859 resultados para Descentralização da política de saúde


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The article refers to the collective construction performed from the Multicentric Research on Humanization Training of SUS. It is about production and building consensus on different interpretations of the superfamily "expansion of the analysis capability." The methodological approach is related to the creation of analytical reports coming from four sources: Intervention Plans built at the time of training courses offered in three states (Rio Grande do Sul, Santa Catarina and São Paulo) by the institutional supporters in training.Also, there were questionnaires answered via Form-SUS by graduated supporters after four years of the course closing; data and analysis produced by supporters in focus groups and interviews, conducted as the research final stage in the three states.Thus, considering the inclusive methodological framework not only from the courses, but also the research that evaluated them, the participants (graduates from the training courses) produced data and started to play the active role of researchers/panelists because they got “surprised" by partial analyzes.Therefore, the article discusses the analysis capability of demand required by supporters before their working areas and the relationship of that capability with concepts and elements of Institutional Analysis.It was possible to highlight the inseparability between demands of emergency and the exercise of being next to another person and his/her interests. The conclusion is that the methodology proposed by the course allowed the supporters in training to stimulate and develop a critical capacity on their work.However, it is noticed that the expansion of such analytical capability often remained linked to the supporter, without the contagion of other workers in the territories.It was also possible to see that the course and political framework of PNH could equip the supporters, promoting empowerment from their analysis, which is essential to the interventions performance.

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The study presents the construction process of research methodology "Training in SUS Humanization: effects evaluation of training processes from institutional supporters on health productionin Rio Grande do Sul, Santa Catarina and São Paulo territories." There was a search for developing an appropriate evaluative practice to the training processes, a methodology that instead of evaluating on something, assessed along with the supporters who attended the training-intervention, a participatory methodology.Therefore, the constitution of the Research Interest Group was an eminent tool. Trained supporters comprised the research team to expand participatory possibilities of a large and dispersed group, producing interferences in the investigative process conduction, described and analyzed in the study.At the same time, their experiences interfered in the understandings they had until then about the intervention-training experiences and effects on their daily lives, after almost four years.Thus, the methodological approach was intrinsically linked to the construction of a subjectivity differentiated plan and necessarily collective, which shifted the position of supporters involved from mere data suppliers to a lateralityposition in relation to other actors.The trial afforded by participatory strategies allowed researchers and supporters to interfere and compose the evaluation scenario with remarkable performances throughout the investigative process.The survey configuration was like a bet on a given methodological architecture that, in seeking to overcome evaluator-evaluated logic produced information for (retro) feedingthe intervention triggered by it. In the formative dimension, it also went through working processes analyzed by supporters rescuing the indissoluble characteristic that health activities mobilize among intervening, training and reviewing.

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Considering the experience taken from the institutional support given by the Humanization’s Brazilian Policy in three health’s regions in São Paulo State, Brazil, this text intends to expose some problems refering to the articulation process of other health’s regional networks mainly composed by cities with less than twenty thousands inhabitants. By problematizing the articulation of inlad health’s networks it is put on the agenda the process of descentraliztion and the interfederaditive relations emphasizing the political and institutional aspects that goes through and modulates these relations, mainly in the small cities. Thus, we are questioning the ways how the current health policies are implemented in these territories and the way how they are articulated, having as a goal the challenge of the process’ ascendance and transversality.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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The sector of health insurance is the entrance of 42 millions Brazilian people for health services. Passed a lot of years until regulations appears. The objective of this article was made an analysis of dental institutions participation at the national agency of health insurance – ANS, response for regulation and investigation in Brazil. Through an documental analysis of texts described in meeting registration of ANS, from 1998 to 2006, was made an identification of dental citations, try to describe a standard of dental representation in the meetings. The dentistry was present in 135 citations, the dentistry representatives institutional made 77 citations (57%), 19 was about dentistry proceeds and 7 of those was to ask resolutions; others 35 citations was about manager and standard of services offer by insurance companies, 5 was ask resolutions; others 3 asks was about taxes and fees, and 10 others was about relationship between companies and employs. The results show that dentistry has a good presence by their institutional representatives in ANS meetings.

