Sobre ausências e silenciamentos: uma análise dos sentidos do Sistema Único de Saúde no Caderno Vida, do Diário do Nordeste

Sobre ausências e silenciamentos: uma análise dos sentidos do Sistema Único de Saúde no Caderno Vida, do Diário do Nordeste On absences and silences: an analysis of the senses of the Unified Health System in the Caderno Vida, Diário do Nordeste ResumoEste artigo tem como objetivo compreender os modos pelos quais o jornal Diário do Nordeste construiu sentidos sobre o Sistema Único de Saúde no seu suplemento semanal dedicado ao tema saúde, o Caderno Vida. Utilizamos como método uma análise qualitativa de seis textos jornalísticos que continham a presença do SUS, baseada no referencial teórico-metodológico da Semiologia dos Discursos Sociais. Entre os principais resultados, observou-se que o Diário do Nordeste constituiu modos de falar sobre o SUS a partir de estratégias discursivas de crítica, tecidas através da visibilidade conferida à ausência de tecnologias nos serviços de saúde e à precariedade no financiamento; e de silenciamentos sobre o SUS a partir de sua não nomeação na divulgação de serviços e políticas de saúde, especialmente quando positivos e valorizados na esfera pública.Palavras-chaves: Mídia; Cotidiano; Jornalismo; Discursos; Sentidos AbstractThis article aims to understand the ways in which the Diário do Nordeste newspaper has constructed senses about the Unified Health System in its weekly supplement dedicated to health, the “Caderno Vida”. We used as a method a qualitative analysis of six journalistic texts that contained the presence of SUS, based on the theoretical and methodological reference of the Semiology of Social Discourses. Among the main results, it was observed that the Diário do Nordeste constituted ways of talking about SUS based on discursive strategies of criticism, woven through the visibility given to the absence of technologies in health services and the precariousness of financing; and of silencing about the SUS from its non-appointment in the dissemination of health services and policies, especially when positive and valued in the public sphere.Keywords: Media; Daily; Journalism; Discourses; Senses

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Retrospective study of the distribution of doctors in municipalities of extreme poverty in Brazil

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.323 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

B L O Luizeti ◽

E M M Massuda ◽

L F G Garcia

Keyword(s):

Public Health ◽

Health System ◽

Cross Sectional Study ◽

Cross Sectional ◽

Extreme Poverty ◽

The Public ◽

The North ◽

Unified Health System ◽

Shortage Of Doctors ◽

Demographic Distribution

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.

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The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis

International Journal of Health Services ◽

10.1177/0020731416679351 ◽

2016 ◽

Vol 47 (3) ◽

pp. 477-488 ◽

Cited By ~ 4

Author(s):

Noa Krawczyk ◽

Deanna Kerrigan ◽

Francisco Inácio Bastos

Keyword(s):

Health Services ◽

Health System ◽

Economic Crisis ◽

Rio De Janeiro ◽

Crack Cocaine ◽

Access To Health Services ◽

Government Programs ◽

Substance Users ◽

Unified Health System ◽

Harsh Criticism

Calls to address crack-cocaine use in Brazil among homeless and street-frequenting populations who are in urgent need of health services have questioned the capacity of the Brazilian Unified Health System to attend to the nation’s most marginalized citizens. In recent years, Brazil has launched several actions to escalate care for substance users, yet many obstacles hindering accessibility and effectiveness of services remain. Paradoxically, these actions have been implemented in the context of a growing economic crisis, and expanding services for a population of poor and stigmatized substance users while cutting other government programs tends to elicit harsh criticism from citizens. In consequence of such prospects, this commentary aims to discuss barriers marginalized substance users face in accessing health services that are at risk of worsening with government cutbacks. Using Rio de Janeiro as an example, we explore two primary issues: the resource-strained, under-staffed and decentralized nature of the Brazilian Unified Health System and the pervading stigma that bars vulnerable citizens from official structures and services. Abandoning initiated government efforts to increase access to health services would risk maintaining vulnerable citizens at the margins of public structures, inhibiting the opportunity to offer this population humane and urgently needed treatment and care.

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Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

Acta Cirurgica Brasileira ◽

10.1590/s0102-86502010000200014 ◽

2010 ◽

Vol 25 (2) ◽

pp. 201-205 ◽

Cited By ~ 4

Author(s):

Wilson Salgado Júnior ◽

Karoline Calfa Pitanga ◽

José Sebastião dos Santos ◽

Ajith Kumar Sankarankutty ◽

Orlando de Castro e Silva Jr ◽

...

