[decentralization Of Workers' Health Surveillance In The City Of Campinas, São Paulo State, Brazil: A Process Evaluation].

dc.creatorBalista, Salma Regina Rodrigues
dc.creatorSantiago, Sílvia Maria
dc.creatorCorrêa Filho, Heleno Rodrigues
dc.date2011-Apr
dc.date2015-11-27T13:21:27Z
dc.date2015-11-27T13:21:27Z
dc.date.accessioned2018-03-29T01:13:11Z
dc.date.available2018-03-29T01:13:11Z
dc.identifierCadernos De Saúde Pública. v. 27, n. 4, p. 759-68, 2011-Apr.
dc.identifier1678-4464
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/21603759
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/199445
dc.identifier21603759
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1299678
dc.descriptionThis study evaluates the decentralization of workers' health surveillance to district teams in Campinas, São Paulo State, Brazil, from 1990 to 2006. The history and context of this process were retrieved from documents at the Municipal Health Department in order to establish evaluation criteria and define facilitating factors and obstacles in guideline implementation, as well as to measure the gap between guidelines and reality. The evaluation used qualitative techniques with stakeholders' focus groups. The results showed that decentralization was defined according to the prevailing political options and according to the principles of the Unified National Health System (SUS). Facilitating factors included the increase in technical capability and integration among the teams, and obstacles included excessively centralized planning with limited participation, insufficient resources, and lack of clarity between the services concerning roles and responsibilities. The discussion of these results with health system administrators, social actors, and participating health professionals has contributed to the analysis and organization of transformative measures in regional public practices in workers' health surveillance.
dc.description27
dc.description759-68
dc.languagepor
dc.relationCadernos De Saúde Pública
dc.relationCad Saude Publica
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAccidents, Occupational
dc.subjectBrazil
dc.subjectComprehensive Health Care
dc.subjectDelivery Of Health Care
dc.subjectFocus Groups
dc.subjectHealth Care Reform
dc.subjectHealth Policy
dc.subjectHealth Services Administration
dc.subjectHumans
dc.subjectOccupational Health Services
dc.subjectUrban Health
dc.title[decentralization Of Workers' Health Surveillance In The City Of Campinas, São Paulo State, Brazil: A Process Evaluation].
dc.typeArtículos de revistas


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