Participação social no contexto da Atenção Primária em Saúde: um estudo de caso das Comissões Locais de Saúde do SUS de Belo Horizonte / Social participation in the context of Primary Health Care: a case study of the Local Health Commissions in the Unified Health System in Belo Horizonte-MG, Brazil
Physis (Rio J.)
; 25(4): 1059-1078, out.-dez. 2015. graf
Article
in Portuguese
| LILACS
| ID: lil-773445
Responsible library:
BR433.1
RESUMO
O objetivo do estudo é analisar as Comissões Locais de Saúde (CLS) do Sistema Único de Saúde de Belo Horizonte (SUS-BH) como espaços de ampliação da democracia à luz da Teoria Democrática Deliberativa. A pesquisa foi realizada no período de outubro/2013 a junho/2014 com análise de três CLS. Utilizou-se a técnica de observação participante com a adoção de um diário de campo. Como resultado do processo democrático, ainda que de maneira tímida e desorganizada, destaca-se o fluxo de informações horizontal, que através das discussões permite acompanhar e fiscalizar as políticas públicas, indo além do setor saúde, visando à redução das iniquidades sociais. Ao discutirem sobre temas que afetam suas vidas e decidirem por meio de acordos, as CLS revelam-se como espaços públicos verdadeiramente democráticos, de ampliação da democracia.
ABSTRACT
This study aimed to analyze the Local Health Committees (LHC) of the Unified Health System of Belo Horizonte-MG, Brazil, as spaces for expansion of democracy in the light of Deliberative Democratic Theory. The survey was conducted from October 2013 to June 2014, with three CLS analysis. The technique of participant observation with the adoption of a field diary was used. As a result of the democratic process, although timid and disorganized, there is a horizontal flow of information, which through discussions allows one to track, monitor on public policy, going beyond the health sector, aimed at reducing social inequalities. When discussing about issues affecting their lives and decide by agreement, the CLS are truly democratic public spaces, for democracy expansion.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Multisectoral Coordination
/
Goal 11: Inequalities and inequities in health
/
Target 3.8 Achieve universal access to health
Database:
LILACS
Main subject:
Primary Health Care
/
Public Policy
/
Unified Health System
/
Health Centers
/
Public Health
/
Community Health Workers
/
Health Councils
/
Democracy
/
Qualitative Research
/
Social Participation
Type of study:
Qualitative research
Aspects:
Social determinants of health
/
Equity and inequality
Limits:
Humans
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Physis (Rio J.)
Journal subject:
Public Health
Year:
2015
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR