RESUMO:Neste artigo propõe-se investigar o emprego de abordagens críticas por pesquisadores da área de administração pública no Brasil. Para tanto, foi realizada uma pesquisa bibliográfica em três bases de dados (Web of Science, Scopus e Scielo) de reconhecida reputação acadêmica. A análise textual evidenciou que os pesquisadores da referida área de conhecimento têm apropriado de abordagens críticas, apontando possibilidades e tendências de aplicação de categorias conceituais oriundas de diferentes abordagens. Entre elas destacam-se a noção de razão crítica, emancipação e práxis, relações de poder e dominação, dentre outros. Em termos metodológicos os pesquisadores têm procurado: valorizar as experiências locais; promover a interlocução entre teoria e prática; e, construir novas possibilidades de aproximação e integração entre pesquisadores e sujeitos coletivos. Palavras-Chave: Estudos Críticos; Avaliação Sistemática; Administração Pública. ABSTRACT:This article has the purpose of investigating the use of critical approaches by researchers of the public administration in Brazil. In order to achieve this, a literature review was carried out in three databases of outstanding academic reputation (web of Science, Scopus and Scielo). The literature analysis showed that the researchers from that specific area of knowledge have adopted critical approaches, pointing out possibilities and trends in the application of conceptual categories from different perspectives. Among them, we could notice the presence of various concepts, such as critical thinking, emancipation, praxis, power relations and domination relations. In terms of methodology, the researchers aspire to value local experience, to promote a dialogue between theory and practice and to build new possibilities of approximation and integration between researchers and collective actors.

La population âgée est hétérogène : à âge identique, les patients peuvent être robustes, vulnérables ou dépendants. Le dépistage doit être individualisé en mettant en relation l'espérance de vie résiduelle estimée (EVR), le Time To Benefit (TTB : délai jusqu'à l'apparition de bénéfices après intervention) et les préférences du patient. Ainsi, les patients robustes, dont l'EVR est supérieure au TTB, peuvent encore bénéficier de certains examens de dépistage après 75 ans alors qu'ils seront inappropriés chez ceux dont l'EVR est inférieure au TTB (vulnérables, dépendants). Bien que discuter de l'EVR puisse être ardu, chaque consultation est une oppor tunité pour l'aborder, s'enquérir des préférences et attentes du patient quant à sa santé afin de définir ensemble les modalités de sa prise en charge et de son projet de soins anticipés. To screen or not to screen after age 75 ?The older population is heterogenous: at the same age, elderly patients can be robust, frail or dependent. Screening decisions must be individualized, taking into account the remaining life expectancy, the Time to Benefit (TTB: delay until preventive care gives a benefit), and patient preferences. Thus, robust patients, who have a longer life expectancy, can still benefit from some screening tests over age 75 that are inappropriate in vulnerable or dependent patients whose life expectancy is shorter than the TTB. Discussing life expectancy issues remains difficult outside of crises but medical encounters are unique opportunities to inquire about individual preferences and expectations, in order to define care objectives and discuss advanced care planning.L'estimation de l'EVR et la notion de TTB sont deux éléments clés dans la prise en charge des patients âgés de plus de 75 ans.

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