scholarly journals (Dis) connections between health councils and audit: advancements and challenges in the democratization of public health management

2019 ◽  
Vol 27 (1) ◽  
pp. 39-44
Author(s):  
José Reginaldo Pinto ◽  
Kamyla de Arruda Pedrosa ◽  
Pollyanna Martins ◽  
Antonio Rodrigues Ferreira Júnior ◽  
Bruna Dayane Rocha Maranhão
Keyword(s):  
Public Health ◽  
Health Management ◽  
Analysis Data ◽  
Qualitative Approach ◽  
Technical Cooperation ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
Health Council ◽  
Self Administered Questionnaire ◽  
Municipal Health

Abstract Background Aware of the importance of consolidating social control in the qualification of the Brazilian government’s Unified Health System (SUS) management, it is important to highlight that the audit must implement technical cooperation actions with the municipal, state and national health councils and with the three management spheres. Objective Analyze the interaction between the Municipal Health Councils and the SUS audit service. Method The research, with a qualitative approach, had the participation of 20 municipal health counselors, who worked in the largest health region of Ceará, Brazil, composed of 24 municipalities. The thematic content analysis data were collected using self-administered questionnaire. Results We observed a weak interaction between the Municipal Health Council and the SUS audit sector in the municipalities. Conclusion Counselors are unaware of their competencies and the functions of the municipal audit sector.

scholarly journals The Idealized Brazilian Health System versus the real one: contributions from the nursing field

2014 ◽  
Vol 22 (6) ◽  
pp. 1026-1033 ◽  
Author(s):  
Dirce Stein Backes ◽  
Martha Helena Teixeira de Souza ◽  
Mara Teixeira Caino Marchiori ◽  
Juliana Silveira Colomé ◽  
Marli Terezinha Stein Backes ◽  
...  
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Health System ◽  
Linear Model ◽  
Descriptive Study ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
System Versus ◽  
Qualitative Nature ◽  
Brazilian Health System

OBJECTIVE: to identify the perceptions of professionals working in a facility connected with the Brazilian Unified Health System - SUS in regard to what they know, think and talk about public health policy.METHOD: this exploratory-descriptive study with a qualitative nature was conducted with 28 professionals working in a facility connected with the SUS. Data were collected through interviews with guiding questions and analyzed through the thematic content analysis technique.RESULTS: coded and interpreted data resulted in three thematic axes: The SUS - perfect web that does not work in practice; The recurrent habit of complaining about the SUS; The need to rethink the way of thinking about, acting in and managing the SUS.CONCLUSION: the professionals working for the SUS are aware of the principles and guidelines that govern the Brazilian health system, however, they reproduce a dichotomous and linear model of conception and practice strongly linked to the thinking of society in general.

scholarly journals GESTÃO PÚBLICA NA ODONTOLOGIA COM O ADVENTO DO PROGRAMA BRASIL SORRIDENTE

2019 ◽  
Author(s):  
Sérgio Spezzia
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Health Management ◽  
Public Health Care ◽  
Dental Public Health ◽  
Unified Health System ◽  
Dental Management ◽  
It Innovation ◽  
The Cost ◽  
Oral Health Policy

ResumoA instituição no ano de 2004 da nova Política Nacional de Saúde Bucal, intitulada Programa Brasil Sorridente (PBS), trouxe consigo inovação e mudou o quadro odontológico na área de saúde. O objetivo deste artigo foi averiguar a performance da gestão pública odontológica e do PBS no desempenho da assistência à saúde pública odontológica. O PBS trouxe consigo um impacto significativo para alavancar a saúde bucal no Brasil, uma vez que até então não havia pelo governo federal, adoção de medidas satisfatórias para o setor. Os repasses de verba destinados ao custeio da saúde bucal da União para os municípios aumentaram. Constatou-se melhora significativa nos serviços prestados, relacionados a assistência à saúde pública odontológica com a implementação do PBS, comparando-se com a realidade apresentada anteriormente e levando-se em consideração o repasse de verbas escasso de antes.Palavras-chave: Gestão em Saúde. Sistema Único de Saúde. Iniquidade Social. Saúde Bucal. AbstractInstitution in 2004 of the National Oral Health Policy, the Brazilian Smiling Program, brought with it innovation and changed the odontological framework in the health area. The objective of this article was to investigate the performance of public dental management and the Brazilian Smiling Program in the performance of dental public health care. PBS brought with it a significant impact to leverage oral health in Brazil, since until then the federal government had not adopted satisfactory measures for the sector. The onlending of funds destined to the cost of oral health of the Union to the municipalities increased. There was a significant improvement in the services provided, related to dental public health assistance with the implementation of PBS, comparing with the reality presented previously and taking into account the transfer of scarce funds from before.Keywords: Health Management. Unified Health System. Social Inequity. Oral Health.

scholarly journals Childbirth care after the implementation of the Carioca Stork Program: the perspective of nursing

Rev Rene ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 631
Author(s):  
Ana Elisa Fernandes Lima ◽  
Leila Justino da Silva ◽  
Marianne De Lira Maia ◽  
Adriana Lenho de Figueiredo Pereira ◽  
Marcele Zveiter ◽  
...  
Keyword(s):  
Content Analysis ◽  
Pregnant Women ◽  
Obstetric Care ◽  
Descriptive Study ◽  
Maternity Hospital ◽  
Qualitative Approach ◽  
Thematic Content Analysis ◽  
Obstetric Nurses ◽  
Municipal Health ◽  
Childbirth Care

Objective: to describe the actions recommended by the Carioca Stork Program for assistance to pregnant women and identifywhether the implementation of this program had repercussions on the assistance from the perspective of the nursingteam. Methods: descriptive study with a qualitative approach, conducted in a public maternity hospital. Semi-structuredinterviews were conducted with four obstetric nurses and seven nursing auxiliaries who work at the obstetric center of thismaternity hospital. We used the technique of thematic content analysis. Results: the study categories were: Qualification ofthe hospital obstetric care, care and professional repercussions from the Carioca Stork Program. Conclusion: the nursingstaff considered that the implementation of the program brought improvements in childbirth care, favored women’s rightsand the performance of obstetric nursing in the municipal health network. 

A Pluralidade do Conceito de Saúde: o Poder de Voz dos Usuários do SUS em uma Conferência Municipal de Saúde/The Plurality of the Concept of Health: the Voice Power of Unified Health System (SUS) Users in a Municipal Health Conference

1970 ◽  
Vol 5 (2) ◽  
pp. 91-99 ◽  
Author(s):  
Renato Augusto Passos ◽  
Sylvia da Silveira Nunes ◽  
Luiz Felipe Silva
Keyword(s):  
Public Health ◽  
Health System ◽  
Health Sector ◽  
Minas Gerais ◽  
Ethnographic Study ◽  
Local Health ◽  
Research Committee ◽  
Unified Health System ◽  
Concept Of Health ◽  
Municipal Health

RESUMOObjetivo: O presente trabalho teve como objetivo principal analisar o conceito de saúde sob a perspectiva de um grupo de usuários do SUS moradores de um município de pequeno porte situado no sul de Minas Gerais, em uma conferência municipal de saúde. Materiais e métodos: Tratou-se de um recorte da dissertação intitulada “Cotidiano e saúde(s): estudo etnográfico dos usuários do SUS em um município do Sul de Minas” aprovado pelo comitê de ética em pesquisas da Faculdade de Medicina de Itajubá (FMIT), sob parecer 618.702. O estudo foi transversal de pesquisa qualitativa etnográfica, com levantamento de dados realizado por meio de observação participante. Resultados e discussão: Ao refletir sobre as necessidades em saúde, o grupo demonstrou a pluralidade de situações que envolvem o conceito de saúde relacionando-o a questões como a necessidade de atividades físicas regulares, a necessidade de água tratada, os riscos da ingestão de alimentos contaminados, a necessidade da coleta de lixo acumulado nos bairros rurais, a inclusão de terapias alternativas (homeopatia e acupuntura) nos serviços de saúde, entre outros. Conclusão: As propostas finais aprovadas na Conferência Municipal de Saúde demonstram a necessidade em ampliar os modos de lidar com métodos centrados em produção de dados ligados às doenças, visto a pluralidade de maneiras de lidar com o conceito de saúde(s). Apontam para necessidade do setor público de saúde planejar suas ações baseadas nas necessidades da comunidade e atuar em conjunto com outros setores, como o de infraestrutura urbana e rural, transporte, meio ambiente, educação, entre outros.Palavras chave: Conferências de saúde, Sistema Único de Saúde, Formação de conceito. ABSTRACTObjective: This study aimed to analyze the concept of health from the perspective of a group of public health system (SUS) users who live in a small city  in southern Minas Gerais, in a local health conference. Materials and methods: This was a clipping of the dissertation entitled "Daily life and health: ethnographic study of SUS users in a southern city of Minas" approved by the ethics in research committee of the Medicine School of Itajubá (FMIT), under report 618,702. The study was a cross ethnographic qualitative research, with data collection conducted through participant observation. Results and discussion: When thinking over health needs, the group demonstrated the plurality of situations involving the concept of health relating it to issues such as the need for regular physical activity, the need for clean water, the risks of contaminated food intake, the need of accumulated garbage collection in rural districts, the inclusion of alternative therapies (homeopathy and acupuncture) in health services, among others. Conclusion: The final proposals approved at the Municipal Health Conference demonstrate the need to broaden the ways of dealing with methods focusing on data production linked to disease, considering the plurality of ways to deal with the concept of health. It points to the need for the public health sector to plan their actions based on community needs and work together with other sectors, such as urban and rural infrastructure, transport, environment and education among others. Keywords: Health conferences, Unified Health System, Concept Formation.

Gestão do SUS na perspectiva da literatura: fragilidades, potencialidades e propostas

2021 ◽  
Vol 22 ◽  
pp. 1-11
Author(s):  
Alexandra Iglesias ◽  
Paloma Pereira Andreatta ◽  
Nadilu Cardoso Drumond ◽  
Daniella Caldas Garcia ◽  
Pedro Machado Ribeiro Neto
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Health Management ◽  
Participatory Management ◽  
Management Process ◽  
Health Production ◽  
Thematic Content Analysis ◽  
Social Actors ◽  
Know How ◽  
Unified Health System

The consolidation of Unified Health System (“SUS”) demands the democratization of relationships; however, in its 30 years, the separation between management and health care has been remarkable. Thus, the objective was to know how scientific articles address health management in SUS. An integrative literature review was carried out in the Scielo and PePSIC databases with the descriptors: “health management”; “co-management”; and “participatory management”, with 16 articles remaining. Thematic content analysis followed, resulting in the categories: “conceptions about health management in SUS”; “difficulties for health management”; “potentialities of health management”; and “proposals for health management”. We concluded that is necessary to bring social actors closer together and consider aspects such as affectivity and subjectivity in the management process, allowing workers, managers and users - all SUS operators - to recognize themselves in health production.

scholarly journals Interdisciplinarity and interprofessionality in teamwork: perceptions of multiprofessional residents in Hospital Care

2021 ◽  
Vol 43 ◽  
pp. e54332
Author(s):  
Ana Paula de Sousa Silva Baquião ◽  
Leonardo Melo Guedes ◽  
Claudia Helena Cerqueira Mármora ◽  
Rodrigo Sanches Peres ◽  
Fabiane Rossi dos Santos Grincenkov
Keyword(s):  
Public Health ◽  
Social Workers ◽  
Health Professionals ◽  
Hospital Care ◽  
Structured Interview ◽  
Residency Programs ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
The Subject ◽  
First Contact

Multiprofessional Health Residency Programs were created to further align health training with the needs of the population and, through an emphasis on teamwork, have been contributing to the consolidation of the Brazilian Unified Health System. The present study sought to understand the perceptions of a group of multiprofessional residents in Hospital Care about interdisciplinarity and interprofessionality within the scope of teamwork. This is a qualitative study that had the participation of 29 multiprofessional residents in the ‘Hospital Care’ area of concentration, all female (six psychologists, six social workers, six nurses, six physiotherapists and five nutritionists). Data were collected by means of a semi-structured interview script. The corpus was subjected to thematic content analysis. Most of the participants: (1) reported that their first contact with the notion of interdisciplinarity occurred when they were in college, which led to them assimilating it as a synonym for joint action, and (2) claimed to have no knowledge of the notion of interprofessionality, but valued the horizontalization of relations between health professionals. Additionally, important conditions concerning both interdisciplinarity and interprofessionality were not emphasized by the participants. Further studies on the subject are needed, due to its importance for public health.

