scholarly journals Living, collective and political organisms for construction of the attributes of the National Oral Health Policy

Author(s):  
Alexandre Fávero BULGARELLI

ABSTRACT The last few decades have witnessed a growth in the value of dentists as health professionals as they act as protagonists in the construction of public health policies. This change comes from powerful and representative dentists in the Unified Health System (acronym in Portuguese is SUS). This short theoretical essay aims to bring the reader closer to the attributes necessary for the building of a social policy and draws a parallel with the National Oral Health Policy (acronym in Portuguese is PNSB). Issues such as context-oriented health policy and the National Oral Health Policy associated with the attributes of a social policy are presented in a narrative and reflective manner. In this process, the exercise of citizenship is demonstrated, emphasizing the importance of the collective role and policy of dentist surgeons in the stages of health policies in Brazil

Author(s):  
Eneida Orbage de Britto Taquary ◽  
Isadora Orbage de Britto Taquary

A problemática se refere à necessidade de se conhecer os critérios para otimizar os protocolos na saúde pública, de forma a obedecer os princípios do Sistema Único de Saúde (SUS). A hipótese levantada se refere à otimização dos recursos econômicos no SUS e os critérios utilizados para observância de um protocolo. Objetiva identificar as características e princípios do SUS e conhecer a política de saúde baseada em evidências. A metodologia será baseada em revisão bibliográfica e na jurisprudência constitucional, de forma a alcançar como resultado a identificação da saúde como direito coletivo e social.  The problem refers to the need to know the criteria to optimize protocols in public health, in order to obey the principles of the Unified Health System (SUS). The hypothesis raised refers to the optimization of the economic resources in the SUS and the criteria used to observe a protocol. It aims to identify the characteristics and principles of SUS and to know the health policy based on evidence. The methodology will be based on literature review and constitutional jurisprudence, in order to achieve as a result the identification of health as a collective and social right.  Unified Health System. Health Unic System; Public health policies in Brazil; Collective and social law


2018 ◽  
Vol 71 (4) ◽  
pp. 2066-2071 ◽  
Author(s):  
Janieiry Lima de Araújo ◽  
Rodrigo Jácob Moreira de Freitas ◽  
Maria Vilani Cavalcanti Guedes ◽  
Maria Célia de Freitas ◽  
Ana Ruth Macedo Monteiro ◽  
...  

ABSTRACT Objective: to discuss, taking for reference the crisis in Brazil and its impact on public health policies, the insertion of Brazilian nursing in that context and its ways of practicing the profession, based on the study about the politicality of care. Method: the reflection is divided into two topics, the first is about public policies, the Brazilian Unified Health System and the deconstruction of the right to health with neoliberal offensive; and the second is about the nursing political action in the fight for the right to health and for democracy. Final considerations: we emphasize that nursing must assume its sociopolitical role to contribute to the construction of a better and fairer Brazil, saying no to neoliberal reforms, as well as fighting for rights already acquired and for the resumption of the democratic stability in the country.


2021 ◽  
pp. 89-109
Author(s):  
James Wilson

Public health policies are often accused of being paternalistic, or to show the ‘Nanny State’ in action. This chapter argues that complaints about paternalism in public health policy are, for a variety of reasons, much less convincing than is often thought. First, for conceptual reasons, it is difficult to specify what it would be for a policy to be paternalistic. Second, two of the elements that make paternalism problematic at an individual level—interference with liberty and lack of individual consent—are endemic to public policy contexts in general and so cannot be used to support the claim that paternalism in particular is wrong. The chapter concludes that instead of debating whether a given policy is paternalistic, it would be better to ask whether the infringements of liberty it contains are justifiable, without placing any weight on whether or not those infringements of liberty are paternalistic.


