Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023220127pt
Maria Luiza Silva Cunha, Angela Oliveira Casanova, Marly Marques da Cruz, Martha Cecilia Suárez-Mutis, Verônica Marchon-Silva, Michele Souza e Souza, Marcelly de Freitas Gomes, Ana Cristina Reis, Paulo Cesar Peiter
Resumo O Subsistema de Atenção à Saúde Indígena (SasiSUS), como parte do Sistema Único de Saúde (SUS), é responsável pela atenção à saúde dos povos indígenas do Brasil. Em âmbito local, são os Distritos Sanitários Especiais Indígenas (DSEI) os responsáveis pela gestão, planejamento e organização do processo de trabalho das equipes multidisciplinares de saúde indígena (EMSI), que realizam a atenção primária à saúde para essa população. O objetivo do estudo foi analisar como ocorrem o planejamento e a gestão do processo de trabalho das EMSI. Foi realizado um estudo de casos múltiplos holístico, considerando sete DSEI como unidades de análise. A principal fonte de dados utilizada foi a entrevista e, de forma complementar, a observação direta. Os resultados indicaram que, de forma geral, o planejamento está presente na organização do processo de trabalho das equipes, com variações entre os DSEI. A efetivação das ações planejadas foi relacionada à disponibilidade de diferentes recursos: funcionamento adequado do sistema de informação e a articulação intra e intersetorial do SasiSUS. Como conclusão, apontou-se a necessidade de radicalização da participação no planejamento e na gestão, necessária a uma ação coordenada para garantia da atenção diferenciada e dos princípios do SUS.
{"title":"Planejamento e gestão do processo de trabalho em saúde: avanços e limites no Subsistema de Atenção à Saúde Indígena do SUS","authors":"Maria Luiza Silva Cunha, Angela Oliveira Casanova, Marly Marques da Cruz, Martha Cecilia Suárez-Mutis, Verônica Marchon-Silva, Michele Souza e Souza, Marcelly de Freitas Gomes, Ana Cristina Reis, Paulo Cesar Peiter","doi":"10.1590/s0104-12902023220127pt","DOIUrl":"https://doi.org/10.1590/s0104-12902023220127pt","url":null,"abstract":"Resumo O Subsistema de Atenção à Saúde Indígena (SasiSUS), como parte do Sistema Único de Saúde (SUS), é responsável pela atenção à saúde dos povos indígenas do Brasil. Em âmbito local, são os Distritos Sanitários Especiais Indígenas (DSEI) os responsáveis pela gestão, planejamento e organização do processo de trabalho das equipes multidisciplinares de saúde indígena (EMSI), que realizam a atenção primária à saúde para essa população. O objetivo do estudo foi analisar como ocorrem o planejamento e a gestão do processo de trabalho das EMSI. Foi realizado um estudo de casos múltiplos holístico, considerando sete DSEI como unidades de análise. A principal fonte de dados utilizada foi a entrevista e, de forma complementar, a observação direta. Os resultados indicaram que, de forma geral, o planejamento está presente na organização do processo de trabalho das equipes, com variações entre os DSEI. A efetivação das ações planejadas foi relacionada à disponibilidade de diferentes recursos: funcionamento adequado do sistema de informação e a articulação intra e intersetorial do SasiSUS. Como conclusão, apontou-se a necessidade de radicalização da participação no planejamento e na gestão, necessária a uma ação coordenada para garantia da atenção diferenciada e dos princípios do SUS.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135107780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023210753en
Carolina Claudio Bisi, Eunice Nakamura
Abstract Children’s mental health has gained notorious space in Brazilian and international research. It’s known that childcare, besides requiring certain specificities, requires a consolidated support network, and one of these caregivers is the family. In the care provided by the family, a process of feminization is noticed: mothers, grandmothers, sisters, or other family members are markedly more present in groups for family members offered by the CAPSi (Children’s Psychosocial Attention Center). This article presents some results of a scientific initiation research, whose objectives were to identify and understand which are the daily care practices performed by women family members, caregivers of children assisted in a CAPSi in the municipality of Santos and the support received inside and outside the service. The qualitative research used as technique in-depth interviews, with semi-structured script, carried out by telephone, for listening to these women, identified from the information given by professionals of the service. In the women’s reports, we identified native categories related to care: routine, normal, and support. These categories were mentioned by the women to define the daily care of the children. We noticed that the daily routine of care characterizes it as “normal” for these women, and is not considered a burden in their lives or even problematized.