scholarly journals Possibilities and limits of participation in the municipal health council in a small municipality

2020 ◽  
Vol 13 (12) ◽  
pp. 90
Author(s):  
S. F. Cetolin ◽  
K. N. Michna ◽  
L. P. Trissoldi ◽  
A. T. Zimmermann ◽  
V. Beltrame ◽  
...  
Keyword(s):  
Public Health ◽  
Social Control ◽  
Basic Structure ◽  
Research Committee ◽  
Public Health Policies ◽  
Small Municipality ◽  
Health Area ◽  
Federal Constitution ◽  
Health Council ◽  
Municipal Health

This article presents results of a research carried out with the objective of analyzing the participation of Social Control in the sphere of Public Health Policy of a small municipality, located in the Extreme West of Santa Catarina. This is a qualitative study, carried out with the participation of twelve directors, six representatives of non-governmental entities and six of governmental entities. Data were collected between August and December 2019, through interviews with open and closed questions. The research was approved by the Ethics and Research Committee. All requirements contained in the Resolution of the National Health Council - CNS 466/2012 were observed and respected. The limits for the participation of members in the Council, time and lack of knowledge in the health area were found as limits, and with regard to the possibilities, a broader view of the health services offered, and within this, the prioritization of actions and actions. It is observed that Social Control is very important and necessarily needs to be maintained and strengthened. The Federal Constitution of 1988 consolidated and predicted in its devices the participation of citizens in the formulation and implementation of Social Control, public health policies. It is hoped that the result of the research can boost proposals that are configured as responses to the strengthening of participation in Social Control, recognizing the Health Councils are deliberative and permanent collegiate organs of the SUS, existing in each sphere of government and members of the basic structure of the health system.

Körperliche Beschwerden bei älteren Migranten in Deutschland 1Erstellt unter Mitwirkung der Arbeitsgruppe «Abuse of the Elderly in the European Region» (ABUEL): Joaquim F. J. Soares, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden; Francisco Torres-González, Departmental Section of Psychiatry and Psychological Medicine, University of Granada, Spain; Elisabeth Ioannidi-Kapolou, National School of Public Health, Department of Sociology, Athens, Greece; Giovanni Lamura, Italian National Research Centre on Ageing Department of Gerontological Research, Unit of Health Economics, Ancona, Italy; Mindaugas Stankunas, Kaunas University of Medicine, Department of Health Management, A. Mickeviciaus, Kaunas, Lithuania; Henrique Barros, Department of Hygiene and Epidemiology, University of Porto Medical School, Porto, Portugal.

2010 ◽  
Vol 58 (3) ◽  
pp. 199-206 ◽  
Author(s):  
Rosina-Martha Csöff ◽  
Gloria Macassa ◽  
Jutta Lindert
Keyword(s):  
Public Health ◽  
Health Management ◽  
The Elderly ◽  
Health Department ◽  
Research Unit ◽  
Research Centre ◽  
Public Health Department ◽  
Karolinska Institute ◽  
Psychological Medicine ◽  
Körperliche Beschwerden

Körperliche Beschwerden sind bei Älteren weit verbreitet; diese sind bei Migranten bislang in Deutschland und international noch wenig untersucht. Unsere multizentrische Querschnittstudie erfasste körperliche Beschwerden bei Menschen im Alter zwischen 60 und 84 Jahren mit Wohnsitz in Stuttgart anhand der Kurzversion des Gießener Beschwerdebogens (GBB-24). In Deutschland wurden 648 Personen untersucht, davon 13.4 % (n = 87) nicht in Deutschland geborene. Die Geschlechterverteilung war bei Migranten und Nichtmigranten gleich; der sozioökonomische Status lag bei den Migranten etwas niedriger: 8.0 % (n = 7) der Migranten und 2.5 % (n = 14) der Nichtmigranten verfügten über höchstens vier Jahre Schulbildung; 12.6 % (n = 11) der Migranten und 8.2 % (n = 46) der Nichtmigranten hatten ein monatliches Haushaltsnettoeinkommen von unter 1000€; 26.4 % der Migranten und 38.1 % (n = 214) der Nichtmigranten verfügten über mehr als 2000€ monatlich. Somatische Beschwerden lagen bei den Migranten bei 65.5 % (n = 57) und bei den Nichtmigranten bei 55.8 % (n = 313). Frauen wiesen häufiger somatische Beschwerden auf (61.8 %) als Männer (51.8 %). Mit steigendem Alter nahmen somatische Beschwerden zu. Mit Ausnahme der Altersgruppe der 70–74-Jährigen konnte kein signifikanter Unterschied zwischen Migranten und Nichtmigranten hinsichtlich der Häufigkeit körperlicher Beschwerden gezeigt werden. Ausblick: Es werden dringend bevölkerungsrepräsentative Studien zu körperlichen Beschwerden bei Migranten benötigt.