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Human recourses on Brazilian Health System (SUS) are important social points because on this form the State can guarantee the health like a right of Brazilian population, based on National Constitution Dictates. The Plan of Offices, Careers and Salaries (PCCS) is an administrative tool that should be elaborated to attendance objectives of organization. It maintain the satisfaction level of workers, with a politic of Human Recourses that allows its development and so, can get higher productivity, efficiency and objectivity of services rendered at community. The aim of this study is to contextualize the PCCS like an instrument of People Management to guide and incentive one of forms to turn no precarious the work force of Public System Dental Professionals in SUS. For them, it was realized a literature review, and official documents of Health Ministry were consulted, like governmental decrees, laws, health conference written report. It was possible to verify that, although there is legal basement on the use of PCCS-SUS by Brazilian cities like a tool to attract and maintain dental surgeon developing his profession on SUS, is often the absence of valorization of this professional, and this situation no allows his exclusive dedication at health public services. Precarious work in Dentistry is still observed on many regions of Brazil.

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Pós-graduação em Saúde Coletiva - FMB

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The paper presents the results of a doctoral dissertation that covered the analysis of knowledge involving the everyday teaching and administrative practices of school managers who worked with the proposed construction of a citywide system of inclusive e ducation, while an educational policy. The aim was to follow the school management towards the proposed inclusive educationin three elementary schools in a medium-sized city in the state of São Paulo. The data were collected at the earlier school, a middle-aged one and another recently opened. The stages of the study were: 1) review of literature on: a) qualitative ethnographic research applied to education, b) principles of autonomy, planning, decentralization, c) the education of the school manager and d) relationship between school management and inclusive school; 2) data collection in schools, 3) description and categorization of data and 4) analysis and interpretation of results. To develop the methodology were used observations of the participants, semi-structured interviews, analysis of official documents of the school (internal and external). It was concluded that there is a lack of political-pedagogical project collectively built, a difficulty in developing coordinated actions aimed at the realitiy, problems in interpersonal relationships; a gap gulf between the proposed policy, the discourse about it and the daily practice. The school management is responsible for the construction of an inclusive school, but in the reality studied it was directed at administrative issues at the expense of the pedagogic ones.

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The Folha Universal, newspaper produced by the Igreja Universal do Reino de Deus (Iurd, abbreviation in Portuguese for Universal Church of the Kingdom of God), reaches an average weekly circulation from 2.5 to 3.5 million copies. Studies indicate that the Folha Universal is not merely an institutional newspaper. It is systematically dedicated to be a source of political information to their readers, in order to publicize candidates and politicians who defend the Iurd’s proposals for the Brazilian public life. This paper describes results of an empirical study on the frames built by the Folha Universal about the social demands, economic and political governance considered as priorities to the public management by the Iurd around five themes of analysis: public safety; children and adolescents care; public health; environment; politics and economy. The results indicate that, as characteristics of the Folha Universal in the four months prior to the 2010 Brazilian elections, aspects that differ from those indicated by previous studies on the newspaper. Previously detected in the pages of Folha Universal as a mean for finding solutions to social problems, the theology of prosperity was in our sample replaced by the formulation of public policies.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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The internet, with its hypertext and multimedia features, can be a support for the dissemination of information in an attractive way, which may contribute to the strengthening of democracy. Recent innovation, social networks have been explored also as a resource to attract the interest of the broader public to information about public policies. This paper presents and discusses the results of an empirical study which assessed, through content analysis, the breadth and depth of information offered by the Sao Paulo state government and the federal government in texts accessed through Twitter to publicize purposes, lines of action and limits of public policy in the areas of welfare, health, education and environment . The results indicate that the information available tend to focus mainly on goals, resources and current actions of policies, whereas there can be found few data on planned features, relation between cost and effectiveness and user satisfaction.

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Pós-graduação em Psicologia - FCLAS