Keyword(s):

Bariatric Surgery ◽

Health System ◽

Perioperative Period ◽

University Hospital ◽

Retrospective Evaluation ◽

The Public ◽

Unified Health System ◽

The Government ◽

The Cost ◽

The University

PURPOSE: Analyze the effect of some measures on the costs of bariatric surgery, adopting as reference the remuneration of the procedure provided by the Unified Health System (SUS). METHODS: A retrospective evaluation conducted in the Costs Section of the University Hospital of Ribeirão Preto, of the costs involved in the perioperative period for patients submitted to bariatric surgery from 2004 to 2007. Changes in the routines and protocols of the service aiming at the reduction of these costs during the study period were also analyzed. RESULTS: Nine patients in 2004 and seven in 2007 submitted to conventional vertical banded "Roux-en-Y" gastric bypass were studied. All patients presented good postoperative evolution. The average cost with these patients was R$ 6,845.17 in 2004. Even though an effort was made to contain expenditures, the cost in 2007 was of R$ 7,525.64 because of the increase in the price of materials and medicines. The Government remuneration of the procedure in the two years was R$ 3,259.72. CONCLUSION: Despite the adoption of diverse measures to reduce the expenditures of bariatric surgery, in fact there was an increase in the costs, a fact supporting the necessity of permanent evaluation of the financing of public health.

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Experiência com círculo de cultura na casa acolhedora do arco

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i4a230602p1144-1152-2018 ◽

2018 ◽

Vol 12 (4) ◽

pp. 1144 ◽

Cited By ~ 1

Author(s):

Vitória Ferreira do Amaral ◽

Tamara Braga Sales ◽

Ana Suelen Pedroza Cavalcante ◽

Sineonny Vieira dos Santos ◽

Francisco Breno de Sousa Lima ◽

...

Keyword(s):

Health Education ◽

Health Services ◽

Health System ◽

Paulo Freire ◽

Unified Health System

RESUMOObjetivo: relatar as vivências e atividades desenvolvidas na “Casa Acolhedora do Arco” durante a edição 2015 do Projeto Vivências e Estágios na realidade do Sistema Único de Saúde (VER-SUS). Método: estudo descritivo, tipo relato de experiência das vivências de estudantes “versusianos” das categorias de Enfermagem, Psicologia e Educação Física, do grupo IV de trabalho. Para o registro de informações e coleta de dados, utilizaram-se o diário de campo e relatórios. O desenvolvimento das atividades foi fundamentado no método do Círculo de Cultura, de Paulo Freire, seguido de quatro encontros. Resultados: o primeiro encontro - apresentação dos participantes e mapeamento das palavras geradoras; o segundo encontro - aprofundamento das palavras geradoras; o terceiro encontro - reflexão/problematização sobre o papel social de ser mulher e mãe e o quarto encontro - expressão corporal, celebração sobre o sentido do apoio grupal e superação. Conclusão: o projeto VER-SUS Extensão propiciou, aos viventes, contribuir, de modo direto, no serviço de saúde de Sobral por meio da “Casa Acolhedora do Arco” Sobral onde se proporcionou o estímulo à produção de conhecimentos e sua aplicação de acordo com a realidade concreta observada no território. Descritores: Sistema Único de Saúde; Educação em Saúde; Interdisciplinaridade; Mulher; Projeto; Serviços de Saúde. ABSTRACT Objetivo: relatar as vivências e atividades desenvolvidas na “Casa Acolhedora do Arco” durante a edição 2015 do Projeto Vivências e Estágios na realidade do Sistema Único de Saúde (VER-SUS). Método: estudo descritivo, tipo relato de experiência das vivências de estudantes “versusianos” das categorias de enfermagem, psicologia e educação física do grupo IV de trabalho. Para o registro de informações e coleta de dados, utilizou o diário de campo e relatórios. O desenvolvimento das atividades foi fundamento no método do Círculo de Cultura de Paulo Freire seguindo de quatro encontros. Resultados: o primeiro encontro, apresentação dos participantes e mapeamento das palavras geradoras, o segundo encontro, aprofundamento das palavras geradoras, o terceiro encontro, reflexão/problematização sobre o papel social de ser mulher e mãe e o quarto encontro, expressão corporal, celebração sobre o sentido do apoio grupal e superação. Conclusão: o projeto VER-SUS Extensão propiciou aos viventes contribuir de modo direto no serviço de saúde de Sobral por meio da “Casa Acolhedora do Arco” Sobral, em que proporcionou o estímulo a produção de conhecimentos e sua aplicação de acordo com a realidade concreta observada no território. Descritores: Unified Health System; Health Education; Interdisciplinarity; Women; Projects; Health Services. RESUMEN Objetivo: relatar las vivencias y actividades desarrolladas en la “Casa Acogedora del Arco” durante la edición 2015 del Proyecto Vivencias y Pasantías en la realidad del Sistema Unico de Salud (VER-SUS). Método: estudio descriptivo, tipo relato de experiencia de las vivencias de estudiantes "versusianos" de las categorías de enfermería, psicología y educación física del grupo IV de trabajo, que participaron del Proyecto VER-SUS Extensión en la "Casa Acogedora del Arco", en la edición 2015. Para el registro de información y recolección de datos, se utilizó el diario de campo e informes. El desarrollo de las actividades fue fundado en el método del Círculo de Cultura de Paulo Freire siguiendo cuatro encuentros. Resultados: el primer encuentro, presentación de los participantes y mapeo de las palabras generadoras, el segundo encuentro, profundización de las palabras generadoras, el tercer encuentro, reflexión / problematización sobre el papel social de ser mujer y madre y el cuarto encuentro, expresión corporal, celebración sobre el sentido del apoyo grupal y la superación. Conclusión: el proyecto VER-SUS Extensión propició a los vivientes contribuir de modo directo en el servicio de salud de Sobral por medio de la "Casa Acoladora del Arco" Sobral, en la que proporcionó el estímulo a la producción de conocimientos y su aplicación de acuerdo con la realidad concreta observada en el territorio. Descritores: Sistema Único de Salud; Educación en Salud; Interdisciplinarity; Mujeres; Proyectos; Servicios de Salud.

