Study on the Impacts of the Professional Background of the Director of Public Hospital on the Economic Operation of Hospital / 中国卫生经济

Objective:To analyze and explain the influences of the professional background of the directors of public hospitals on the economic operation of the hospital,and to provide research support for training compound hospital management talents and improving the relevant policies of public hospital director management.Methods:The fixed effect model was used to conduct a quantitative analysis based on the data of individual directors and hospital economic performance of public hospitals in Guangdong from 2005 to 2018.Results:Compared with hospitals whose directors without clinical medical backgrounds,the medical income,the number of admissions and medical expenditure of the hospitals whose directors with clinical medical backgrounds were lower,and turnover of bed rate was higher,the differences were statistically significant(P＜0.05).Compared with hospitals where the directors had not obtained a degree related to management and did not participate in management training,the asset-liability ratio and management cost of the hospital where the directors had obtained a degree or participated in the training were lower,and the liquidity ratio was higher,with statistical significance(P＜0.05).Conclusion:For the economic operation indicators closely related to clinical work,directors with clinical medical background have a more significant impact because of their advantages in clinical front-line learning and work experience.For the economic operation indicators closely related to asset management,administration and cost management,directors with management learning experience can better reveal and exert their advantages in applying advanced management concepts,methods and tools,and have a more significant impact.

The perceptions of Unified Health System (Sistema Asnico de Saude) users about including undergraduate students in Family Health Units (Unidades de Saude da Familia) / Percepcao dos usuarios do Sistema Unico de Saude sobre a insercao discente nas Unidades de Saude da Familia

BACKGROUND: Curriculum guidelines for health professionals in training recommend including health students in different levels of service in the Unified Health System (Sistema Único de Saúde - SUS). Thus, there is a need to investigate the perceptions of SUS users with regard to the students' participation. OBJECTIVE: To evaluate the perceptions of SUS users about the participation of health students in Family Health Units (Unidades de Saúde da Família - USF). METHOD: A total of 518 people were interviewed in the waiting room of eight USFs in São Carlos/São Paulo. The interviews were conducted by students using a semi-structured questionnaire, and the data were analyzed descriptively. RESULTS: A total of 391 (75.5%) women and 127 (24.5%) men, with a mean age of 42.0±17.5 years, were interviewed. Among these users, 33.1% had encountered students in the USF, mainly while receiving clinical care (52.1%) or during home visits (20.1%); 55.3% considered the student's performance very good, and 0.6% considered it very bad. Most of the interviewees (58.2%) evaluated the activity performed by the student as effective, whereas 8.2% considered it ineffective. CONCLUSIONS: The students were included primarily in individual assistance activities, and the care provided by the students was well accepted. Both the users' satisfaction scores and their reported expectations were positive. .

CONTEXTUALIZAÇÃO: As diretrizes curriculares preconizam a inserção dos alunos das áreas de saúde nos diferentes níveis assistenciais do Sistema Único de Saúde (SUS), surgindo a necessidade de se investigar a percepção dos usuários do SUS a respeito da atuação discente. OBJETIVO: Avaliar a percepção dos usuários do SUS sobre a inserção e atuação de estudantes dos cursos da área de saúde nas Unidades de Saúde da Família (USF). MÉTODO: Foram entrevistadas 518 pessoas em sala de espera de oito USF do município de São Carlos/São Paulo. As entrevistas foram realizadas pelos estudantes por meio de questionário semiestruturado. Os dados foram analisados descritivamente. RESULTADOS: Foram entrevistadas 391 (75,5%) mulheres e 127 (24,5%) homens, com média de idade de 42,0 ± 17,5 anos. Entre os usuários, 33,1% haviam realizado alguma atividade com alunos nas USF, principalmente atendimento clínico (52,1%) e visita domiciliar (20,1%); 55,3% consideraram a atividade como muito boa e 0,6%, como péssima. A maioria (58,2%) avaliou a atividade realizada pelo aluno como resolutiva e 8,2%, como não resolutiva. CONCLUSÃO: A inserção discente se deu, prioritariamente, na forma de atividades assistenciais individuais, e houve boa aceitação do atendimento realizado pelos alunos, já que tanto a satisfação quanto as expectativas relatadas foram positivas. .

Serviço Social e educação popular: diálogos possíveis a partir de uma perspectiva crítica / Social Services and popular education: possible dialogues from a critical perspective

O presente texto tem como objetivo principal retomar o debate acerca da educação popular enquanto temática e, simultaneamente, estratégia de ação relevante para o trabalho e a formação profissional do(a) assistente social, visto que ao mesmo tempo em que parece ter sido submersa do debate teórico-profissional ante o refluxo dos movimentos sociais, está presente no trabalho de campo desses profissionais, sobretudo porque esse paradigma educativo visa contribuir com o processo de conscientização e mobilização dos sujeitos sociais.

This paper aims at resuming the debate on popular education as a theme and, at the same time, action strategy relevant to the job and professional training of social workers, because while it seems to have been submerged in the theoretical and professional debate due to the ebbing flow of the social movements, it is present in the field work of these professionals, especially because this educational paradigm aims at contributing to the process of awareness and mobilization of the social subjects.

A formação profissional dos assistentes sociais em tempos de contrarreformas do ensino superior: o impacto das mais recentes propostas do governo Lula / The social workers' professional background in times of counter-reformation in upper education: the impact of the latest proposals by president Lula's government

Desde 1990, as universidades brasileiras vêm passando por uma contrarreforma que visa adequá-las às necessidades do capitalismo atual. Essa realidade mais recentemente tem afetado as universidades públicas por meio de mudanças curriculares, superexploração do trabalho docente e financiamento por contratos de gestão, o que impacta negativamente a formação dos assistentes sociais, da forma como é preconizada pelo projeto ético-político profissional.

The Brazilian universities have been counter-reformed since 1990 in order to adjust to the needs of contemporary capitalism. Recently, this reality has affected the public universities through curricular changes, professors' overexploitation and funding by management contracts, which impacts into the social workers' background negatively, regarding the recommendations of the ethical-political project.

Configurações do ensino superior e a formação profissional dos assistentes sociais: desafios para a intervenção / Configurations of university education and social workers' professional background: challenges for intervention

O tema central que orientou a palestra é o desafio docente de, frente aos desafios da intervenção e das atuais configurações do ensino superior público, privado e a distância formar profissionais assistentes sociais capazes de dar materialidade ao projeto ético político da profissão no cotidiano de seu trabalho.

The main issue of the article is the teaching challenge to form professional social workers able to materialize the ethical political professional project in the everyday work, at the same time that such teaching has to face the challenges of both intervention and current configurations of public, private and distance university education.

Manifesto de Fundação do Curso de Serviço Social da Universidade Federal de São Paulo (Unifesp), do campus Baixada Santista / Pronouncement of the Foundation of the Social Services Course at Universidade Federal de São Paulo (Unifesp) in Santos

Trata-se do Manifesto de Fundação do Curso de Serviço Social da Universidade Federal de São Paulo/Campus Baixada Santista, cujo objetivo é documentar, refletir e registrar a criação e a importância do primeiro curso de Serviço Social em uma universidade pública federal, decorridos 73 anos do Serviço Social brasileiro e paulistano.

It is the Pronouncement of the Foundation of the Social Services Course at Universidade Federal de São Paulo in Santos. Its aim is to record and to reflect about the creation and the importance of the first course of Social Services in a federal public university, after the 73-year-old existence of the Brazilian and Paulistano Social Services.