “internet” (n=21), “computing” (n=15), “health” (n=14), “information” (n=13), “patient” (n=12), and “tool” (n=12). The corpus of text is divided into 2 themes, with technological and computing terms on one side and medical and public health terms on the other. The largest family is focused on “care,” “advances,” “research,” “life,” “quality,” and “well-being,” which was significantly associated with users. The nursing group used very medical terms such as “treatment,” “diagnosis,” “psychiatry”,” and “patient” to define e-mental health. CONCLUSIONS This study shows that there is a gap between the representations of users on e-mental health as a tool for improving their quality of life and those of health professionals (except nurses) that are more focused on the technological potential of these digital care tools. Developers, designers, clinicians, and users must be aware of the social representation of e-mental health conditions uses and intention of use. This understanding of everyone’s stakes will make it possible to redirect the development of tools to adapt them as much as possible to the needs and expectations of the actors of the mental health system.

Governing healthcare: the case of Universal Health Insurance – by competition

2017 ◽  
Author(s):  
Cliona Loughnane
Keyword(s):  
Health Insurance ◽  
Health System ◽  
Access To Care ◽  
Equal Access ◽  
Universal Health Insurance ◽  
Social State ◽  
The Social ◽  
Liberal Government ◽  
The Government ◽  
Universal Health

In 2011, the Government committed to the introduction of Universal Health Insurance (UHI) ‘with equal access to care for all’ by 2016 (Government of Ireland 2011: 2). This chapter explores how proposals to implement a system in which every member of the population would be expected to take out health insurance – and mooted by politicians as a way to end Ireland’s two-tier health system – exhibited particular characteristics of advanced liberal modes of governing.Specifically, drawing on Rose and Miller’s (1992) conceptualisation of the ‘aspirations’ of advanced liberal government – governing at a distance, the management of risk, engendering individuals to take responsibility through choice, and the fragmentation of the social state into multiple communities – this chapter demonstrates how while a political rhetoric may have stressed the significance of UHI as a basis for promoting solidarity and fairness, it is hard to avoid the conclusion that the policy would have represented a further shift towards the marketization of Irish healthcare.

scholarly journals La economía de León en Europa: 1986-2011. El sistema sanitario

2014 ◽  
pp. 239
Author(s):  
Cristina Gutiérrez López
Keyword(s):  
Health System ◽  
Population Ageing ◽  
National System ◽  
Spanish Constitution ◽  
System A ◽  
Government Financing ◽  
El Sistema ◽  
Increasing Demand ◽  
The Right ◽  
Universal Health

<p>El derecho a la protección de la salud reconocido por la Constitución Española dota al sistema sanitario de especial importancia. Sin embargo, las últimas reformas ponen en riesgo el modelo de sanidad universal, afectado por los recortes en la financiación, el envejecimiento de la población y una creciente demanda asistencial.<br />El artículo resume los rasgos principales del Sistema Nacional de Salud, las características de su gestión y el modelo de financiación sanitario derivado del traspaso de competencias a las Comunidades Autónomas. Asimismo, para el caso de León se plantean los datos más relevantes en términos de recursos y gasto sanitario en los últimos 25 años.</p><p>The right to have an adequate level of health protection is recognized by the Spanish Constitution, giving the health system a special status. Nevertheless, the latest reforms threaten our universal health system, affected by recent cuts in government financing, population ageing and an increasing demand for these services.<br />The article summarizes the main aspects of the Health National System, as well as their management features, and the financing model as a consequence of the powers transferred to the Autonomous regions. Futhermore, the case of the province of León is analysed through the more significant aspects in terms of resources and expenditures in the last 25 years.</p>

scholarly journals Social representations of nursing students on the rights of health users

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Fernanda Duarte da Silva ◽  
Thémistoklis Apostolidis ◽  
Márcia de Assunção Ferreira
Keyword(s):  
Nursing Students ◽  
Undergraduate Education ◽  
Social Representations ◽  
Undergraduate Nursing Students ◽  
The Third ◽  
Undergraduate Nursing ◽  
Unified Health System ◽  
The Social ◽  
Eighth Grade Students ◽  
The Right

