Pathways to Sanitary Surveillance: the challenge of health care surveillance
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | |
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 |
Resumo: | 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. |
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Pathways to Sanitary Surveillance: the challenge of health care surveillanceCaminhos para a Vigilância Sanitária: o desafio da fiscalização nos serviços de saúdeSanitary SurveillanceHealth ServicesHealth RiskContinuing EducationVigilância SanitáriaServiços de SaúdeRisco SanitárioEducação ContinuadaThis 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.Este debate tem por objetivo problematizar o questionamento apresentado pela Central dos Hospitais de Minas Gerais sobre a falta de padronização do trabalho da Vigilância Sanitária (VISA). Analisou-se o caso sob a lógica da divisão técnica e social do trabalho, sob duas dimensões: a técnico-científica, que envolve as tecnologias necessárias para avaliar o risco, e a organização político-administrativa do trabalho, relacionada aos espaços operativos e aos níveis políticos-administrativos do Estado. No que tange às ações técnico-científicas, depara-se com problemas ainda sem solução. A padronização e qualificação das ações de VISA estão diretamente relacionadas à existência de uma Política Nacional de Educação Permanente, bem como a uma infraestrutura satisfatória e recursos humanos em número adequado. Além disso, se faz necessário, também, desenvolver atividades educativas para o setor regulado visando explicar que as ações de fiscalização são permeadas por elementos de incerteza, possibilitando diferentes pontos de vista por parte dos “peritos” que a realizam. E que a dimensão da “gerência do risco” é permeada pelo conflito e controvérsia, em especial, quando a ponderação de alternativas sobre o que fazer com o risco avaliado considera o público e o privado. Nesse contexto, conclui-se sobre as dificuldades que a VISA encontra para cumprir com sua missão.Instituto Nacional de Controle de Qualidade em Saúde2018-08-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/111410.22239/2317-269X.01114Health Surveillance under Debate: Society, Science & Technology ; Vol. 6 No. 3 (2018): Agosto; 4-11Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 6 Núm. 3 (2018): Agosto; 4-11Vigil Sanit Debate, Rio de Janeiro; v. 6 n. 3 (2018): Agosto; 4-112317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (Fiocruz)instacron:FIOCRUZporenghttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1114/489https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1114/1005Copyright (c) 2018 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessOliveira, Ana Maria CaldeiraIanni, Aurea Maria Zollner2021-09-30T18:55:41Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/1114Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2021-09-30T18:55:41Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (Fiocruz)false |
dc.title.none.fl_str_mv |
Pathways to Sanitary Surveillance: the challenge of health care surveillance Caminhos para a Vigilância Sanitária: o desafio da fiscalização nos serviços de saúde |
title |
Pathways to Sanitary Surveillance: the challenge of health care surveillance |
spellingShingle |
Pathways to Sanitary Surveillance: the challenge of health care surveillance Oliveira, Ana Maria Caldeira Sanitary Surveillance Health Services Health Risk Continuing Education Vigilância Sanitária Serviços de Saúde Risco Sanitário Educação Continuada |
title_short |
Pathways to Sanitary Surveillance: the challenge of health care surveillance |
title_full |
Pathways to Sanitary Surveillance: the challenge of health care surveillance |
title_fullStr |
Pathways to Sanitary Surveillance: the challenge of health care surveillance |
title_full_unstemmed |
Pathways to Sanitary Surveillance: the challenge of health care surveillance |
title_sort |
Pathways to Sanitary Surveillance: the challenge of health care surveillance |
author |
Oliveira, Ana Maria Caldeira |
author_facet |
Oliveira, Ana Maria Caldeira Ianni, Aurea Maria Zollner |
author_role |
author |
author2 |
Ianni, Aurea Maria Zollner |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Oliveira, Ana Maria Caldeira Ianni, Aurea Maria Zollner |
dc.subject.por.fl_str_mv |
Sanitary Surveillance Health Services Health Risk Continuing Education Vigilância Sanitária Serviços de Saúde Risco Sanitário Educação Continuada |
topic |
Sanitary Surveillance Health Services Health Risk Continuing Education Vigilância Sanitária Serviços de Saúde Risco Sanitário Educação Continuada |
description |
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. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-08-31 |
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://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1114 10.22239/2317-269X.01114 |
url |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1114 |
identifier_str_mv |
10.22239/2317-269X.01114 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1114/489 https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1114/1005 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
dc.source.none.fl_str_mv |
Health Surveillance under Debate: Society, Science & Technology ; Vol. 6 No. 3 (2018): Agosto; 4-11 Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 6 Núm. 3 (2018): Agosto; 4-11 Vigil Sanit Debate, Rio de Janeiro; v. 6 n. 3 (2018): Agosto; 4-11 2317-269X reponame:Vigilância Sanitária em Debate instname:Fundação Oswaldo Cruz (Fiocruz) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (Fiocruz) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Vigilância Sanitária em Debate |
collection |
Vigilância Sanitária em Debate |
repository.name.fl_str_mv |
Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (Fiocruz) |
repository.mail.fl_str_mv |
incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br |
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1797042047349161984 |