Saúde Coletiva

URI Permanente desta comunidade

http://repositorio.ufes.br/handle/10/17584

Programa de Pós-Graduação em Saúde Coletiva

Centro: CCS
Telefone: (27) 3335 7287
URL do programa: http://www.saudecoletiva.ufes.br/pt-br/pos-graduacao/PPGSC

Navegar

Agora exibindo 1 - 20 de 271

A (in) delicada relação entre os profissionais de saúde e os usuários na estratégia de saúde da família : múltiplos olhares
(Universidade Federal do Espírito Santo, 2011-05-16) Santos, Maycon Carvalho dos; Figueiredo, Túlio Alberto Martins de; Lima, Rita de Cássia Duarte; Franco, Túlio Batista; Araujo, Maristela Dalbello de
abstract
A assistência farmacêutica e o seu processo de reorientação no município de Vitória/ES : avanços e desafios
(Universidade Federal do Espírito Santo, 2013-03-26) Simões, Fabiane Lima; Figueiredo, Túlio Alberto Martins de; 1º membro da banca
Vitória, Capital of Espírito Santo State, is a reference to other municipalities regarding the process of reorientation of Pharmaceutical Assistance. It is concerning this object - the Pharmaceutical Assistance and its local reorientation – that this study was conducted with municipal administrators and Pharmaceutical Assistance managers between 1998 and 2012. Thus, the aim of this study, which included the participation of three administrators and three managers, was to analyze on a Socio-Historical perspective, the institutionalization of Pharmaceutical Assistance in the county and its subsequent reorientation process. As devices of material production it was used documental observation, interviews and research diary. During field work, the starting point was the documentary observation and the empirical study was conducted through semi-structured interviews followed by notes in the research diary. The survey analysis was made in light of Institutional Analysis in the perspective of Savoye and the report was of cartographic inspiration. The study showed that the city of Vitoria is avant-garde in the process of organizing the Pharmaceutical Assistance in Brazil, complying with the minimum guidelines of that process, keeping updated its List of Essential Medicines and, while in most Brazilian cities, the pharmacist is a professional of municipal and even regional reference, in our context this professional is present in almost all services - primary health care, referral centers, emergency rooms, health surveillance – which involve all the municipal healthcare system. As a challenge, the study pointed out that, despite the level of excellence in attending the guidelines of National Drug Policy, the physical structure of pharmacies that compose the services and continuing education, compromise the full implementation of pharmaceutical care to the users of the Unified Health System. For the administrators and managers interviewed, except for the political changes during the study period, a convergence of favorable factors - organizational restructuring of the Municipal Health Office in Vitória, local standards in Pharmaceutical Assistance, computerization of services and the acquisition of new pharmaceuticals through contests over the perio - made possible the anticipation of the national model of reorientation of Pharmaceutical Assistance so that when the Implementation of the National Drug Policy in 1998 came up, the municipality had already complied four o the eight guidelines contained in that policy. Therefore, the process of institutionalization of Pharmaceutical Care in Vitoria was ruled by a collective effort of the involved ones - administrators and managers – who have incorporated in their daily work, a wish to turn it a reality.
A classificação internacional para a prática de enfermagem no processo de cuidar : significados atribuídos por docentes e graduandos de enfermagem
(Universidade Federal do Espírito Santo, 2006-10-31) Pfeilsticker, Débora Catarina; Cade, Nagela Valadão; Castro, Denise Silveira de; Cruz, Diná de Almeida Lopes Monteiro da
The study aims at understanding the meanings attributed by Nursing teachers and graduating students referring to the International Classification for Nursing Practice (ICNP®) in the care process. The data collection uses the focal group technique with seventeen graduating students – a session with two distinct groups – and an individual interview with five teachers of a private institution of higher education of Vitória district in the State of Espírito Santo. For data analysis, it uses the technique of analyzing content and it discusses the results based on four dimensions – praxiologic, communicative, cognitive and political. The conceptions revealed by the teachers and pupils indicated potentialities and limits of ICNP®. That classification was shown as an instrument able to promote care organization and quality of assistance, it contributes for the autonomy and professional self-confidence, and it provides visibilities for the Nursing practices and values the profession. As limits for the ICNP® use, the resistance to the referential change, the lack of theoreticalconceptual control for its use and the lack of institutionalized models of the Nursing Process were reported. In conclusion, the ICNP® was seen by the project members as a possible model for the care process and that system structure of classification contributes for the development of the clinical reasoning, facilitating the Systematization of the Nursing Assistance.
