Abstract:
:The field of work rehabilitation in Brazil recently incorporated changes in its underlying concepts and principles, expanding the definition of incapacity for work based on the biopsychosocial health model and adopting a territorial approach and inter-sector practices, with a view towards backing the implementation of an integrated inter-sector work rehabilitation model. However, these conceptual and normative advancements have still not been implemented in practice; they have actually come under threat from Brazil's on-going political crisis. This article discusses the current scenario in the work rehabilitation program under the Brazilian National Social Security Institute (INSS), presents the strides in the underlying theoretical premises and the concerns of work rehabilitation in the face of recent measures that reinforce the biomedical basis and the compensatory policy that led the program over the years, and signal the impending privatization of this social security service and right. The article suggests that work rehabilitation faces a scenario of uncertainties and concerns, intensified by the institutional undermining of the INSS. Rapid structural changes in the INSS and in the work rehabilitation program have undermined the gains that had promoted the initial development of a comprehensive, inter-sector work rehabilitation program aimed at healthy return to work. :A reabilitação profissional brasileira incorporou recentemente mudanças nas concepções e princípios que a regem, ampliou-se o conceito de incapacidade baseado no modelo biopsicossocial de saúde, como também adotou-se a abordagem territorial e práticas intersetoriais, com vistas a fornecer subsídios para a implementação de um modelo integrado e intersetorial de reabilitação profissional. Entretanto, esses avanços não adentraram o campo da prática e encontram-se ameaçados frente a atual conjuntura política do país. Este artigo discute o cenário atual do programa de reabilitação profissional do Instituto Nacional de Seguro Social (INSS), apresenta os avanços nos pressupostos teóricos que o norteiam e as preocupações que a reabilitação profissional enfrenta em virtude das recentes medidas que reforçam o caráter biomédico e de política compensatória que conduziu o programa ao longo dos anos, além de sinalizar uma eminente privatização desse serviço/direito previdenciário. Sugere-se que a reabilitação profissional vivencia um panorama de incertezas e preocupações, intensificado pelo processo de enfraquecimento institucional do INSS. Desse modo, as rápidas alterações realizadas na estrutura do INSS e no programa de reabilitação profissional prejudicaram as conquistas que fomentaram o início do desenvolvimento de um programa de reabilitação profissional integral e intersetorial, a fim de favorecer um retorno real e saudável ao trabalho. :La rehabilitación profesional brasileña incorporó recientemente cambios en los conceptos y principios que la rigen. Se amplió el concepto de incapacidad, basado en el modelo biopsicosocial de salud, además de adoptarse también un enfoque territorial y prácticas intersectoriales, con el fin de proporcionar subsidios para la implementación de un modelo integrado e intersectorial de rehabilitación profesional. Sin embargo, estos avances no se profundizaron en la práctica y se encuentran amenazados ante la actual coyuntura política del país. Este artículo discute la perspectiva actual del programa de rehabilitación profesional del Instituto Nacional de Seguro Social (INSS), presenta avances en los presupuestos teóricos que lo dirigen, así como las preocupaciones a las que se enfrenta la rehabilitación profesional, en virtud de las recientes medidas que refuerzan el carácter biomédico y de política compensatoria que rigieron el programa durante el trascurso de los años, además de señalar una eminente privatización de ese servicio/derecho a la seguridad social. Se sugiere que la rehabilitación profesional vive en un panorama de incertidumbres y preocupaciones, intensificado por el proceso de debilitamiento institucional del INSS. De este modo, las rápidas alteraciones realizadas en la estructura del INSS y en el programa de rehabilitación profesional perjudicaron las conquistas que fomentaron el inicio del desarrollo de un programa de rehabilitación profesional integral e intersectorial, a fin de favorecer una vuelta real y saludable al trabajo.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Miranda CBdoi
10.1590/0102-311X00218717subject
Has Abstractpub_date
2018-08-20 00:00:00pages
e00218717issue
8eissn
0102-311Xissn
1678-4464pii
S0102-311X2018000803001journal_volume
34pub_type
历史文章,杂志文章abstract::The objective was to analyze the effectiveness of Psychosocial Care Centers (PCCs) for persons with mental disorders in Pelotas, Rio Grande do Sul State, Brazil. This was a prospective cohort study with users of the centers, based on two home visits. Three treatment exposure variables and two health status variables w...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000400022
更新日期:2010-04-01 00:00:00
abstract::During 1999 and 2000, a population-based cross-sectional study was conducted in Pelotas, southern Brazil, to describe the population distribution of abdominal adiposity according to "action level points" and to identify risk factors. The study included a sample of 1,935 adults (20-69 years) residing in urban areas. Ab...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2006000600010
更新日期:2006-06-01 00:00:00
abstract::The objective of this study was to compare the avoidability of infant deaths according to different classification methods. This was a descriptive comparative study from 2006 to 2013 in Espírito Santo State, Brazil, focusing on the classification of 5,316 infant deaths according to five different methods. The methods ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00125916
