Da produção à avaliação de tecnologias dos sistemas de saúde: desafios do século XXI

Abstract

The study analyzes factors and processes identified in the literature that determine the patterns of production, use and assessment of the health care technologies, which are part of the "medicalization" of contemporary societies. We also evaluate the scientific and technological public and health care policies proposed during the 1990s in developed and developing countries to enhance the impact of scientific and technological development on population health. Problems facing these policies were identified, as were the challenges to be overcome in the twenty-first century.

Agentes comunitárias de saúde e a atenção à saúde sexual e reprodutiva de jovens na estratégia saúde da família

“…As tecnologias de processo têm sido definidas (Novaes, 2000;2004) como modos de organizar o trabalho em saúde, e as ações dos profissionais que incluem a dimensão comunicacional e relacional, práticas discursivas entre trabalhadores e entre trabalhadores e usuários, também referidas na literatura como tecnologias "não materiais" (Nemes, 2001). Essas tecnologias se materializam em processos de trabalho com intencionalidades relativamente estruturados e articulados (Novaes, 2006).…”

“…Segundo Novaes (2006), as tecnologias de processo presentes na atenção à saúde apresentam características variadas, incluindo desde procedimentos com componentes técnicos mais estruturados, como por exemplo, os cirúrgicos, até processos de cuidado, educacionais e de gestão, fortemente apoiados em outros referenciais, para sua legitimação (p. 136-137).…”

Health Policy on the pages of Revista de Saúde Pública

“…From this new perspective, the decommodification of access, commodification of offer, formation of the health economic-industrial complex, and articulations between Health and Development, as well as innovations, become central issues. Several articles approached these topics, especially in the last decade of RSP 11 , 25 , 34 , 35 , 69 , 89 , 93 , even with the publication of a special supplement on Health and Development, in 2012.…”

Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo

“…Institutional factors, such as the type of health service, as well as the structure and organization of services, can influence data registration and administrative support. Besides, the level of data informatization, the level of decentralization of information systems and the management of these systems can also be important 11 , as well as training and routine quality control of information in all of the production stages.…”