A difícil construção da intersetorialidade : com a palavra a Câmara Territorial de Maruípe em Vitória-ES
(Universidade Federal do Espírito Santo, 2010-07-30) Soares, Joselia; Araújo, Maristela Dalbello de; Figueiredo, Túlio Alberto Martins de; Margotto, Lilian Rose; Sodré, Francis; Girardi, Gisele
This research examined the understanding that participants in the Maruípe Region s Territorial Board (Vitória / ES) have about the intersectoriality and noted how this has been considered in the proposition and implementation of actions for Health Promotion in the territory. Health Promotion actions target social determinants of health to provide access to the basic conditions of existence. However, to help them achieve the social determinantes, intersectorial actions are needed. To solve a particular local problem, the intersectorial actions suppose an integration of different actors and sectors by means of working in a networked organization. In the field of social policies, managing in a networked way has been seen as a solution to manage complex central and local problems. The city of Vitória-ES has been conducting an experiment on this - the Territorial Boards, which are places in which the managers get together in order to deal with common issues of their territories, try to solve the problems in an intersectorial way, and this depends on the understanding of what the participants perceive as intersectoriality. Eleven semi-structured interviews were conducted and analyzed by a Collective Subject Discourse, which consists in gathering the individual testimonies in order to compose a single discourse to express a coherent representation regarding the research topic. The analysis results suggest a discursive consensus between the Board members and the Intersectoriality theorists. To the board members, intersectoriality "is articulating to partners within the territory to solve problems." However, tensions and difficulties were detected in this process. They involve the selection of priorities until the intersectorial action s end. This is so because it demands commitment from the participants and a delicate relationship with the community. The Board is considered by its members as a differentiated training place because the training takes place by means of experience exchange. However, its members feel that the board is helpless when confronted by its territory s problems, such as the violence stemmed by the drug traffic. They consider that the intersectoriality is difficult to achieve, nevertheless it is a more advanced attempt to counteract the isolation caused by disarticulated public policies.
A endemia de tuberculose e seus determinantes socioeconômicos no Espírito Santo : uma análise de dados espaciais
(Universidade Federal do Espírito Santo, 2006-12-14) Vieira, Rafael da Cruz Araújo; Zandonade, Eliana; Maciel, Ethel Leonor Noia; Dietze, Reynaldo; Werneck, Guilherme Loureiro
Tuberculosis is the main cause of deaths among adults around the world by infectious illnesses, still today. Every year 8,8 million new cases are recorded and the disease is responsible for about 2,7 million deaths. Individualized strategies like early diagnosis and effective treatment not produced the results expected. Studies suggest Spatial Data Analysis can contribute to the design focused actions on health and to learn more about occurrence and determinants of disease. The objectives of this study were to characterize socio-economic and demographic profiles of Espírito Santo cities, to analyze tuberculosis endemicity and its spatial distribution, and to evaluate relationships among incidence of tuberculosis and socioeconomic and demographic profiles, in the period 2000 to 2004. This was an ecological study, and used census tract data and information from SINAN (National Databank of Major Causes of Morbidity). Cities profiles produced by this study were carried out through multivariate techniques (Factor Analysis and hierarchical clustering methods). The epidemiology of illness was described through tuberculosis crude rates and Age-Standardized, and Global and Local Empirical Bayesian smoothed rates. Spatial Autocorrelation among rates were tested using Moran's I and Local Moran's Index (LISA). Statistical analysis of correlation among tuberculosis endemicity and Socioeconomic and Demographic Indicators was done through ANOVA one-way test for comparison of more than two independent groups. Cities classification provides four greatly diverse socio-economic and demographic profiles. A moderate-to-strong, positive, significant spatial autocorrelation (Moran’s I = 0.585207; p < 0.001) was found in Tuberculosis incidence rates. Furthermore, three clusters according to LISAMAP: the Metropolitan Region of Vitória, the North Region and the Mountainous/Caparaó Region. In two of four cities profiles, incidence rates were significantly superior to the others (F = 15.38; p < 0.000). Tuberculosis endemicity was closely correlated with the Urbanization factor (r = 0.6737; p < 0.05). Socio-economic and demographic classification was able to highlight widely different life conditions among the cities and its inhabits. The occurrence of spatial autocorrelation shows that endemicity could be determined by an underlying process. The correlation between tuberculosis incidence and the Urbanization factor can be explained by a historical process, when it was observed that some attractive regions experienced a fast urbanization process marked by excluding and promoter of huge intra-municipal inequalities. It is suggested that new tuberculosis cases follow heterogeneous distributions inside cities, it tending to a concentrated in poorer regions.
