Qualidade de vida no servi��o p��blico: um programa para a Ag��ncia Nacional do Petr��leo, G��s Natural e Biocombust��veis - ANP

This study aimed to verify which are the main factors for a Quality of Working Life Program in context of the Ag��ncia Nacional do Petr��leo, G��s Natural e Biocombust��veis (ANP). For this, a descriptive, an explanatory, a literature, a documentary and a field research was applied. ANP was the universe of the research. The sample consists of 2 Quality of Working Life Program��s managers: one of Ag��ncia Nacional de ��guas (ANA), and another one from Ag��ncia Nacional de Sa��de Suplementar (ANS), as well as managers and servers from ANP. Two semi structured interviews, a mixed questionnaire and a words evoke test were applied. The Quality of Working Life Factors used in this study were: working conditions, health, moral, compensation, participation, internal communication, organization image, headmansubaltern relationship and working organization. It was concluded that relevant factors for a Quality of Working Life Program in ANP are: working organization, working condition, moral, health and organization image.

M��todo de custeio e crit��rios de discrimina����o de pre��os de procedimentos m��dicos: uma an��lise em dois hospitais do munic��pio do Rio de Janeiro

This case study investigates, empirically, cost methods and criteria of price discrimination made from hospital organizations when they set up their prices of hospital services to private patients and push down their prices to patients affiliated to health insurance and/or health maintenance organizations (HMO). The theory sought to show the Brazilian health systems either public or private, the aspects about corporate culture, the relationship among three players of the private health system �� health insurance companies (or HMO), hospitals and the patients, the importance of the cost systems, and the criteria of price discrimination. With these theories, it was developed a qualitative exploratory research, through open interviews, with hospital��s managers and co-workers from invoicing department from two hospitals located at the Rio de Janeiro City. Based on results we didn��t identify appropriate cost systems to help the managers to make a correct decision about price discrimination, but was identified corporate culture factors that could influence the price discrimination. Among the results, we can see unprepared hospital managers. Finally, we discussed some contributions and weakness of this case study, and there are presented suggestions for future researches.

An��lise das estrat��gias de entrada de mercado adotadas por uma organiza����o privada de sa��de: o caso Fleury S.A.

Esta disserta����o analisa como as estrat��gias de entrada de mercado adotadas por uma organiza����o privada de sa��de contribu��ram para a forma����o dos recursos e capacidades dos seus novos empreendimentos e para o desempenho desses neg��cios. Para tanto, este trabalho recorre a revis��o bibliogr��fica sobre Entrada de Mercado e Teoria dos Recursos da Firma (RBV) e aplica um estudo de caso no Fleury S.A., apoiado em entrevistas semi-estruturadas com os altos executivos da organiza����o. Os empreendimentos Check-up, Hospital-Dia e a Holding NKB s��o estudados em profundidade e evidenciam caracter��sticas distintas de entrada, que variam conforme os la��os de liga����o com o Fleury: por meio do crescimento interno, da forma����o de uma Joint Venture e da cria����o de uma Spin-off. Como resultados, verifica-se a converg��ncia da literatura de Entrada de Mercado e RBV, em que os recursos e capacidades do potencial entrante t��m um importante impacto no modo de entrada, bem como em sua performance p��s-entrada de mercado. Por outro lado, a inexperi��ncia no novo mercado e as analogias equivocadas foram observadas como as principais respons��veis pela entrada inapropriada em um novo mercado.

