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将共同生产作为复杂使用者的关怀策略:与无家可归妇女的制图学。

The production of the common as a care strategy for complex users: a cartography with homeless women.

机构信息

Programa de Pós-Graduação em Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária, 13083-887. Campinas SP Brasil.

Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2021 Aug;26(8):3077-3086. doi: 10.1590/1413-81232021268.12972020. Epub 2020 Jun 17.

DOI:10.1590/1413-81232021268.12972020
PMID:34378699
Abstract

This paper discusses the low power of traditional care offers for so-called complex users in the health sector. It aims to show, from the narratives of two guiding-users, that professionals, services, and policies disregard the multiple singularities involved in the care and attempt to overlap their knowledge in asymmetrical relationships. They are often put at stake in their ability to generate interesting and more life-producing offers. In this sense, this work built on two qualitative, cartographic studies that aimed to reflect, based on two guiding-users, promoting considerations on how contact with the field/territory and the meeting with these two women (guiding-users) deterritorialized concepts and affected researchers and research. The results indicate that cartography allows the production of the common, understood as a way of operating health work. Here, one seeks to consider each subject's unique individual power as a fundamental issue for the production of care. The disease leaves the scenario as a guide, vulnerability as fragility or impotence, to make way for the "defense of a life worth living" as a guide. Possible lives that users generate, whether or not they are in the streets and a vulnerable condition.

摘要

本文讨论了传统医疗服务对卫生领域所谓“复杂用户”的无力感。它旨在通过两位指导用户的叙述表明,专业人士、服务和政策忽视了护理中涉及的多种特殊性,并试图在不对称关系中重叠他们的知识。他们的能力常常受到威胁,无法提供有趣和更有生命力的服务。从这个意义上说,这项工作建立在两项定性的、制图学研究之上,旨在基于两位指导用户,对接触领域/地域以及与这两位女性(指导用户)的相遇如何使概念去地域化,并影响研究人员和研究进行反思。研究结果表明,制图学允许共同性的产生,被理解为一种运作卫生工作的方式。在这里,人们试图将每个主体独特的个人力量视为护理生产的一个基本问题。疾病作为一种指导离开场景,脆弱性作为脆弱性或无力感,为“捍卫值得过的生活”让路,这是一种指导。用户生成的可能生活,无论他们是否处于街头和脆弱状态。

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