A epidemiologia dos pacientes com câncer de pênis atendidos em um serviço de referência do Espírito Santo
(Universidade Federal do Espírito Santo, 2014-09-01) Souza, Marco Antônio Comper de; Zandonade, Eliana; Amorim, Maria Helena Costa; Santos Neto, Edson Theodoro dos; Thuler, Luiz Claudio Santos
Introduction: Cancer of the penis is a rare malignant tumor in developed countries, contrary to what occurs in areas of low socioeconomic standard. Objectives: Determine the sociodemographic and clinical profile, associating clinical staging and analyze the survival of patients with penile cancer in a referral service. Methodology: This is a retrospective study of patients diagnosed with penile cancer who were registered in the Hospital Cancer Registry of the Santa Rita de Cássia Hospital/Education Association Against Cancer, in the city of Vitória, ES, Brazil during the period from 2000 to 2011. Was analyzed 18 variables as sociodemographic and clinical profile. We analyzed the data using the Statistical Package for Social Sciences (SPSS) version 18.0. For variables that showed statistical significance, we calculated the crude odds ratio and adjusted by multivariate logistic regression model. For estimating survival, we used the Kaplan-Meier method and comparison of survival curves was applied to the log-rank test. Results: Of 108 patients, predominant age group up to 60 years (58.38%). The race / mulatto proved the most common with 64% of cases. 43 (54%) were men and 64 rural workers (59%) of the interior of the Holy Spirit. Not rural occupation showed median survival of 42.14 months (p = 0.036). From region metropolitan of the Vitória (36) with a mean survival of 26.03 months (p = 0.004). Presence of lymph node (37) patients had a mean survival of 30.59 months (p = 0.001). Alter multivariate analysis, metastasis variable remained statistically significant (HR = 5.18, 95% CI: 2.42 to 11.09). Conclusion: Should be recognized those more likely with higher mortality and lower survival, so there is more specific approach. The variables that characterize these patients should be determined from the beginning of the service, to ensure better access to health care and effective treatment.
A experiência de mulheres e a decisão pelo aborto provocado em uma região do Estado do Espírito Santo, Brasil
(Universidade Federal do Espírito Santo, 2014-01-01) Milanez, Núbia; Oliveira, Adauto Emmerich; Rohr, Roseane Vargas; Figueiredo, Tulio Alberto Martins de; Santos Neto, Edson Theodoro dos; Lima, Eliane de Fátima Almeida
The scope of this study sought to understand the perceptions of women who have gone through the decision of induced abortion in the micro-region of St. Matthew (northern Espírito Santo, Brazil) from the path and interactions that are supported in this process. Semi-structured interviews with seven women on that experience in the home environment of the subjects of this study were performed. Data were collected on open interviews and were analyzed based on the theoretical framework of authors who talk about the subject and also about bioethics science. The study presents six categories: Abortion in view of the close decision; abortion as a source of revelation of feelings ; contemplate the peremptory attitude , intention and techniques employed in the act of abortion, upholding the decision by relations, and content and confidences female. Women's experience was marked by a variety of feelings such as sadness, guilt, regret, despair and emotional pain, but also the relief at the end of pregnancy and the risk of death. Additional distress was affected by perceptions of contributing factors of the decision, as the lack of financial resources, lack of support from family or partner and instability in the relationship with partner. This study indicated that the cultural and historical character of gestation towards the social norm is present in women who experience abortion; showed that women in this study are the margin of public policies and health; noted that programs family planning or reproductive health are also structured to help deal with social, economic, educational problems removal of this population in the sense that these women beyond the basic social protection and are supported by health services that are equitable opportunities to listen, guidance and resolution.
