Uma análise discursiva sobre os sentidos da promoção da saúde incorporados à Estratégia Saúde da Família

Beato, Mônica Soares da Fonseca; Stralen, Cornelis Johannes van; Passos, Izabel Christina Friche

doi:10.1590/s1414-32832011000200016

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…According to the authors, attentive listening to versions, truths, beliefs and stories of the other is necessary at a time when the health professional gives up speaking and pays attention to the speaker. Beato, van Stralen and Passos (2011) state that, regarding the existing meanings of the HP ideology, there is frequent fragmentation and polarization between Clinic and programmatic collective actions. Both are guided by logics that rarely dialogue with each other, becoming, by overlapping, a single strategy by virtue of institutional norms.…”

Section: Do Not Agree With the Dichotomy Between Hp And Clinic There ...mentioning

confidence: 99%

The dimension of health care in Health Promotion: notes on the approach to care,

2022

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The aim of this text is to explore the interfaces between Health Promotion (HP), health care and the care process. It starts from the assumption that the dimension of health care is essential for the theoretical-practical construction of HP, so that it can contribute to better health conditions. This is a qualitative research, a consultation was carried out with managers and municipal workers of Health Primary Care, using an electronic form, which had 215 respondents; and 13 interviews with experts, so called members of the Working Group of the Brazilian Association of Collective Health; also a categorical-thematic analysis was performed. As a result, stands out that: there is not necessarily a dichotomy between HP, , clinical care; the way in which care is produced becomes relevant since considering HP principles and guidelines is necessary, thus care would be related to HP even though the perspective is the recovery of health in cases of illness. Thus, defending the importance of the health care dimension is not to ratify the hegemony of health care over other components of care process, and considering individual needs alongside the social dynamics and the context in which people live is essential.

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Section: Do Not Agree With the Dichotomy Between Hp And Clinic There ...mentioning

confidence: 99%

The dimension of health care in Health Promotion: notes on the approach to care,

2022

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“…As mentioned by Beato et al, 13 it is necessary to promote dialogue between propounders of two important collective health theories, namely health surveillance and protection of life, and associate health promotion and epidemiology to the concept of an extended clinic and reception, which complement each other.…”

Section: Programmatic Actions and Coping With Inequitiesmentioning

confidence: 99%

Programmatic actions in oral health: coping with social inequities

2012

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Inequities are health imbalances that are avoidable, unfair and unnecessary. Studies on health inequities address the need for emergency care related to oral-dental lesions from external causes, toothache or prevalence of oral lesions, taking into account the differences between individuals and/or populations in terms of risk conditions to acquiring disease or access to health services. Inequities may be caused by the health service itself, because diseases affect socially deprived individuals more frequently and severely, especially because of multimorbidity. In the current Brazilian public health situation, programmatic actions are based on technological knowledge, especially epidemiology, focused on specific pathologies or disease risk groups, and relate closely to the organization of programmed demand. Moreover, programmatic actions should strategically use technological devices, without disregarding technical and policy flexibility, and should be closely related to inter-subjectivity and ethics, in order to develop emancipating capabilities. An action having this structure could make it easier to achieve Universality, Equity and Integrality.

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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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Uma análise discursiva sobre os sentidos da promoção da saúde incorporados à Estratégia Saúde da Família

Cited by 4 publications

References 5 publications

The dimension of health care in Health Promotion: notes on the approach to care,

The dimension of health care in Health Promotion: notes on the approach to care,

Programmatic actions in oral health: coping with social inequities

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

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