Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practices

Detalhes bibliográficos
Autor(a) principal: Gomes, Doris
Data de Publicação: 2022
Outros Autores: Aparisi, Juan Carlos Siurana
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1051
Resumo: This essay aimed to analyze the need for new professional excellence guided by collective deliberation, debating the ethics applied to health issues in the Brazilian and Spanish experiences. The practical functioning of the bioethics committees in Spain is making progress in constituting the deliberative method as collective participation in professional decisions, discussing the importance of deliberative democracy to build new ethical civility. In Brazil, after the first decades of the construction of the Unified Health System, the professionals’ participation has widened, primarily in the health councils and, with CNS resolution No. 196/96, also in the ethics committees for research involving human subjects, improving new affirmative, organization and collective commitment actions aiming to expand responsibility in the construction and execution of public policies. Ethical deliberation becomes a central feature: professional decisions that were paternalistic and private in act have gradually expanded to collective and socially active deliberation, suggesting the need for a new professional excellence, beyond the merely technical and clinical–individual one. Brazilian bioethics takes on a leading role in the transformation of professional excellence guided by critical solidarity and commitment to public-social matters in deliberation collectives that take the population's quality of life into account.
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spelling Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practicesDeliberación colectiva: una contribución contemporánea de la bioética brasileña para las prácticas del SUS (Sistema Único de Salud)Deliberação coletiva: uma contribuição contemporânea da bioética brasileira para as práticas do SUSbioéticadeliberaçãoexcelência profissinaldemocracia deliberativasolidariedade críticabioethicsdeliberationprofessional excelencedeliberative democracycritical solidaritybioéticadeliberaciónexcelencia profesionalsolidariedad críticaThis essay aimed to analyze the need for new professional excellence guided by collective deliberation, debating the ethics applied to health issues in the Brazilian and Spanish experiences. The practical functioning of the bioethics committees in Spain is making progress in constituting the deliberative method as collective participation in professional decisions, discussing the importance of deliberative democracy to build new ethical civility. In Brazil, after the first decades of the construction of the Unified Health System, the professionals’ participation has widened, primarily in the health councils and, with CNS resolution No. 196/96, also in the ethics committees for research involving human subjects, improving new affirmative, organization and collective commitment actions aiming to expand responsibility in the construction and execution of public policies. Ethical deliberation becomes a central feature: professional decisions that were paternalistic and private in act have gradually expanded to collective and socially active deliberation, suggesting the need for a new professional excellence, beyond the merely technical and clinical–individual one. Brazilian bioethics takes on a leading role in the transformation of professional excellence guided by critical solidarity and commitment to public-social matters in deliberation collectives that take the population's quality of life into account.Este ensayo tuvo por objetivo analizar la necesidad de nueva excelencia profesional orientada en la deliberación colectiva, debatiendo la ética aplicada a las cuestiones de salud en las experiencias de Brasil y España. El funcionamiento práctico de los comités de bioética en España avanza en la constitución del método deliberativo como participación colectiva en la decisión profesional, discutiendo la importancia de la democracia deliberativa para la construcción de una nueva civilidad ética. En Brasil, tras las primeras décadas de construcción del Sistema Único de Salud, se amplía el abanico de participación de los profesionales, primeramente en los consejos de salud y, con la resolución CNS n. 196/96, también en los comités de ética en investigación involucrando seres humanos, mejorando nuevas acciones afirmativas, de organización y compromiso colectivo ampliando la responsabilidad de la construcción y concreción de las políticas públicas. La deliberación ética cobra centralidad: la decisión profesional que era paternalista y privada en los hechos, se amplía paulatinamente hacia una deliberación colectiva y socialmente activa, lo que sugiere la necesidad de una nueva excelencia profesional, más allá de lo meramente técnica y clínico individual. La bioética brasileña adquiere un papel preponderante en la transformación de la excelencia profesional orientada en una solidaridad crítica y en el compromiso con lo público y social, en colectivos de deliberación que consideren la calidad de vida de la población.Este ensaio teve por objetivo analisar a necessidade de nova excelência profissional pautada na deliberação coletiva, debatendo a ética aplicada às questões de saúde nas experiências de Brasil e Espanha. O funcionamento prático dos comitês