Abstract:
:This study compares the challenges for work in emergency services of publicuniversity hospitals in Algeria, Brazil and France. The description and analysis are organized in three topics: context and trajectory of the health systems; hospitals and emergency services; and the challenges that are faced. The research carried out interviews, surveys, observation and "groupes de rencontre du travail" / GRT. The data analysis was done using participatory appraisal techniques associated to triangulation of sources and data. The main challenges found were: workforce deficit; lack of hospitals beds in inpatient units; deficit of infrastructure and materials; excess of "chronophagic activities"; generational transition; and violence by patients and families.Despite their particularities, the countries coincide regarding the challenges. Measures to rationalize and restrain spending have a greater impact on Algeria and Brazil due to the low level of public funding, but they also occur in France. The hospital management cannot be dissociated from healthcare system planningconsidering the increasing pressures of the demographic and epidemiological transition. In medium term, measures that may mitigate "chronophagic activities", materials deficit and the violence should be considered to improve work in emergencies. :O estudo compara os desafios no trabalho em serviços de emergência de hospitais universitários públicos na Argélia, Brasil e França. A descrição e a análise estão organizadas em três eixos: contexto e trajetória dos sistemas, hospitais e serviços de emergência, e os desafios enfrentados. Nos serviços foram feitas entrevistas, questionários, observação e “groupes de rencontre du travail”/GRT. Para o processo analítico utilizou-se técnicas do “participatory appraisal” complementadas com triangulação de fontes e dados. Os principais desafios referidos foram: déficit da força de trabalho; falta de leitos nos serviços de internação; déficit de infraestrutura e materiais; excesso de atividades cronofágicas; transição geracional; violência pelos usuários e familiares. Medidas de racionalização e contenção de gastos repercutem de modo mais intenso na Argélia e no Brasil onde há um baixo patamar de financiamento público. Nota-se que a gestão hospitalar não pode estar dissociada do planejamento da rede de atenção, tendo em vista as crescentes pressões do complexo produtivo, da transição demográfica e epidemiológica. A médio prazo, medidas que possam atenuar atividades cronofágicas, o deficit de materiais e a violência devem ser consideradas na melhoria do trabalho em emergências.
journal_name
Cien Saude Coletjournal_title
Ciencia & saude coletivaauthors
Scherer MDDA,Conill EM,Jean R,Taleb A,Gelbcke FL,Pires DEP,Joazeiro EMGdoi
10.1590/1413-81232018237.08762018subject
Has Abstractpub_date
2018-07-01 00:00:00pages
2265-2276issue
7eissn
1413-8123issn
1678-4561pii
S1413-81232018000702265journal_volume
23pub_type
杂志文章abstract::Social networks, especially those coordinating different social policy services, are responsible for fostering the increase of effectiveness of actions, being able to promote greater social support that must be implemented by public administration, but they can also exercise control of the lives of the poor. The scope...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-812320182310.13872018
更新日期:2018-10-01 00:00:00
abstract::During the covid-19 pandemic, physical distancing is being promoted to reduce the disease transmission and pressure on health systems. Yet, what determines physical distancing? Through a panel data analysis, this article identifies some of its determinants. Using a specifically built index that measures the strictness...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232020259.21892020
更新日期:2020-09-01 00:00:00
abstract::This research is based on epidemiological records of toxicological occurrences in individual records of investigation into pesticide poisoning at the Maringá Intoxication Control Center at the Regional University Hospital of Maringá. The intoxications in patients poisoned from 2002 to 2011, in towns that comprise the ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232013001100005
更新日期:2013-11-01 00:00:00
abstract::The objectives of this study were to identify, among individuals with hypertension, sociodemographic factors associated with non-use of routine medical appointments available in primary care and check if non-use of consultations interferes with noncompliance with pharmacotherapy, uncontrolled blood pressure and hospit...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018233.12132016
更新日期:2018-03-01 00:00:00
abstract::When a disabled child is born all the family's expectations need to be reviewed because it is an unexpected situation and needs the family system to be adjusted to the new situation. Due to the meaning that sibling relations acquire during lifetime, changes in health and functioning of a sibling will affect the others...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/S1413-81232010000200029
更新日期:2010-03-01 00:00:00
abstract::Mental health is a state of well-being, in which the individual is aware of its capacities, capable of coping with the ordinary stress of everyday life, of working productively and of functioning in society. The purpose of the present work is a quantitative analysis of the prevalence of psychic disorders, using refere...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章,多中心研究
doi:10.1590/s1413-81232009000100032
更新日期:2009-01-01 00:00:00
abstract::The scope of this study was to relate child obesity with the family's perception of the child's silhouette's and concern with excess weight in childhood A cross-sectional study was conducted among children aged between 20 and 48 months who frequent Health Units or are preschoolers in the city of Curitiba from June to ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232017225.13462015
更新日期:2017-05-01 00:00:00
abstract::This article presents a reappraisal of part of the works of Elizabeth Kubler-Ross, one of the most quoted authors addressing the end of life process, mourning and dying. Her work has contributed to a clearer understanding of these issues by health professionals, families, religious and lay people who handle and/or exp...