PENGAKUAN CALABAI: SEBUAH ANALISIS INTERTEKSTUAL NOVEL PASUNG JIWA KARYA OKKY MADASARI DAN NOVEL CALABAI KARYA PEPI AL-BAYQUNIE

Jurnal KATA ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. 50
Author(s):  
Krisna Aji Kusuma ◽  
Herman J Waluyo ◽  
Nugraheni Eko Wardani
Keyword(s):  
Content Analysis ◽  
Analysis Data ◽  
Qualitative Approach ◽  
The Novel ◽  
Research Results ◽  
Self Actualization ◽  
Similarities And Differences ◽  
The Difference ◽  
Descriptive Qualitative

<p><em>This study aims to describe the intertextuality relationship between the novel Pasung Jiwa by Okky Madasari and Calabai by Pepi Al-Bayqunie. The type of research is descriptive qualitative approach using content analysis. Data are collected by inventorying events that are similarities and differences, specifications on the characters, settings, plots, and themes of both text. The research results indicate that there are similar themes on the two novels, the theme of self actualization in addition with the theme of family and friendship. The same characterization are also used by both author, masculine figures with feminine soul characters. The difference between the two novels lies on the plot and setting. Pasung Jiwa uses progressive plot and Calabai uses a flash-back plot.. Okky Madasari takes Java Island as the background in the novel Pasung Jiwa, while the novel Calabai, Pepi Al-Bayqunie using the setting of Sulawesi Island. The basis of the similarity of theme and characterization supported by the similirity of events in the story shows the existence of intertextual relationship between the two novels. As a previously published work, the novel Pasung Jiwa by Okky Madasari is a hipogram and novel Calabai by Pepi A-Bayqunie as a transformational text. On the theme and characterization, the transformation of Calabai forward the hypogram, while in the plot and setting deviates his hypogram, Pasung Jiwa.</em></p><p>Penelitian ini bertujuan untuk mendeskripsikan hubungan intertekstualitas antara novel Pasung Jiwa karya Okky Madasari dan novel Calabai karya Pepi Al-Bayqunie. Jenis penelitian ini adalah deskriptif kualitatif dengan pendekatan konten analisis. Data dikumpulkan dengan menginventariskan peristiwa yang merupakan persamaan dan perbedaan, spesifikasi pada tokoh, latar, alur, dan tema dari kedua teks. Hasil penelitian ini menunjukkan bahwa terdapat kesamaan tema pada kedua novel, yaitu tema aktualisasi diri, ditambah dengan tema keluarga dan persahabatan. Penokohan yang sama juga digunakan oleh kedua penulis, yaitu tokoh maskulin dengan karakter jiwa feminin. Perbedaan kedua novel terletak pada alur dan latar. Pasung Jiwa menggunakan alur maju dan Calabai menggunakan alur campuran. Latar dalam novel Pasung Jiwa, Okky Madasari mengambil latar Pulau Jawa, sedangkan novel Calabai, Pepi Al-Bayqunie menggunakan latar Pulau Sulawesi. Dasar kesamaan tema dan penokohan didukung kesamaan peristiwa-peristiwa dalam cerita menunjukkan adanya hubungan intertekstual antara kedua novel. Sebagai karya yang terbit terlebih dahulu menjadikan novel Pasung Jiwa karya Okky Madasari adalah hipogram dan novel Calabai karya Pepi Al-Bayqunie sebagai teks transformasi. Pada tema dan penokohan, transformasi Calabai meneruskan hipogram, sedangkan pada alur dan latar menyimpangi hipogramnya, Pasung Jiwa.</p>

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