Privacidade e inova����o na era do Big Data

A coleta e o armazenamento de dados em larga escala, combinados �� capacidade de processamento de dados que n��o necessariamente tenham rela����o entre si de forma a gerar novos dados e informa����es, �� uma tecnologia amplamente usada na atualidade, conhecida de forma geral como Big Data. Ao mesmo tempo em que possibilita a cria����o de novos produtos e servi��os inovadores, os quais atendem a demandas e solucionam problemas de diversos setores da sociedade, o Big Data levanta uma s��rie de questionamentos relacionados aos direitos �� privacidade e �� prote����o dos dados pessoais. Esse artigo visa proporcionar um debate sobre o alcance da atual prote����o jur��dica aos direitos �� privacidade e aos dados pessoais nesse contexto, e consequentemente fomentar novos estudos sobre a compatibiliza����o dos mesmos com a liberdade de inova����o. Para tanto, abordar��, em um primeiro momento, pontos positivos e negativos do Big Data, identificando como o mesmo afeta a sociedade e a economia de forma ampla, incluindo, mas n��o se limitando, a quest��es de consumo, sa��de, organiza����o social, administra����o governamental, etc. Em seguida, ser��o identificados os efeitos dessa tecnologia sobre os direitos �� privacidade e �� prote����o dos dados pessoais, tendo em vista que o Big Data gera grandes mudan��as no que diz respeito ao armazenamento e tratamento de dados. Por fim, ser�� feito um mapeamento do atual quadro regulat��rio brasileiro de prote����o a tais direitos, observando se o mesmo realmente responde aos desafios atuais de compatibiliza����o entre inova����o e privacidade.

Avalia����o das capacita����es de Hansen��ase: enfermeiros opini��o de m��dicos e enfermeiros das equipes de sa��de da fam��lia

MORENO,Cl��a Maria da Costa,ENDERS,Bertha Cruz, SIMPSON, Cl��lia Albino. Avalia����o das capacita����es de Hansen��ase: enfermeiros opini��o de m��dicos e enfermeiros das equipes de sa��de da fam��lia. Revista Brasileira de Enfermagem, Bras��lia, v.61,n.esp.p. 671-5.2008.

Hospital de Pediatria da UFRN: resgatando mem��rias na constru����o da hist��ria

This study deals with a historical, descriptive and exploratory approach aiming to recall the origin and trajectory of the Pediatrics Hospital at Universidade Federal do Rio Grande do Norte. This research also deals with the insertion of the nursing department in the same Hospital. This was realized through existing records and discourse collected through interview of professionals-doctors, nurses, midwifes, nursing attendants and psychologists. Thus, a network was established and consisted of qualified informants, composed through reference analysis. Data treatment and analysis was performed based on the collection of oral data. The data was considered according to the font s context, all of which depending on process of comprehension and interpretation. The research was based on the main theme, through oral history used in order to build a historical background. These main themes were then subdivided and other discourses were made present such as: the historical scene, the dream came true and the insertion of nursing, present in the history construction; all of which enabled the research. Thus, in this process, it was possible to identify the most important characters of the origin of children s health services organization and assistance at Rio Grande do Norte. It was possible to perceive that this institution aimed to initiate health services that dealt with an education for future generations. This was observed through the creation of the Faculty of Medicine of Natal and as a consequence, the installation of a Pediatrics Hospital that dealt with medical education. The research made evident that the nursing contributed for a structuring of quality health assistance towards children, even though the resources and working conditions were scarce, extensive work shifts and low professional qualification. It was observed that the there was change in the category s profile, once nurses were introduced in the service. Once this happened, changes in mentality, and innovative processes as well as professional conducts were established. The distinctive relation between acting and doing of doctors and nurses were also dealt with. Thus, the first item is done towards the idealization, projection and prescription. The second issue deals with concretization in realization of something that was not projected and realized, causing suffering and unsatisfaction. At the end, it was possible to confirm that oral history is a very rich element and it is possible through subjects that build history, through their perceptation of the facts and the context in that their are inside

Sa��de mental no Programa de Sa��de da Fam��lia: conceitos dos agentes comunit��rios sobre o transtorno mental

Este estudo objetivou identificar as representa����es sociais de agentes comunit��rios de uma unidade de Programa Sa��de da Fam��lia sobre o transtorno mental. Optamos pela pesquisa qualitativa, utilizando o estudo de caso. Para a coleta de dados, recorremos �� entrevista semi-estruturada, enriquecida pelo uso de T��cnica Projetiva, e �� an��lise tem��tica para analisar o material obtido. Os resultados evidenciam representa����es sociais ancoradas no paradigma psiqui��trico tradicional. Esse considera a pessoa acometida pelo transtorno mental passiva, sem condi����es de protagonizar os pr��prios caminhos que, por sua vez, s��o marcados pelo preconceito. Desse modo, denota-se a grande necessidade de investimento na capacita����o em sa��de mental, junto aos atores do cen��rio da assist��ncia do Programa de Sa��de da Fam��lia. de acordo com o estudo, tal investimento contribuir�� para a efetiva����o de pr��ticas e constru����o de novos saberes, contribuindo para a melhoria da assist��ncia em sa��de.