{"title":"Daily care in the life of female relatives of children attended in a CAPSi in Santos","authors":"Carolina Claudio Bisi, Eunice Nakamura","doi":"10.1590/s0104-12902023210753en","DOIUrl":"https://doi.org/10.1590/s0104-12902023210753en","url":null,"abstract":"Abstract Children’s mental health has gained notorious space in Brazilian and international research. It’s known that childcare, besides requiring certain specificities, requires a consolidated support network, and one of these caregivers is the family. In the care provided by the family, a process of feminization is noticed: mothers, grandmothers, sisters, or other family members are markedly more present in groups for family members offered by the CAPSi (Children’s Psychosocial Attention Center). This article presents some results of a scientific initiation research, whose objectives were to identify and understand which are the daily care practices performed by women family members, caregivers of children assisted in a CAPSi in the municipality of Santos and the support received inside and outside the service. The qualitative research used as technique in-depth interviews, with semi-structured script, carried out by telephone, for listening to these women, identified from the information given by professionals of the service. In the women’s reports, we identified native categories related to care: routine, normal, and support. These categories were mentioned by the women to define the daily care of the children. We noticed that the daily routine of care characterizes it as “normal” for these women, and is not considered a burden in their lives or even problematized.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67367976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023210401en
L. Duarte, Mônica Martins de Oliveira Viana, Nayara Scalco, M. T. Garcia, L. Felipe
Abstract This article aims to characterize financial transfers within the scope of the Primary Care Block to the municipalities of the state of São Paulo, in the period between 2011 and 2017, and its relationship with the health care model change in Primary Health Care (PHC). This is a descriptive and exploratory study, of quantitative nature and with a retrospective longitudinal section. Transfers that occurred within the scope of the Variable Primary Care Floor (Variable PCF) were analyzed, aggregated according to its link with the model change. Family Health Strategy (FHS) coverage, number of home visits, and the percentage of municipalities that adhered to the Program for Access and Quality Improvement in Primary Care (PMAQ) were also considered. The results indicate the relevance of the Incentives for model change in the financing of primary health care in the state of São Paulo, especially for small municipalities, suggesting the interest of these municipalities in implementing the proposed measures. However, there are obstacles to identifying changes in practices, thus the current health care model is not properly explained from the analyzed indicators. In conclusion, complementing the use of funding as a model change-inducing device with evaluative processes specifically aimed at consolidating comprehensive PHC is needed.
{"title":"Financial incentives for model change in primary health care in São Paulo municipalities","authors":"L. Duarte, Mônica Martins de Oliveira Viana, Nayara Scalco, M. T. Garcia, L. Felipe","doi":"10.1590/s0104-12902023210401en","DOIUrl":"https://doi.org/10.1590/s0104-12902023210401en","url":null,"abstract":"Abstract This article aims to characterize financial transfers within the scope of the Primary Care Block to the municipalities of the state of São Paulo, in the period between 2011 and 2017, and its relationship with the health care model change in Primary Health Care (PHC). This is a descriptive and exploratory study, of quantitative nature and with a retrospective longitudinal section. Transfers that occurred within the scope of the Variable Primary Care Floor (Variable PCF) were analyzed, aggregated according to its link with the model change. Family Health Strategy (FHS) coverage, number of home visits, and the percentage of municipalities that adhered to the Program for Access and Quality Improvement in Primary Care (PMAQ) were also considered. The results indicate the relevance of the Incentives for model change in the financing of primary health care in the state of São Paulo, especially for small municipalities, suggesting the interest of these municipalities in implementing the proposed measures. However, there are obstacles to identifying changes in practices, thus the current health care model is not properly explained from the analyzed indicators. In conclusion, complementing the use of funding as a model change-inducing device with evaluative processes specifically aimed at consolidating comprehensive PHC is needed.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67368200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023220301en
Yarlenis Lleinis Mestre Malfran, O. Baquero
Abstract In this work, we reflect on how different figures of alterity are targets of marginalization and what this implies in terms of recognition in political grammars that establish who can become a subject of health. Based on feminist and decolonial contributions, we discuss some ontological assumptions about the relationship between humans, non-humans, and nature to broaden the understanding of the One Health of Peripheries. We also incorporate some narratives of adolescents who live in the Jardim São Remo favela (São Paulo, SP) and act as One Health of Peripheries Young Agents. In dialogue with them, we explore the process of constitutive exclusion of favelas, based on rhetorics that do not recognize the plurality of collective configurations and reinforce the figure of favelas as a threat to public security. In contrast to this project, we bring the principles of reforestation and confluence of significant alterities to reinforce the multispecies justice promoted by the praxis of One Health of Peripheries.
