Controle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitário

Detalhes bibliográficos
Autor(a) principal: Martins, Poliana Cardoso
Data de Publicação: 2007
Tipo de documento: Dissertação
Idioma: por
Título da fonte: LOCUS Repositório Institucional da UFV
Texto Completo: http://locus.ufv.br/handle/123456789/2816
Resumo: The health councils had become a strategical mechanism for the guarantee of the democratization of the decisory power in the Unique Health System - UHS. These spaces have great importance for the effective participation of the civil society when it has to take decisions about health, and a deep reflection of the shades of this utopia becomes essential to evaluate the challenges and the possibilities presented for an effective social participation in the country; standing out the possibility of the active presence of the citizens in the construction of the democratic process in the UHS; opening a discussion about the necessity of the empowerment/release of the population that uses the system. In this conjuncture, the Family Health Program - FHP can be seen as an odd strategy to stimulate the empowerment/release of the users, in order to get their active participation in the decisions. With these estimated theories, this present study propose to analyze the experience of the social control through the City Health Council CHC and understand the social representation of the FHP users, about reality of the UHS, in the city of Teixeiras - MG. This present study is placed in the social research field and used primordially, the methodological instrumental theoretical referential of the qualitative research, where 32 council members (84.2% of the total council members) and 136 users of the Health Family Units (HFU) were interviewed (11% of the registered in the HIPERDIA cadastre that had a accompaniment in the 4 HFU), these last ones had been randomly selected during the attendance and activities realized in the HFUs. The analyses of the experience of the health social control, through CHC, show that the possibility of a UHS participative management did not consolidate as an effective practical of public administration. Actually, a great unfamiliarity of the legal and ideological bases of the social participation in the health was observed, generating a strong influence of the local managers in the dynamic and functioning of the CHC, mainly in determination of its members, hindering, in such a way, that this space becomes a concrete space so that the users can appropriate of the politic and institutional form of the council, mainly of the possibility to intervene, argue and deliberate about the questions of the city health. In the analyses of the social representations of the UHS users, a vision defined by the assistance focus is observed, pointing to the concentration of public resources in poor segments of the society, and also a vision centered in the biomedical model of attention. It s important to stand out that the FHP did not reach its objectives of providing changes in the praxis in health, aiming to stimulate the collective empowerment/release of the population. The data that were presented in both evaluations, point to a great unfamiliarity of the studied population about the sanitary system and about its social rights conquered by the Constitution of 1988, as well. Ahead of the reality, there is a necessity of bigger empowerment/release of the population, aiming to construct effective possibilities so that the population can have an active participation in the process of construction of a common assistance project, based on the UHS democratic ideals, being the FHP strategically important to the transformation of this reality. One of the possibilities for the change of this reality would be the accomplishment of educative actions, transforming these social actors into protagonist of the construction of their own history.
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spelling Martins, Poliana Cardosohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4777281E3Mendes, Fábio Fariahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4782408Z4Priore, Sílvia Eloizahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4766931D6Cotta, Rosângela Minardi Mitrehttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4790500Y9Siqueira-batista, Rodrigohttp://lattes.cnpq.br/7992589011048146Tinôco, Adelson Luiz Araújohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4787553U82015-03-26T13:12:04Z2007-12-132015-03-26T13:12:04Z2007-07-06MARTINS, Poliana Cardoso. Social control in the Unique Health System: analysis of the social participation and empowerment of the population that uses the sanitary system. 2007. 