Inquéritos populacionais como instrumentos de gestão e os modelos de atenção à saúde

Abstract

The article briefl y systematizes health care models, emphasizes the role of population surveys as a management tool and analyzes the specifi c case of the Brazilian Oral Health Survey (SBBrasil 2010) and its contribution to the consolidation process of health care models consistent with the principles of the Sistema Único de Saúde (SUS, Public Health Care System). While in legal terms SUS corresponds to a health care model, in actual practice the public policy planning and health action, the system gives rise to a care model which is not the result of legal texts or theoretical formulations, but rather the praxis of the personnel involved. Bearing in mind that the management of day-to-day health affairs is a privileged space for the production and consolidation of health care models, it is necessary to stimulate and support the development of technical and operational skills which are different from those required for the management of care related to individual demands.

Pesquisa Nacional de Saúde Bucal (Projeto SBBrasil 2010): que propõem os coordenadores para futuros inquéritos?

“…Andrade e Narvai (2013) 20 consideraram essa medida como problemática e conflituosa. A justificativa estaria embasada na "cultura institucional" dos pacientes, profissionais e, até mesmo, gestores (por conta da baixa repercussão, inclusive, eleitoral) em valorizar mais o trabalho clínico, em detrimento das ações coletivas.…”

O processo de trabalho da Pesquisa Nacional de Saúde Bucal (Projeto SBBRASIL 2010) na perspectiva dos coordenadores do inquérito

“…The devaluation of epidemiological knowledge and the need for training professionals involved in these types of studies have been discussed in the literature 20,21 . In the SBBrasil 2010, public health service View of research as an attribution inherent to the profession on the part of the team (n = 158) professionals were trained and evaluated before participating in the study, which was interpreted by Andrade and Narvai 21 as a "demonopolisation of epidemiological action and knowledge". This strategy has been corroborated by Lansang and Denis 22 , who defended the use of approaches such as "learning by doing" and "hands-on learning" as methods of supplementing professional training, developing human resources, and increasing research capability in developing countries.…”

“…The SBBrasil 2010, in addition to previous national oral health surveys, relied on public health (SUS) professionals for their staff, who were regularly employed and paid according to their position. Despite many respondents considering the survey a part of their regular work, this contradiction could be based on the following assumptions: workers' dissatisfaction regarding their wages; an expectation of receiving additional payment; a comparison between the financial assistance given by SBBrasil 2010 and wages offered by other projects/public call notices, designed with other sources of financing and different operational logic; the greater value given to clinical activities at the expense of collective ones 21 ; the lack of a regular routine during epidemiological studies, reinforced by the high frequency at which they are conducted; and the fact that research is predominantly conducted by universities and specialized institutes.…”

Concepts and movements in health promotion to guide educational practices

“…According to Ermel and Fracolli 32 , following the deployment of SUS in the late 1980s, public health services have undergone a process of revising the care model, so new practices have been instituted and others abandoned. With criticism of the hegemonic care model, alternative proposals emerged, highlighting the family health strategy (FHS) program deployed in 1994, a broadened conception of health inspired by adopting what was defi ned in the eighth National Health Conference (NHC/CNS) in 1986, the universal right to health, as defi ned in the Federal Constitution of 1988 27 and in the guidelines of the primary care health policy, formulated by the World Health Organisation (WHO) in Alma-Ata in 1978.…”