The judicialization of health contextualizes in the practical dimension of health care professionals social representations

Detalhes bibliográficos
Autor(a) principal: Ramos, Raquel de Souza
Data de Publicação: 2017
Outros Autores: Gomes, Antonio Marcos Tosoli, Guimarães, Raphael Mendonça, Santos, Érick Igor dos
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Direito Sanitário (Online)
Texto Completo: https://www.revistas.usp.br/rdisan/article/view/142010
Resumo: The judicialization of health is an expression increasingly present in Brazil, materialized mainly by court orders for the performance of diagnostic and therapeutic procedures, consultations, hospitalizations and dispensation of medical and surgical supplies. The study aims to analyze and discuss the contents of the social representations of judicialization contextualized in the practical dimension of the social representations of health care professionals. This is a qualitative study, based on the Theory of Social Representations, conducted with 40 professionals at a university hospital and the center of regulation of procedures and beds in the city of Rio de Janeiro, with 40 semi-structured interviews, that were analyzed through thematic-categorial content analysis, instrumentalized by NVivo software, resulting in 725 units of analysis, distributed in 34 themes. We identified that health care professionals have a negative position towards the reality imposed by the judicialization, however  they recognize this recourse as necessary in face of the Brazilian public health crisis. Considering the social representation as a determinant of practices, it was concluded that social representations arising from this study are in the final stages of consolidation and may contribute to change the practices of health professionals in search for improvements in the users’ direct care, embodying a greater challenge in the sense of promoting democracy and citizenship.
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spelling The judicialization of health contextualizes in the practical dimension of health care professionals social representationsA JUDICIALIZAÇÃO DA SAÚDE CONTEXTUALIZADA NA DIMENSÃO PRÁTICA DAS REPRESENTAÇÕES SOCIAIS DOS PROFISSIONAIS DE SAÚDEDecisões JudiciaisDireito à SaúdePercepção SocialPolítica de SaúdeSistema Único de Saúde.Brazilian National Health SystemHealth PolicyJuridical DecisionsRight to HeatlhSocial Perception.The judicialization of health is an expression increasingly present in Brazil, materialized mainly by court orders for the performance of diagnostic and therapeutic procedures, consultations, hospitalizations and dispensation of medical and surgical supplies. The study aims to analyze and discuss the contents of the social representations of judicialization contextualized in the practical dimension of the social representations of health care professionals. This is a qualitative study, based on the Theory of Social Representations, conducted with 40 professionals at a university hospital and the center of regulation of procedures and beds in the city of Rio de Janeiro, with 40 semi-structured interviews, that were analyzed through thematic-categorial content analysis, instrumentalized by NVivo software, resulting in 725 units of analysis, distributed in 34 themes. We identified that health care professionals have a negative position towards the reality imposed by the judicialization, however  they recognize this recourse as necessary in face of the Brazilian public health crisis. Considering the social representation as a determinant of practices, it was concluded that social representations arising from this study are in the final stages of consolidation and may contribute to change the practices of health professionals in search for improvements in the users’ direct care, embodying a greater challenge in the sense of promoting democracy and citizenship.A judicialização da saúde é uma expressão cada vez mais presente no Brasil, materializada principalmente pelos mandados judiciais para a realização de procedimentos diagnósticos e terapêuticos, consultas, internações e dispensação de insumos médico-cirúrgicos. Este artigo visa a analisar e discutir os conteúdos da representação social da judicialização, contextualizada na dimensão prática das representações sociais dos profissionais de saúde. O estudo qualitativo, pautado na Teoria das Representações Sociais, entrevistou 40 profissionais em um hospital universitário e na central de regulação de procedimentos e leitos na cidade do Rio de Janeiro. A análise se deu pela técnica de análise de conteúdo temático-categorial, instrumentalizada pelo software NVivo, resultando em 725 unidades de registro, distribuídas em 34 temas. Identificou-se que os profissionais apresentam um posicionamento negativo diante da realidade imposta pela judicialização, embora reconheçam esse recurso como necessário mediante a crise da saúde pública. Considerando a representação social como determinante de práticas, conclui-se que as representações oriundas deste estudo se encontram em fase de consolidação e podem influenciar a mudança das práticas dos profissionais em busca de melhorias na assistência direta aos usuários, caracterizando-se, portanto, um desafio maior no sentido de fazer avançar a democracia e a cidadania. Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário2017-12-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresPeer-reviewed articleapplication/pdfhttps://www.revistas.usp.br/rdisan/article/view/14201010.11606/issn.2316-9044.v18i2p18-38Revista de Direito Sanitário; v. 18 n. 2 (2017); 18-38Journal of Health Law; Vol. 18 No. 2 (2017); 18-38Revista de Direito Sanitário; Vol. 18 Núm. 2 (2017); 18-382316-9044reponame:Revista de Direito Sanitário (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rdisan/article/view/142010/137253Copyright (c) 2017 Revista de Direito Sanitárioinfo:eu-repo/semantics/openAccessRamos, Raquel de SouzaGomes, Antonio Marcos TosoliGuimarães, Raphael MendonçaSantos, Érick Igor dos2020-09-29T15:58:17Zoai:revistas.usp.br:article/142010Revistahttps://www.revistas.usp.br/rdisanPUBhttp://www.revistas.usp.br/rdisan/oaisdallari@usp.br||revdisan@usp.br2316-90441516-4179opendoar:2020-09-29T15:58:17Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv The judicialization of health contextualizes in the practical dimension of health care professionals social representations
A JUDICIALIZAÇÃO DA SAÚDE CONTEXTUALIZADA NA DIMENSÃO PRÁTICA DAS REPRESENTAÇÕES SOCIAIS DOS PROFISSIONAIS DE SAÚDE
title The judicialization of health contextualizes in the practical dimension of health care professionals social representations
spellingShingle The judicialization of health contextualizes in the practical dimension of health care professionals social representations
Ramos, Raquel de Souza
Decisões Judiciais
Direito à Saúde
Percepção Social
Política de Saúde
Sistema Único de Saúde.