在这项工作中，我们反思了不同的另类人物如何成为边缘化的目标，以及这在政治语法中确定谁可以成为健康主体的承认方面意味着什么。基于女权主义和非殖民化的贡献，我们讨论了一些关于人类、非人类和自然之间关系的本体论假设，以扩大对边缘的一个健康的理解。我们还纳入了一些生活在Jardim s o Remo贫民窟(st o Paulo, SP)的青少年的叙述，他们作为外围健康的一个年轻代理人。在与他们的对话中，我们基于不承认集体配置的多元性并强化贫民窟作为公共安全威胁的修辞，探索了贫民窟的结构性排斥过程。与此项目形成对比的是，我们引入了重新造林和重要物种融合的原则，以加强“边缘健康”实践所促进的多物种正义。
{"title":"Problematizing alterities for a feminist and decolonial understanding of One Health of Peripheries","authors":"Yarlenis Lleinis Mestre Malfran, O. Baquero","doi":"10.1590/s0104-12902023220301en","DOIUrl":"https://doi.org/10.1590/s0104-12902023220301en","url":null,"abstract":"Abstract In this work, we reflect on how different figures of alterity are targets of marginalization and what this implies in terms of recognition in political grammars that establish who can become a subject of health. Based on feminist and decolonial contributions, we discuss some ontological assumptions about the relationship between humans, non-humans, and nature to broaden the understanding of the One Health of Peripheries. We also incorporate some narratives of adolescents who live in the Jardim São Remo favela (São Paulo, SP) and act as One Health of Peripheries Young Agents. In dialogue with them, we explore the process of constitutive exclusion of favelas, based on rhetorics that do not recognize the plurality of collective configurations and reinforce the figure of favelas as a threat to public security. In contrast to this project, we bring the principles of reforestation and confluence of significant alterities to reinforce the multispecies justice promoted by the praxis of One Health of Peripheries.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67368254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023220382en
M. Fausto, P. F. D. Almeida, A. Bousquat, J. Lima, Adriano Maia dos Santos, Helena Seidl, M. H. Mendonça, L. Cabral, L. Giovanella
Abstract Despite the socio-spatial diversity, remote rural locations have in common small villages dispersed over a vast territory, isolated populations, and long distances from urban centers. The objective of the study is to analyze the specificities of the organization and access to primary health care (PHC) in the Brazilian National Health System (SUS) in remote rural municipalities (MRR). To that end a study with a qualitative approach, based on a multiple case study in 27 MRR was carried out. Thematic content analysis of 211 semi-structured interviews with managers and health professionals and a triangulation of information to explore and recognize the forms of organization, strategies, and challenges for the access to health were performed. The results indicate that: the characteristics of remote rural contexts condition the provision of PHC; there are differences in the ways of offering health actions and greater gaps in care coverage in the most rarefied and remote areas of the municipalities; there are contradictions between national PHC funding and the characteristics of territories marked by sparcely populated areas and long distances; and the shortage of the workforce is a common challenge among the cities studied. It is, thus, necessary to consider the territorial, social, and access characteristics to health services to propose public policies that meet the needs of the MRR.
