Cadernos de saúde pública
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Cadernos de saúde pública · Oct 2014
[Workplace violence in the healthcare sector: the experience of State health employees in Bahia State, Brazil].
This study aimed to estimate the prevalence of self-reported violence suffered by healthcare workers, using a cross-sectional design with a sample of 679 State health employees through face-to-face interviews and a questionnaire. Of the respondents, 25.9% (95%CI: 22.6%-29.2%) reported having suffered at least one form of violence, with verbal aggression as the most frequent (19.4%). ⋯ Among men, a nearly fourfold increase in healthcare workplace violence was associated with age 25 to 39 years (OR = 3.9; 95%CI: 1.9-16.4) and nurse assistants or nurse technicians (PR = 3.9; 95%CI: 1.1-13.2). This study can help raise awareness concerning healthcare workplace violence and support policies for health workers' care, with repercussions on quality of care for health services users.
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Cadernos de saúde pública · Oct 2014
[Sex assignment in intersex children: a brief analysis of "ambiguous genitalia" cases].
This article takes an ethical approach to briefly analyze current therapeutic guidelines in Brazil for cases diagnosed as "ambiguous genitalia" (one of the "disorders of sexual development", DSD) in intersex children. Except when there is clear risk to the infant's life, there is no medical or institutional consensus on the definition of intersex, DSD, or recommended treatment. Parents or guardians of these minors have the legal right to provide consent for genital surgical interventions. The irreversibility of some procedures calls attention to reports by some intersex adults who underwent such interventions during their childhood or adolescence and now fail to acknowledge the physical or psychosocial benefits that were originally claimed to justify them.
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Cadernos de saúde pública · Jan 2014
Federal funding of health policy in Brazil: trends and challenges.
The article analyzes Federal funding of health policy in Brazil in the 2000s, focusing on the Ministry of Health's budget implementation. Federal spending on health was less unstable between 2000 and 2002 and has expanded since 2006. However, it fluctuated as a share of both the Gross Domestic Product and Gross National Revenue. ⋯ The decade showed a proportionally greater increase in spending on pharmaceutical care. The growing allocation of Federal funds to States in the North and Northeast, especially for primary care and epidemiological surveillance, failed to offset the sharp regional inequalities in per capita Federal spending. The main characteristics of health funding limit Federal health policy governance and pose several challenges for the Brazilian Unified National Health System.