Responsabilidade do profissional de sa��de sobre a notifica����o de casos de viol��ncia dom��stica

A notifica����o da viol��ncia dom��stica pelos profissionais de sa��de contribui para o dimensionamento epidemiol��gico do problema, permitindo o desenvolvimento de programas e a����es espec��ficas. O objetivo do trabalho foi verificar a responsabilidade desses profissionais em notificar a viol��ncia, especialmente a dom��stica e as poss��veis implica����es legais e ��ticas a que est��o sujeitos. Assim, foi realizada pesquisa na legisla����o brasileira e c��digos de ��tica da medicina, odontologia, enfermagem e psicologia. Quanto �� legisla����o, as san����es est��o dispostas na Lei das Contraven����es Penais, Estatuto da Crian��a e Adolescente, Estatuto do Idoso e na lei que trata da notifica����o compuls��ria de viol��ncia contra a mulher. Tamb��m existem penalidades em todos os c��digos de ��tica analisados. Conclui-se que o profissional de sa��de tem o dever de notificar os casos de viol��ncia que tiver conhecimento, podendo inclusive responder pela omiss��o.

Percep����o dos coordenadores de sa��de bucal e cirurgi��es-dentistas do servi��o p��blico sobre o Sistema ��nico de Sa��de (SUS)

O profissional de sa��de �� um ponto-chave para a implementa����o do Sistema ��nico de Sa��de (SUS). �� medida que exerce sua fun����o, o sistema passa do aspecto te��rico-conceitual para a pr��tica da aten����o. Objetivou-se neste estudo verificar o n��vel de conhecimento sobre o Sistema ��nico de Sa��de (SUS) dos coordenadores de sa��de bucal e cirurgi��es-dentistas do servi��o p��blico dos 40 munic��pios da regi��o noroeste do Estado de S��o Paulo. Utilizou-se um question��rio estruturado, autoaplic��vel, composto de quest��es referentes aos princ��pios doutrin��rios e organizativos do SUS, controle social, financiamento, forma����o de recursos humanos, aten����o e assist��ncia em sa��de. Dos entrevistados, 77 (89,5%) n��o sabiam quem era o respons��vel pelo planejamento e execu����o da assist��ncia, 53 (61,6%) n��o tinham conhecimento de equidade, 46 (53,5%) de fundo de sa��de e 45 (52,3%) de controle social. Conclui-se que existe defici��ncia no conhecimento de determinados assuntos, havendo necessidade de promo����o de cursos a respeito da filosofia do SUS.

Vinte anos de assist��ncia a pessoas vivendo com HIV/AIDS no Brasil: a perspectiva de profissionais da sa��de

O objetivo do estudo �� descrever os significados atribu��dos por profissionais de sa��de �� sua experi��ncia de cuidar de pessoas com HIV/AIDS. Os dados foram coletados em entrevistas com 10 profissionais da sa��de, em diferentes institui����es paulistas. Tr��s temas emergiram da an��lise dos dados: (a) o cen��rio da assist��ncia ao paciente com HIV/AIDS; (b) relacionamento com o paciente; (c) aspectos ��ticos nesse cuidado. A despeito dos reconhecidos avan��os na assist��ncia a esse paciente, os achados revelam a persist��ncia de comportamentos discriminat��rios, relacionados a sentimentos de inseguran��a e medo do cont��gio, entre os profissionais nos servi��os e hospitais gerais. O preparo espec��fico para atender os pacientes estaria mais voltado aos profissionais dos centros especializados para a assist��ncia ao HIV/AIDS, resultando em dificuldades na integra����o da assist��ncia a esses pacientes nos demais servi��os do SUS. Esses dados remetem aos aspectos da forma����o profissional na ��rea da sa��de como um todo, levando �� reflex��o sobre as compet��ncias que se espera dos profissionais da sa��de em cuidar e relacionar-se com pessoas com HIV/AIDS, assim como sobre o impacto dessa realidade na preven����o da doen��a.