118 f. Dissertação (Mestrado em Valor nutricional de alimentos e de dietas; Nutrição nas enfermidades agudas e crônicas não transmis) - Universidade Federal de Viçosa, Viçosa, 2007.http://locus.ufv.br/handle/123456789/2816The health councils had become a strategical mechanism for the guarantee of the democratization of the decisory power in the Unique Health System - UHS. These spaces have great importance for the effective participation of the civil society when it has to take decisions about health, and a deep reflection of the shades of this utopia becomes essential to evaluate the challenges and the possibilities presented for an effective social participation in the country; standing out the possibility of the active presence of the citizens in the construction of the democratic process in the UHS; opening a discussion about the necessity of the empowerment/release of the population that uses the system. In this conjuncture, the Family Health Program - FHP can be seen as an odd strategy to stimulate the empowerment/release of the users, in order to get their active participation in the decisions. With these estimated theories, this present study propose to analyze the experience of the social control through the City Health Council CHC and understand the social representation of the FHP users, about reality of the UHS, in the city of Teixeiras - MG. This present study is placed in the social research field and used primordially, the methodological instrumental theoretical referential of the qualitative research, where 32 council members (84.2% of the total council members) and 136 users of the Health Family Units (HFU) were interviewed (11% of the registered in the HIPERDIA cadastre that had a accompaniment in the 4 HFU), these last ones had been randomly selected during the attendance and activities realized in the HFUs. The analyses of the experience of the health social control, through CHC, show that the possibility of a UHS participative management did not consolidate as an effective practical of public administration. Actually, a great unfamiliarity of the legal and ideological bases of the social participation in the health was observed, generating a strong influence of the local managers in the dynamic and functioning of the CHC, mainly in determination of its members, hindering, in such a way, that this space becomes a concrete space so that the users can appropriate of the politic and institutional form of the council, mainly of the possibility to intervene, argue and deliberate about the questions of the city health. In the analyses of the social representations of the UHS users, a vision defined by the assistance focus is observed, pointing to the concentration of public resources in poor segments of the society, and also a vision centered in the biomedical model of attention. It s important to stand out that the FHP did not reach its objectives of providing changes in the praxis in health, aiming to stimulate the collective empowerment/release of the population. The data that were presented in both evaluations, point to a great unfamiliarity of the studied population about the sanitary system and about its social rights conquered by the Constitution of 1988, as well. Ahead of the reality, there is a necessity of bigger empowerment/release of the population, aiming to construct effective possibilities so that the population can have an active participation in the process of construction of a common assistance project, based on the UHS democratic ideals, being the FHP strategically important to the transformation of this reality. One of the possibilities for the change of this reality would be the accomplishment of educative actions, transforming these social actors into protagonist of the construction of their own history.Os conselhos de saúde se tornaram um mecanismo estratégico para garantia da democratização do poder decisório no Sistema Único de Saúde - SUS. Estes espaços devem exercer um importante papel para a efetiva participação da sociedade civil na tomada de decisão em saúde, sendo essencial uma reflexão profunda sobre os matizes desta utopia, avaliando os desafios encontrados e as possibilidades apresentadas para uma efetiva participação social no país; ressaltando a possibilidade da presença ativa dos sujeitos na construção do processo democrático no SUS; abrindo a discussão sobre a necessidade de empoderamento/libertação da população usuária do sistema. Nesta conjuntura, o Programa Saúde da Família - PSF, pode ser visto como uma estratégia impar para o estímulo ao empoderamento/libertação dos usuários, a fim de obter sua participação mais ativa na tomada de decisão. Diante destes pressupostos teóricos, o presente estudo se propôs a analisar a experiência do controle social via Conselho Municipal de Saúde - CMS e compreender a representação social dos usuários do PSF, sobre a realidade do SUS, no município de Teixeiras-MG. Este estudo situa-se no campo da pesquisa social e utilizou primordialmente, o referencial teórico metodológico instrumental da pesquisa qualitativa, onde foram entrevistados 32 conselheiros (84,2% do total de conselheiros) e 136 usuários das unidades de saúde da família (USF) (11% dos cadastrados no HIPERDIA e que realizavam acompanhamento nas 4 USF), estes últimos foram selecionados de forma aleatória durante os atendimentos e atividades realizadas na USFs. Ao analisar a experiência do controle social em saúde, via CMS, observa-se que a possibilidade de uma gestão participativa no SUS, não se consolidou como uma prática efetiva de gestão pública. O que se verificou na verdade foi um grande desconhecimento sobre as bases legais e ideológicas da participação social em saúde, gerando assim uma forte influência dos gestores locais na dinâmica e funcionamento