2020 ◽  
Vol 14 (53) ◽  
pp. 1173-1188
Author(s):  
Bruno Henrique Mendes ◽  
Jefferson Reis Lacerda ◽  
Andréia Cristina Barreto

O ambiente hospitalar é palco de fenômenos desencadeadores de reações psicológicas das mais diversas naturezas. Em geral, o processo de adoecimento está envolto por angústias e inseguranças que demandam atenção especializada, sobretudo com a necessidade de compreensão da saúde como estado de bem-estar físico, psíquico e social. A Psicologia Hospitalar, como subespecialidade da Psicologia da Saúde, se ocupa da contribuição para o bom andamento da recuperação e promoção da saúde integral do paciente. Neste sentido, o presente trabalho tem por objetivo apresentar a atuação do (a) psicólogo (a) hospitalar no contexto do Sistema Único de Saúde (SUS). Observa-se que a atuação do profissional de psicologia neste contexto está ligada ao compromisso ético-político com a defesa da cidadania e é baseada em um eixo principal, composto por ações de atenção ao paciente, à família e à equipe de saúde.


2021 ◽  
pp. 323-338
Author(s):  
John Powles ◽  
Hebe Gouda

Public health policies might thus be thought of as the policies that guide these ‘organized efforts’ to protect and improve health. The scope of such policies depends a good deal, however, on what is considered to be entailed by ‘organized efforts’. and on how centrally ‘organized efforts’ are understood to be related to efforts that are more decentralized, more informal, less organized, perhaps even ‘spontaneous’. The relative importance and legitimacy of centralized versus decentralized uses of knowledge in protecting and enhancing health is a common underlying theme in discussion of public health policy. This chapter discusses public health policy, and differences in outcomes, across different developed countries.


2020 ◽  
Author(s):  
Mohammadtaghi Mohammadpour ◽  
Peivand Bastani ◽  
Arash Ghanbarzadegan ◽  
Jamshid Bahmaei

Abstract Background: As the strategies proposed for oral health improvement in developed countries do not adapt for the setting of the developing ones, this study aimed to identify the challenges of oral health policy implementation in Iran as a low-income developing country. Methods: This is a qualitative study conducted in 2019 in Iran as a middle-eastern developing country. The study population consisted of all the experts who had enough experience in the oral health and were willing to participate in the study. Snowball sampling was used to select 12 participants for semi-structured interviews and saturation was achieved after 16 interviews with them. Guba and Lincoln criteria including credibility, transferability, confirmability and dependability were used to determine the reliability and transparency, and finally five-step framework analysis method was used to analyze the data. Results: The analysis of the interviews resulted in identification of 7 main themes that are categorized in 5 problems of policy implementation proposed by Matus framework. The main themes of executive and preventive challenges to implement oral health policies are categorized as organizational problem, the main themes of educational and resource challenges are situated as the material problems, and the present main themes of insurance, policy making and trusteeship challenges are considered as the legal, policymaking and perspective. Conclusion: According to the present results, the implementation of oral health policies has faced some challenges. It seems that the national coverage of oral health and integration of these services in prevention and serious attention to the private sector can be considered as the most important strategies for achieving improved oral health in Iran.


Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1221
Author(s):  
Zahra Pasdar ◽  
Tiberiu A. Pana ◽  
Kai D. Ewers ◽  
Weronika A. Szlachetka ◽  
Jesus A. Perdomo-Lampignano ◽  
...  

Reliance on government-led policies have heightened during the COVID-19 pandemic. Further research on the policies associated with outcomes other than mortality rates remains warranted. We aimed to determine associations between government public health policies on the severity of the COVID-19 pandemic. This ecological study including countries reporting ≥25 daily COVID-related deaths until end May 2020, utilised public data on policy indicators described by the Blavatnik school of Government. Associations between policy indicators and severity of the pandemic (mean mortality rate, time to peak, peak deaths per 100,000, cumulative deaths after peak per 100,000 and ratio of mean slope of the descending curve to mean slope of the ascending curve) were measured using Spearman rank-order tests. Analyses were stratified for age, income and region. Among 22 countries, containment policies such as school closures appeared effective in younger populations (rs = −0.620, p = 0.042) and debt/contract relief in older populations (rs = −0.743, p = 0.009) when assessing peak deaths per 100,000. In European countries, containment policies were generally associated with good outcomes. In non-European countries, school closures were associated with mostly good outcomes (rs = −0.757, p = 0.049 for mean mortality rate). In high-income countries, health system policies were generally effective, contrasting to low-income countries. Containment policies may be effective in younger populations or in high-income or European countries. Health system policies have been most effective in high-income countries.