Willingness of Brazilian dentists to treat an HIV-infected patient

A study of the willingness of 363 general dental practices in Brazil to accept a patient infected with human immunodeficiency virus for treatment of dental pain and the provision of routine dental care showed only 44% of dental practices to be willing to provide dental care. Willingness was influenced neither by financial factors nor the local prevalence of human immunodeficiency virus disease. �� 1994.

Coordinated, network-based research as a strategic component of science in Brazil

Scientific research plays a fundamental role in the health and development of any society, since all technological advances depend ultimately on scientific discovery and the generation of wealth is intricately dependent on technological advance. Due to their importance, science and technology generally occupy important places in the hierarchical structure of developed societies, and they receive considerable public and private investment. Publicly funded science is almost entirely devoted to discovery, and it is administered and structured in a very similar way throughout the world. Particularly in the biological sciences, this structure, which is very much centered on the individual scientist and his own hypothesis-based investigations, may not be the best suited for either discovery in the context of complex biological systems, or for the efficient advancement of fundamental knowledge into practical utility. The adoption of other organizational paradigms, which permit a more coordinated and interactive research structure, may provide important opportunities to accelerate the scientific process and further enhance its relevance and contribution to society. The key alternative is a structure that incorporates larger organizational units to tackle larger and more complex problems. One example of such a unit is the research network. Brazil has utilized such networks to great effect in genome sequencing projects, demonstrating their relevance to the Brazilian research community and opening the possibility of their wider utility in the future.

HIV attitudes and practices among professors in a Brazilian dental school.

Although there is considerable published research on Acquired Immunodeficiency Syndrome (AIDS), individual biases persist because of lack of information regarding HIV virus transmission. As a result, both infected patients and health care professionals suffer. The objective of this study was to determine if there is prejudice among university professors at the School of Dentistry at Aracatuba's Sao Paulo State University (FOA-UNESP) concerning HIV-positive patients or HIV-positive health care professionals. Out of the seventy-seven professors who responded to the questionnaire, 62.3 percent (forty-eight) stated that they advise their students not to refuse to treat a patient with HIV. Although 96.2 percent (fifty-two) of the fifty-four professors who treat patients have reported that they treat patients who are HIV-positive, only 65.3 percent of them were aware of infection control precautions, and only 32.7 percent reported that they would treat an HIV-positive patient like any other patient. There is also prejudice regarding HIV-positive professionals because only 48.1 percent (thirty-seven) of the professors responded that they would be willing to be treated by an infected professional. It can be concluded that there is prejudice among some of the FOA-UNESP university professors regarding individuals who are HIV-positive.

Multiplicadores reflexivos: Uma experi��ncia do Instituto Familiae junto ao Grupo de Assist��ncia em Transtornos Alimentares (GRATA) do HC-FMRP-USP

This article describes the Reflecting Practitioners Program developed by Instituto Familiae at GRATA (Grupo de Assist��ncia em Transtornos Alimentares) placed at the Clinical Hospital of the Faculty of Medicine of Ribeir��o Preto - University of Sao Paulo (HC-FMRP-USP). The aim of this program was to take care of the caretakers - the GRATA interdisciplinary team - through the development of their reflecting ability, the appropriation of their own resources and the support on constructing alternative histories and on solving situations defined by them as problematic. Thirteen monthly meeting had been carried out among Familiae members and GRATA interdisciplinary team. The changes described by the participants had occurred through sessions developed with interdisciplinary pairs and through the development of their capacity to construct more comfortable positions - as members of the team and in the relationship among professional/client/ family. This triad became to be seen by the team through its resources and abilities, instead of its flaws and lacks. As a result, horizontal relationships could be privileged instead of hierarchical ones.