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巴西统一卫生系统中健康监督的“场所”——社会动员知识与实践之间的一个空间。

The 'locus' of health oversight in Brazil's Unified Health System - a place between the knowledge and the practices of social mobilization.

作者信息

Fernandes Valcler Rangel, Luz Zélia Profeta da, Amorim Annibal Coelho de, Sérgio Juraci Vieira, Silva José Paulo Vicente da, Castro Marcia Correa E, Monken Maurício, Gondim Grácia Maria de Miranda

机构信息

Chefia de Gabinete da Presidência da Fiocruz, Fiocruz. Av. Brasil 4365, Manguinhos. Rio de Janeiro RJ Brasil.

Instituto de Pesquisa René Rachou, Fiocruz. Belo Horizonte MG Brasil.

出版信息

Cien Saude Colet. 2017 Oct;22(10):3173-3181. doi: 10.1590/1413-812320172210.1772017.

Abstract

Supervision of a health system presupposes keeping an attentive eye on the health situation of populations, so as to understand health, illness and healthcare as indissociable manifestations of human existence. Taking this point of view, this article examines health practices from the basis of some of their processes of communication. These are markedly professional-centered in their logic, with their emphasis on scientific, vertical and authoritarian discourse, predominantly in the spaces of the Unified Health System (SUS). In the territory, the process of communication is determinant. As a result of social interaction in daily life, the communication process reterritorializes the elements of the social totality: people, companies, institutions are re-dimensioned in the logic. It is a characteristic space for activities that aim for a more horizontal and democratic flow of communication.

摘要

对卫生系统的监督意味着密切关注人群的健康状况,以便将健康、疾病和医疗保健理解为人类生存中不可分割的表现形式。从这一观点出发,本文从一些卫生实践的传播过程基础来审视这些实践。这些实践在逻辑上明显以专业为中心,强调科学、垂直和权威的话语,主要体现在统一卫生系统(SUS)的空间内。在该领域,传播过程具有决定性作用。作为日常生活中社会互动的结果,传播过程将社会总体的要素重新领地化:人、公司、机构在逻辑上被重新界定。这是一个旨在实现更横向和民主传播流程的活动的特色空间。

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