Concepções e práticas da vigilância em saúde no Rio Grande do Norte, Brasil: a voz dos gestores.
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| Title: | Concepções e práticas da vigilância em saúde no Rio Grande do Norte, Brasil: a voz dos gestores. |
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| Alternate Title: | Conceptions and practices of health surveillance in Rio Grande do Norte, Brazil: The voice of managers. Concepciones y prácticas de vigilancia en salud en Rio Grande do Norte, Brasil: la voz de los gerentes. |
| Authors: | Lopes Cavalcante Feitosa, Eva Emanuela1 evaemanuela@hotmail.com, Vieira de Melo, Ricardo Henrique2 ricardohvm@gmail.com, Martin Sousa, Layanne Cristini3 layannecristini@gmail.com, de Souza Bezerra, Hellyda3 hellydasbezerra@hotmail.com, Gomes Brandão, Gisetti Corina4 gisettibrandao@gmail.com, Rodrigues, Maisa Paulino3 maisarodrigues13@gmail.com |
| Source: | Avances en Enfermería. 2021, Vol. 39 Issue 3, p309-319. 11p. |
| Subjects: | HEALTH services administrators, PUBLIC health surveillance, RESEARCH evaluation, HEALTH facility administration, RESEARCH methodology, INTERVIEWING, QUALITATIVE research, DATA analysis software, THEMATIC analysis, CONTENT analysis, HEALTH promotion |
| Geographic Terms: | BRAZIL |
| Abstract (English): | Objective: To understand the conceptions and practices around health surveillance from the perspective of managers in charge of this process. Materials and methods: Qualitative study carried out with eleven health surveillance managers of Rio Grande do Norte, Brazil, using semi-structured interviews as data collection technique. Iramuteq software helped with the data collection process, while the thematic content analysis technique was used for its analysis. Results: Participants consider health surveillance as an essential model within the Brazilian health system. However, contradictions were found in the way of deploying the actions developed and on the effectiveness of intra and intersectoral articulation. Reports on the precariousness of working conditions, the lack of human resources, and weaknesses in the occupational health sector, particularly, were also identified. Conclusions: The understanding of the concepts and mission of health surveillance has internal inconsistencies in the discourses about the implementation of collective planning and actions among the various areas in charge of this process. Rethinking the formative agenda of managers in the teaching-service interaction is required for the transformation of health surveillance practice. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: comprender las concepciones y prácticas de la vigilancia en salud desde la perspectiva de sus gestores. Materiales y métodos: estudio cualitativo con la participación de once gestores estatales y municipales en Rio Grande do Norte, Brasil, a través de entrevistas semiestructu-radas. Los datos se recolectaron con el apoyo del programa Iramuteq y fueron analizados con la metodología de análisis de contenido. Resultados: los participantes consideran a la vigilancia en salud como un modelo indispensable para el Sistema Único de Salud brasileño. No obstante, se identificaron contradicciones en la forma de implementar ciertas acciones y en la efectividad de la articulación intra e intersectorial. Así mismo, se identificó precariedad en las condiciones de trabajo, falta de recursos humanos y debilidades en el área de la salud ocupacional. Conclusiones: la comprensión de los conceptos y de la misión de la vigilancia en salud presentó inconsistencias internas en cuanto a los discursos sobre la efectividad de la planeación colectiva y las acciones entre las diversas dependencias a cargo de esta labor. Se señala la necesidad de replantear la agenda formativa de los gestores en la interacción enseñanza-servicio para la transformación de la práctica de vigilancia en salud. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo: compreender as concepções e as práticas da vigilância em saúde sob a ótica de seus gestores. Materiais e métodos: estudo qualitativo com a participação de 11 gestores estaduais e municipais do Rio Grande do Norte, Brasil, a partir de entrevistas semiestruturadas. Os dados foram construídos com apoio do programa Iramuteq, e a análise foi feita pela técnica de análise temática de conteúdo. Resultados: os gestores compreenderam a vigilância em saúde como um modelo indispensável para o Sistema Único de Saúde brasileiro. Encontraram-se contradições no modo de fazer das ações desenvolvidas e na efetividade da articulação intra e intersetorial. Destacam-se a precariedade das condições de trabalho, a insuficiência de recursos humanos e as fragilidades principalmente no setor da saúde do trabalhador. Conclusões: a compreensão sobre os conceitos e a missão da vigilância em saúde apresentou incoerências internas nos discursos sobre a efetivação do planejamento coleti-vo e das ações entre as diversas vigilâncias. Aponta-se a necessidade de repensar o itinerário formativo dos gestores na interação ensino-serviço para a transformação da prática. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Objective: To understand the conceptions and practices around health surveillance from the perspective of managers in charge of this process. Materials and methods: Qualitative study carried out with eleven health surveillance managers of Rio Grande do Norte, Brazil, using semi-structured interviews as data collection technique. Iramuteq software helped with the data collection process, while the thematic content analysis technique was used for its analysis. Results: Participants consider health surveillance as an essential model within the Brazilian health system. However, contradictions were found in the way of deploying the actions developed and on the effectiveness of intra and intersectoral articulation. Reports on the precariousness of working conditions, the lack of human resources, and weaknesses in the occupational health sector, particularly, were also identified. Conclusions: The understanding of the concepts and mission of health surveillance has internal inconsistencies in the discourses about the implementation of collective planning and actions among the various areas in charge of this process. Rethinking the formative agenda of managers in the teaching-service interaction is required for the transformation of health surveillance practice. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 01214500 |
| DOI: | 10.15446/av.enferm.v39n3.86903 |