A formação de profissionais de saúde e o SUS : um estudo exploratório nos cursos de graduação da Grande Vitória - ES
(Universidade Federal do Espírito Santo, 2009-11-16) Silveira, Alice Emilia da; Silva, Marta Zorzal e; Heckert, Ana Lucia Coelho; Oliveira, Adauto Emmerich
This research proposed to analyses the formation process of health professionals in undergraduate nursing, medicine and dentistry in the region of Grande Vitória-ES. Furthermore, it identifies the focus of formation for each educational institution and describes the conceptual attributes developed in each one. Still, identifying the perceptions of course coordinators about the formation conducted in their institutions. Analyzes the incorporation of the principles and guidelines of Unified Health System (SUS) in the process of formation of each educational institution and the perception of the coordinators about this process. To accomplish the goals was a study of the political teaching of each institution and the menus disciplinary courses. Altogether, we investigated the documentary material of seven courses, four nurses, two dental and medical. Subsequently individual interviews were made to five course coordinators with semi-structure scripts. The gotten results had demonstrated a predominance of formation-driven National Curriculum Guidelines for each course. On the other hand, the menus disciplinary show that there is a preponderance of biologics content on the coming of the Humanities and Social Sciences, and Public Health. The course coordinators have knowledge of the principles of the SUS, but realize the challenge of incorporating the formation of health professionals. The issues relating to SUS are worked as attributes to be developed in the academic period for better integration of health professionals in the labor market.
A gestão do trabalho na Estratégia Saúde da Família : o governo de si e do outro sob a ótica do gestor
(Universidade Federal do Espírito Santo, 2016-09-02) Galavote, Heletícia Scabelo; Lima, Rita de Cássia Duarte; 1º membro da banca
The process of healthcare work management in the scenario of the Family Health Strategy is highlighted as an analytical intention founded on the concepts proposed by Foucault about the apparatuses of power and the techniques for the care of self and others as the foundtion of a political power exercise. The analysis unity transits between the space of macro-politics and that of the micro-politics of the management of work in healthcare, which permeated the teritory of imanence between what is taken as the norm and re-normalization. The objective it to analize the management of work in the Family Health Strategy in the state of Espirito Santo, starting from the discourse of the managers, as well as identifying the pratices involved by the managers in the constitution of the government of self and others. This is a descriptive and exploratory study, with a qualitative approach. To achieve this objectives, managers from 36 municipalities of the state of Espirito Santo were invited to participate: the Municipal Health Secretary; the Municipal Coordinator for the Family Health Strategy; and the Municipal Coordinator for Primary Health Care. A semi-structured interview and participant observation were used for the collection of data. The discourse analysis was the basis for data analysis, and the cartography was used as a complementary method of research. There are elements in the discourse that are highlighted for signaling to a practice of management through discipline and control over the workers, through the attainement of results, founded in mandatory acts and in the normalization of the work, which is called prescribed, dead, amputating the autonomy and creativity of the worker. For the managers, to innovate means to mobilize the workers based on a political centralization that warrants for the manager the final decision and the definition of the directions, once the teams have little governability relating to the definition of goals and indicators. The managers produce self practices, but are inprisoned by the normalizations of the healthcare organiztion itself through the marks that are inscribed on their bodies and that determine a healthcare manager with serialized discourses and actions. They are stultus managers, since they don't exercize the self care as freedom, and bare a subordinate will, which is not free
A inserção do cirurgião-dentista no Programa de Saúde da Família : mudanças e desafios
(Universidade Federal do Espírito Santo, 2008-11-12) Feitoza, Estela Altoé; Cade, Nágela Valadão; Oliveira, Adauto Emmerich; Silva, Sara Ramos da
Oral Health is a relatively new addition to the Family Health Program (Programa de Saude da Familia-PSF). Dentists, as newcomers, have to face the challenge of both acquiring an already established public health knowledge base and interacting with a multidisciplinary team. This study aims at investigating the changes dentists have to undergo in this process. A qualitative, exploratory research design was chosen and semi-structured interviews were carried with 14 PSF dentists working in the program. The Collective Subject Discourse analysis strategy was used, and the results showed that PSF represents a new market for dental surgeons. Fragmentation between the clinical actions and those which focused on health promotion was also pointed. Despite this problem, dentists show an increasing awareness towards health prevention, a closer bound with the communities they serve and a deeper integration with other PSF health professionals. To improve PSF oral health programs, PSF dentists suggest hiring more dental professionals, organizing access to all age groups, providing more specialized care and strengthening integration with Family Health workers to advance changes in Public Health. A revision in Dentistry School curricula, to allow for a stronger emphasis on social determinants of health, was also put forward. In conclusion, PSF seems to offer a rich environment for subjective changes in dental professionals, as the conflicting perspectives of their traditional curative dental practices and the socially oriented care perspective engender careful reflection and the repositioning of their social role.