更新日期:2017-06-12 00:00:00
abstract::This study estimated Pap smear coverage (at least one test in the lifetime and one in the last three years) among women aged 15 to 49 years old. The study also discusses whether the women received the results of their last test, as well as self-reported reasons for and against submitting to the test. A population-base...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000800012
更新日期:2003-01-01 00:00:00
abstract::Social inequalities in Brazil are reflected in women's search for abortion care, when they face individual, social, and structural barriers and are exposed to situations of vulnerability. Black women are the most heavily exposed to these barriers, from the search for the service to the care itself. The study aimed to ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00189618
更新日期:2020-02-10 00:00:00
abstract::A follow-up study was carried out in two localities in the semi-arid region of the State of Bahia, Northeast Brazil, with the aim of identifying the occurrence and nature of possible acute side effects subsequent to vitamin A megadose supplement given together with mass immunization in children 6-59 months old. The sa...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2000000100006
更新日期:2000-01-01 00:00:00
abstract::Recent studies have emphasized that there is no justification for using the odds ratio (OR) as an approximation of the relative risk (RR) or prevalence ratio (PR). Erroneous interpretations of the OR as RR or PR must be avoided, as several studies have shown that the OR is not a good approximation for these measures w...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00077313
更新日期:2014-01-01 00:00:00
abstract::This study aimed to identify the median duration of breastfeeding and associated factors in a cohort of 531 infants in two municipalities in the Recôncavo region, Bahia State, Brazil. Breastfeeding duration was estimated by survival analysis and its associations by the Cox multivariate model. Median duration of exclus...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2012000400004
更新日期:2012-04-01 00:00:00
abstract::The aim of this study is to estimate the prevalence of HIV/HBV and HIV/HCV coinfections among AIDS cases reported in Brazil, and to describe the epidemiological profile of these cases. Coinfection was identified through probabilistic record linkage of the data of all patients carrying the HIV virus recorded as AIDS pa...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00010413
更新日期:2014-02-01 00:00:00
abstract::In Brazil, package inserts provide key information on pharmaceuticals. The current study analyzes the evolution of package inserts and the impact on this process by scientific research and development, globalization of information, and various health policies. The study began with a retrospective review of Brazilian h...
journal_title:Cadernos de saude publica
pub_type: 历史文章,杂志文章,评审
doi:10.1590/s0102-311x2008000400003
更新日期:2008-04-01 00:00:00
abstract::This study aimed to identify socio-demographic correlates of leisure time physical activity among Portuguese adults. Subjects aged 31-60 years (1,076 males, 1,383 females) were categorized into two groups according to recommended physical activities ranging from ≥ 10 or < 10 MET.hours.week-1. Leisure time physical act...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00101614
更新日期:2015-05-01 00:00:00
abstract::In less than four months, the total of confirmed cases of COVID-19 was 1,684,833 worldwide. Outcomes among the public of pregnant women with COVID-19 are still unclear. We performed a systematic review and meta-analysis to analyze whether COVID-19 in pregnant women is related to premature birth and birth weight, and t...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,meta分析
doi:10.1590/0102-311x00087320
更新日期:2020-01-01 00:00:00
abstract::Drug-resistant tuberculosis (DR-TB) poses a serious threat to tuberculosis (TB) control in Brazil and worldwide. The current study investigated factors associated with loss to follow-up and death in the course of treatment for DR-TB in a tertiary reference center in the city of Rio de Janeiro, Brazil. This was a retro...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00048217
更新日期:2018-05-10 00:00:00
abstract::In 1987 the University of Guadalajara performed a seroepidemiological survey on the prevalence of Chagas disease in the 124 counties of the State of Jalisco, Mexico, arriving at a rate of 21.6 per 100 inhabitants. From December 1993 to June 1994, we studied 2238 individuals from 32 rural counties in this State. Of th...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1995000300026
更新日期:1995-07-01 00:00:00
abstract::Redemocratization in the 1970s brought about changes in the public health system in Brazil. The Unified National Health System (SUS) was implemented in 1988, based on local and regional administrative systems. This was an important step that resulted in greater local control and the introduction of new technologies. T...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2001000400033
更新日期:2001-07-01 00:00:00
abstract::This study describes the work performed by garbage collectors in the Rio de Janeiro City Street Cleaning Company (COMLURB) (Rio Comprido division) and its consequences for their health. Data were collected through interviews and on-site video documentation. A detailed description of the work process was performed. In ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1997000400012
更新日期:1997-10-01 00:00:00
