Ciência & saúde coletiva
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Ciência & saúde coletiva · Mar 2013
[The identity of civil police officers and successive mirroring studies].
The scope of this paper was to analyze the perceptions of civil police officers regarding their professional identity, the institution they belong to and their opinion concerning the image society has of their performance. The data are derived from a survey focused on their work and health conditions, using a questionnaire, interviews and focus groups including managers, sheriffs and officers. The relative frequency and average return for answers about working conditions, professional fulfillment and life quality improvement after joining the institution were then determined. ⋯ The results point to a negative image that the police officers believe society has about them, which reaffirms the bad image associated with the profession. Rejecting this negative identity, they try to distinguish the differences between the civil police and the military police officers. The conclusion is that action is required to improve working conditions and develop channels of dialogue with the community and promote health campaigns.
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Ciência & saúde coletiva · Nov 2012
[Market and public policy network failures: challenges and possibilities for the Brazilian Unified Health System].
The principles and guidelines of the Brazilian Unified Health System (SUS) impose a healthcare service structure based on public policy networks which, combined with the financing model adopted, leads to market failings. This imposes barriers to the management of the public health system and the enactment of SUS objectives. The institutional characteristics and the heterogeneity of players, allied to the existence of different healthcare approaches, generate analytical complexity in the study of the global dynamics of the SUS network. ⋯ Thus, an approach taking SUS as a complex system using innovative quantitative methodology based on computational simulation is proposed. This paper sought to analyze challenges and possibilities of the combined application of cellular automata modeling and agent-based modeling for simulation of the evolution of the SUS healthcare service network. This approach should permit better understanding of the organization, heterogeneity and structural dynamics of the SUS service network and a minimization of the effects of market failings on the Brazilian health system.
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Ciência & saúde coletiva · Nov 2012
[Analysis of demand for family medical care in Brazil using the International Classification of Primary Care].
In various countries, motives for contact of patients with Primary Health Care (PHC) is classified by the International Classification of Primary Care (ICPC-2). This instrument enables the assessment of why people seek care, thereby assisting in planning strategies to attend the population's health needs. The scope of this study was to identify the main reasons for same-day appointments in PHC units of a medium-sized Brazilian city. ⋯ About 20% of visits occurred for administrative reasons. Female sex and greater age were determinants of greater motives for consultation. Knowing the motives for appointments by gender and age may help PHC teams in tackling health problems at the critical point of access to PHC.
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The scope of this article is to pose questions on the theme of Men, Health and Public Policies to render debate on the subject viable, based on theoretical and empirical references related to these issues. Initially, some historical landmarks on the theme are presented to provide guidelines for debate. ⋯ In the closing remarks, the complexity involved in the development, implementation and evaluation of health policies aimed at gender equality is highlighted. The need for the Brazilian policy geared towards men's health to be implemented with other policies such that the gender matrix is transversal in the healthcare field is also stressed.