A medicina homeopática : avaliação de serviços
(Universidade Federal do Espírito Santo, 2007-08-24) Novaes, Ana Rita Vieira de; Silva, Alacir Ramos da; Biolchini, Jorge Calmon de Almeida; Castro, Denise Silveira de; Sodré, Francis; Amorim, Maria Helena Costa
This research aims to analyze the services as well as its homeopathic practice at the Public Health Service in Vitória, ES and make a proposal to build evaluation parameters for homeopathy at SUS. In order to achieve this goal it is necessary to know the homeopathic services, homeopaths, managers and users examining their interpersonal relationships. It deals with an exploratory study having as reference the triangulation methodology which means combining and crossing multiple points of view, the vision of many people and the usage of a variety of data techniques. The first stage aims to make situational diagnoses of the services and know the structural, organizational, management, administrative aspects and how they work. The second and third stages intend to consolidate the knowledge of the social actors and understand the process of the work and then all the information is articulated as well as crossed identifying the main themes which answer the proposed questions. The ideas and information from the interviews are systematically evaluated, as a way to achieve a deep comprehension of the process. The quantitative data is classified and tabulated, and from the descriptive analyses the percentage through EPI-INFO and/or SSPS are taken, shown in graphs and charts. The results are described in chapters giving details of the main aspects of the homeopathic practice, supported by a theoretical reference and the interviewers´ perceptions. The first chapter focuses on the principles and fundaments of the homeopathy, giving a historical retrospective, showing the institutionalization of the homeopathy in Brazil, the process of implementation in the public service and the main contributions it *gives as a model*. Then, the homeopathic service is detailed, including the analyses of the records. The third chapter deals with the aspect of medical education, the peculiarities of the homeopaths and users and doctor-patient relationship. Chapter fourth discusses the present stage of communication in relation to homeopathy and examines the interrelation in the public area. It also attempts to give the consonance of homeopathy with the principles and rules of the Brazilian Health Public System. The last chapter a proposal of evaluation for homeopathy is made by means of the discussion of the parameters which can distinguish this rationality. It is concluded that, despite having been implemented in Vitória for fifteen years and the increasing interest, it is of difficult access. It is also observed that many structural and organizational problems, specially lack of homeopathic medication as well as investment of the public power in this kind of medicine. The users and managers are considerably unaware of the SUS and the homeopathic culture, restricting its institutional inclusion. The participation of the social control is practically inexistent, preventing the right of citizenship in the choice of which treatment and as an instrument of a popular influence. In this way, the universal access is jeopardized due to the low number of homeopaths at SUS, despite the agreement with principle of integrality and the recognition of homeopathy as a humanized medicine which values the relationship between doctor and patient and the human being as a whole.
