This article analyzes the identity-building process for community-based health workers in the context of their role in the Health Family Program team and their interaction with the residents of communities where they work. Based on this analysis we specifically emphasize conflicts of interpretation, power relationships between both sides of identity-building for community-based health workers from three perspectives: that included in the official training of these workers, that produced by workers concerning themselves, and that transmitted by the community. The fact that community-based health workers live the reality of health practices in the neighborhoods where they live and work and are trained with biomedical references makes them actors that convey both the contradictions and the possibility for a deep dialogue between these two forms of knowledge and practice.
Health technology assessment (HTA) is the systematic evaluation of the properties and impacts of health technologies and interventions. In this article, we presented a discussion of HTA and its evolution in Brazil, as well as a description of secondary data sources available in Brazil with potential applications to generate evidence for HTA and policy decisions. Furthermore, we highlighted record linkage, ongoing record linkage initiatives in Brazil, and the main linkage tools developed and/or used in Brazilian data. Finally, we discussed the challenges and opportunities of using secondary data for research in the Brazilian context. In conclusion, we emphasized the availability of high quality data and an open, modern attitude toward the use of data for research and policy. This is supported by a rigorous but enabling legal framework that will allow the conduct of large-scale observational studies to evaluate clinical, economical, and social impacts of health technologies and social policies.
BackgroundScience studies have been a field of research for different knowledge areas, and they have been successfully used to analyse the construction of scientific knowledge, practice and dissemination. In this study, we aimed to verify how the Zika epidemic has moulded the scientific articles published worldwide by analysing international collaborations and the knowledge landscape through time, as well as research topics and country involvement. OPEN ACCESS Citation: Oliveira JFd, Pescarini JM, Rodrigues MdS, Almeida BdA, Henriques CMP, Gouveia FC, et al. (2020) The global scientific research response to the public health emergency of Zika virus infection. PLoS ONE 15(3): e0229790. https://doi.
Personal data usage and privacy considerations in the COVID-19 global pandemicResumo Dados ganham cada vez mais importância e valor na busca de respostas para enfrentar a COVID-19 tanto para a ciência quanto para as autoridades sanitárias. Em virtude da dificuldade de realizar diagnóstico da infecção na população em geral, iniciativas apoiadas em tecnologias digitais vêm sendo desenvolvidas por governos ou empresas privadas para possibilitar rastreamentos de sintomas, contatos e deslocamentos de modo a apoiar estratégias de acompanhamento e avaliação na vigilância de contágios. A despeito da importância e necessidade dessas iniciativas, questionamentos acerca da quantidade e tipos de dados pessoais coletados, processados, compartilhados e utilizados em nome da saúde pública, bem como os concomitantes ou posteriores usos desses dados, suscitam questionamentos éticos, legais e técnicos. Desafios que apontam para a necessidade de novos modelos de governança de dados e de tecnologias, responsáveis e transparentes, para controlar o Sars-Cov2 e as futuras emergências de saúde pública. Palavras-chave Dados pessoais,
Data has become increasingly important and valuable for both scientists and health authorities searching for answers to the COVID-19 crisis. Due to difficulties in diagnosing this infection in populations around the world, initiatives supported by digital technologies are being developed by governments and private companies to enable the tracking of the public’s symptoms, contacts and movements. Considering the current scenario, initiatives designed to support infection surveillance and monitoring are essential and necessary. Nonetheless, ethical, legal and technical questions abound regarding the amount and types of personal data being collected, processed, shared and used in the name of public health, as well as the concomitant or posterior use of this data. These challenges demonstrate the need for new models of responsible and transparent data and technology governance in efforts to control SARS-COV2, as well as in future public health emergencies.
All the contents of this work, except where otherwise noted, is licensed under a Creative Commons Attribution 4.0 International license.Todo o conteúdo deste trabalho, exceto quando houver ressalva, é publicado sob a licença Creative Commons Atribição 4.0.Todo el contenido de esta obra, excepto donde se indique lo contrario, está bajo licencia de la licencia Creative Commons Reconocimento 4.0.
RESUMO No setor da saúde, a incorporação de inovações tem contribuído para um aumento da demanda por serviços públicos, bem como por tecnologias e materiais utilizados na prestação de serviços de saúde. Um dos segmentos que mais pressionam os serviços em termos da incorporação de seus produtos é a indústria farmacêutica. Este estudo tem como objetivo descrever as trajetórias tecnológicas no segmento de medicamentos para a diabetes lançados no Brasil entre 1998 e 2012. Essas drogas representam uma importante proporção de gastos com medicamentos no País. Ao empregar uma metodologia qualitativa, descritiva e exploratória, este estudo buscou responder às seguintes perguntas: houve mudanças nas trajetórias tecnológicas aqui consideradas ao longo do referido período de tempo? As inovações incorporadas no País têm sido de natureza incremental ou radical? Quais são as evidências que apoiam as mudanças de direção? À luz dos dados coletados a partir de uma variedade de bases de dados, foi possível verificar que os medicamentos contra a diabetes introduzidos durante esse período representaram inovações incrementais em relação às trajetórias tecnológicas aqui consideradas.
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