journal_title:Ciencia & saude coletiva
pub_type: 传,历史文章,杂志文章
doi:10.1590/s1413-81232013000900028
更新日期:2013-09-01 00:00:00
abstract::This study aimed to identify factors associated with dissatisfaction with dental services among adults. It analyzed 830 adult participants of an epidemiological survey of oral health. The dependent variable was dissatisfaction with the dental service, and the independent ones were selected according to the theoretical...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232017225.17362015
更新日期:2017-05-01 00:00:00
abstract::We analyzed the factors associated with dementia in the elderly attended at a memory outpatient clinic of the University of Southern Santa Catarina (UNISUL). This is a cross-sectional study with data analysis of medical records from January 2013 to April 2016. The outcome was the clinical diagnosis of dementia. The co...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232020252.02042018
更新日期:2020-02-01 00:00:00
abstract::This study examined the implementation of Brazil's National Oral Health Policy by the three governments during the period 2003 to 2014. It provides a general overview of oral health care scenarios and examines institutional proposals and actions developed by the executive branch based on the components of the health c...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232017226.18782015
更新日期:2017-06-01 00:00:00
abstract::This study sought to examine the association between the food (in)security and nutritional status of preschool children attended in daycare centers. Food security was assessed using the Brazilian Food Insecurity Scale. The nutritional status was evaluated using the weight/height, weight/age, height/age, hemoglobin, se...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232014192.22612012
更新日期:2014-02-01 00:00:00
abstract::This study sought to elicit a discussion about the significance of garbage from the standpoint of a group of municipal garbage collectors and garbage recyclers resident in Fortaleza, State of Ceará. Using qualitative methodology and the individual interview technique, this work presents the results of ongoing research...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232011000900008
更新日期:2011-08-01 00:00:00
abstract::This study aimed to determine the presence and association of possible mental disorders diagnoses in primary care pregnant women and newborns' conditions. This is a longitudinal study with pregnant women (18-39 years), in the second and third trimesters of pregnancy, attended at primary care facilities in the metropol...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018233.27772015
更新日期:2018-03-01 00:00:00
abstract::Farming is a risky occupation, especially family farming in developing country. The occupational hazards commonly used in such activity could affect all family members, including children and adolescents. This study describes the pattern of pesticide exposure among students and their families from a farming region loc...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-812320182311.27592016
更新日期:2018-11-01 00:00:00
abstract::This paper aims to verify the association between chronic diseases and handgrip strength (HS) in the older adults of Florianópolis, SC. This is a cross-sectional analysis of a longitudinal population-based study. HS was measured by dynamometer. Independent variables included 10 chronic diseases and falls. Simple and m...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018235.19742016
更新日期:2018-05-01 00:00:00
abstract::The objective of this study was to characterize blood pressure control of 440 hypertensive patients. The subjects were interviewed and had their blood pressure measurement by means of an automatic device. The results showed that 45.5% had an adequate blood pressure control. People under control were different (p<0.05)...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232011000700074
更新日期:2011-01-01 00:00:00
abstract::The cases of abuse against elderly people have been growing significantly throughout the entire world. Among the various forms of abuse, one of the less known and denounced is the domestic negligence. As it occurs mostly inside family and nursing homes, it is hardly identified. This article presents the results of a c...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232010000600019
更新日期:2010-09-01 00:00:00
abstract::The Mais Médicos (More Doctors) Program (MMP), which was launched in 2013, sought to provide doctors to work in primary health care in priority areas within the Brazilian Unified Health System (SUS). This article analyzes the perception of MMP service users through the results of a qualitative study that consisted of ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015219.18022016
