Acolhimento na estratégia saúde da família: o que dizem os usuários?

The objective of the National Humanization Policy (NHP) is to humanize relations between professionals and users. It is guided by the proposal of expanded clinic and proposes the embracement as a strategy for its existence. The embracement requires qualified hearing, the provision of adequate technologies and the establishment of relations for better solving health problems of users. The objective of this study was to evaluate user satisfaction of the Family Health Strategy (FHS) regarding the embracement from the perspective of qualified hearing and improved relations in the city of Recife- PE. In this quantitative, qualitative, evaluative and cross-sectional study, 297 users of the services offered by the FHS were interviewed in six health districts of the city. For data collection, the Satisfaction Rating Scale of users with Mental Health Services - Satis-BR- abbreviated and adapted to the subject embracement was used. Quantitative data were analyzed by using the software Statistical Package for Social Science (SPSS) 17.0, calculating the absolute and relative frequencies. Qualitative data were analyzed by content analysis of Bardin with the elaboration of thematic categories. The results indicate that most users are satisfied with the embracement offered by the teams. About 66% reported being very or fairly heard by professionals; 80.2% reported to have obtained some or much help when searched for embracement; 64.6% indicated that the embracement is friendly or very friendly. Regarding ambience, 55.9% of users demonstrated indifference and dissatisfaction with comfort and appearance; regarding general facilities of the service, 69.4% reported as regular to awful. Three thematic categories were revealed by the speeches: satisfaction with embracement, dissatisfaction with the ambience, and suggestions for improvements in embracement and service. This study contributed to the understanding that both the hearing and relations are present in the embracement of the city and also to demonstrate that the ambience is a possible weakness in the opinion of the users.

Divulgação científica para empoderamento institucional: o discurso da revista Darcy e a midiatização da academia

Science has remained in hegemonic position among the various forms of knowledge that enable us perceive our surroundings. After a growing movement of introversion of the scientific field, which enabled the empowerment of the academy, it is growing today the discussion about the need to spread knowledge of this area to society. Our study aims to observe the discourse of institutional science communication, taking into account the historical conditions that made possible the emergence of science as legitimate observation of nature and of man and also the credibility granted to the media. Therefore, we have as our study object the editorials of the Darcy magazine, for scientific and cultural journalism of the University of Brasilia. We focused on observing the discourse of knowledge sharing by the media, using the concepts of field, from Bourdieu’s work, and Agamben’s "profanation" together with notions from the organizational communication area. Also, the concepts of dispositive, discourse and knowledge-power used are based on the studies from the French school which associate them to the need of thinking power as a relation between what is and what is not said, having Michel Foucault as an important exponent of this area. The research, which uses as a method the Discourse Analysis, shows us a process of mutual validation of the scientific and journalistic discourses, which contribute to the strengthening of the institution itself as well as the scientific field, in texts which have as a backdrop the institutional image and reputation.

Os estados no SUAS: uma análise da capacidade institucional dos governos estaduais na assistência social

This paper deals of the effects generated by institutional designs in the behavior of political actors. The literature that discusses the implications of federal arrangements in the production of public policies to dock at two opposing arguments: (1) the federal configuration would cause dispersion and variation in service provision between subnational governments; and (2) the central government would own mechanisms to induce the provision of national policies in more homogeneous levels, similar to unitary states. The research is part of this discussion because it analyzes the effects of the institutional design of the Sistema Único de Assistência Social (SUAS) in the decisions of states in Brazil. Therefore, we analyzed the institutional capacity built by the 26 state governments after the implementation of SUAS, conceiving this system as defined mechanism of government functions and federative cooperation.It is argued that the existence of a heterogeneous institutional capacity of state governments in social assistance is a result of the autonomy contained in the institutional design of SUAS to this level of government. This freedom of action relativize the idea that the implementation of national public policy systems would generate positive (or homogeneous) effects in all subnational governments, at the same time as it preclude to generalize the premise of fragility of the states in the brazilian federal plan.