(Bio)ética e Estratégia Saúde da Família: mapeando problemas

Siqueira-Batista, Rodrigo; Gomes, Andréia Patrícia; Motta, Luís Claudio de Souza; Rennó, Lucas; Lopes, Túlio C.D.; Miyadahira, Renato; Vidal, Selma Vaz; Cotta, Rosângela Minardi Mitre

doi:10.1590/s0104-12902015000100009

Cited by 25 publications

(58 citation statements)

References 41 publications

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“…The authors emphasize that work characteristics in primary healthcare cause important ethical problems that, for being less dramatic and visible than those resulting from tertiary or hospital healthcare can often pass unnoticed or being difficult to identify [2][3][4][5][6] . Some particularities of primary healthcare contribute to the existence of such difference.…”

Section: Ethical Issues and Social Justice In The Estratégia Saúde Damentioning

confidence: 99%

“…In this regard, the difficulty to access medium complexity technologies, especially diagnostic support and medical and dental specialties has been an important restriction factor of care 5,22 . In this context, all teams report the existence of waiting lists and classify it as a "chronical problem" that hinders the solution of health problems and effectiveness of therapeutic projects collectively constructed.…”

Section: Ethical Problems At Work In Family Healthmentioning

confidence: 99%

“…(...) Nobody does it ..." (PNS 9). The assistance and administrative overwork over the nurse was mentioned as reasons of conflicts among categories, especially related to specific nucleus of professional competences 5 . The conflicts in work It must be understood that the health team involves professional relationships coming from different knowledge and practices and it faces the challenge of an operation where it does not prevail -in management of care -hierarchies among professionals, but an integration of competences.…”

Section: Ethical Problems At Work In Family Healthmentioning

confidence: 99%

“…The professionals have different behaviors related to degree of freedom granted to users in definition and management of their therapeutic project, as well as in orientations related to lifestyles 3,5 . There can be a conflict in professional practice between user's freedom of choice -with involved benefits and risks -and fostering their wellbeing, especially if professionals adopt coercion rather than persuasion, taking over such paternalistic posture 3,5 .…”

Section: Central Operations To Construct Ethical Relationshipsmentioning

confidence: 99%

“…There can be a conflict in professional practice between user's freedom of choice -with involved benefits and risks -and fostering their wellbeing, especially if professionals adopt coercion rather than persuasion, taking over such paternalistic posture 3,5 . It is emphasized that many clinical decisions, such as a choice about hospital or domicile modality to assist the elderly user have economic repercussions to the family.…”

Section: Central Operations To Construct Ethical Relationshipsmentioning

confidence: 99%

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Problemas éticos e justiça social na Estratégia Saúde da Família

Ribeiro

Gouvêa²,

Casotti³

2017

Rev. Bioét.

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This qualitative study aimed to identify ethical problems from the perspective of the team members of the Estratégia Saúde da Família (Family Health Strategy) in Brazilian state capitals, linking such issues to the theoretical field of social justice. Semi-structured interviews were conducted with 33 members of 4 teams in the cities of Curitiba, Belo Horizonte, Natal and Salvador. The data were subjected to the thematic modality of the content analysis technique, and two main categories emerged. The first involved the main ethical problems in the daily life of the teams identified by the participants, while the second described the functioning that could be identified from the position of the participants with regard to the construction of ethical relations in the field of social justice. It concludes that ethical conflicts in the context of primary health care interfere with the work process and that an approach from the perspective of social justice may allow Estratégia Saúde da Família teams to tackle such issues in their everyday work. Keywords: Primary health care. Family health strategy. Ethics. Social justice. Resumo Problemas éticos e justiça social na Estratégia Saúde da FamíliaEstudo de abordagem qualitativa objetivou identificar problemas éticos na perspectiva de membros de equipes da Estratégia Saúde da Família de capitais brasileiras, relacionando-os ao campo teórico da justiça social. Foram realizadas entrevistas semiestruturadas com 33 membros de quatro equipes dos municípios de Curitiba, Belo Horizonte, Natal e Salvador. Os dados foram submetidos à técnica de análise de conteúdo em sua modalidade temática e emergiram duas categorias fundamentais. A primeira envolveu os principais problemas éticos identificados pelos participantes no cotidiano das equipes, e a segunda reuniu os funcionamentos que puderam ser identificados a partir do posicionamento dos participantes com relação à construção de relações éticas no campo da justiça social. Conclui-se que os conflitos éticos no âmbito da atenção básica à saúde interferem no processo de trabalho e que sua abordagem pela perspectiva da justiça social pode favorecer seu enfrentamento no cotidiano das equipes da Estratégia Saúde da Família. Palavras-chave: Atenção primária à saúde. Estratégia Saúde da Família. Ética. Justiça social. Resumen Problemas éticos y justicia social en la Estratégia Saúde da FamíliaEste estudio cualitativo tuvo como objetivo identificar los problemas éticos desde la perspectiva de los miembros de los equipos de la Estratégia Saúde da Família (Estrategia de Salud de la Familia) en las capitales brasileñas, al relacionarlos con el campo teórico de la justicia social. Las entrevistas semiestructuradas se llevaron a cabo con 33 miembros de cuatro equipos de los municipios de Curitiba, Belo Horizonte, Natal y Salvador. Los datos fueron sometidos a la técnica de análisis de contenido en su modalidad temática y emergieron dos categorías fundamentales. La primera involucró los principales problemas éticos identificados por los pa...

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