2021 ◽  
Vol 7 (1) ◽  
pp. 42-46
Author(s):  
Karma Tenzin ◽  
Tshewang Gyeltshen ◽  
Gyan P Bajgai ◽  
Sonam Nyedup ◽  
Choki Choki ◽  
...  

Introduction: Bhutan’s healthcare approach in achieving the sustainable development goal 3 (SDG 3) has been largely through primary healthcare as enshrined in the universal health coverage (UHC). Bhutan has forged a unique primary healthcare model in which oral health is integrated in its primary care initiatives. The Oral Health program under the Department of public health was established in 1999 with clear line objectives. The program has achieved commendable successes over the years. However, with changing needs, enhancing and mainstreaming of oral health and dentistry in the country must be accorded a top priority. This is particularly important as the Oral Health Policy and service standards were drafted fourteen years ago in 2007. The 2021 World Health Orgnization (WHO) agreement “to provide basic oral health services to all”, to which Bhutan is signatory, needs to be strictly implemented. Therefore, oral health dialogue was conducted to deliberate on the oral health systems in the country with experts from the field who were from within and outside Bhutan. This oral health policy dialogue generated important themes such as strategic and competent workforce, capacity development, need to transform oral health services in more people centric ways and mainstreaming oral health in other health policies.


2020 ◽  
Vol 25 ◽  
Author(s):  
Rodrigo Oliveira da Fonsêca ◽  
Monique Ramos Paschoal Dutra ◽  
Maria Ângela Fernandes Ferreira

RESUMO Objetivo Identificar a satisfação de usuários com os aparelhos de amplificação sonora individual (AASI) concedidos pelo Sistema Único de Saúde (SUS). Estratégia de pesquisa Trata-se de uma revisão integrativa da literatura, realizada nas bases de dados LILACS, SciELO, PubMed e Scopus, empregando os descritores hearing loss, public health policy, Unified Health System, public health, patient satisfaction e hearing aids. Critérios de seleção Foram selecionados artigos publicados a partir de 2004, sem restrição quanto ao idioma, envolvendo usuários adaptados pelo SUS. Excluíram-se publicações repetidas, resenhas, artigos de opinião, editoriais, teses e dissertações. Resultados Foram localizados 1011 estudos, dos quais, 24 foram incluídos. As pesquisas veicularam-se a partir de 2007, com predomínio na região Sudeste, por meio de abordagens quantitativas e, em grande parte, com amostras limitadas, compreendendo adultos e idosos. Os questionários de autoavaliação foram os recursos utilizados para avaliar a satisfação. Conclusão A maioria dos usuários revelou elevada satisfação com os AASI concedidos pelo SUS.


2020 ◽  
Vol 9 (8) ◽  
Author(s):  
Eduardo Jorge Sant´Ana Honorato ◽  
André Luiz Machado das Neves ◽  
Munique Therense ◽  
Gizelly de Carvalho Martins ◽  
Vivian Silva Lima Marangoni ◽  
...  

Dealing with the Covid-19 pandemic is playing a significant role in public health policies around the world. Mental health is one. Either in supporting the maintenance of isolation or dealing with demands, which may come from the general population and health professionals. This work presents a compilation of data obtained by clinical psychologists during the Covid-19 pandemic in Brazil. Through searches on social media with #Covid19 and #MentalHealth and the exchange of information on networks of professionals, it was possible to compile and group the main psychological symptoms presented during isolation. Information was clustered according to the period it appeared, in order to guide future situations. Moreover, to prepare a group of clinical psychologists to provide online assistance. Prevention must be the key to deal with the mental health catastrophe that there is to come.


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