A mortalidade por causas externas no Espírito Santo de 1979 a 2003
(Universidade Federal do Espírito Santo, 2005-06-09) Tavares, Fábio Lúcio; Castro, Denise Silveira de; Koizumi, Maria Sumie; Falqueto, Aloísio
This is a descriptive, longitudinal and observational study aiming at describing the pattern of mortality by external causes in Espírito Santo in a historical series ranging from 1979 to 2003, with transversal cuts in 1979, 1983, 1988, 1993, 1998 and 2003, according to the characteristics of people, spatial distribution and basic cause of death. The data source utilized was the System of Information on Mortality from the Health Department (SIM/Datasus) for the years ranging from 1979 to 1998 and the System of Information on Mortality from the State Secretary of Health of Espírito Santo (SIM/SESA), for 2003. The proportional mortality and the coefficients of mortality (per 100 thousand inhabitants) were calculated according to gender, age group, level of instruction , occupation, basic cause of death, location of the death occurrence, medical assistance, month of the occurrence of deaths and their geographical distribution. Our work revealed that, along the analyzed years, the external causes always held the 2nd position in the death register from Espírito Santo, presenting an increase of 49,8% on the coefficients of mortality in that period, in which homicides appear as being the main cause of death. Most victims of external causes were men, presenting coefficients of mortality (per 100 thousand inhabitants) which were 380% higher than those of women. Considering the age group, those who are younger than 1 year of age deserve prominence, with an increment of 79% on the coefficient of mortality; the age group ranging from 15 to 49 years of age, which concentrated about 70% of deaths resulting from external causes, and those who are older than 70 years of age, where we verified an important increase on mortality, mainly due to accidental falls and accidents on transportation. In general terms, deaths caused by external causes happened, for the most part, with people with no education or with those who had the primary level only (48,8%) and who had as their occupation “retired or pensioner”, “farm worker”, “housewife” or “manual worker”. Concerning the municipalities where deaths occurred, Cariacica, Vila Velha, Linhares and Serra were the ones which presented the highest increment on the coefficients of mortality (per 100 thousand inhabitants). The data indicate that external causes have significant importance on the mortality profile in Espírito Santo, what points to an urgent need of public policies directed to prevention of lethal violence in the State.
A não associação entre adesão medicamentosa e o controle glicêmico em participantes diabéticos do ELSA-Brasil
(Universidade Federal do Espírito Santo, 2017-04-03) Moraes, Helaine Aparecida Bonatto de; Cade, Nágela Valadão; Mengue, Sotero Serrate; Molina, Maria del Carmen Bisi
Introduction: Drug adherence has been identified as a relevant problem for clinical practice, since it has been attributed to the failure of metabolic control in diabetics. Objective: To investigate the adherence to medication and its relation with the glycemic control of diabetics of the Longitudinal Study of Adult Health (ELSA-Brazil). Method: Sectional study with ELSA-Brazil baseline data, 2008-2010. Sample with 1242 self-reported diabetics, with data obtained through interview and biochemical tests. The variables consisted of glycated hemoglobin as an outcome, adherence to the drug as exposure and socioeconomic, demographic covariables, as to life, food and nutritional habits, and type of medication. For the analysis, ANOVA or KruskalWallis and multinomial logistic regression were used, with glycemic control as standard and p<5%. Results: Overweight and obesity were present in 82.8%, 56.2% consumed alcoholic beverages, 96.6% were inactive, almost one third with a diet of over 3,000 calories, 54.2% with glycated hemoglobin > 6.5%, and almost 70% had fasting blood glucose ≥ 126 mg / dl and only 40% had high drug compliance. Increased chance of elevated glycated hemoglobin in males (OR: 1.393; CI: 1.051- 1.846); race / color black (OR: 1,739; CI: 1,219-2,481) and brown (OR: 1,569; CI: 1,137-2,165); mean occupation level (OR: 1.627; CI: 1.024-2.584); not having a health plan (OR: 1.467; CI: 1.096 - 1.965); use of insulin alone (OR: 7.341; CI: 3.556- 15.154) or associated with oral hypoglycemic (OR: 7.579; CI: 3.956-14.520); altered WHR (OR: 1.867; CI: 1.191-2.928); smoking habit (OR: 1.730; CI: 1.093-2.738) and poor / very poor health self-assessment (OR: 2.374; CI: 1.167-4.827). Conclusion: The variables associated with metabolic control were related to the social determinants of health, lifestyle and especially those related to health condition such as insulin use and health self-assessment.