Brazilian National Health System
Health Policy
Juridical Decisions
Right to Heatlh
Social Perception.
title_short The judicialization of health contextualizes in the practical dimension of health care professionals social representations
title_full The judicialization of health contextualizes in the practical dimension of health care professionals social representations
title_fullStr The judicialization of health contextualizes in the practical dimension of health care professionals social representations
title_full_unstemmed The judicialization of health contextualizes in the practical dimension of health care professionals social representations
title_sort The judicialization of health contextualizes in the practical dimension of health care professionals social representations
author Ramos, Raquel de Souza
author_facet Ramos, Raquel de Souza
Gomes, Antonio Marcos Tosoli
Guimarães, Raphael Mendonça
Santos, Érick Igor dos
author_role author
author2 Gomes, Antonio Marcos Tosoli
Guimarães, Raphael Mendonça
Santos, Érick Igor dos
author2_role author
author
author
dc.contributor.author.fl_str_mv Ramos, Raquel de Souza
Gomes, Antonio Marcos Tosoli
Guimarães, Raphael Mendonça
Santos, Érick Igor dos
dc.subject.por.fl_str_mv Decisões Judiciais
Direito à Saúde
Percepção Social
Política de Saúde
Sistema Único de Saúde.
Brazilian National Health System
Health Policy
Juridical Decisions
Right to Heatlh
Social Perception.
topic Decisões Judiciais
Direito à Saúde
Percepção Social
Política de Saúde
Sistema Único de Saúde.
Brazilian National Health System
Health Policy
Juridical Decisions
Right to Heatlh
Social Perception.
description The judicialization of health is an expression increasingly present in Brazil, materialized mainly by court orders for the performance of diagnostic and therapeutic procedures, consultations, hospitalizations and dispensation of medical and surgical supplies. The study aims to analyze and discuss the contents of the social representations of judicialization contextualized in the practical dimension of the social representations of health care professionals. This is a qualitative study, based on the Theory of Social Representations, conducted with 40 professionals at a university hospital and the center of regulation of procedures and beds in the city of Rio de Janeiro, with 40 semi-structured interviews, that were analyzed through thematic-categorial content analysis, instrumentalized by NVivo software, resulting in 725 units of analysis, distributed in 34 themes. We identified that health care professionals have a negative position towards the reality imposed by the judicialization, however  they recognize this recourse as necessary in face of the Brazilian public health crisis. Considering the social representation as a determinant of practices, it was concluded that social representations arising from this study are in the final stages of consolidation and may contribute to change the practices of health professionals in search for improvements in the users’ direct care, embodying a greater challenge in the sense of promoting democracy and citizenship.
publishDate 2017
dc.date.none.fl_str_mv 2017-12-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
Peer-reviewed article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rdisan/article/view/142010
10.11606/issn.2316-9044.v18i2p18-38
url https://www.revistas.usp.br/rdisan/article/view/142010
identifier_str_mv 10.11606/issn.2316-9044.v18i2p18-38
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rdisan/article/view/142010/137253
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Direito Sanitário
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Direito Sanitário
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário
publisher.none.fl_str_mv Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário
dc.source.none.fl_str_mv Revista de Direito Sanitário; v. 18 n. 2 (2017); 18-38
Journal of Health Law; Vol. 18 No. 2 (2017); 18-38
Revista de Direito Sanitário; Vol. 18 Núm. 2 (2017); 18-38
2316-9044
reponame:Revista de Direito Sanitário (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Direito Sanitário (Online)
collection Revista de Direito Sanitário (Online)
repository.name.fl_str_mv Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv sdallari@usp.br||revdisan@usp.br
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