Puccini Paulo de Tarso
Departamento Regional de Saúde I, Secretaria de Estado da Saúde, São Paulo, Brazil.
Cien Saude Colet. 2011 Jul;16(7):3043-9. doi: 10.1590/s1413-81232011000800004.
This paper discusses hospital infections based on the methodological concept of concrete totality and the resulting explanatory model of social determination, as critical paths for putting such occurrences and the social intervention possibilities to control them into context. It assesses the prospects for control by considering the advances in knowledge and control programs and the post-constitutional Brazilian institutional setting. It concludes that the increasing intervention by the judiciary and the Public Prosecutor's office, regarding issues involving hospital infection and the existing difficulties for control, reflect the level of healthcare service qualification in Brazil. It suggests that such judicial intervention contributes to the democratization process of healthcare policies and adds to the efforts of society in general to uphold the right to healthcare. It considers that following up the conditions under which control takes place in each institution may reveal important information that can be taken as markers for the general quality of the services and care provided, thereby becoming an instrument for a broad joint effort by the Public Prosecutor's office and healthcare institutions along with citizen participation.
本文基于具体总体性的方法论概念以及由此产生的社会决定因素解释模型来探讨医院感染问题，将其作为把此类事件及其控制的社会干预可能性置于背景中的关键路径。通过考量知识进步、控制项目以及巴西宪法后的制度背景，评估控制前景。结论是，司法机构和检察官办公室在涉及医院感染问题及现有控制困难方面的干预日益增加，反映了巴西医疗服务的资质水平。表明这种司法干预有助于医疗政策的民主化进程，并增强了整个社会维护医疗权的努力。认为跟踪各机构进行控制的条件可能会揭示重要信息，这些信息可作为所提供服务和护理总体质量的标志，从而成为检察官办公室、医疗机构以及公民参与广泛共同努力的工具。
