6 resultados para Biologicismo
Resumo:
The Health Family Program (HFP) was founded in the 1990s with the objective of changing the health care model through a restructuring of primary care. Oral health was officially incorporated into HFP mainly through the efforts of dental professionals, and was seen as a way to break from oral health care models based on curative, technical biological and inequity methods. Despite the fast expansion of HFP oral health teams, it is essential to ask if changes are really occurring in the oral health model of municipalities. Therefore, the purpose of this study is to evaluate the incorporation of oral health teams into the Health Family Program by analyzing the factors that may interfere positively or negatively in the implementation of this strategy and consequently in the process of changing oral health care models in the National Health System in the state of Rio Grande do Norte, Brazil. This evaluation involves three dimensions: access, work organization and strategies of planning. For this purpose,19 municipalities, geographically distributed according to Regional Public Health Units (RPHU), were randomly selected. The data collection instruments used were: structured interview of supervisors and dentists, structured observation, documental research and data from national health data banks. It was possible to identify critical points that may be impeding the implementation of oral health into HFP, such as, low incomes, no legal employment contract, difficulty in referring patients for high-complexity procedures, in developing intersectoral actions and program strategies such as epidemiologic diagnosis and evaluation of the new actions. The majority of municipalities showed little or no improvement in oral health care after incorporating the new model into HFP. All of them had failures in most of the aspects mentioned above. Furthermore, these municipalities are similar in other areas, such as low educational levels in children from 7 to 14 years of age, high child mortality rates and wide social inequalities. On the other hand, the five municipalities that had improved oral health, according to the categories analyzed, offered better living conditions to the population, with higher life expectancy, low infant mortality rates, per capita income among the highest in the state as well as high Human Development Index (HDI) means. Therefore, it is possible to conclude that public policies that include aspects beyond the health sector are decisive for a real change in health care models
Resumo:
Dwellers of agrarian reform settlements have a life conditioned by poor living and work conditions, difficulties accessing health programs, social assistance and other public policies and by this exacerbating their psychosocial and environmental vulnerability, which has an impact on their mental health. This research investigates the availability of support by the health and social assistance staff, regarding the demands of common mental disorders and alcohol abuse of dwellers of nine settlements in Rio Grande do Norte. Fifty three experts from different professional categories were interviewed individually or in groups. The results indicate that the workers suffer from poor working conditions, attributes of patrimonial heritage and welfare, which still survives in Brazilian social policies and particularly at local administrations of the countryside. The staffs have little knowledge of the local conditions and of the mental health needs, which has a negative impact on the reception and offered care. The implemented health care still corresponds to the biomedical logic, characterized by ethnocentrism, technicality, biology, cure, individualism and specialization, with little participation of the dwellers and disregarding the traditional knowledge and practices of local health care and by this not achieving the expected results. The psychosocial attendance is not well coordinated, presenting problems with the follow-up and continuity of care. The psychosocial mental health care in rural context has to face the challenge of the reorganization of the health care networks, the establishment of primary health care close to the people’s everyday life, building intersectional practices considering a health multidetermination and health education connected to these specific contexts. Due to the lack of knowledge of the specifics of the life conditions of the dwellers and the fragmentation of the psychosocial health care network, these staffs do not abide and are not ready to face the mental health needs in order to interfere with these health iniquities.
Resumo:
Dwellers of agrarian reform settlements have a life conditioned by poor living and work conditions, difficulties accessing health programs, social assistance and other public policies and by this exacerbating their psychosocial and environmental vulnerability, which has an impact on their mental health. This research investigates the availability of support by the health and social assistance staff, regarding the demands of common mental disorders and alcohol abuse of dwellers of nine settlements in Rio Grande do Norte. Fifty three experts from different professional categories were interviewed individually or in groups. The results indicate that the workers suffer from poor working conditions, attributes of patrimonial heritage and welfare, which still survives in Brazilian social policies and particularly at local administrations of the countryside. The staffs have little knowledge of the local conditions and of the mental health needs, which has a negative impact on the reception and offered care. The implemented health care still corresponds to the biomedical logic, characterized by ethnocentrism, technicality, biology, cure, individualism and specialization, with little participation of the dwellers and disregarding the traditional knowledge and practices of local health care and by this not achieving the expected results. The psychosocial attendance is not well coordinated, presenting problems with the follow-up and continuity of care. The psychosocial mental health care in rural context has to face the challenge of the reorganization of the health care networks, the establishment of primary health care close to the people’s everyday life, building intersectional practices considering a health multidetermination and health education connected to these specific contexts. Due to the lack of knowledge of the specifics of the life conditions of the dwellers and the fragmentation of the psychosocial health care network, these staffs do not abide and are not ready to face the mental health needs in order to interfere with these health iniquities.
Resumo:
No son pocos los discursos que la concepción moderna de la educación ha tendido a universalizar y a generalizar. La simple observación asistemática permite afirmar que el campo de la enseñanza deportiva se ha caracterizado tradicionalmente por concepciones generales y prácticas tanto universales como totalizadoras. Campo que se ha estructurado a partir de verdades inobjetables, discursos dogmáticos, con actores estereotipados, plagados de argumentos orientados siempre hacia la búsqueda de la norma como principio constitutivo para la enseñanza y en el que la aptitud física se ha entendido como objetivo a lograr, o lo que es más grave aún, como herramienta de categorización y definición del otro. Por lo tanto, el trabajo que aquí se presenta, da cuenta que la Biología, al establecer las diferentes formas de concepción y de intervención, y a pesar de ciertas formas progresistas desde donde se proclaman cambios fundamentales -la Iniciación Deportiva-, es la que gobierna ideológicamente el mundo de estas prácticas
Resumo:
No son pocos los discursos que la concepción moderna de la educación ha tendido a universalizar y a generalizar. La simple observación asistemática permite afirmar que el campo de la enseñanza deportiva se ha caracterizado tradicionalmente por concepciones generales y prácticas tanto universales como totalizadoras. Campo que se ha estructurado a partir de verdades inobjetables, discursos dogmáticos, con actores estereotipados, plagados de argumentos orientados siempre hacia la búsqueda de la norma como principio constitutivo para la enseñanza y en el que la aptitud física se ha entendido como objetivo a lograr, o lo que es más grave aún, como herramienta de categorización y definición del otro. Por lo tanto, el trabajo que aquí se presenta, da cuenta que la Biología, al establecer las diferentes formas de concepción y de intervención, y a pesar de ciertas formas progresistas desde donde se proclaman cambios fundamentales -la Iniciación Deportiva-, es la que gobierna ideológicamente el mundo de estas prácticas
Resumo:
No son pocos los discursos que la concepción moderna de la educación ha tendido a universalizar y a generalizar. La simple observación asistemática permite afirmar que el campo de la enseñanza deportiva se ha caracterizado tradicionalmente por concepciones generales y prácticas tanto universales como totalizadoras. Campo que se ha estructurado a partir de verdades inobjetables, discursos dogmáticos, con actores estereotipados, plagados de argumentos orientados siempre hacia la búsqueda de la norma como principio constitutivo para la enseñanza y en el que la aptitud física se ha entendido como objetivo a lograr, o lo que es más grave aún, como herramienta de categorización y definición del otro. Por lo tanto, el trabajo que aquí se presenta, da cuenta que la Biología, al establecer las diferentes formas de concepción y de intervención, y a pesar de ciertas formas progresistas desde donde se proclaman cambios fundamentales ?la Iniciación Deportiva-, es la que gobierna ideológicamente el mundo de estas prácticas
