Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/jspui/handle/123456789/17897 |
Resumo: | Health policies in Brazil, the decentralization of SUS management responsibilities for the three spheres of government has driven the creation and regulation of the audits of health services in the National Audit Office, this is a trend of neoliberal policies imposed by international bodies like the World Bank and IMF to peripheral countries characterized by productive restructuring and reforming the state focuses on the presence of two competing projects in the area of health: Health Sector Reform Project which is based on the democratic rule of law with the assumption of health as social right and duty of the State in defending the extension of the conquest of rights and democratization of access to health care guaranteed through the public financing strategies and the effective decentralization of decisions pervaded by social control and privatized Health Project which is based on the state minimum, with a reduction in social spending or in partnerships and privatization, stronger nonprofit sector, subject to capitalist interests, is made effective through strategies targeting health policy and refilantropização actions. In this context, the present study is an analysis on the work of social audits of public health in infants from a qualitative and quantitative approach, embodied by the critical method of dialectical Marxist social theory that enabled us to unveil the characterization, the demands, challenges and outline the profile of Social Work in teams inserted audits of SUS in RN, but also provided evidence to demonstrate the prospects and possibilities of this area of activity of social workers. It was also found that through the audit work that the state fulfill its role as bureaucratic and regulator of health services with efficiency, effectiveness and economy. Yet, paradoxically, the audits of SUS may provide a vehicle for enforcing rights and ensuring the fundamental principles contained in the project of health reform, because it can be configured in a space of political struggle as representing a new field of knowledge production that needs to be appropriate for a theoretical critic able to redirect the social interests in favor of the user. From this perspective, it is concluded that the work of social audits of public health in infants despite the social relevance that prints, as they constitute an activity study of reality and its transformation proposition requires a transformative political action guided the discussion Marxist theory holds that the ethical project professional politician of Social Work |
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Medeiros, Aparecida Dantas de Almeidahttp://lattes.cnpq.br/8252740042531465Araújo, Odília Sousa dehttp://lattes.cnpq.br/7597657505430445Ramos, Maria da Conceição PereiraRocha, Márcia Maria de Sá2014-12-17T15:46:22Z2012-09-272014-12-17T15:46:22Z2011-02-16MEDEIROS, Aparecida Dantas de Almeida. Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária. 2011. 115 f. Dissertação (Mestrado em Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe) - Universidade Federal do Rio Grande do Norte, Natal, 2011.https://repositorio.ufrn.br/jspui/handle/123456789/17897Health policies in Brazil, the decentralization of SUS management responsibilities for the three spheres of government has driven the creation and regulation of the audits of health services in the National Audit Office, this is a trend of neoliberal policies imposed by international bodies like the World Bank and IMF to peripheral countries characterized by productive restructuring and reforming the state focuses on the presence of two competing projects in the area of health: Health Sector Reform Project which is based on the democratic rule of law with the assumption of health as social right and duty of the State in defending the extension of the conquest of rights and democratization of access to health care guaranteed through the public financing strategies and the effective decentralization of decisions pervaded by social control and privatized Health Project which is based on the state minimum, with a reduction in social spending or in partnerships and privatization, stronger nonprofit sector, subject to capitalist interests, is made effective through strategies targeting health policy and refilantropização actions. In this context, the present study is an analysis on the work of social audits of public health in infants from a qualitative and quantitative approach, embodied by the critical method of dialectical Marxist social theory that enabled us to unveil the characterization, the demands, challenges and outline the profile of Social Work in teams inserted audits of SUS in RN, but also provided evidence to demonstrate the prospects and possibilities of this area of activity of social workers. It was also found that through the audit work that the state fulfill its role as bureaucratic and regulator of health services with efficiency, effectiveness and economy. Yet, paradoxically, the audits of SUS may provide a vehicle for enforcing rights and ensuring the fundamental principles contained in the project of