ABSTRACT
This is an original article that addresses the healthcare workforce (HW) in Brazil, as well as comorbidities and mental health changes during the COVID-19 pandemic. This study was conducted by the Oswaldo Cruz Foundation and collected data through an online questionnaires from a total of 36,612 participants, health professionals (HP, with higher education level), and invisible healthcare workers (IHW, with a technical mid-level education). The overall prevalence of comorbidities in Brazil was 26.1% and 23.9%; the highest was arterial hypertension (27.4% and 31.9%), followed by obesity (18.4% and 15.1%), chronic respiratory diseases (15.7% and 12.9%), diabetes mellitus (10.3% and 10.4%), and depression/anxiety (9.1% and 11.7%), in the HW and IHW, respectively. The region with the highest frequency was the southeast, where the largest contingent of workers is located. The HW, affected with a high burden of non-communicable chronic diseases and exposed to SARS-CoV-2, proved to be vulnerable to illness and death. Mental symptoms and intense psychological suffering have been reported. These results allow us to estimate the impacts upon physical and mental health, as well as upon living and working conditions of the HW. The health and life of workers, leading role in facing health challenges of the pandemic, are a high priority in public policies.
Trata-se de um artigo original que aborda a força de trabalho (FT) em saúde no Brasil, suas comorbidades e alterações da saúde mental na pandemia da COVID-19. O estudo conduzido pela Fundação Oswaldo Cruz coletou dados por meio de questionário on-line com um total de 36.612 participantes: profissionais de saúde (PS, formação de nível superior), e trabalhadores invisíveis (TI, nível técnico). A prevalência de comorbidades no Brasil foi de 26,1% e 23,9%, a maior foi hipertensão arterial (27,4% e 31,9%), seguida da obesidade (18,4% e 15,1%), doenças crônicas respiratórias (15,7% e 12,9%), diabetes mellitus (10,3% e 10,4%), e depressão/ansiedade (9,1% e 11,7%), nos PS e TI, respectivamente. A região com maior frequência foi a sudeste onde concentra-se o maior contingente de trabalhadores. A FT acometida com alta carga de doenças crônicas não transmissíveis e exposta ao SARS-CoV-2, torna-se vulnerável para o adoecimento e morte. Sintomas mentais e intenso sofrimento psíquico foram relatados. Os resultados deste estudo nos permitem estimar o impacto na saúde física e mental, e nas condições de vida e de trabalho da FT. A saúde e a vida dos trabalhadores, protagonistas no enfrentamento dos desafios da pandemia, são prioridade nas políticas públicas.
Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , SARS-CoV-2 , Pandemics , Mental Health , Brazil/epidemiology , Depression/epidemiology , Health Personnel , Anxiety/epidemiologyABSTRACT
Resumo Trata-se de um artigo original que aborda a força de trabalho (FT) em saúde no Brasil, suas comorbidades e alterações da saúde mental na pandemia da COVID-19. O estudo conduzido pela Fundação Oswaldo Cruz coletou dados por meio de questionário on-line com um total de 36.612 participantes: profissionais de saúde (PS, formação de nível superior), e trabalhadores invisíveis (TI, nível técnico). A prevalência de comorbidades no Brasil foi de 26,1% e 23,9%, a maior foi hipertensão arterial (27,4% e 31,9%), seguida da obesidade (18,4% e 15,1%), doenças crônicas respiratórias (15,7% e 12,9%), diabetes mellitus (10,3% e 10,4%), e depressão/ansiedade (9,1% e 11,7%), nos PS e TI, respectivamente. A região com maior frequência foi a sudeste onde concentra-se o maior contingente de trabalhadores. A FT acometida com alta carga de doenças crônicas não transmissíveis e exposta ao SARS-CoV-2, torna-se vulnerável para o adoecimento e morte. Sintomas mentais e intenso sofrimento psíquico foram relatados. Os resultados deste estudo nos permitem estimar o impacto na saúde física e mental, e nas condições de vida e de trabalho da FT. A saúde e a vida dos trabalhadores, protagonistas no enfrentamento dos desafios da pandemia, são prioridade nas políticas públicas.