A organização do trabalho e a saúde dos gerentes bancários em uma instituição no Estado do Espírito Santo
(Universidade Federal do Espírito Santo, 2006-12-15) Bubach, Rosana; Barros, Maria Elizabeth Barros de; Castro, Denise Silveira de; Borges, Luiz Henrique; Heckert, Ana Lúcia Coelho; Aragão, Elizabeth Maria Andrade de; Lima, Rita de Cássia Duarte
It rescues the transformations in the present work relationships, most of them came from productive restructuring process, sinking their workers, putting the work as if it was weak and promote the unemployment. It emphasizes the national bank system that suffers with changes such as client segmentation, diversification of products which were made specially to be sold and incorporation of new technologies. This contributes to intensify the work process, to make work-time more flexible and a considerable salary reduction, among other problems, it also demands a more qualified, polyvalent worker. Thus, this study has as a main goal to make an analysis between the bank work organization and their workers health, mainly talking about the relationship of managers with their front desk workers in a specific estate bank in EspÃrito Santo. It focus on the manager workers because of their behavior in front of the too long hours of work; the excessive number of tasks to be developed like the customer service and the achievement of goals; the responsibility for the operations and also in the mobility/instability of the personality of each person, that are experienced by the fact of staying in trustable function. It is related to a field, qualitative and exploratory research. It knows the managerâ€™s worker related to their front desk people, by semi-structured interviews with five workers and returns to talk with one of them considering the necessity of further clarification. The main questions intend to cover topics here are: what is it like to be a manager; the relation among the written and real work, how to work and the life in a general manner, looking for an articulation between the managerâ€™s activities and his or her health, i.e., his or her abilities to overcome the moment situation and to set new rules. The discussion and analysis of the collected data are given by the contributions of the Workerâ€™s Health Field, considering the meaning of health purposed by Canguilhemâ€™s and the concepts of the ergologic approach, understanding that each work situation is unique and that is necessary to know the workers experiencesâ€™. It emphasizes, from these actors, that to be a manager has to take into consideration the intensive mobilization and the completely engagement in front of the main imposed assignment: to achieve the goals. By this reason, managers are controlled and feel themselves threatened, resulting in fear and obstacles to express the sufferings and restandardization. On the other hand, managers also resist to the domination as well as they search for a sense in an everyday routine with many lacks confrontations, negotiations and constant (re)inventions.
A percepção dos usuários sobre a oferta de programas de promoção da saúde e prevenção de doenças no sistema suplementar de saúde no estado do Espírito Santo
(Universidade Federal do Espírito Santo, 2009-12-22) Freitas, Paula de Souza Silva; Maciel, Ethel Leonor Nóia; Lima, Rita de Cássia Duarte; Ribeiro, Carlos Dimas Martins; Figueiredo, Túlio Alberto Martins de
abstract
A política de educação permanente para o SUS : (des)montando peças de um quebra-cabeça
(Universidade Federal do Espírito Santo, 2016-04-14) Silva, Thiago Fachetti da; Garcia, Ana Claudia Pinheiro; Lima, Rita de Cássia Duarte; Andrade, Maria Angelica Carvalho de; Silva, Tania Cristina França da; Lima, Eliane de Fátima Almeida; Araújo, Maristela Dalbello
The implementation of the Unified Health System made visible the centrality of the issue of labor management for the effectiveness of the system. The creation of the Secretariat of Labor Management and Health Education confirms the relevance to human resources through the National Policy of Permanent Education in Health. Ordinance 198/2004, which instituted this policy, had as central axis of the Polos Continuing Health education. This Ordinance was replaced by Decree 1996/2007, which brings the Collegiate Regional Management and Integration Committees Teaching-Service as protagonists for the conduct of that policy. This research is part of broader another multicenter character. This is a descriptive exploratory study of qualitative approach, with the backdrop of the state of Espirito Santo, which used as instruments for the collection of material document analysis of the Annual Reports of Management and the State Health Plan, the questionnaire with the manager responsible for the actions of Continuing Education in the Holy Spirit and interviews with members of the Integration Committees Teaching and Service. One has to analyze the development of permanent education policies implemented by the State Department of State Health of the Holy Spirit, more specifically the role of Integration Committees Teaching and Service. You can see an important institutional advance from the Decree 1996/2007, embodied by an administrative reorganization of the State Department of Health, with its own structures focused on Permanent Education Plan Regionalization date with all health regions Collegiate Regional management deployed assisted by Integration Committees Teaching and Service. However, there was a stagnation of the assumptions that permeate the Decree 1996/2007, together with a weakening framework of these committees.