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Technical schools of the Unified Health System: an analysis of nursing education

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2018052503580 ◽

2020 ◽

Vol 54 ◽

Author(s):

Juliana Costa Ribeiro-Barbosa ◽

Gilberto Tadeu Reis da Silva ◽

Simone Coelho Amestoy ◽

Cristiane Costa Reis da Silva ◽

Rosana Maria de Oliveira Silva ◽

...

Keyword(s):

Nursing Education ◽

Health System ◽

Qualitative Assessment ◽

Integrative Approach ◽

Professional Skills ◽

The Public ◽

Technical Schools ◽

Service Community ◽

Unified Health System ◽

Teaching Learning

Abstract Objective: To analyze nursing education in the Technical Schools of the Unified Health System in the Northeastern region of Brazil. Method: A documentary study with a qualitative approach, having its locus as Technical Schools of the Unified Health System in the Northeast Region which offer the technical course in nursing. Data sources were the Pedagogical Political Projects of the school and the Teaching Plans of the referred courses, and three structured scripts on the pedagogical aspects of training were used as instruments. The systematization/data analysis was based on thematic content analysis. Results: Technical training in nursing occurs through: an integrative approach, being considered a pedagogical trend; problematizing approach, used as a methodological way for teaching-learning; and qualitative assessment, enhancing the scope of professional skills. Conclusion: The training in focus points to the commitment to the Unified Health System and professional excellence, as it strengthens the integration between teaching-service-community, encourages student proactivity and indicates teaching-learning in the demands of the population and the public health system, and enhances the acquiring and improving professional skills.

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Innovation in the public mental health system: California's Mental Health Services Act

Psychiatrische Praxis ◽

10.1055/s-0031-1277842 ◽

2011 ◽

Vol 38 (S 01) ◽

Cited By ~ 1

Author(s):

R Scheffler ◽

T Brown

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Health System ◽

Mental Health System ◽

Public Mental Health ◽

Public Mental Health System ◽

The Public

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Health services utilisation and responsiveness profiles in Iran: a provincial household study

Family Medicine and Community Health ◽

10.1136/fmch-2018-000007 ◽

2019 ◽

Vol 7 (1) ◽

pp. e000007 ◽

Cited By ~ 1

Author(s):

Mostafa Farahbakhsh ◽

Homayoun Sadeghi Bazargani ◽

Mohammad Saadati ◽

Jafar Sadegh Tabrizi ◽

Mina Golestani ◽

...

Keyword(s):

Health Services ◽

Health System ◽

Health Resources ◽

Cross Sectional ◽

The Public ◽

Significant Difference ◽

System Responsiveness ◽

Health System Responsiveness ◽

East Azerbaijan ◽

Barriers To Health

ObjectiveThe aim of this study was to describe health services utilisation and responsiveness in East Azerbaijan province, Iran.DesignA cross-sectional household study as part of a larger research on primary healthcare system.SettingWe carried out the study in East Azerbaijan Province, northwest Iran from July to September 2015.ParticipantsA total of 1318 households were included.ResultsMost of the participating households had social security health insurance. Heart failure or hypertension care, general outpatient care and arthritis care were the most used services. High services cost and inadequate medicine and medical equipment were introduced to be the main barriers to health services utilisation in Tabriz and province representative sample (PRS), respectively. Health system responsiveness mean score (the maximum is 100) was 33.71±16.15 (95% CI 32.45 to 34.97) in Tabriz and 32.02±14.3 (95% CI 30.9 to 33.13) in PRS, which showed significant difference (p≤0.02).ConclusionsDifferences in the utilisation and responsiveness of health services and distribution of health resources were observed between Tabriz and PRS. Evidently, health system responsiveness in both Tabriz and PRS was at low level. The results demonstrate the need for changing resource distribution policies and employing reactive health policies to response the public health.

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