ABSTRACT Objective: To identify the social representations of undergraduate nursing students in the third and eighth term of the course on the rights of health users. Methods: Qualitative research using the framework of the structural approach to the Theory of Social Representations. A total of 92 students participated. The free evocation technique was used and data was processed in the EVOC software. Results: In the social representations of the third term students, words related to health policies were not observed, but there is an evaluation of the service in the institutions. Among the eighth-grade students, the concepts that support the policies of the Unified Health System are evident. Final considerations: There is a consolidation of the students’ knowledge throughout the course, with a more elaborated knowledge about the users’ right, supported by principles of the SUS. Undergraduate education is an important space for discussing the construction and exercise of citizenship, including the right to health.

scholarly journals Between health needs and agenda-setting: a procedural analysis of the compositional layers of space

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Winckler ◽  
F Zioni ◽  
P Ferreira
Keyword(s):  
Health System ◽  
Social Representations ◽  
Institutional Capacity ◽  
Health Needs ◽  
Health Policies ◽  
Biomedical Knowledge ◽  
Social Fabric ◽  
Democratic Culture ◽  
Positive Representation ◽  
Personal Decision

Abstract Background This study aims to offer a view of the current situation arising in the Brazilian Health System (SUS) regarding the relationship between the health needs of its users and the health policies developed by the system. Methods The qualitative analysis was organised in two stages: 1) Comparative analysis of the social representations of health needs in which the data were analysed by the Health Needs Taxonomy (Matsumoto, 1999), as an instrument to assess health needs, format the interview guide and organise the empirical data; the Theory of Social Representations (Jovchelovitch, 2000) to capture health needs, and Content Analysis (Bardin, 2004), as an instrument of analysis and comparison of perceived needs. 2) Analysis of the agenda-setting in which the data were obtained and analysed by the Grounded Theory (Strauss; Corbin, 1990), Narrative Analysis (Taylor, 1979), and the Procedural Analysis Model (Ferreira; Alencar; Pereira, 2011) for contextual analysis of public health policies. The fieldwork was a Brazilian municipality and 39 representatives of civil society organisations and stakeholders were interviewed. Results The data showed a complex social fabric made of a plot that alternates between conceptual knots and structural voids which has been sewn by many actors and has served multiple purposes. It also showed that an insufficient institutional capacity for assessing needs, professional turnover, managers' personal decision and the manipulation of actors and institutions according to the interests at stake have kept the health needs unmet. Conclusions A positive representation of SUS will only be achieved through both the intertwining between biomedical knowledge to the determinants of health and the strengthening of a democratic culture. Without this perspective, the health system will remain fragile, plentiful in structural knots and voids, and unable to relocate people's health needs from the fringes to the main layers of this social fabric. Key messages An insufficient institutional capacity for assessing needs, managers' personal decision and the manipulation of institutions according to the interests at stake have kept the health needs unmet. A positive representation of SUS will only be achieved through both the intertwining between biomedical knowledge to the determinants of health and the strengthening of a democratic culture.

scholarly journals The Impact of the Judicialization of the Unique Health System

2021 ◽  
pp. 1-7
Author(s):  
Tricia Bogossian ◽  
Keyword(s):  
Health System ◽  
Public Policies ◽  
Right To Health ◽  
Judicial Control ◽  
Individual Health ◽  
Unified Health System ◽  
The Right ◽  
The Impact

This study aims to discuss the right to health, comparing collective and individual health and analyzing the impact of judicialization on the Unified Health System (SUS). Therefore, it addresses the right to health, presenting its concept and minimum content; discusses the principle of integrality; discusses the judicial control of public policies, weighing up the reserve of the possible and the minimum existential; and defends the prioritization of public policies that benefit the community. As a methodology, bibliographic research was adopted based on the literary review of books, articles and legislation that are dedicated to the theme in order to seek solutions to reduce expenses with judicialization.

scholarly journals Behaviors related to Quilombola women’s health: a social representations study

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Ingrid Fabiane Santos da Silva ◽  
Ivaneide Leal Ataíde Rodrigues ◽  
Laura Maria Vidal Nogueira ◽  
Iaci Proença Palmeira ◽  
Márcia de Assunção Ferreira
Keyword(s):  
Health Care ◽  
Health System ◽  
Social Representations ◽  
Brazilian Amazon ◽  
Thematic Content Analysis ◽  
Individual Interviews ◽  
Health Care Practices ◽  
The Social ◽  
The Family ◽  
Care Practices