health reform, because it can be configured in a space of political struggle as representing a new field of knowledge production that needs to be appropriate for a theoretical critic able to redirect the social interests in favor of the user. From this perspective, it is concluded that the work of social audits of public health in infants despite the social relevance that prints, as they constitute an activity study of reality and its transformation proposition requires a transformative political action guided the discussion Marxist theory holds that the ethical project professional politician of Social WorkNas políticas de saúde do Brasil, o processo de descentralização das responsabilidades da gestão do SUS para as três esferas de governo tem impulsionado a criação e regulamentação das auditorias em serviços de saúde no Sistema Nacional de Auditoria. Isso constitui uma tendência da política neoliberal imposta pelos organismos internacionais como Banco Mundial e FMI aos países periféricos caracterizado pela reestruturação produtiva e a reforma do Estado que incide na presença de dois projetos em disputa na área da saúde: o Projeto de Reforma Sanitária que tem como base o Estado Democrático de Direito com a premissa da saúde enquanto direito social e dever do Estado, na defesa da ampliação da conquista dos direitos e democratização do acesso aos serviços de saúde, garantido através das estratégias de financiamento público efetivo e da descentralização das decisões perpassadas pelo controle social; e o Projeto Privatista de Saúde que tem por base o Estado mínimo, com diminuição dos gastos sociais ou através de parcerias e privatizações, fortalecimento do terceiro setor, condicionado aos interesses capitalistas, efetiva-se através das estratégias de focalização das políticas de saúde e a re-filantropização das ações. Nesse contexto, o presente estudo consiste numa análise sobre o trabalho do assistente social nas auditorias públicas de saúde no RN a partir de uma abordagem quali-quantitativa, consubstanciada pelo método crítico dialético da teoria social marxista que nos permitiu desvelar a caracterização, as demandas, os desafios e traçar o perfil profissional do assistente social inserido nas equipes de auditorias do SUS no RN, como também forneceu elementos para demonstrar as perspectivas e possibilidades dessa área de atuação do assistente social. Constatou-se também que é através dos trabalhos de auditoria que o Estado cumpre seu papel burocrático e regulador dos serviços de saúde com eficácia, eficiência e economicidade. No entanto, paradoxalmente, as auditorias do SUS podem representar um instrumento de efetivação de direitos e garantia dos princípios fundamentais contidos no projeto de reforma sanitária, pois tanto pode se configurar num espaço de lutas políticas quanto representa um novo campo de produção de conhecimento que precisa ser apropriado por um referencial teórico crítico capaz de redirecionar os interesses sociais em favor do usuário. Nessa perspectiva, conclui-se também que o trabalho do assistente social nas auditorias públicas de saúde no RN apesar da relevância social que imprime, por se constituir uma atividade de estudo da realidade e proposição de sua transformação, requer uma ação política transformadora pautada no debate teórico marxista que sustenta o projeto ético político profissional do Serviço Socialapplication/pdfporUniversidade Federal do Rio Grande do NortePrograma de Pós-Graduação em Serviço SocialUFRNBRServiço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e RelaçõeSaúdeAuditorias públicasServiço socialMarxSUSHealthAudits public social serviceMarxSUSCNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIALServiço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitáriainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALAparecidaDAM_DISSERT.pdfapplication/pdf1458913https://repositorio.ufrn.br/bitstream/123456789/17897/1/AparecidaDAM_DISSERT.pdf15034e77b963640e7c6d2f9640d69544MD51TEXTAparecidaDAM_DISSERT.pdf.txtAparecidaDAM_DISSERT.pdf.txtExtracted texttext/plain232053https://repositorio.ufrn.br/bitstream/123456789/17897/6/AparecidaDAM_DISSERT.pdf.txta14ef6c5dd45cb694208fc989e41abbaMD56THUMBNAILAparecidaDAM_DISSERT.pdf.jpgAparecidaDAM_DISSERT.pdf.jpgIM Thumbnailimage/jpeg2743https://repositorio.ufrn.br/bitstream/123456789/17897/7/AparecidaDAM_DISSERT.pdf.jpgb8aa26536b0d062d34a274a9681d2d71MD57123456789/178972017-11-04 17:42:49.604oai:https://repositorio.ufrn.br:123456789/17897Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2017-11-04T20:42:49Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.por.fl_str_mv |
Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária |
title |
Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária |
spellingShingle |
Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária Medeiros, Aparecida Dantas de Almeida Saúde Auditorias públicas Serviço social Marx SUS Health Audits public social service Marx SUS CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL |
title_short |
Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária |
title_full |
Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária |
title_fullStr |
Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária |
title_full_unstemmed |
Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária |
title_sort |
Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária |
author |
Medeiros, Aparecida Dantas de Almeida |
author_facet |
Medeiros, Aparecida Dantas de Almeida |
author_role |
author |
dc.contributor.authorID.por.fl_str_mv |
|
dc.contributor.authorLattes.por.fl_str_mv |
http://lattes.cnpq.br/8252740042531465 |
dc.contributor.advisorID.por.fl_str_mv |
|
dc.contributor.referees1.pt_BR.fl_str_mv |
Araújo, Odília Sousa de |
dc.contributor.referees1ID.por.fl_str_mv |
|
dc.contributor.referees1Lattes.por.fl_str_mv |
http://lattes.cnpq.br/7597657505430445 |
dc.contributor.referees2.pt_BR.fl_str_mv |
Ramos, Maria da Conceição Pereira |
dc.contributor.author.fl_str_mv |
Medeiros, Aparecida Dantas de Almeida |
dc.contributor.advisor1.fl_str_mv |
Rocha, Márcia Maria de Sá |
contributor_str_mv |
Rocha, Márcia Maria de Sá |
dc.subject.por.fl_str_mv |
Saúde Auditorias públicas Serviço social Marx SUS |
topic |
Saúde Auditorias públicas Serviço social Marx SUS Health Audits public social service Marx SUS CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL |
dc.subject.eng.fl_str_mv |
Health Audits public social service Marx SUS |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL |
description |
Health policies in Brazil, the decentralization of SUS management responsibilities for the three spheres of government has driven the creation and regulation of the audits of health services in the National Audit Office, this is a trend of neoliberal policies imposed by international bodies like the World Bank and IMF to peripheral countries characterized by productive restructuring and reforming the state focuses on the presence of two competing projects in the area of health: Health Sector Reform Project which is based on the democratic rule of law with the assumption of health as social right and duty of the State in defending the extension of the conquest of rights and democratization of access to health care guaranteed through the public financing strategies and the effective decentralization of decisions pervaded by social control and privatized Health Project which is based on the state minimum, with a reduction in social spending or in partnerships and privatization, stronger nonprofit sector, subject to capitalist interests, is made effective through strategies targeting health policy and refilantropização actions. In this context, the present study is an analysis on the work of social audits of public health in infants from a qualitative and quantitative approach, embodied by the critical method of dialectical Marxist social theory that enabled us to unveil the characterization, the demands, challenges and outline the profile of Social Work in teams inserted audits of SUS in RN, but also provided evidence to demonstrate the prospects and possibilities of this area of activity of social workers. It was also found that through the audit work that the state fulfill its role as bureaucratic and regulator of health services with efficiency, effectiveness and economy. Yet, paradoxically, the audits of SUS may provide a vehicle for enforcing rights and ensuring the fundamental principles contained in the project of health reform, because it can be configured in a space of political struggle as representing a new field of knowledge production that needs to be appropriate for a theoretical critic able to redirect the social interests in favor of the user. From this perspective, it is concluded that the work of social audits of public health in infants despite the social relevance that prints, as they constitute an activity study of reality and its transformation proposition requires a transformative political action guided the discussion Marxist theory holds that the ethical project professional politician of Social Work |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011-02-16 |
dc.date.available.fl_str_mv |
2012-09-27 2014-12-17T15:46:22Z |
dc.date.accessioned.fl_str_mv |
2014-12-17T15:46:22Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
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MEDEIROS, Aparecida Dantas de Almeida. Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária. 2011. 115 f. Dissertação (Mestrado em Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe) - Universidade Federal do Rio Grande do Norte, Natal, 2011. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/jspui/handle/123456789/17897 |
identifier_str_mv |
MEDEIROS, Aparecida Dantas de Almeida. Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária. 2011. 115 f. Dissertação (Mestrado em Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe) - Universidade Federal do Rio Grande do Norte, Natal, 2011. |
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https://repositorio.ufrn.br/jspui/handle/123456789/17897 |
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UFRN |
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Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe |
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Universidade Federal do Rio Grande do Norte |
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