دورية أكاديمية

[The influence of the institutions on local health councils].

التفاصيل البيبلوغرافية
العنوان: [The influence of the institutions on local health councils].
عنوان ترانسليتريتد: La influencia de las instituciones en los consejos locales de salud.
المؤلفون: Araujo PN; Programa de Posgrado Enfermería en Salud Pública, Escuela de Enfermería de Ribeirão Preto, Universidad de São Paulo, Ribeirão Preto, São Paulo, Brasil., Santana FR; Departamento de Salud Colectiva, Instituto de Patología Tropical y Salud Pública, Universidad Federal de Goiás, Goiânia, Goiás, Brasil., Oliveira PS; Programa de Posgrado Enfermería en Salud Pública, Escuela de Enfermería de Ribeirão Preto, Universidad de São Paulo, Ribeirão Preto, São Paulo, Brasil., Gatto Júnior JR; Departamento de Enfermería Psiquiátrica y Ciencias Humanas, Escuela de Enfermería de Ribeirão Preto, Universidad de São Paulo, Ribeirão Preto, São Paulo, Brasil., Santos FLD; Programa de Posgrado Enfermería en Salud Pública, Escuela de Enfermería de Ribeirão Preto, Universidad de São Paulo, Ribeirão Preto, São Paulo, Brasil; Laboratoire École-Mutations-Apprentissages, CY Cergy Paris Université, Gennevilliers, Francia., Santos KS; Programa de Posgrado Enfermería en Salud Pública, Escuela de Enfermería de Ribeirão Preto, Universidad de São Paulo, Ribeirão Preto, São Paulo, Brasil; Laboratoire Éducation et Diversité en Espaces Francophones, Université de Limoges, Limoges, Francia., Fortuna CM; Programa de Posgrado Enfermería en Salud Pública, Escuela de Enfermería de Ribeirão Preto, Universidad de São Paulo, Ribeirão Preto, São Paulo, Brasil; Programa de Posgrado Enfermería en Salud Pública, Departamento de Enfermería Materno-Infantil y Salud Pública, Escuela de Enfermería de Ribeirão Preto, Universidad de São Paulo, Ribeirão Preto, São Paulo, Brasil. Electronic address: fortuna@eerp.usp.br.
المصدر: Atencion primaria [Aten Primaria] 2024 Jan; Vol. 56 (1), pp. 102780. Date of Electronic Publication: 2023 Oct 10.
نوع المنشور: English Abstract; Journal Article
اللغة: Spanish; Castilian
بيانات الدورية: Publisher: Elsevier España Country of Publication: Spain NLM ID: 9111075 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1578-1275 (Electronic) Linking ISSN: 02126567 NLM ISO Abbreviation: Aten Primaria Subsets: MEDLINE
أسماء مطبوعة: Publication: Madrid : Elsevier España
Original Publication: Barcelona : Haymarket,
مواضيع طبية MeSH: Community Participation* , Health Planning Councils*, Humans ; Brazil ; Delivery of Health Care
مستخلص: Objective: To analyze the influences of the institutions in the operation of the Local Health councils.
Design: qualitative, descriptive and exploratory study.
Study Setting: 02 Primary Health Care services of a municipality in the inland of the state of São Paulo, Brazil.
Participants: twenty-four members of the Local Health Councils and 4 key informants.
Methods: Supported by the theoretical methodological framework of Institutional Analysis. Data were produced through 28 semi-structured interviews, observation and participation in the activities of the councils and recording in the research diary. Data were organized and analyzed by the process of transcription, transposition and reconstitution.
Results: The institutions act in the territories represented by social actors who occupy positions and functions within the Primary Health Care services, evidencing the perpetuation of hierarchization with valorization of the speeches of professionals and managers to the detriment of patients and predominance of bureaucratized meetings. The social actors reproduce the ideals of the collective to which they belong in these spaces.
Conclusions: The health management teams do not recognize the different forces that act in the health territory, however, these forces interfere in the activities performed and in health care. The groups act both in formal spaces through official representatives who meet and discuss issues in collegiate meetings and in informal spaces, and constitute forces in dispute in the health territory.
(Copyright © 2023 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.)
فهرسة مساهمة: Keywords: Atención primaria de salud; Consejos de salud; Controles informales de la sociedad; Health Councils; Informal controls of society; Participación social; Primary health care; Sistema único de salud; Social participation; Unified health system
تواريخ الأحداث: Date Created: 20231011 Date Completed: 20240108 Latest Revision: 20240108
رمز التحديث: 20240108
مُعرف محوري في PubMed: PMC10570949
DOI: 10.1016/j.aprim.2023.102780
PMID: 37820468
قاعدة البيانات: MEDLINE
الوصف
تدمد:1578-1275
DOI:10.1016/j.aprim.2023.102780