ABSTRACT Objective: To Identify Quilombola women’s social representations about health care and to characterize practices performed by them. Method: a descriptive, qualitative study, applying the Social Representations Theory, conducted with 30 women from a Quilombola community in the Brazilian Amazon. Individual interviews and thematic content analysis were carried out. Results: Health care practices are related to the home, people, families, and environment, indicating a Quilombola women’s extended understanding about health care. In the first instance, natural resources derived from traditional knowledge and use of herbs are applied, in the second instance, the official health system, with the mother-woman being the main caregiver of the family. Final Considerations: the mother enables a health care in the family daily life, and she is the main way of access health professionals have to enter the Quilombola community and provide proper care from the official health system to the group.

scholarly journals INFANTICÍDIO: UM ESTUDO SEGUNDO AS LENTES TEÓRICAS DAS REPRESENTAÇÕES SOCIAIS

2020 ◽  
Vol 2 ◽  
pp. 129
Author(s):  
Edson Ribeiro de Britto Almeida Junior ◽  
Rafael Rubens Barros
Keyword(s):  
Pregnant Women ◽  
Health Professionals ◽  
Social Representations ◽  
Public Policies ◽  
Psychological Issues ◽  
The Social ◽  
Popular Knowledge ◽  
Training Courses ◽  
Expected Benefits ◽  
Psychological Assistance

RESUMOO crime de infanticídio é definido como matar sob a influência do estado puerperal o próprio filho, durante o parto ou logo após. No Brasil, as políticas públicas de apoio à mulher gestante não abrangem as questões psíquicas, somente as biológicas associadas à gravidez. Há um Projeto de Lei que dispõe sobre o atendimento psicológico às gestantes nos hospitais da rede pública de saúde, mas ainda não apresenta resultados promissores, por ser recente. Portanto, esse trabalho tem por objetivo apresentar as representações sociais compartilhadas por um grupo de profissionais da saúde, de um município localizado na mesorregião centro ocidental paranaense, a respeito do infanticídio. A técnica empregada para identificar as Representações Sociais será a Evocação Livre de Palavras, que permite a identificação dos elementos centrais, intermediários e periféricos dessa representação. As redações apresentadas pelos sujeitos investigados, serão analisadas segundo as lentes teóricas da Análise Textual Discursiva. Nossos resultados mostram déficits na compreensão do infanticídio e isso, em geral, ocasiona entraves na assistência pública para as gestantes. Assim, inferimos a necessidade de diálogo entre os cursos de capacitação dos profissionais da saúde e as representações sociais que circulam esse ambiente, com o intuito de superar a concepção errônea e propor novas ações sociais que realmente valorizem os saberes populares e proporcionem os suportes suficientes para prevenir o infanticídio. Assim, espera-se com esta pesquisa contribuir com a qualidade da saúde, cujos benefícios esperados estão relacionados à melhoria nas políticas públicas de amparo à gravidez.Palavras-chave: Infanticídio. Representações Sociais. Gravidez. ABSTRACTThe crime of infanticide is defined as killing, under the influence of the puerperal state, the child, during childbirth or soon after. In Brazil, public policies to support pregnant women do not cover psychological issues, only biological issues associated with pregnancy. There is a Bill that provides for psychological assistance to pregnant women in public health hospitals, but it still does not show promising results, as it is recent. Therefore, this work aims to present the social representations shared by a group of health professionals, from a municipality located in the central western region of Paraná, regarding infanticide. The technique used to identify the Social Representations, will be the Free Evocation of Words, which allows the identification of the central, intermediate and peripheral elements of this representation. The essays presented by the investigated subjects will be analyzed according to the theoretical lenses of the Discursive Textual Analysis. Our results show deficits in the understanding of infanticide and this, in general, causes obstacles in public assistance for pregnant women. Thus, we infer the need for dialogue between training courses for health professionals and the social representations that circulate in this environment, in order to overcome the misconception and propose new social actions that really value popular knowledge and provide sufficient support for prevent infanticide. Thus, it is expected with this research to contribute to the quality of health, whose expected benefits are related to the improvement in public policies to support pregnancy.Keywords: Infanticide. Social Representations. Pregnancy.