do CMS, principalmente na determinação de seus membros, impedindo, desta forma, que este seja um espaço concreto para que os usuários se apropriem da forma institucional e política do conselho e, principalmente da possibilidade de interferir, discutir e deliberar sobre as questões de saúde do município. Ao se analisar as representações sociais dos usuários sobre o SUS, observa-se uma visão marcada pela focalização da assistência, apontando para a concentração de recursos públicos em segmentos mais pobres da sociedade e, também uma visão centrada no modelo de atenção biomédico. Vale ressaltar, ainda que o PSF, todavia, não conseguiu alcançar seus objetivos de proporcionar mudanças na práxis em saúde, visando além da assistência em saúde estimular o empoderamento/libertação coletivo da população atendida. Os dados apresentados em ambas as avaliações, apontam para um grande desconhecimento da população estudada sobre o sistema sanitário, bem como, sobre seus direitos sociais conquistados pela Constituição de 1988. Diante da realidade vivenciada, ressalta-se a necessidade de maior empoderamento/libertação da população, visando construir possibilidades efetivas para que a população seja participante ativa do processo de construção de um projeto assistencial comum, realmente fundamentado nos ideais democráticos do SUS, sendo o PSF estrategicamente importante na transformação desta realidade. Uma das possibilidades para a mudança dessa realidade seria a realização de práticas educativas, transformando estes atores sociais em protagonista da construção da sua própria historia.Fundação de Amparo a Pesquisa do Estado de Minas Geraisapplication/pdfporUniversidade Federal de ViçosaMestrado em Ciência da NutriçãoUFVBRValor nutricional de alimentos e de dietas; Nutrição nas enfermidades agudas e crônicas não transmisSistema Único de SaúdePrograma Saúde da FamíliaPolítica de saúdeParticipação socialSaúde públicaUnique Health SystemFamily Health ProgramPublic health policiesSocial participationCNPQ::CIENCIAS DA SAUDE::NUTRICAOControle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitárioSocial control in the Unique Health System: analysis of the social participation and empowerment of the population that uses the sanitary systeminfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:LOCUS Repositório Institucional da UFVinstname:Universidade Federal de Viçosa (UFV)instacron:UFVORIGINALtexto completo.pdfapplication/pdf430002https://locus.ufv.br//bitstream/123456789/2816/1/texto%20completo.pdffc7c0483c898d81e53c467589b0be646MD51TEXTtexto completo.pdf.txttexto completo.pdf.txtExtracted texttext/plain286083https://locus.ufv.br//bitstream/123456789/2816/2/texto%20completo.pdf.txt9824f34722d5b446d8d42d43ca50fbf6MD52THUMBNAILtexto completo.pdf.jpgtexto completo.pdf.jpgIM Thumbnailimage/jpeg3555https://locus.ufv.br//bitstream/123456789/2816/3/texto%20completo.pdf.jpg2250f838922336ba5247816070d99147MD53123456789/28162016-04-08 23:13:24.444oai:locus.ufv.br:123456789/2816Repositório InstitucionalPUBhttps://www.locus.ufv.br/oai/requestfabiojreis@ufv.bropendoar:21452016-04-09T02:13:24LOCUS Repositório Institucional da UFV - Universidade Federal de Viçosa (UFV)false
dc.title.por.fl_str_mv Controle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitário
dc.title.alternative.eng.fl_str_mv Social control in the Unique Health System: analysis of the social participation and empowerment of the population that uses the sanitary system
title Controle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitário
spellingShingle Controle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitário
Martins, Poliana Cardoso
Sistema Único de Saúde
Programa Saúde da Família
Política de saúde
Participação social
Saúde pública
Unique Health System
Family Health Program
Public health policies
Social participation
CNPQ::CIENCIAS DA SAUDE::NUTRICAO
title_short Controle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitário
title_full Controle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitário
title_fullStr Controle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitário
title_full_unstemmed Controle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitário
title_sort Controle social no Sistema Único de Saúde: Análise da participação social e empoderamento da população usuária do sistema sanitário
author Martins, Poliana Cardoso
author_facet Martins, Poliana Cardoso
author_role author
dc.contributor.authorLattes.por.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4777281E3
dc.contributor.author.fl_str_mv Martins, Poliana Cardoso
dc.contributor.advisor-co1.fl_str_mv Mendes, Fábio Faria
dc.contributor.advisor-co1Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4782408Z4
dc.contributor.advisor-co2.fl_str_mv Priore, Sílvia Eloiza
dc.contributor.advisor-co2Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4766931D6
dc.contributor.advisor1.fl_str_mv Cotta, Rosângela Minardi Mitre
dc.contributor.advisor1Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4790500Y9
dc.contributor.referee1.fl_str_mv Siqueira-batista, Rodrigo
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/7992589011048146
dc.contributor.referee2.fl_str_mv Tinôco, Adelson Luiz Araújo
