工人健康和初级卫生保健:卫生-工作-疾病过程中综合护理的对话和观点

Pub Date : 2023-01-01 DOI:10.1590/interface.230327
Juliana de Oliveira Barros, Maria Teresa Bruni Daldon, Sandy Tiemi Otsuka, Selma Lancman
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引用次数: 0

摘要

文章提出并讨论了工人的健康(WH)行动在初级保健在圣保罗的范围。在一个专题项目的背景下,2019年对在该市北部地区一个基本单位工作的专业人员进行了采访和两次焦点小组讨论。使用主题内容分析对所得材料进行评估。部分公共服务管理的私人外包,与工人健康有关的劳工权利和议程的衰退,开始制定不同护理线行动的初级保健团队的超负荷,以及卫生保健参考中心(CEREST)的数量问题和地域范围,都是卫生保健实践在初级保健中的整合和巩固的障碍。考虑到接口的生产-工作-健康状态,在调整服务大小和重新确认操作方面存在挑战。
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Worker’s health and primary health care: dialogues and perspectives of integrated care in the health-work-disease process
The article presents and discusses the scope of Worker’s Health (WH) actions in PHC in São Paulo. Within the context of a thematic project, an interview and two focus groups were carried out with professionals working in a Basic Unit in the northern region of the city in 2019. The resulting material was assessed using thematic content analysis. The private outcontracting of part of the public services management, the decay of labor rights and agendas related to worker’s health, the overload of the PHC teams that started to develop actions of different lines of care, in addition to the quantitative issue and the territorial scope of the WH Reference Center (CEREST) are obstacles to the conformation and consolidation of WH practices in PHC. There is a challenge in resizing services and requalifying actions, considering the interfaces production-work-health.
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