scholarly journals Representações de mulheres encarceradas sobre gestar na prisão

2018 ◽  
Vol 12 (11) ◽  
pp. 3069
Author(s):  
Khesia Kelly Cardoso Matos ◽  
Susanne Pinheiro Costa e Silva ◽  
Juciara Karla de Souza Lima
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Qualitative Study ◽  
Social Representations ◽  
Public Policies ◽  
Psychosocial Deprivation ◽  
The Social ◽  
Data Collection Instrument ◽  
Women And Children ◽  
Group Interviews

RESUMOObjetivo: compreender as representações sociais de gestantes e puérperas encarceradas sobre o gestar enquanto vivendo em Colônias Penais. Método: trata-se de estudo qualitativo, embasado no referencial teórico-metodológico das Representações Sociais, com 19 mulheres encarceradas em Colônias Penais. Utilizaram-se, como instrumentos de coleta de dados, um formulário e entrevistas grupais em que se analisaram os dados pelos softwares SPSS e Iramuteq. Resultados: marcaram-se as representações da gestação durante o encarceramento pela ausência de serviços e infraestrutura, com pré-natal falho e dificuldades para a realização de exames, além da dicotomia entre querer estar com o filho, mas ter que criá-lo em tal ambiente. Caracteriza-se gestar na prisão pela não aceitação, gerando-se atitudes de negação, embora o afeto pelo filho acompanhe as presidiárias e acalente essa realidade. Conclusão: evidenciou-se a necessidade de repensar o atendimento de saúde na prisão contribuindo-se para a efetivação de políticas públicas e garantindo-se os direitos daqueles que se encontram atrás das grades, especialmente mulheres e crianças. Descritores: Representações Sociais; Gravidez; Prisões; Afeto; Carência Psicossocial; Família.ABSTRACT Objective: to understand the social representations of pregnant and puerperal women imprisoned about gestating while living in Colonial Penins. Method: this is a qualitative study, based on the theoretical and methodological reference of the Social Representations, with 19 women incarcerated in Colonial Penins. As a data collection instrument, a form and group interviews were used in which the data was analyzed by SPSS and Iramuteq software. Results: pregnancy representations were made during incarceration due to lack of services and infrastructure, with prenatal failure and difficulties to perform exams, besides the dichotomy between wanting to be with the child, but having to create it in such a way environment. It is characterized to gestate in the prison by the non acceptance, generating attitudes of negation, although the affection by the son accompanies the inmates and cherishes this reality. Conclusion: the need to rethink health care in prison was evidenced, contributing to the implementation of public policies and guaranteeing the rights of those behind bars, especially women and children. Descriptors: Social Representations; Pregnancy; Prisons; Affection; Psychosocial Deprivation; Family. RESUMEN Objetivo: comprender las representaciones sociales de gestantes y puérperas encarceladas sobre el gestar mientras vivía en Colonias Penales. Método: se trata de un estudio cualitativo, basado en el referencial teórico-metodológico de las Representaciones Sociales, con 19 mujeres encarceladas en Colonias Penales. Se utilizaron, como instrumentos de recolección de datos, un formulario y entrevistas grupales en que se analizaron los datos por los softwares SPSS e Iramuteq. Resultados: se marcaron las representaciones de la gestación durante el encarcelamiento por la ausencia de servicios e infraestructura, con prenatal fallido y dificultades para la realización de exámenes, además de la dicotomía entre querer estar con el hijo, pero tener que crearlo en tal medio ambiente. Se caracteriza por gestar en la cárcel por la no aceptación, generándose actitudes de negación, aunque el afecto por el hijo acompaña a las presidiarias y acalenta esa realidad. Conclusión: se evidenció la necesidad de repensar la atención de salud en la cárcel contribuyéndose a la efectivación de políticas públicas y garantizándose los derechos de aquellos que se encuentran detrás de las rejas, especialmente mujeres y niños. Descriptores: Representación Sociales; Embarazo; Prisiones; Afecto; Carencia Psicosocial; Familia. 

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