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| Author(s): |
Gislene Inoue Vieira
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Saúde Pública (FSP/CIR) |
| Defense date: | 2013-09-30 |
| Examining board members: |
Isabel Maria Teixeira Bicudo Pereira;
Fernando Lefevre;
Beatriz de Castro Andrade Mendes
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| Advisor: | Isabel Maria Teixeira Bicudo Pereira |
| Abstract | |
Introduction: Hearing health is an issue of public importance, due to its impact on communication and therefore the quality of life for people. Objective: To assess the implementation of actions in hearing health, particularly the National Policy for Hearing Health Care (PNASA) in the city of São Paulo, identifying actions in Health Promotion. To achieve this goal we identify key documents related to hearing health, establishing its trajectory; Describe the network of hearing health care in the city, through quantitative data and observation of negotiation spaces; Investigate the representation of hearing health professionals about the concept of hearing health and the implementation of PNASA in their daily practices. Methodology: This is an exploratory, descriptive research with qualitative and quantitative approaches. Data were collected from official documents and from SUS´s Information Systems; from the observation of regional meetings and, interviews with hearing health team members from three high complexity centers in the municipality of São Paulo. Data analysis was based on the methodology of Collective Subject Discourse (DSC). Results and Discussion: It was possible to identify three historical moments in the hearing health actions with two landmarks, the implementation of PNASA and the current \"Plano Viver sem Limite\" (Living with no limits plan). Quantitative data show a general increase in accreditation of services, in concessions of hearing aids and coclear implants, as well as in procedures; in relation to monitoring and therapy, growth is still insufficient. The DSCs shows a tendency to thoughts tuned with the biomedical model; it identifies successes and difficulties and makes suggestions for changes in the regulatory processes, since the relationship of standards to practices proved largely ineffective. Conclusion: It´s time to change: what was once an achievement requires continued efforts and dialogue in order to really incorporate facilitating processes and access to a healthier and fair life to all involveds daily routine (AU) | |
| FAPESP's process: | 11/15244-7 - National Policy on Hearing Health Care: the case of São Paulo. |
| Grantee: | Gislene Inoue Vieira |
| Support Opportunities: | Scholarships in Brazil - Master |