Navegando por Orientadores "FERLA, Alcindo Antônio"

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Acesso aberto (Open Access)
Atenção à saúde e modos de andar a vida: a produção de conhecimentos em psicologia e os subsídios para um cuidado que pretenda produzir saúde para crianças e famílias nos contextos de pobreza
(Universidade Federal do Pará, 2012-09-18) RIBEIRO, Andrea Cristina Lovatto; FERLA, Alcindo Antônio; http://lattes.cnpq.br/6938715472729668
A health care that aims integrality in its actions and proposals must take into account the population’s singular life contexts as well as the life contexts of each specific individual, which can be observed in a specialized bibliography. It is well known that Brazil is a country that presents serious social inequality and the knowledge of cultural diversity among different social groups that co-exist in our country is fundamental to achieve an integral health care. The objective of this study is to understand if and in which ways the elements that are considered important to provide health in this context are present in scientific production in the psychology field. For this purpose, several texts present in the BVS (Virtual Health Library) were analyzed; in a total of 37 texts, which deal with the relationship between psychology and SUS (Brazilian Unified Health System). The importance of a contextualized practice was mentioned, however, none of the texts showed the description of specific contexts of families in poverty, indicating that this knowledge is not available in the psychology field and therefore showing the importance of considering the information available in other areas for an integral health care. Integral health care, team work, prevention and health promotion are major elements that are present in the academic production of knowledge; nevertheless we notice that these guidelines are still in the level of reflection and verbalizations, usually not taking place in practice. The challenges that set apart professional psychologist’s practice and SUS guidelines can be summarized in a professional training which emphasizes individual clinical practices resulting in decontextualized practices. Other challenges indentified were the way the health system itself was organized, and the way psychologists are not considered as generalist professionals in health policies. The concept of resilience in general is not present in the studies; however, the presence of other important elements to promote the autonomy of individuals was taken into consideration. Strategies of education: Academic and Permanent Education in Health (EPS) were also analyzed. It was observed that the discussion about professional training is present in most texts and that small changes have been made in order to bring the psychology field closer to the SUS system. Permanent Education in Health is not a significant factor in the studies, and its potential has not yet been explored in relation to psychology.
Acesso aberto (Open Access)
As ouvidorias de saúde pública no Estado do Pará: uma relação dialógica entre governo, medicina e sociedade?
(Universidade Federal do Pará, 2012) MORAES, Diana Coeli Paes de; OLIVEIRA, Paulo de Tarso Ribeiro de; http://lattes.cnpq.br/9266787581530443; FERLA, Alcindo Antônio; http://lattes.cnpq.br/6938715472729668
That paper emphasizes about the Public Health's Offices as an area of citizen participation in administrative management inquiring if it happens a Dialogic Dynamics Relationship between Government, Medicine and Society in the perspective of harmonization of management and services provided by public health in accordance with the policy of Humanization by SUS. The guiding hypothesis of the study it is the popular participation trough’s offices are produced transformations in practice played by different actors in setting health care practices in alignment with the principles and strategies humanization of the single health system with ability of tension arising in the biomedical context roles that became as prevalent from on 17th century. The point of view is to identify the effective contributions of the performance of public health's offices in building and implementing new practices of health according to the PNH. It was be developed in four chapters, dealing with social participation and the history of public health's offices in Brazil, the SUS and the Humanization of Health Policy, research itself and conclusion. The qualitative and exploratory design research that seeks to know, describe and understand the reality of the policy of humanizing public health institutions in the State of Pará, through the demands of offices in a process of expansion of democratic mechanisms of social control of public health policies. Among the results achieved in this research what it's discussed, it is that the public health's offices has the clear commitment to become an institution of excellence and fulfill its role in promoting dialogue between the State, Medicine and Society. As for this process to collaborate in the construction of new practices in health, it doesn’t identify effectiveness. However, as symbolic value of representativeness, accessibility, communication and dialogue without bureaucracy between Society and the Public Administration it is significant. It’s noted how important that was the Public Health Management to organize in their multiple instances.
Acesso aberto (Open Access)
O trabalho e a gestão do cuidado em saúde: a construção de uma política nacional em saúde do trabalhador no Brasil: uma análise documental
(Universidade Federal do Pará, 2011-09-30) CRUZ, Amanda Pereira de Carvalho; OLIVEIRA, Paulo de Tarso Ribeiro de; http://lattes.cnpq.br/9266787581530443; FERLA, Alcindo Antônio; http://lattes.cnpq.br/6938715472729668
The development of production models led to several changes in the design of the relation between man and work. The Work became a central aspect in the life of modern man. At work many subjective processes emerge based on the practices of the contexts in which it takes place as well as in health and disease processes. In Brazil, this process has been outlined by political and social issues that led to the emergence of so-called National Policy on Occupational Health and Safety (NPOHS) in 2004. However, this issue and its consequences are still strongly debated, since such a policy is not in health force, showing a path under constant construction and still subjected to different influences. This paper analizes the practices that produce subjective processes on workers by biopolitical guided devices, through the analyze of care management in worker’s health in Brazil. From this perspective, we sought to analyze the construction of the Occupational Health Policies in the country, focusing on the formulation of NPOHS and his current perspective. For this, we analyzed the care strategies present in this Policy, as well as how the strategies are linked to the perspective of integrality, since it is a new look at the management of health care, creating new possibilities for worker’s health. It focused on the flow of the user, with changes in the production of care at all levels of public health. First, we discussed the process of construction and development of Occupational Health and later we analyzed the NPOHS and his health practices, based on the Michel Foucault’s genealogical method, focused on documentary analysis. The process of building NPOHS started from the first National Conference on Occupational Health, which is outlined in others conferences in 2001 and 2005. In this process, we can observe the conflict between work as a risk (work-risk) and work as production of subjectivity (work-subjectivity), which lead to the construction of notions of health-control versus health-integrality. The documentary analysis of the NPOHS show us that there is a prevalence of labor like a risk and health control, since the strategies of care are design by injury and risks at work and monetization of health. In addition, from 2005 until mid 2011, there was the realization and implementation of policy in different directions, and even converging actions of Occupational Health to the field of health surveillance, where is this area in the Minitry of Health in Brazil today. We think that Occupational Health in guided by the construction of discourses in biopolitical strategies to transform work activity at risk that should be monitored and medicated. In addition, there is no interface for absorption of demands concerning the health of workers in the SUS. The creation of lines of care in Occupational Health in Primary Health Units or creation of Specialized Reference Units of Occupational Health allows us to place this issue increasingly in the field of public health in Brazil and reduce the dispersion of worker’s cases of suffering, which remain at the level of the unsaid.