Abstract:
:The present essay is an exploratory study of the historical and institutional background of the so-called "crisis in public health", aimed at identifying the new trends and perspectives for the paradigmatic transformation of the health field in the context of the current international panorama of economic and cultural globalization. First, the rhetoric of health is analysed in historical perspective, briefly considering the main elements of the discourse of the ideological movements that historically built the social field of health. Medical Police, Social Medicine and Public Health are included as representative of such movements in 19th century Western Europe. After the Flexnerian turn, these movements were followed by Preventive Medicine, Community Health, Primary Health Care and Health Promotion, which dominated the scene particularly in the second half of the 20th century. The authors also summarise recent concerted PAHO efforts to debate the theory and practice of Public Health in the Americas, vis à vis the emerging demands of the economic, political and social context of Latin American countries. In this regard, the need for a common political agenda is emphasized, with the convergence of three topics-sectorial reform, "Renovation of Health for All" and the "new public health", covering the conceptual, methodological and operative domains. Secondly, a brief systematic account of the conceptual landmarks of the Collective Health movement, as carried through in the two last decades in Latin America, is presented, focusing more particularly on its potential for building up both a domain of transdisciplinary knowledge and a universe of practices. As a field of knowledge, it contributes to the study of health-disease phenomena in populations as a social process, investigating the production and distribution of disease in society as an aspect of social reproduction, and analysing health practices as a labor process integrated into the other social practices. As a universe of practices, Collective Health focuses on its models or action guidelines four objects of intervention: policies (forms of power distribution); practices (behavior modification; culture; institutions; knowledge production; institutional, professional and relational practices); technologies (organization and regulation of productive resources and processes; bodies/environments), and instruments (means of production of interventions). Finally, it is concluded that, although not being in itself a paradigm, Collective Health, as a movement committed to the social transformation of health, presents some possibilities of articulation with new scientific paradigms capable of approaching the health-disease-care object with due regard to its historicity and complexity.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Paim JS,de Almeida Filho Ndoi
10.1590/s0034-89101998000400001subject
Has Abstractpub_date
1998-08-01 00:00:00pages
299-316issue
4eissn
0034-8910issn
1518-8787journal_volume
32pub_type
杂志文章abstract::This paper presents epidemiological and control characteristics of yellow fever in Brazil, taking its wild and urban transmission cycles into consideration. No urban cases have been reported in Brazil since 1942, but urban yellow fever cases were reported in Paraguay in 2008, after more than 50 years without registere...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000014
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the functional capacity of nursing staff in a hospital complex and its association with individual and work characteristics. METHODS:A cross-sectional comprising 885 subjects was carried out. A standardized self-administered questionnaire was used to calculate a work capacity index based on infor...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102005000400023
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of socioeconomic variables, birth weight, duration of breastfeeding and income changes on random blood glucose levels among young adults. METHODS:This was a study on the birth cohort from 1982, when the 5,914 hospital births that occurred in the city of Pelotas (Southern Brazil) were ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000900013
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To examine whether the level of complexity of the services structure and sociodemographic and clinical characteristics of patients in hemodialysis are associated with the prevalence of poor health self-assessment. METHODS:In this cross-sectional study, we evaluated 1,621 patients with chronic terminal kidney...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2016050005885
更新日期:2016-01-01 00:00:00
abstract::The applicability of tuberculin test in children under five years of age, BCG-vaccinated during their first year of life, is a controversial matter. With a view to clarifying the subject the predictive positive value of the test in a region of high BCG coverage and low prevalence of tuberculous infection was analysed....
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000400008
更新日期:1992-08-01 00:00:00
abstract::The shared management put into effect by the "Ações Integradas de Saúde" (Integrated Health Actions) in the State of S. Paulo (Brazil), in the early 80s is analysed. The relevant data were collected from the minutes of the meetings of the "Comissão Interinstitutional de Saúde" (Interinstitutional Health Committee). Th...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000300010
更新日期:1992-06-01 00:00:00
abstract::The concept of health advocacy is presented by means of a description of its elements, practice and agents. The need to formulate this concept derives from one of the main functions of the university: the identification of social demands and the presentation of alternatives that aim at eliminating obstacles to their f...
