Mota André, Schraiber Lilia Blima
Rev Saude Publica. 2013 Oct;47(5):839-45. doi: 10.1590/s0034-8910.2013047004887.
The aim of the study was to interpret and understand the institutionalization of public health care in the state of Sao Paulo over the years 1930-1940, based on the history of medical specialties. The methodology involved analysis of new sources of documents, which were compared with the existing literature, thereby leading to identification of new indices relating to the issue of eugenics and the presence of physicians' religious beliefs as a social movement. As physicians became public health experts, they proposed a project to elevate the Brazilian race, by merging the hygienist discourse with sanitary actions. Sao Paulo sought primacy in this project, believing that this was a State already constituted by a race of "historically healthy men". Religious beliefs influenced the debate and the decisions of that time with regard to the established order within public health. In this manner, it could be shown that, historically, public health discourse was constituted by merging technical-scientific issues with political-ideological and cultural issues, producing a mixture of different interests and corporative perspectives of the profession.
该研究的目的是基于医学专业的历史,解读和理解1930年至1940年间圣保罗州公共卫生保健的制度化情况。研究方法包括分析新的文献资料来源,并将其与现有文献进行比较,从而确定与优生学问题以及医生宗教信仰作为一种社会运动的存在相关的新指标。随着医生成为公共卫生专家,他们提出了一个通过将卫生学家的论述与卫生行动相结合来提升巴西种族的项目。圣保罗在这个项目中寻求首要地位,认为该州已经由一群“历史上健康的人”组成。宗教信仰影响了当时关于公共卫生既定秩序的辩论和决策。通过这种方式,可以表明,从历史角度看,公共卫生论述是通过将技术科学问题与政治意识形态和文化问题相结合而构成的,产生了不同利益和该专业团体观点的混合。