A política de saúde indígena no Brasil na década de 1990 e o Sistema Único de Saúde : o caso das aldeias do Espírito Santo
(Universidade Federal do Espírito Santo, 2009-08-14) Sarcinelli, Alice; Oliveira, Adauto Emmerich; Ciccarone, Celeste; Lima, Rita de Cássia Duarte
abstract
A prática da integralidade : contos (com) sentidos
(Universidade Federal do Espírito Santo, 2013-08-15) Mattanó, Luanna Del Carmen Barbosa; Araújo, Maristela Dalbello de; Lima, Rita de Cássia Duarte; Mattos, Ruben
The Comprehensiveness, one of the guidelines of the National Health System, consists in a refusal of reductionism and objectification of the subject and imposes dialogue in intersubjective relationship. It's battle flag, mobilization and exercise of humanity and is linked to the constitution of meaning for health professionals as a value. The value gives meaning to the world, and through him, choices, paths, practices and objectives of the action are defined. Thus, the practices are routed from the values established subjectively through appreciation and revaluation of everyday experiences. There is an inseparability between value and practice of completeness. The construction of reality integral enables up by exercising everyday professional practices, and through continuous learning, combined with openness to dialogue between various professionals and the community. This research aimed to analyze the practices of health professionals, seeking to understand how exercise the comprehensiveness. Analyzed from the dialogue with workers, the ways, strategies and difficulties in consolidating the practice of comprehensiveness in everyday life. We conducted six focus group sessions and reading your transcript we have chosen three themes highlighted by the Association of Ideas map proposed by Spink (1999). From them we built three stories that illustrate the opinions and ways of experiencing the workers. The stories, such as stories, allow a better approximation of reality, allowing the reader learns all aspects present in situations. The analysis highlights the lack of dialogue, the routine, the need to meet targets based on procedures and the concept of health as absence of disease as the main obstacles to the achievement of comprehensiveness. In contrast, we point out that interdisciplinarity, the values humanized, health promotion and training enable and strengthen comprehensive practices.
A promoção da saúde e a prevenção de doenças como dispositivos de mudanças nas práticas de cuidado na saúde suplementar no Espírito Santo
(Universidade Federal do Espírito Santo, 2009-12-07) Schwartz, Talita Dourado; Lima, Rita de Cássia Duarte; Franco, Túlio Batista; Maciel, Ethel Leonor Noia
abstract
A saúde bucal na saúde da família : ação comunicativa de Habermas guiando as relações
(Universidade Federal do Espírito Santo, 2007-11-30) Esposti, Carolina Dutra Degli; Oliveira, Adauto Emmerich; Cade, Nágela Valadão; Carvalho, Janete Magalhães
The study analyses the insertion of dentists into the Family Health Program (FHP) multidisciplinary team. It also characterises the work process of dentists with regards to the team work and identifies possible communicative approaches and consensus between the team professionals. The theoretical foundation was built from studies about team work relations, and more specifically from Habermas’ Theory of Communicative Action. It consists of an exploratory case study, with a qualitative approach, carried out at Vitoria, capital city of Espírito Santo State, Brazil. The research focused on 14 workers from two Health Family Teams (HFT) and Oral Health Team (OHT) (doctor, nurse, nurse assistant, community health worker, dentist, dental hygienist and dental assistant) who work at the Health Family Units of Maruípe and Ilha do Principe. The data was collected through participant observation and semi-structured recorded interview. The empirical material was analysed through content analysis and the discourses were related to the authors who support the study. The results show the difficult integration between dentists and the other team members, especially due to their lack of skills to perform in multi-professional teams, since they keep hierarchic and individualised ways of working, focusing on clinical procedures and hard technologies, which characterises hegemonic model of practicing dentistry. Adding to that, there is great pressure from management towards increased productivity, ratio of one OHT to two HFT, lack of good work conditions, temporary employment contracts that leads to high staff turnover, lack of responsibility, inappropriate undergraduate education, poorly prepared professionals who are not trained to work in a team environment and to follow the FHP’s guidelines. All these facts were seen as limitations for the team interaction. The insertion of oral health in the FHP not only improved the access to dental services but also created a possibility to change the traditional model of practicing dentistry. In order to consolidate the FHP as the model of Primary Health Care in Brazil, the relationship between dentists and the other health professionals should follow the Habermas Communicative Action, where at least two subjects use linguistic communication to build common action plan, through consensus. This action plan must aim the needs of the users and their life conditions.

Navegar

Navegando Saúde Coletiva por Assunto "614"

Resultados por página

Opções de Ordenação