Proposta e análise de indicadores para reorientação do serviço na promoção da saúde: um estudo de caso no Centro de Saúde Escola Germano Sinval Faria

Reis, Inês Nascimento de Carvalho; Vianna, Marcos Besserman

doi:10.1590/s1413-81232004000300020

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…Si bien el concepto de promoción de la salud ha sido acuñado durante el siglo XX, este no es un concepto estático. Se comenzó a esbozar en publicaciones de Sigerist y Leavell y Clark 19 , y fue modificándose con la sucesivas conferencias internacionales (Buss, 2008;Carvalho & Besserman, 2004).…”

Section: Desigualdades Sociales Y Gestión Local De Salud Modelos De unclassified

Gestión local de salud : intervenciones en relación a desigualdades sociales. Revisión crítica de artículos científicos acerca de la Argentina y Brasil en el período 2005-2015

Mercuri¹

2018

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The new century began with a renewed impulse to examine and develop strategies to address social inequalities. In addition, the importance attributed to them in the health status of the populations and in the so-called health disease care process (HDCP), contributing to inequity in health, has grown at this time. It is argued that the local level of health-often called Primary Health Care (PHC)-is the most appropriate for performing individual, family and collective interventions aimed at addressing these-also called social determinants in the literatura-. This implies changes in the model of care, community actions and intersectoral articulations. This thesis aimed to review and analyze scientific articles on social inequalities and local health services management, identifying the advances, obstacles and proposals observed in Argentina and Brazil in the period 2005-2015. Documents in the form of scientific articles from indexed magazines were studied. The corpus was characterized according to its location and identification. The articles were categorized in relation to the thematic content of their contributions. And finally an analysis and discussion of these categories was made taking into account the axes advances, obstacles and proposals. In the articles, a notable influence of structural properties, rules and resources on health equity and local level management was identified, as well as the importance of care production processes that include community action in PHC, work in territory and intersectoral articulation in order to adequately address the social inequalities that affect the HDCP, being central the construction of citizenship and the rights approach. In order to reduce inequity in health, we also detected the need to continue improving the accessibility and coverage of PHC and the counterreferral referral mechanisms.

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Section: Desigualdades Sociales Y Gestión Local De Salud Modelos De unclassified

Gestión local de salud : intervenciones en relación a desigualdades sociales. Revisión crítica de artículos científicos acerca de la Argentina y Brasil en el período 2005-2015

Mercuri¹

2018

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"Envelhecimento ativo: desafio dos serviços de saúde para a melhoria da qualidade de vida dos idosos"

Albuquerque¹

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An analysis of actions to promote health in underprivileged urban areas: a case in Brazil

Reis

O’Dwyer

2013

BMC Fam Pract

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BackgroundTwo policies stood out in the 2000s geared towards changing the care model adopted in Brazil: The National Policy on Primary Health Care, based on a family health care model, and the National Policy on Health Promotion.The aim of this study was to analyze health promotion actions developed by family health care teams in the municipality of Belford Roxo. This town was chosen by virtue of its “below average” level of primary health care services offered in relation to other municipalities in Rio de Janeiro state.MethodsThe following methodological strategies were employed: analysis of health systems, document analysis (2010 Annual Health Schedule and 2010 Annual Management Report), participant observation and interviews with nine health care professionals in the region of study, namely: the manager of the Regional Health Polyclinic (responsible for health care actions in the region), and nurses belonging to the eight family health teams. Giddens’ Theory of Structuration was used for analysis of the results.ResultsVarying levels of health care activity were found, indicating that the managers have been either unable or lacked the commitment to perform the proposed actions. From a structural point of view, 87.5% of the teams were incomplete. Also of particular note was the lack of any physicians in the teams, which, despite its detrimental effect, was regarded by the interviewees as “natural”.Strong political party influence in the area hindered relations between the team and the local population. Health education, especially through lectures was the main health promotion activity picked up in this study.No cross-sectorial or public participation actions were identified. Connections between the teams for sharing responsibilities were found to be very weak.ConclusionIn addition to political factors, there are also structural limitations such as a lack of human resources that overburdens the teams’ daily activities. From this point of view, the political context and lack of professionals were restrictive factors for health promotion.Belford Roxo is not necessarily representative of other experiences in Brazil. However, problems such as patronage, political manipulation, poverty and incipient cross-sectorial actions are common to other Brazilian towns and cities.

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Proposta e análise de indicadores para reorientação do serviço na promoção da saúde: um estudo de caso no Centro de Saúde Escola Germano Sinval Faria

Cited by 3 publications

References 2 publications

Gestión local de salud : intervenciones en relación a desigualdades sociales. Revisión crítica de artículos científicos acerca de la Argentina y Brasil en el período 2005-2015

Gestión local de salud : intervenciones en relación a desigualdades sociales. Revisión crítica de artículos científicos acerca de la Argentina y Brasil en el período 2005-2015

"Envelhecimento ativo: desafio dos serviços de saúde para a melhoria da qualidade de vida dos idosos"

An analysis of actions to promote health in underprivileged urban areas: a case in Brazil

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