Faculdade de Medicina, Universidade de São Paulo. Av. Dr. Arnaldo 455, Cerqueira César. 01246-903 São Paulo SP Brasil.
Cien Saude Colet. 2020 Oct;25(10):4033-4044. doi: 10.1590/1413-812320202510.27572018. Epub 2019 Feb 13.
The construction of Workers' Health (WH) intersectoriality, while fundamental, has been a challenge for this field of knowledge and practice. This paper aims to present and discuss how intersectorality is addressed in WH public policies, in what contexts it is used, how it is defined, and the guidelines for its implementation. This is qualitative documentary research that analyzed documents enacted between 1986 and 2015, accessed through the databases of the Ministries of Health, Labor and Social Security, and the websites of FUNDACENTRO and the National Association of Occupational Medicine (ANAMT). There is clear leadership of the health sector in the documents proposing the construction of intersectoriality. Terms such as "integrated actions", "articulation", "dialogue", and "integration", and finally, "intersectoriality" were used sometimes as synonyms or conceptual advances, and generic, polysemic, and supposedly consensual expressions. Despite the developing concept of intersectoriality in the policies of this field and the growing participation of the different sectors in this construction, few clear propositions about the effectiveness of this practice among managers and workers underlying the field are observed.
工人健康（WH）的部门间合作建设虽然是基础性的，但对于这一知识和实践领域来说，却是一个挑战。本文旨在介绍和讨论 WH 公共政策中如何解决部门间合作问题，在哪些背景下使用，如何定义，以及实施的指导方针。这是一项定性的文献研究，分析了 1986 年至 2015 年间颁布的文件，这些文件通过卫生部、劳动部和社会保障部的数据库以及 FUNDACENTRO 和国家职业医学协会（ANAMT）的网站获取。在提出构建部门间合作的文件中，卫生部门的领导地位明显。“综合行动”、“协调”、“对话”和“整合”等术语，以及最终的“部门间合作”，有时被用作同义词或概念上的进步，以及通用的、多义的、据称是共识的表述。尽管该领域政策中的部门间合作概念不断发展，不同部门越来越多地参与这一建设，但在该领域的管理者和工人中，很少有关于这种做法有效性的明确主张。
