| |  | Gil, Célia R. | Atenção primária, atenção básica e saúde da família: sinergias e singularidades do contexto brasileiro read moreAbstract: This article analyzes the concepts of primary health care, basic health care, and family health care as used in official documents by the Brazilian Ministry of Health, final reports of the National Conferences on Health and Human Resources, the Basic Operational Ruling on Human Resources, and texts accessed on-line by BIREME. The data analysis, through double-entry matrices, showed a lack of these references in Brazilian health policy formulation and implementation. Basic Operational Ruling 96 (NOB/96) plays a distinct role in this regard; the national conference reports show an important gap in this debate, and most of the published articles present the concepts of primary care and basic care with the meaning of health unit or local service. Articles on the Family Health Program refer to it more as a program than a strategy, and the articles analyzing such concepts show the influence of rationalities underlying the different strategies for organization of health services in the Brazilian scenario, namely Health Surveillance and Programmatic Actions in Health and in Defense of Life. | 2006 |
| | | Souza, Luis E. | O uso de pesquisas na formulação de políticas de saúde: obstáculos e estratégias read moreAbstract: Management of a health system requires knowledge of the health situation and administration, among other factors. The use of scientific knowledge by health policy-makers is thus recommendable. However, policy-making processes and scientific practices themselves often appear to pose obstacles to the actual utilization of research results. Many such obstacles result from reifying views of the decision-making process and objectivist conceptions of science. We propose a re-conceptualization of health policy-making and scientific practices based on the language game notion. The use of research results would thus become an exchange of significant metaphors between policy-makers and scientists. Adoption of pluralistic research systems and intensification of interfaces between researchers and policy-makers in a context of knowledge-sharing would be the main strategies to improve this exchange. Such strategies would be efficient to the extent that they succeeded in drawing science and common sense closer together, thereby transforming both. | 2004 |
| | | Pierantoni, Celia R. | As reformas do Estado, da saúde e recursos humanos: limites e possibilidades read moreAbstract: As transformações observadas a partir da implementação da reforma do Estado brasileiro destacam antigos problemas e introduzem outros novos para a área de recursos humanos em saúde. Este trabalho examina o desenvolvimento da área de recursos humanos (RH) nas políticas públicas, tendo como referencial as reformas da política nacional de saúde na década de 1990 no Brasil. Aponta para a necessidade de ampliação e aprofundamento do conhecimento sobre o trabalho desenvolvido na área de saúde que envolve a abordagem da administração geral, da sociologia do trabalho e das profissões e especialidades, do desenvolvimento tecnológico, das análises econômicas, dos processos de aprendizagem, entre outras. Identifica dimensões críticas para a abordagem de recursos humanos em saúde que necessitam ser analisadas e acompanhadas de mecanismos de intervenção específica e não excludentes: a dimensão gerencial, a dimensão estrutural e a dimensão regulatória. Destaca a necessidade de intervenções que reintroduzam os profissionais de saúde na centralidade do debate como participantes da implementação das políticas em seus aspectos político, administrativo, técnico e social. | 2001 |
Add To Cart
Add To Report
Email
Export
1 