更新日期:2016-09-01 00:00:00
abstract::The scope of this paper is an analysis of suicide of elderly people and the impact on the dynamics of their families is presented. The method used is of the qualitative research type known as psychosocial autopsy and is based on interviews with the family members of 51 elderly people who committed suicide in 10 Brazil...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232012000800010
更新日期:2012-08-01 00:00:00
abstract::This paper analyzes Journal Ciência & Saúde Coletiva's approach to the narrative field. The concept of "narrative field" is built on the relationships of three dimensions, namely, the cognitive (epistemic), the socio-political-pedagogical, and the applied. This is an analytical, quantitative, and qualitative research ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-812320202512.04692020
更新日期:2020-12-01 00:00:00
abstract::Current advertising messages for food products deserve special attention, since they indicate that the media has played a central role in shaping new eating habits. The food industry, seeking to serve a new customer segment (increasingly preoccupied with health and physical well-being), and with a specific interest in...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232011001000023
更新日期:2011-09-01 00:00:00
abstract::The scope of this study was to evaluate body dissatisfaction among adolescents, and to explore differences according to sex, socioeconomic status and body mass index. 4325 individuals aged 14-15 years old from Pelotas, Brazil, were studied. Body dissatisfaction was evaluated comparing the desired image with the percei...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232012000900030
更新日期:2012-09-01 00:00:00
abstract::Population aging and a shortage of caregivers result in a growing demand for institutionalization, and finitude is one the reflections that permeates aging. Living with death is part of the daily routine of health professionals resulting in emotional overload. This study sought to ascertain the experiences of the proc...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232013000900018
更新日期:2013-09-01 00:00:00
abstract::This paper addresses the perception of members of the judiciary regarding the introductory deposition. The concept of comprehensive protection was used as a theoretical benchmark. It involves qualitative research, in which the semi-structured interview enabled the production of data, organized according to the content...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232013000800012
更新日期:2013-08-01 00:00:00
abstract::This study aims to describe and analyze the presence of social scientists, anthropologists, sociologists and political scientists in the field of public health. A survey by the Lattes Curriculum and sites of Medical Colleges, Institutes of Health Research Collective, seeking professionals who work in healthcare and ha...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015205.12692014
更新日期:2015-05-01 00:00:00
abstract::Tooth loss is highly prevalent in Brazil, especially among the elderly, where more than three million need bimaxillary dentures. The federal government instituted Specialized Dental Care Centers (SDCC) to remedy this situation. The scope of this study was to evaluate one attribute of these Centers, namely the provisio...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232013000200016
更新日期:2013-02-01 00:00:00
abstract::This paper addresses risks management of environmental disasters from the standpoint of people in vulnerable situations. It is based on the initial phase of research on Life in risk areas conducted with financial support from CNPq. Data was gathered from multiple sources: activities of a local organization (Sociedade ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232014199.01182014
更新日期:2014-09-01 00:00:00
abstract::This article seeks to identify the principle of family and community orientation in Family Health Units, relating to care for the health of children under the age of 10. It is a quantitative, assessment study of 344 family members and/or carers of children under the age of 10, served in the 53 Family Health units of t...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015211.05682014
更新日期:2016-01-01 00:00:00
abstract::The aim of this study was to examine the prevalence of oral cancer self-examinationamong the elderly and confirm whether prevalence was higher among users of the dental services provided by Brazil's Unified Health System (SUS, acronym in Portuguese). A transversal study of elderly people aged between 65 and 74 years l...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015204.00542014
更新日期:2015-04-01 00:00:00