scholarly journals SISTEMA ÚNICO DE SAÚDE (SUS): POLÍTICA DE SAÚDE COLETIVA

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

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


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.


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.


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.


1995 ◽  
Vol 27 (3) ◽  
pp. 551-567 ◽  
Author(s):  
Carl J. Murdock

AbstractThis study of public health policy in Chile uncovers some of the social tensions in that country during the 1880s, and illustrates the fragmentation of the Chilean elite prior to the Revolution of 1891. The Chilean government's controversial and contested public health policies implied the increasing bureaucratic organisation and regulation of society. The justifications offered for these policies by central government officials reveal both the deep roots in Chilean politics of a powerful Executive, and the early linkage between the ‘scientific discourses’ of medical professionals and the bureaucratic centralisation of state power.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
W Van Hoof ◽  
C Mayeur

Abstract The time when public health policies could be based solely on expert opinion has gone. Public opinion has a real impact on the effectiveness of public health policy. However, for complex issues such as vaccination, screening, GMO’s, privacy and data governance, public opinion is divided. How to integrate divided public opinions into a well-structured health policy? In Belgium, as in many other countries, policy makers have started to turn to deliberative processes to guide policy making with citizen involvement, especially in ethically contentious areas. Deliberative processes aim to involve citizens in policy making in a setting where individual opinions and interests are weighed honestly and fairly, so that through well informed deliberation common ground can emerge. Participants are informed by a neutral information package, a variety of experts and facilitated discussions. In a very transparent way, these positions are molded into tailored policy inputs. In Belgium, such initiatives have recently been organized on biobanking, genomics, e-health, reimbursement policies and more. In France, the government is obliged by law to organize a comprehensive deliberative public consultation on bioethical issues every seven years. Especially in areas that require a large degree of trust, a deliberative approach ensures policies that can be supported by people with diverse views. They offer a viable alternative to traditional models of power and conflict that is more suitable to governance in 21st century democracies. They allow citizens to make a meaningful contribution to topics they may not have been familiar with beforehand, but that do touch on their private lives and interests. The most recent Belgian initiative resulted in nine concrete policy inputs for the implementation of genomics in health care, presented directly by the citizens to the Minister of Public Health. The French initiative is the basis for the current review of the law on bioethics in parliament. Key messages Public health issues touch the interests of all citizens: citizen deliberation should be regarded as an important input for public health policies. A deliberative approach enhances public trust, especially in areas of social or ethical contention.


2012 ◽  
Vol 41 (2) ◽  
pp. 391-408 ◽  
Author(s):  
ROB BAGGOTT

AbstractLike many countries, England has introduced a range of policies and strategies on public health since the early 1990s. Using concepts drawn from the policy success and failure literature, this article concludes that recent governments in England achieved only ‘precarious success’ in McConnell's typology. It demonstrates, with wider significance, that success or failure is not merely about policy achievement in programme terms, but that policy processes and the political dimensions of policy must be included in any evaluation. It also highlights the adversarial nature of public health policy, the subjectivity of judgments about effectiveness and the political problems this creates for government. The article pinpoints the relevance of public health policies for judgements about government competence, trustworthiness and accountability. It argues that failures of public health policy, including poor evaluation and failures to learn from experience, may be more comprehensible by adopting a political analysis of public policy making in this field.


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