Desigualdades no centro do debate

Abstract

a group with diverse backgrounds and institutional affiliations, who have collaborated generously for readers to enjoy a set of texts with in-depth reflections on the theme of transformations in the territory and their implications for health policy and the context of socio-spatial inequalities in Brazil. The theme is dear to the principles of Brazil's 1988 National Constitution, which determines that the fight against regional inequalities, based on regional development, is a commitment for the Brazilian state. The commentators have made numerous contributions to dealing with the issues faced in the implementation of a policy to decrease health inequalities and that backs the consolidation of a system that simultaneously responds to the requirements of universal coverage and regional and local specificities. The researchers also analyze the long-term reasons (and alarming immediate reasons in the current context) for the lack of commitment to more comprehensive implementation of systemic, universal, coordinated, and cooperative public policies, notably in the Brazilian Unified National Health System (SUS). For this very reason, it is impossible to debate all the questions suggested by the commentators, which would mean not only producing at least one more article, but also conducting further studies for a new series of reflections. We thus believe it will be more reasonable to focus on the discussion as a whole, referring to the crosscutting issues in all the commentary (although from various perspectives) that are pertinent to the underlying arguments in our original debate article. The regional phenomenon involves a broad process involving the combination of various dimensions: political, institutional, economic, cultural, and natural. Since this phenomenon is influenced by the complexity of old and renewed international and national flows, it creates a mosaic with a broad spectrum and territorial differentiation. An analysis of the regional scale thus requires identifying globalization's inherent processes. Given the current period of accelerated transformations, the region, when viewed on a more local scale, still requires a guarantee of continuity. Currently, however, the region's heavy fragmentation and the discontinuity of its extensions require an analysis according to differentiated territorial scales in order to capture the respective phenomena in a given time period 1 .

Ideación suicida, uso de sustancias psicoactivas y sufrimiento mental entre la población sin hogar de un municipio brasileño

“…A compreensão da pessoa que vivencia o comportamento suicida exige, por vezes, entendimento acerca do estigma sobre o fenômeno e em relação às visões contemporâneas, que atribuem a este comportamento um cunho de marginalidade. Além disso, é fundamental a ruptura desses olhares parciais e uma compreensão abrangente do espectro envolto na temática (25) .…”