Pathways to Sanitary Surveillance: the challenge of health care surveillance

• Autor(a) principal: Oliveira, Ana Maria Caldeira
• Data de Publicação: 2018
• Outros Autores: Ianni, Aurea Maria Zollner
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Vigilância Sanitária em Debate
• Texto Completo: https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1114
• topic: Sanitary Surveillance; Health Services; Health Risk; Continuing Education; Vigilância Sanitária; Serviços de Saúde; Risco Sanitário; Educação Continuada

This debate problematizes the questioning presented by the Central of the Hospitals of Minas Gerais about the lack of standardization of the work of the Sanitary Surveillance (VISA). The case was analyzed under the logic of the technical and social division of labor, under two dimensions: the technical-scientific, which involves the necessary technologies to assess the risk; and the political-administrative organization of work, related to the operational spaces and the political-administrative levels of the State. With regard to technical-scientific actions, there are still problems with no solution. The standardization and qualification of the actions of VISA are directly related to the existence of a National Policy of Permanent Education, as well as to a satisfactory infrastructure and adequate human resources. In addition, it is also necessary to develop educational activities for the regulated sector in order to explain that the inspection actions are permeated by elements of uncertainty, allowing different points of view on the part of the “experts” who carry it out. And that the dimension of “risk management” is permeated by conflict and controversy, especially when the consideration of alternatives to what to do with assessed risk considers the public and the private. In this context, it concludes on the difficulties that VISA finds to fulfill its mission.