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| Author(s): |
Cassiara Boeno Borges de Oliveira
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2013-02-15 |
| Examining board members: |
Pedro Fredemir Palha;
Filomena Elaine Paiva Assolini;
Simone Teresinha Protti
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| Advisor: | Pedro Fredemir Palha |
| Abstract | |
Although characterized as one of the oldest and best-known diseases in the world tuberculosis continues as one of the major health problems. The respiratory symptoms search is an important pillar among the strategies to control the disease because it aims to anticipate the adverse effects of the pulmonary tuberculosis disease process. The local health service managers are immersed in this process, of which is expected, among other things, the assumption of the responsibility for the development and implementation of a services organization policy whose ultimate goal is to provide care. The purpose of this study was to analyze discursively how the effects of meaning have influenced the search for tuberculosis respiratory symptoms in the city of São Jose de Rio Preto/SP, Brazil. The theoretical and methodological foundation of this qualitative study lies on the French Discourse Analysis Matrix (Pêcheuxtian). The study subjects consisted of 14 local managers operating in the Primary Health Care context. The criterion adopted for inclusion chose subjects that had been in office for a year or more, excluding those that at the time of data collection were on sick leave or that had not schedule an interview after three attempts. The data generation was done through semi-structured interviews, audio- recorded and performed in places and times pre-agreed with the subjects. The empirical material was transcribed verbatim and managed by Atlas TI software prior to the discursive analysis. The research project was presented to and approved by the Research Ethics Committee of Nursing School of Ribeirão Preto, University of São Paulo. Results show that the subjects are shrouded in ideological formations of subjection to rules and pre-set targets, whilst from this conditions resist impositions, resulting in discontinuities in the respiratory symptoms search operations. From this, we conclude that the demand, sometimes disconnected from the real needs presented by the health services users/population, generates unproductive environments, especially with regard to tuberculosis control through the pursuit of respiratory symptoms. Therefore, the (re) rebuilding of a more participatory administration is necessary, involving the various hierarchical levels, so that an environment more proactive and conducive to the realization of goals and standards for the prevention of disease and promotion of the health of the population. (AU) | |
| FAPESP's process: | 11/01378-1 - The managemental performance in the planning of the actions of control of the Tuberculosis: active of symptomatic respiratory and disgnostic searchs: in the Basic Attention |
| Grantee: | Cassiara Boeno Borges de Oliveira |
| Support Opportunities: | Scholarships in Brazil - Master |