abstract::For the last fifty years, stomach cancer has become less important in terms of morbidity and mortality in developed countries, but the same pattern has not occurred in Brazil. The main risk factors for this neoplasm are certain diet patterns that became evident through epidemiological studies in various population gro...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::A descriptive analysis of systems and forms of payment for medical labor was carried out based on an intentional sample of hospitals, according to preestablished criteria. Hospital administrators, physicians, and representatives of medical and entrepreneurial corporations were interviewed. The results were analyzed ac...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1994000100008
更新日期:1994-01-01 00:00:00
abstract::This study aims to identify risk factors associated with episodes of diarrhea among infants under six months from the Southern Zona da Mata region in the State of Pernambuco, Brazil. This was a case-control study nested in a cohort. A total of 397 infants were studied, with 239 infants classified as cases and 158 as c...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2004000200028
更新日期:2004-03-01 00:00:00
abstract::This study aimed to describe the prevalence of anemia and to evaluate the association between hemoglobin (Hb) level and indicators of nutritional status and health services utilization in an elderly population (≥ 60 years). Of the 1,742 older adults in the baseline of the Bambuí cohort, 1,441 (82.7%) were included. Th...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2012001100008
更新日期:2012-11-01 00:00:00
abstract::This study investigated the association between gender and intimate partner physical violence. A random cluster sample was chosen as the baseline cohort population in a cross-sectional design. Lifetime prevalence rates were as follows: any physical violence (17%), moderate physical violence (16.6%), and severe physica...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00159913
更新日期:2015-04-01 00:00:00
abstract::This essay aims to suggest food for thought on discrepancies between scientific evidence on physical inactivity and the associated factors and determinants and information communicated by the media on this topic. We specifically examine a case in which "laziness" was used as the "explanatory" factor for the high level...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00223017
更新日期:2018-11-29 00:00:00
abstract::Air quality in industrial environments has been studied since the second half of the 20th century. Well-documented results show that exposure to chemical pollutants through their consumption, production, and storage can damage workers' health. New research focusing on non-industrial environments has shown unexpected c...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000500017
更新日期:2003-09-01 00:00:00
abstract::This descriptive qualitative study had the following objectives: identify the content and structure of social representations of quality of life and AIDS for persons living with the disease and analyze the structural relations between such representations. The sample included 103 persons with HIV in a municipality (co...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00180613
更新日期:2015-02-01 00:00:00
abstract::Based on an analysis of individual claims for provision of medicines brought by users of the Unified National Health System (SUS) against the State of Rio de Janeiro, Brazil, in the year 2005, this study aims to discuss the action and behavior of the court system in ruling on these suits. The study adopted a semi-qual...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000100007
更新日期:2010-01-01 00:00:00
abstract::Stillbirth rate is high in Brazil, and it is important to identify its determinants. A nested case-control was conducted to explore the determinants of fetal death in a population treated at public services in Rio de Janeiro from 2002 to 2004. Data were collected from mothers' interviews and medical records. A structu...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000200004
更新日期:2010-02-01 00:00:00
abstract::The study aimed to verify the validity of secondary data in the investigation of the food environment and to analyze the characteristics of the community environment and consumers in territories covered by a health promotion service. This was an ecological study in 18 units of the Health Academy Program in Belo Horizo...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00168817
更新日期:2018-09-06 00:00:00
abstract::Stomach cancer, the worl&dacute;s most common malignant neoplasia in 1980, has shown a decrease in death and incidence rates in several countries. Still not totally elucidated, the decline in incidence and death rates has been attributed to environmental factors. It is unlikely that the decline has stemmed primarily f...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::There is an evident contrast between health education practices and theoretical reflection concerning them as models. Health education practices have undergone considerable development in terms of strategies, methods, and modalities, while theoretical models have remained deficient, reductionist, fragmentary, and focu...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract::Data from Brazilian national surveys conducted since the 1970s have indicated an increase in the prevalence of overweight/obesity. The two most frequently cited causes of this trend have been dietary changes and reduction in physical activity, characterizing a "contemporary Western lifestyle". The objective of this pa...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0102-311x2004000300006
更新日期:2004-05-01 00:00:00