de bioética na Espanha avança na constituição do método deliberativo como participação coletiva na decisão profissional, discutindo a importância da democracia deliberativa para a construção de nova civilidade ética. No Brasil, após as primeiras décadas de construção do Sistema Único de Saúde, amplia-se o leque de participação dos profissionais, primeiramente nos conselhos de saúde e, com a resolução CNS n. 196/96, também nos comitês de ética em pesquisa envolvendo seres humanos, aprimorando novas ações afirmativas, de organização e comprometimento coletivo com ampliação da responsabilidade na construção e efetivação das políticas públicas. A deliberação ética adquire centralidade: a decisão profissional que era paternalista e privada em ato é, paulatinamente, ampliada como deliberação coletiva e socialmente ativa, o que sugere a necessidade de uma nova excelência profissional, além do meramente técnico e clínico-individual. A bioética brasileira adquire papel preponderante na transformação da excelência profissional pautada numa solidariedade crítica e no comprometimento com o público-social, em coletivos de deliberação que considerem a qualidade de vida da população.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-07-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/105110.1590/1981-7746-sol00052Trabalho, Educação e Saúde; v. 15 n. 2 (2017)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1051/298Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGomes, DorisAparisi, Juan Carlos Siurana 2022-07-28T16:48:36Zoai:ojs.pkp.sfu.ca:article/1051Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:06.366424Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practices
Deliberación colectiva: una contribución contemporánea de la bioética brasileña para las prácticas del SUS (Sistema Único de Salud)
Deliberação coletiva: uma contribuição contemporânea da bioética brasileira para as práticas do SUS
title Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practices
spellingShingle Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practices
Gomes, Doris
bioética
deliberação
excelência profissinal
democracia deliberativa
solidariedade crítica
bioethics
deliberation
professional excelence
deliberative democracy
critical solidarity
bioética
deliberación
excelencia profesional
solidariedad crítica
title_short Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practices
title_full Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practices
title_fullStr Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practices
title_full_unstemmed Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practices
title_sort Collective deliberation: a contemporary contribution of brazilian bioethics to the SUS' (Unifield Health Service) practices
author Gomes, Doris
author_facet Gomes, Doris
Aparisi, Juan Carlos Siurana
author_role author
author2 Aparisi, Juan Carlos Siurana
author2_role author
dc.contributor.author.fl_str_mv Gomes, Doris
Aparisi, Juan Carlos Siurana
dc.subject.por.fl_str_mv bioética
deliberação
excelência profissinal
democracia deliberativa
solidariedade crítica
bioethics
deliberation
professional excelence
deliberative democracy
critical solidarity
bioética
deliberación
excelencia profesional
solidariedad crítica
topic bioética
deliberação
excelência profissinal
democracia deliberativa
solidariedade crítica
bioethics
deliberation
professional excelence
deliberative democracy
critical solidarity
bioética
deliberación
excelencia profesional
solidariedad crítica
description This essay aimed to analyze the need for new professional excellence guided by collective deliberation, debating the ethics applied to health issues in the Brazilian and Spanish experiences. The practical functioning of the bioethics committees in Spain is making progress in constituting the deliberative method as collective participation in professional decisions, discussing the importance of deliberative democracy to build new ethical civility. In Brazil, after the first decades of the construction of the Unified Health System, the professionals’ participation has widened, primarily in the health councils and, with CNS resolution No. 196/96, also in the ethics committees for research involving human subjects, improving new affirmative, organization and collective commitment actions aiming to expand responsibility in the construction and execution of public policies. Ethical deliberation becomes a central feature: professional decisions that were paternalistic and private in act have gradually expanded to collective and socially active deliberation, suggesting the need for a new professional excellence, beyond the merely technical and clinical–individual one. Brazilian bioethics takes on a leading role in the transformation of professional excellence guided by critical solidarity and commitment to public-social matters in deliberation collectives that take the population's quality of life into account.
publishDate 2022
dc.date.none.fl_str_mv 2022-07-28
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1051
10.1590/1981-7746-sol00052
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1051
identifier_str_mv 10.1590/1981-7746-sol00052
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1051/298
dc.rights.driver.fl_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 15 n. 2 (2017)
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
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