dc.contributor.referee2Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4787553U8
contributor_str_mv Mendes, Fábio Faria
Priore, Sílvia Eloiza
Cotta, Rosângela Minardi Mitre
Siqueira-batista, Rodrigo
Tinôco, Adelson Luiz Araújo
dc.subject.por.fl_str_mv Sistema Único de Saúde
Programa Saúde da Família
Política de saúde
Participação social
Saúde pública
topic Sistema Único de Saúde
Programa Saúde da Família
Política de saúde
Participação social
Saúde pública
Unique Health System
Family Health Program
Public health policies
Social participation
CNPQ::CIENCIAS DA SAUDE::NUTRICAO
dc.subject.eng.fl_str_mv Unique Health System
Family Health Program
Public health policies
Social participation
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE::NUTRICAO
description The health councils had become a strategical mechanism for the guarantee of the democratization of the decisory power in the Unique Health System - UHS. These spaces have great importance for the effective participation of the civil society when it has to take decisions about health, and a deep reflection of the shades of this utopia becomes essential to evaluate the challenges and the possibilities presented for an effective social participation in the country; standing out the possibility of the active presence of the citizens in the construction of the democratic process in the UHS; opening a discussion about the necessity of the empowerment/release of the population that uses the system. In this conjuncture, the Family Health Program - FHP can be seen as an odd strategy to stimulate the empowerment/release of the users, in order to get their active participation in the decisions. With these estimated theories, this present study propose to analyze the experience of the social control through the City Health Council CHC and understand the social representation of the FHP users, about reality of the UHS, in the city of Teixeiras - MG. This present study is placed in the social research field and used primordially, the methodological instrumental theoretical referential of the qualitative research, where 32 council members (84.2% of the total council members) and 136 users of the Health Family Units (HFU) were interviewed (11% of the registered in the HIPERDIA cadastre that had a accompaniment in the 4 HFU), these last ones had been randomly selected during the attendance and activities realized in the HFUs. The analyses of the experience of the health social control, through CHC, show that the possibility of a UHS participative management did not consolidate as an effective practical of public administration. Actually, a great unfamiliarity of the legal and ideological bases of the social participation in the health was observed, generating a strong influence of the local managers in the dynamic and functioning of the CHC, mainly in determination of its members, hindering, in such a way, that this space becomes a concrete space so that the users can appropriate of the politic and institutional form of the council, mainly of the possibility to intervene, argue and deliberate about the questions of the city health. In the analyses of the social representations of the UHS users, a vision defined by the assistance focus is observed, pointing to the concentration of public resources in poor segments of the society, and also a vision centered in the biomedical model of attention. It s important to stand out that the FHP did not reach its objectives of providing changes in the praxis in health, aiming to stimulate the collective empowerment/release of the population. The data that were presented in both evaluations, point to a great unfamiliarity of the studied population about the sanitary system and about its social rights conquered by the Constitution of 1988, as well. Ahead of the reality, there is a necessity of bigger empowerment/release of the population, aiming to construct effective possibilities so that the population can have an active participation in the process of construction of a common assistance project, based on the UHS democratic ideals, being the FHP strategically important to the transformation of this reality. One of the possibilities for the change of this reality would be the accomplishment of educative actions, transforming these social actors into protagonist of the construction of their own history.
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dc.identifier.citation.fl_str_mv MARTINS, Poliana Cardoso. Social control in the Unique Health System: analysis of the social participation and empowerment of the population that uses the sanitary system. 2007. 118 f. Dissertação (Mestrado em Valor nutricional de alimentos e de dietas; Nutrição nas enfermidades agudas e crônicas não transmis) - Universidade Federal de Viçosa, Viçosa, 2007.
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identifier_str_mv MARTINS, Poliana Cardoso. Social control in the Unique Health System: analysis of the social participation and empowerment of the population that uses the sanitary system. 2007. 118 f. Dissertação (Mestrado em Valor nutricional de alimentos e de dietas; Nutrição nas enfermidades agudas e crônicas não transmis) - Universidade Federal de Viçosa, Viçosa, 2007.
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