Abstract:A Reforma Psiquiátrica brasileira é parte integrante da construção da democracia no Brasil e a Constituição Nacional de 1988 marca a descentralização política e financeira em direção aos municípios da federação. A pesquisa é qualitativa e objetiva analisar o processo democrático de construção, implantação e a aplicabilidade de uma Lei Municipal de Saúde Mental frente às contradições do processo social de reforma psiquiátrica brasileiro. Metodologia: triangulação de dados entre entrevistas com gestores (2), tra… Show more
“…A research that sought to analyze the democratic process of construction, implantation and applicability of the Lei Municipal de Saúde Mental de Alegrete (freely translated as Municipal Mental Health Law of Alegrete), Rio Grande do Sul, showed that this is necessary for legal guarantee of rights, but only makes sense if added to the history of psychiatric reform in order to bring new health workers closer to the meaning of social movements such as psychiatric reform (24) .…”
Objective: To analyze the demands in the field of mental health from the perspective of teenagers. Method: A descriptive study with a qualitative approach, having comprehensiveness as an analytical category. It was carried out with 21 teenagers of both genders, students of two public schools of a municipality of the countryside of Bahia state. The empirical material was produced through reflection workshops and analyzed through the technique of Discourse Analysis. Results: Teenagers value the indissociability between body and mind, recognize lack of attention to the psychological dimension in the health network, and point to mental disorders as resulting from contexts of life and lack of Health Care. Conclusion: Health services need to be structured to attract teenagers, to recognize singularities through professionals trained in welcoming, listening and accountability. It is urgent to fulfill what is defined in public policies and in specific programs, and that comprehensiveness has a centrality as a perspective to be realized.
“…A research that sought to analyze the democratic process of construction, implantation and applicability of the Lei Municipal de Saúde Mental de Alegrete (freely translated as Municipal Mental Health Law of Alegrete), Rio Grande do Sul, showed that this is necessary for legal guarantee of rights, but only makes sense if added to the history of psychiatric reform in order to bring new health workers closer to the meaning of social movements such as psychiatric reform (24) .…”
Objective: To analyze the demands in the field of mental health from the perspective of teenagers. Method: A descriptive study with a qualitative approach, having comprehensiveness as an analytical category. It was carried out with 21 teenagers of both genders, students of two public schools of a municipality of the countryside of Bahia state. The empirical material was produced through reflection workshops and analyzed through the technique of Discourse Analysis. Results: Teenagers value the indissociability between body and mind, recognize lack of attention to the psychological dimension in the health network, and point to mental disorders as resulting from contexts of life and lack of Health Care. Conclusion: Health services need to be structured to attract teenagers, to recognize singularities through professionals trained in welcoming, listening and accountability. It is urgent to fulfill what is defined in public policies and in specific programs, and that comprehensiveness has a centrality as a perspective to be realized.
“…Artículos respuesta al marco regulatorio promueve la participación promueve la democracia incrementa la eficiencia en la asignación de recursos mejora las capacidades y prácticas de gestión (Avelino, Barberia, & Biderman, 2014) x (Gerigk & Pessali, 2014) x x (da Silva et al, 2014) x x (Jesus, & Teixeira, 2014) x (Duarte et al, 2015) x (L. Santos & Campos, 2015) (Vargas et al, 2015) x x x (Filippon, Kantorski, & Saeki, 2015) x (Mazon, Mascarenhas, & Dallabrida, 2015) x (Barreto Junior, 2015) x x x (Albuquerque et al, 2015) x x Fuente: elaboración propia…”
AGRADECIMIENTOSEste trabajo no hubiera sido posible sin el apoyo de mis seres queridos, familia, compañero de vida y amistades que durante este tiempo me acompañaron en este camino de nuevos aprendizajes. A mi tutor, por su apoyo, orientación y paciencia durante este proceso. Al Instituto de Salud Colectiva y la Universidad Nacional de Lanús por brindarme este espacio de aprendizaje y crecimiento profesional. eficiencia en la asignación de recursos; además supondría la democratización de la toma de decisiones, el empoderamiento de los gobiernos locales y mayor participación de actores diversos en la toma de decisiones sobre su situación de salud, todo esto orientado a lograr procesos más democráticos y horizontales. En el contexto de la Reforma Sanitaria en Brasil, la descentralización del sistema de salud se convirtió en el medio por el cual se garantizaría el acceso y la integralidad de la atención de salud de la población.
PALABRAS CLAVE: descentralización; sistemas de salud; Brasil
ABSTRACTDecentralizing processes predominated in Latin America during the 1990s, many of which coincided with the transition to democracy of those countries that had been under dictatorial regimes. Health was one of the areas of social policy in which the decentralization model was applied more widely and which also represented a pattern to be followed for the different areas of public policy. The objective of this research is to analyze the fundamentals and controversies of the process of decentralization of the Brazilian health system based on the review of scientific articles published between 1985 and 2015. The question that serves as the main theme of the research is: what are the arguments that sustained the decentralization processes in Brazil? To answer this question, a review of scientific articles published between 1985 and 2015 and the analysis of the content of these articles was carried out. The arguments that underpinned the decentralization process in Brazil are of an economic nature, since decentralization is expected to favor efficiency in the allocation of resources; it would also involve the democratization of decision-making, the empowerment of local governments and greater participation of diverse actors in decision-making about their health situation, all aimed at achieving more democratic and horizontal processes. In the context of the Health Reform in Brazil, the decentralization of the health system became the means by which access and comprehensive health care for the population would be guaranteed.
Objetivo: Analisar o financiamento da rede de atenção à saúde mental a luz de uma revisão integrativa de literatura. Métodos: Trata-se de uma pesquisa qualitativa. Foi realizada uma busca de estudos disponíveis em Bibliotecas digitais e bases de dados nacionais e internacionais como a Biblioteca Virtual de Saúde (BVS), Bases de Dados de Enfermagem (BDENF), Literatura Americana e do Caribe em Ciências da Saúde (LILACS) e Medical Literature Analys e isand Retrieval System Online (MEDLINE). Resultados: Após pesquisa nas bases de dados, obteve-se o quantitativo de 36 publicações, no entanto, 28 não se encontravam nos critérios de inclusão; todos os artigos deveriam estar no período de 2014 a 2018. Após realizar a leitura dos resumos e excluir as repetições, apenas 8 estudos foram selecionados, haja vista atenderem aos objetivos desta pesquisa. Os artigos foram organizados em quadro único, com suas características principais. Conclusão: Foi possível identificar, que o financiamento para Atenção Psicossocial ainda tem muito que melhorar, pois muitos estudos mostram que é uma área que é negligenciada pelos órgãos responsáveis, e que temos uma luta grande quando o assunto é Rede de Atenção Psicossocial. Diante disso, destacam-se ainda, a importância do enfermeiro e dos profissionais de saúde nesse processo, para assim, poder prestar uma boa assistência a todos que fazem uso do serviço.
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