Abstract This is an original article that addresses the healthcare workforce (HW) in Brazil, as well as comorbidities and mental health changes during the COVID-19 pandemic. This study was conducted by the Oswaldo Cruz Foundation and collected data through an online questionnaires from a total of 36,612 participants, health professionals (HP, with higher education level), and invisible healthcare workers (IHW, with a technical mid-level education). The overall prevalence of comorbidities in Brazil was 26.1% and 23.9%; the highest was arterial hypertension (27.4% and 31.9%), followed by obesity (18.4% and 15.1%), chronic respiratory diseases (15.7% and 12.9%), diabetes mellitus (10.3% and 10.4%), and depression/anxiety (9.1% and 11.7%), in the HW and IHW, respectively. The region with the highest frequency was the southeast, where the largest contingent of workers is located. The HW, affected with a high burden of non-communicable chronic diseases and exposed to SARS-CoV-2, proved to be vulnerable to illness and death. Mental symptoms and intense psychological suffering have been reported. These results allow us to estimate the impacts upon physical and mental health, as well as upon living and working conditions of the HW. The health and life of workers, leading role in facing health challenges of the pandemic, are a high priority in public policies.
ABSTRACT
This paper discusses the relationship between the State and Brazilian society since the early 1980s. Particularly noteworthy are the Healthcare Councils that draw up strategies and controls for implementing Healthcare Policies. It also analyzes healthcare information policies for deploying social controls and helps extend the access of these Councils to these policies at various levels of complexity, based on the principle of all-round healthcare. Brazil's National Health Council has contributed to this process through its Intersector Healthcare Communication and Information Commission, which was brought back into operation in 2005. To do so, Decentralized Regional Seminars were held, as well as a National Seminar, discussing the construction of a Pact for the Democratization and Quality of Health Communication and Information. The proposals presented by the Health Councils were analyzed, with the outstanding being the establishment of indicators to evaluate and oversee information quality and publicizing the rights of the users of Brazil's National Health System (SUS).
Subject(s)
Health , Information Dissemination , Social Control, Formal , Brazil , DemocracyABSTRACT
O artigo trata da nova forma de relacionamento entre Estado e sociedade a partir da década de 80, na realidade brasileira. Destacam-se os conselhos de saúde que atuam na formulação de estratégias e no controle da execução da Política de Saúde. Analisa as Políticas de Informação em saúde para o exercício do controle social e contribui para ampliar o acesso dos conselhos de saúde a essas políticas em seus diferentes níveis de complexidade, à luz do princípio da integralidade e da atenção à saúde. O Conselho Nacional de Saúde tem contribuído nesse processo através de sua Comissão Intersetorial de Comunicação e Informação em Saúde, que foi reativada em 2005. Para tanto, foram realizados Seminários Regionais Descentralizados e um Seminário Nacional para discutir a construção do Pacto pela Democratização e Qualidade da Comunicação e Informação em Saúde. Foram analisadas as propostas apresentadas pelos conselhos de saúde, entre as quais destacam-se: estabelecer indicadores para avaliar/acompanhar a qualidade da informação e publicizar os direitos dos usuários no SUS.
This paper discusses the relationship between the State and Brazilian society since the early 1980s. Particularly noteworthy are the Healthcare Councils that draw up strategies and controls for implementing Healthcare Policies. It also analyzes healthcare information policies for deploying social controls and helps extend the access of these Councils to these policies at various levels of complexity, based on the principle of all-round healthcare. Brazil's National Health Council has contributed to this process through its Intersector Healthcare Communication and Information Commission, which was brought back into operation in 2005. To do so, Decentralized Regional Seminars were held, as well as a National Seminar, discussing the construction of a Pact for the Democratization and Quality of Health Communication and Information. The proposals presented by the Health Councils were analyzed, with the outstanding being the establishment of indicators to evaluate and oversee information quality and publicizing the rights of the users of Brazil's National Health System (SUS).