{"title":"Primary Health Care in remote rural municipalities: context, organization, and access to integral care in the Brazilian National Health System","authors":"M. Fausto, P. F. D. Almeida, A. Bousquat, J. Lima, Adriano Maia dos Santos, Helena Seidl, M. H. Mendonça, L. Cabral, L. Giovanella","doi":"10.1590/s0104-12902023220382en","DOIUrl":"https://doi.org/10.1590/s0104-12902023220382en","url":null,"abstract":"Abstract Despite the socio-spatial diversity, remote rural locations have in common small villages dispersed over a vast territory, isolated populations, and long distances from urban centers. The objective of the study is to analyze the specificities of the organization and access to primary health care (PHC) in the Brazilian National Health System (SUS) in remote rural municipalities (MRR). To that end a study with a qualitative approach, based on a multiple case study in 27 MRR was carried out. Thematic content analysis of 211 semi-structured interviews with managers and health professionals and a triangulation of information to explore and recognize the forms of organization, strategies, and challenges for the access to health were performed. The results indicate that: the characteristics of remote rural contexts condition the provision of PHC; there are differences in the ways of offering health actions and greater gaps in care coverage in the most rarefied and remote areas of the municipalities; there are contradictions between national PHC funding and the characteristics of territories marked by sparcely populated areas and long distances; and the shortage of the workforce is a common challenge among the cities studied. It is, thus, necessary to consider the territorial, social, and access characteristics to health services to propose public policies that meet the needs of the MRR.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67368315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023220122en
Luís Fernando Nogueira Tofani, Lumena Almeida Castro Furtado, Rosemarie Andreazza, André Luiz Bigal, Deize Graziele Conceição Ferreira Feliciano, Gabriela Rodrigues da Silva, Arthur Chioro
Abstract The Urgent and Emergency Care Network (RUE) was proposed in Brazil as a public policy to articulate and integrate the health services of the Brazilian National Health System (SUS), expanding and qualifying the access of users in e emergency health situations in an efficient and timely manner. This study analyzes the scientific production on the RUE in Brazil and elaborates summaries showing the limits and challenges of this health policy. An integrative literature review was used as a method, based on the search for articles in the LILACS, SciELO, and MEDLINE databases and for dissertations and theses on the virtual platform of the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). The investigation enabled the analysis of 34 studies in the field of collective health, focused on the different emergency services and the integration between them, including possible changes in the health care process and different evaluation strategies, by using different approaches, mainly qualitative. Weaknesses are observed in the network articulation, maintaining the centrality of hospital services and the power of its symbolic capital, with primary care being relegated to the discursive field.
紧急和紧急护理网络(RUE)是在巴西提出的一项公共政策，以阐明和整合巴西国家卫生系统(SUS)的卫生服务，扩大和资格的用户访问在紧急卫生情况下，有效和及时的方式。本研究分析了巴西关于RUE的科学成果，并阐述了显示这一卫生政策的局限性和挑战的摘要。通过检索LILACS、SciELO和MEDLINE数据库中的文章和Nível Superior (CAPES)虚拟平台上的论文和论文，采用综合文献综述的方法。通过调查，能够对集体卫生领域的34项研究进行分析，重点是不同的紧急服务及其之间的整合，包括保健过程可能发生的变化和不同的评价战略，采用不同的方法，主要是定性方法。在网络衔接中观察到弱点，维持医院服务的中心地位及其象征性资本的力量，初级保健被降级到话语领域。
{"title":"Urgent and emergency care networks in Brazil: an integrative review","authors":"Luís Fernando Nogueira Tofani, Lumena Almeida Castro Furtado, Rosemarie Andreazza, André Luiz Bigal, Deize Graziele Conceição Ferreira Feliciano, Gabriela Rodrigues da Silva, Arthur Chioro","doi":"10.1590/s0104-12902023220122en","DOIUrl":"https://doi.org/10.1590/s0104-12902023220122en","url":null,"abstract":"Abstract The Urgent and Emergency Care Network (RUE) was proposed in Brazil as a public policy to articulate and integrate the health services of the Brazilian National Health System (SUS), expanding and qualifying the access of users in e emergency health situations in an efficient and timely manner. This study analyzes the scientific production on the RUE in Brazil and elaborates summaries showing the limits and challenges of this health policy. An integrative literature review was used as a method, based on the search for articles in the LILACS, SciELO, and MEDLINE databases and for dissertations and theses on the virtual platform of the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). The investigation enabled the analysis of 34 studies in the field of collective health, focused on the different emergency services and the integration between them, including possible changes in the health care process and different evaluation strategies, by using different approaches, mainly qualitative. Weaknesses are observed in the network articulation, maintaining the centrality of hospital services and the power of its symbolic capital, with primary care being relegated to the discursive field.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67368477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023220540en
K. Silva, M. Gervasio, Angela Maria Belloni Cuenca
Abstract Pregnant women have the right to a companion of their choice during hospitalization, pre-delivery, delivery and postpartum, a right assured nationwide by Law no. 11,108, implemented in 2005. However, health protocols have restricted these rights on the grounds of mitigating the COVID-19 pandemic. Hence, this study sought to understand the approaches, actors involved, and arguments presented about noncompliance with the Companion Law during the COVID-19 pandemic by analyzing G1 Portal news articles published from March 2020 to April 2022, using the map feature. Results show that failure to comply with the aforementioned law occurred most often in the first half of 2020, justified by biosafety issues, lack of budget for purchasing personal protective equipment, and the atypical moment. In several places legal intervention was necessary for compliance, becoming a journalistic agenda, with the most emblematic case happening in Tocantins, where the veto lasted until April 2022. Analysis showed a discrepancy regarding law compliance in several municipalities and states, despite the Ministry of Health and several legal bodies having issued opinions and protocols recommending the presence of a companion.