journal_title:Revista de saude publica
pub_type: 历史文章,杂志文章
doi:10.1590/s0034-89101996000600014
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE:To analyze the scientific literature about the effects of exposure to psychosocial risk factors in work contexts. METHODS:A systematic review was performed using the terms "psychosocial factors" AND "COPSOQ" in the databases PubMed, Medline, and Scopus. The period analyzed was from January 1, 2004 to June 30...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/S1518-8787.2016050006129
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:To describe the methods employed in the longitudinal and follow-up studies of children born in Pelotas (Southern Brazil) in 1982. METHODS:The cohort began with a perinatal health survey that included all 6,011 children born in maternity wards in Pelotas in 1982. The 5,914 children born alive in the city were...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000900003
更新日期:2008-12-01 00:00:00
abstract::A study was undertaken in an urban area of the capital city of the province of San Juan, Argentina, in a housing complex of 768 flats distributed in buildings of 3 and 7 floors each surrounding an abandoned central winery. A total of 329 Triatoma infestans were captured, 293 on 4 terraces of seven-floor-towers and 36 ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101995000300006
更新日期:1995-06-01 00:00:00
abstract::The susceptibility of field collected Aedes aegypti larvae was evaluated in terms of median lethal time (LT50) and final mortality, when treated with temephos, Bacillus thuringiensis var israelensis as well as mixtures of these two agents. Third instar larvae were shown to be more susceptible than early and late fourt...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101991000300004
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVE:To validate the Escala de Autoeficácia para a Autodireção na Saúde (EAAS - Self-efficacy for Self-direction in Health Scale). METHODS:Non-experimental quantitative study of EAAS validation, by confirmatory factorial analyses, evaluating a sample of 508 older adults from the north and the center of Portugal w...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2016050006312
更新日期:2016-07-04 00:00:00
abstract::Five species of phlebotomine sandflies were caught on the Southern part of the coast of S. Paulo, Brazil. CDC-light and Shannon traps were used, as well as human-bait, during two investigations into Culicidae mosquitoes. Lutzomyia intermedia and L. flaviscutellata were found among those sandflies. The localities inves...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101990000400010
更新日期:1990-08-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of hospitalizations and to identify characteristics associated with hospital admission. METHODS:We carried out a population-based cross-sectional study of subjects of both sexes, aged 20-69 years, and who lived in the urban area of Pelotas, Southern Brazil, between 1999 and 2000. S...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000026
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:According to the World Health Organization, medicinal drug promotion should be reliable, accurate, truthful, informative, balanced, up-to-date and capable of substantiation. The objective of the present study was to review psychoactive drug advertisements to physicians as for information consistency with the ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008005000023
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:Studies on the evolution of infant mortality rate are very relevant. Nevertheless, lack of vital statistics in Brazil limits the temporal and spatial analysis of this indicator. This study aims to investigate the possible use of the Brazilian Hospital Information System as an alternative information source fo...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000300010
更新日期:2000-06-01 00:00:00
abstract::The results of a process evaluation of the epidemiological surveillance activities in 948 health units, situated in 98 of the most populated cities of each State in the country are presented. The survey was conducted towards the end of 1985. The following aspects were analyzed: information system, data analysis, epide...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000200002
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVE:To analyze the spread of human American visceral leishmaniasis and identify the key municipalities for developing surveillance and control activities. METHODS:The area of the study was composed of the 316 municipalities in the state of Sao Paulo belonging to the five health districts in which human American ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2013047004454
更新日期:2013-08-01 00:00:00
abstract::With the purpose of determining the prevalence of vitamin consumption, a survey was conducted in a sample of 894 private university freshmen in São Paulo. It revealed that 30.4% of the students consumed vitamin supplements within the preceding 3 months -23.1% on a regular basis and 6.0% sporadically. Vitamin C and mul...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102002000200021
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVE:This study aims to verify the adequacy profile of the cities of the State of Rio Grande do Sul, Brazil, in relation to the purchase of products of family farming by the Programa Nacional de Alimentação Escolar (PNAE - National Program of School Meals). METHODS:This is a quantitative descriptive study, with s...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006648
更新日期:2017-02-16 00:00:00
abstract::The paper discusses the difficulties in judging the quality of scientific manuscripts and describes some common pitfalls that should be avoided when preparing a paper for submission to a peer-reviewed journal. Peer review is an imperfect system, with less than optimal reliability and uncertain validity. However, as it...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000400005
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To describe HIV prevalence in pregnant women and the rate of vertical transmission according to socioeconomic status of residential neighborhoods. METHODS:Ecological exploratory study, which used the Information System of Notifiable Diseases database on HIV-positive pregnant women and AIDS in children, repor...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000041
更新日期:2011-08-01 00:00:00
abstract::The aim of this communication was to describe the detection of the coexistence of HIV-1 variant with dipeptide insertion between codons 69 and 70 of reverse transcriptase. These variants were isolated from a 16-year-old male patient, undergoing treatment in the city of Marilia, SP, Southeastern Brazil. After confirmat...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2013047004701
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the role of psychiatric disorders and alcohol dependence as possible risk factors for cocaine abuse/dependence. METHODS:The case-control study used the "snowball" technique in order to select untreated cocaine users (cases) and to match sex, age and friendship. Information was gathered using the ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101999000500007
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:To analyze knowledge, attitudes and practices of university adolescents about syphilis. METHODS:Cross-sectional, analytical, census-type study, developed with the universe of adolescents aged 18 and 19 years (n = 598), enrolled in three institutions of higher education in a municipality of Piauí (n = 598), w...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054002381
更新日期:2020-12-04 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of HIV-1 subtypes and analyze factors associated. METHODS:A cross-sectional study was performed with a convenience sample of 80 adult HIV-positive patients, users of an AIDS/STD specialized service, in the city of Canoas, Southern Brazil, between July 2008 and January 2009. Determi...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000039
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:The aim was to carry out a prospective study about the characteristics of the public seen at a psychiatric emergency room and of its service. METHODS:The data were acquired though a protocol developed for this study and applied to all the patients seen during two months. RESULTS:600 protocols were filled o...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000500006
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:To estimate the test-retest reliability of items of the Resource Generator scale for assessing social capital in the Brazilian Longitudinal Study for Adult Health (ELSA-Brasil). METHODS:The social capital was applied in a subsample of 281 participants from six ELSA investigation centers, on two occasions wit...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047003805
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION:Mortality data are important for monitoring violence, making it possible to assess the trends and the impact of interventions towards its reduction. The objective of the study is to assess the quality of the filling out and codification of the death certificates for unspecified accidents and events of unde...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101999000300008
更新日期:1999-06-01 00:00:00
abstract::The purpose of the study was the identification of risk factors for benign breast diseases (BBD); 257 women with BBD diagnosed through pathological anatomy or cytology and a matched control for each were studied. Subjects were selected at The State University of Campinas Hospital and at a private clinic. To enter the ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101990000500006
更新日期:1990-10-01 00:00:00