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[用户接纳与社会(去)医学化:家庭健康团队面临的一项挑战]

[User embracement and social (de)medicalization: a challenge for the family health teams].

作者信息

Tesser Charles Dalcanale, Poli Neto Paulo, Campos Gastão Wagner de Sousa

机构信息

Departamento de Saúde Pública, Centro de Ciências da Saúde, Florianópolis, SC.

出版信息

Cien Saude Colet. 2010 Nov;15 Suppl 3:3615-24. doi: 10.1590/s1413-81232010000900036.

Abstract

This article discusses the relation between sheltering practice and social medicalization in the primary care. It begins with a revision about social medicalization and mentions some influences concerning the organization of the Brazilian primary care. It also indicates that the ground of receptivity proposal was provided by those influences. It argues the potentiality to accomplish the sheltering with a demedicalization and interdisciplinary action and its reverse effect, when restricted simply to emergency medic care. There are hereby suggested changes in the management and organization of routines, agendas as well as collective and individuals activities of the professionals with the intention to reduce medicalization. The conclusion favors the expansion of experimentation on sheltering as a strategy in dealing with unexpected events and with primary care spontaneous demand, always watching out for its medicalization potential.

摘要

本文探讨了基层医疗中庇护实践与社会医学化之间的关系。文章首先对社会医学化进行了回顾,并提及了一些对巴西基层医疗组织的影响。文章还指出,这些影响为接纳性建议提供了基础。文章论证了通过去医学化和跨学科行动实现庇护的潜力,以及当仅局限于急诊医疗护理时其产生的相反效果。因此,建议对日常工作、日程安排以及专业人员的集体和个人活动的管理与组织进行变革,以减少医学化。结论支持扩大将庇护作为应对突发事件和基层医疗自发需求的一种策略的试验,同时始终留意其医学化潜力。

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