{"title":"Companion Law in the media: the pandemic and its impacts on birth rights","authors":"K. Silva, M. Gervasio, Angela Maria Belloni Cuenca","doi":"10.1590/s0104-12902023220540en","DOIUrl":"https://doi.org/10.1590/s0104-12902023220540en","url":null,"abstract":"Abstract Pregnant women have the right to a companion of their choice during hospitalization, pre-delivery, delivery and postpartum, a right assured nationwide by Law no. 11,108, implemented in 2005. However, health protocols have restricted these rights on the grounds of mitigating the COVID-19 pandemic. Hence, this study sought to understand the approaches, actors involved, and arguments presented about noncompliance with the Companion Law during the COVID-19 pandemic by analyzing G1 Portal news articles published from March 2020 to April 2022, using the map feature. Results show that failure to comply with the aforementioned law occurred most often in the first half of 2020, justified by biosafety issues, lack of budget for purchasing personal protective equipment, and the atypical moment. In several places legal intervention was necessary for compliance, becoming a journalistic agenda, with the most emblematic case happening in Tocantins, where the veto lasted until April 2022. Analysis showed a discrepancy regarding law compliance in several municipalities and states, despite the Ministry of Health and several legal bodies having issued opinions and protocols recommending the presence of a companion.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67368838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023230329en
L. Giatti, Ivia Maksud
{"title":"The Anthropocene, the environmental crisis, and the inequalities in the access to health services and policies","authors":"L. Giatti, Ivia Maksud","doi":"10.1590/s0104-12902023230329en","DOIUrl":"https://doi.org/10.1590/s0104-12902023230329en","url":null,"abstract":"","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67369648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s0104-12902023220075en
Evelise Dias Antunes, Bruno Chapadeiro Ribeiro, Marta Santos, Frida Marina Fischer
Abstract The new coronavirus pandemic compulsorily brought work into the homes of thousands of workers worldwide. Therefore, this essay aims to highlight the psychosocial factors of health risks and telework’s panorama in the first year of the COVID-19 pandemic and, in this context, to analyze the telework policy in Brazil. We presented the different concepts of telework and discuss how and why it is not a risk-free modality. The literature highlights psychosocial factors, such as social and professional isolation, work intensification and overlapping of professional and family activities. Secondary data obtained from the National Household Sample Survey and analyses by the Institute of Applied Economic Research during the pandemic revealed a panorama of inequality in the profile of those who have access to telework, in addition to the accentuation of regional differences. Finally, we identified a mismatch between the regulation of telework and the workers’ needs, impacted by the COVID-19 pandemic. Thus, it is necessary to elaborate, reformulate and implement policies, aiming to guarantee the rights and health of teleworkers.
{"title":"The tip of the iceberg: telework during the pandemic","authors":"Evelise Dias Antunes, Bruno Chapadeiro Ribeiro, Marta Santos, Frida Marina Fischer","doi":"10.1590/s0104-12902023220075en","DOIUrl":"https://doi.org/10.1590/s0104-12902023220075en","url":null,"abstract":"Abstract The new coronavirus pandemic compulsorily brought work into the homes of thousands of workers worldwide. Therefore, this essay aims to highlight the psychosocial factors of health risks and telework’s panorama in the first year of the COVID-19 pandemic and, in this context, to analyze the telework policy in Brazil. We presented the different concepts of telework and discuss how and why it is not a risk-free modality. The literature highlights psychosocial factors, such as social and professional isolation, work intensification and overlapping of professional and family activities. Secondary data obtained from the National Household Sample Survey and analyses by the Institute of Applied Economic Research during the pandemic revealed a panorama of inequality in the profile of those who have access to telework, in addition to the accentuation of regional differences. Finally, we identified a mismatch between the regulation of telework and the workers’ needs, impacted by the COVID-19 pandemic. Thus, it is necessary to elaborate, reformulate and implement policies, aiming to guarantee the rights and health of teleworkers.","PeriodicalId":46918,"journal":{"name":"Saude E Sociedade","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135262485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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