Gabriela Rieveres Borges de Andrade

Apoio social e redes: conectando solidariedade e saúde

Este artigo discute alguns aspectos da participacao de usuarios de um servico publico de saude, o Instituto de Pesquisa Clinica Evandro Chagas (IPCEC/Fiocruz), em uma associacao de pacientes, a Associacao Lutando para Viver (ALpViver). Baseado em pesquisa qualitativa, com entrevistas semi-estruturadas e observacao participante, o trabalho analisa o papel dessa associacao, na visao de profissionais do hospital e pacientes, a partir dos conceitos de rede social, apoio social e empowerment. A relevância deste estudo se da a partir da nocao de que a valorizacao de uma cultura participativa dentro das instituicoes de saude contribui para aumentar a autonomia e elevar a auto-estima dos usuarios, melhorando a qualidade de vida e de saude dos mesmos.

Proteção social no Brasil: o que mudou na assistência social após a Constituição de 1988

O trabalho discute as mudancas do componente assistencial da protecao social nas duas decadas que se seguiram a Constituicao de 1988. Discute as transformacoes da protecao e assistencia social nas ultimas decadas e os processos que, na decada de 1990, fizeram avancar os processos de reforma da politica assistencial social no Brasil, sem no entanto produzir grandes mudancas no modelo de oferta de servicos. A partir dos anos 2000, ha uma significativa expansao de recursos e de cobertura de beneficios e servicos na area assistencial. Argumenta que os programas de transferencia de renda, embora surgidos e difundidos em um contexto internacional de politicas restritivas, no Brasil, ao se integrarem a um sistema publico e universal de assistencia social, alargaram substantivamente o escopo da protecao social. Alguns efeitos da expansao do sistema de protecao social no Brasil sao apontados: diminuicao da desigualdade de renda; construcao da capacidade institucional na area da assistencia social; o significado social, politico e simbolico da inclusao de um amplo segmento populacional a um sistema publico de assistencia social por meio de uma estrutura de provisao fora dos tradicionais mecanismos de filantropia e clientelismo.

Satisfação e responsividade em serviços de atenção à saúde da Fundação Oswaldo Cruz

The paper discusses the results of research into user satisfaction in three healthcare facilities at Oswaldo Cruz Foundation in Rio de Janeiro. The analysis is based on the concepts of user satisfaction and responsiveness. Perceptions and opinions of outpatients from Instituto de Pesquisa Evandro Chagas, Instituto Fernandes Figueira and Centro de Saude Escola Germano Sinval Faria were investigated. Intention samples were drawn for each institution and a total of 1.339 valid questionnaires were obtained. The study found that patients are satisfied with healthcare at Fiocruz, especially with health professionals. Nevertheless, restroom hygiene and privacy during consultations were less well evaluated. The improvement of these aspects depends not only on financial and technological investments but on changes in organizational culture. The first part of the paper discusses the literature on user satisfaction and responsiveness, with the definition of the categories that guided the study. The methodology is then presented as well as the four health services dimensions assessed - dignity, agility, facilities and communication - and the results are analyzed.

A participação da sociedade civil nos conselhos de saúde e de políticas sociais no município de Piraí, RJ (2006)

Social policy councils began to be set up in municipalities in Brazil in the 1990s, first in the health care sector, then spreading to other sectors, for the purpose of including civil society in municipal policy management. Among the advances, studies revealed the formation of a network of government and non-government actors for the resolution of problems in the sector. Among the challenges, there was the limitation of the participation of government programs to a critical approval. This paper addresses the participation of councilors and representatives of civil society in the Health Council as being included in a network that includes councils and civil society organizations in a small municipality. Based on semi-structured interviews with councilors representing civil society, two dimensions of participation are analyzed. The first is the relationship between demand for participation generated by the simultaneous activity of various sectorial councils and the participatory basis existing in the city. The second is the relationship between the issues that the respondents identified and their role as councilors. Lastly, the article discusses the potential of municipal councils in contributing to an intersectorial management of the citys problems.