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      Medicina social latinoamericana: aportes y desafíos Translated title: Latin American social medicine: contributions and challenges

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          Translated abstract

          This piece presents and analyzes a number of issues related to social medicine: the context of the emergence of social medicine; the differences between social medicine and public health; the theories, methods, and debates in social medicine; the main subjects or problems considered in social medicine; and the difficulties of disseminating the concepts of social medicine among English-speaking persons and among medical and public health professionals in general. Latin American social medicine has challenged other views by contributing to an understanding of the determinants of the health-disease-health care process and by using theories, methods, and techniques that are little known in the field of public health. Introducing Latin American social medicine, especially among English speakers, will be difficult due to the conceptual complexity of this field for persons who are accustomed to the theoretical framework of public health and medicine and also due to skepticism concerning research coming from the Third World. A multidisciplinary team is facing this challenge through two primary initiatives: 1) the creation of an Internet portal and database where there are structured abstracts in English, Portuguese, and Spanish of books, book chapters, and articles on social medicine and 2) the electronic publication of two journals on Latin American social medicine.

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          Reforma da reforma: Repensando a saúde

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            O acolhimento e os processos de trabalho em saúde: o caso de Betim, Minas Gerais, Brasil

            Este trabalho relata experiência de inversão do modelo tecno-assistencial para a saúde, tendo como base a diretriz operacional do acolhimento. O acolhimento propõe que o serviço de saúde seja organizado, de forma usuário-centrada, partindo dos seguintes princípios: 1) atender a todas as pessoas que procuram os serviços de saúde, garantindo a acessibilidade universal; 2) reorganizar o processo de trabalho, a fim de que este desloque seu eixo central do médico para uma equipe multiprofissional ­ equipe de acolhimento ­, que se encarrega da escuta do usuário, comprometendo-se a resolver seu problema de saúde; e 3) qualificar a relação trabalhador-usuário, que deve dar-se por parâmetros humanitários, de solidariedade e cidadania. Por meio da investigação realizada, foi possível observar um aumento significativo do rendimento profissional, dos servidores não-médicos, que passaram a atuar na assistência; esse elevado rendimento profissional determinou, por conseqüência, maior oferta e aumento extraordinário da acessibilidade aos serviços de saúde.
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              Hospital, dor e morte como oficio

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                Author and article information

                Journal
                rpsp
                Revista Panamericana de Salud Pública
                Rev Panam Salud Publica
                Organización Panamericana de la Salud (Washington, Washington, United States )
                1020-4989
                1680-5348
                August 2002
                : 12
                : 2
                : 128-136
                Affiliations
                [01] orgnameUniversity of New Mexico orgdiv1School of Medicine orgdiv2Department of Family and Community Medicine
                [04] Campinas São Paulo orgnameUniversidad de Campinas orgdiv1Facultad de Medicina orgdiv2Departamento de Medicina Preventiva y Social Brasil
                [02] Quito orgnameCentro de Estudios y Asesoría en Salud orgdiv1Programa EcoSalud Ecuador
                [03] Santiago orgnameGrupo de Investigación y Capacitación en Medicina Social Chile
                Article
                S1020-49892002000800013 S1020-4989(02)01200213
                10.1590/s1020-49892002000800013
                12243699
                b9a57198-3906-4d04-a0ed-e9cd85214297

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 65, Pages: 9
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                SciELO Public Health

                Self URI: Texto completo solamente en formato PDF (ES)
                Categories
                Temas de Actualidad

                medicina social,salud pública,América Latina,difusión,Internet,base de datos

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