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2.
Womens Health Issues ; 34(3): 221-231, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38418360

RESUMO

BACKGROUND: Endometriosis, a chronic noncancerous gynecologic condition commonly characterized by disruptive physical and psychosocial symptoms, can be disabling. Individuals in the United States with endometriosis who are unable to work before retirement age can apply for Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI). Given the multi-step process of disability review, it is important to better understand how disability decisions are made. This study aimed to examine approaches and rationales of U.S. federal appeals courts reviewing SSDI and/or SSI claims involving endometriosis-related issues of appeal. METHODS: We searched Westlaw and Nexis Uni records, available as of January 2021, for federal appeals of SSDI and SSI claims including endometriosis as an impairment. Two independent reviewers screened full-text cases and extracted data. Framework Analysis was applied to courts' rationales regarding endometriosis-related issues of appeal. RESULTS: Eighty-seven appeals addressed an endometriosis-related issue. Three themes-evidence, treatment, and time-were identified across the decisions. The courts' discussions across themes exposed rationales and evidentiary requirements that posed challenges for claimants with endometriosis. The courts found subjective reports of symptoms insufficient evidence of impairment and positive responses to treatments to indicate cures or prevent claimants from demonstrating the necessary continuous 12 months of impairment. Some courts expected claimants to use treatments such as contraception or hysterectomy without addressing the risks of such treatments or the fact that they might have been counter to claimants' needs and preferences. CONCLUSIONS: Individuals with endometriosis face evidentiary obstacles and common misconceptions about disease, diagnosis, and treatment in disability claims. SSDI and SSI endometriosis claims are systematically disadvantaged, particularly among those without access to care. The health care, policy, and legal systems can leverage the findings in this study to create a more equitable disability application and review system for those with chronic pain conditions such as endometriosis.


Assuntos
Pessoas com Deficiência , Endometriose , Seguro por Deficiência , Previdência Social , Humanos , Feminino , Previdência Social/legislação & jurisprudência , Seguro por Deficiência/legislação & jurisprudência , Estados Unidos , Pessoas com Deficiência/legislação & jurisprudência , Adulto , Avaliação da Deficiência , Renda , Pessoa de Meia-Idade , Revisão da Utilização de Seguros
3.
Rev. méd. Chile ; 151(4): 505-509, abr. 2023.
Artigo em Espanhol | LILACS | ID: biblio-1560190

RESUMO

This article deals with the regulatory violation of issuing sick leave with an evident absence of medical grounds. Two problematic aspects present in the sanctioning practice of the Social Security Regulatory Agency are analyzed: the discrepancy between the wording of the regulation and its application, and the multiplicity of duties that can configure the behavior defined by the law, although they do not constitute fraud against the sick leave system. The context of this study is the bill that seeks to lower the standard for the regulator to impose administrative penalties on offenders who issue unjustified sick leave and aggravate those penalties.


Assuntos
Humanos , Licença Médica/legislação & jurisprudência , Licença Médica/estatística & dados numéricos , Previdência Social/legislação & jurisprudência , Avaliação da Capacidade de Trabalho , Chile
4.
Rev Med Chil ; 151(4): 505-509, 2023 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-38687526

RESUMO

This article deals with the regulatory violation of issuing sick leave with an evident absence of medical grounds. Two problematic aspects present in the sanctioning practice of the Social Security Regulatory Agency are analyzed: the discrepancy between the wording of the regulation and its application, and the multiplicity of duties that can configure the behavior defined by the law, although they do not constitute fraud against the sick leave system. The context of this study is the bill that seeks to lower the standard for the regulator to impose administrative penalties on offenders who issue unjustified sick leave and aggravate those penalties.


Assuntos
Licença Médica , Licença Médica/legislação & jurisprudência , Licença Médica/estatística & dados numéricos , Humanos , Previdência Social/legislação & jurisprudência , Chile , Avaliação da Capacidade de Trabalho
5.
Saúde Soc ; 31(4): e200987pt, 2022.
Artigo em Português | LILACS | ID: biblio-1424467

RESUMO

Resumo Este ensaio destaca o perfil do trabalhador de área rural, portador da Esquistossomose mansônica, doença endêmica adquirida durante suas atividades laborais em áreas alagadas da baixada maranhense. Faz-se uma análise da legislação previdenciária e trabalhista utilizada para fins de concessão de benefícios e do nexo causal que estabelece a relação entre a situação de trabalho e o surgimento da doença. Para tal, utilizamos pesquisa bibliográfica sobre a temática e pesquisa documental do plano jurídico formal da previdência. O estudo aponta para a necessidade de reconhecer esta relação nas regiões endêmicas, no sentido de aprimorar o proposto na "Lista de Doenças Relacionadas ao Trabalho".


Abstract This study highlights the profile of rural workers with schistosomiasis mansoni, an endemic disease acquired during their work activities in flooded areas in the Baixada Maranhense. In order to analyze the social security and labor legislation used to grant benefits and the causal link that establishes the relationship between the work situation and the onset of the disease, we performed a bibliographical research on the topic and a documentary research on the formal legal plan of social security. This study addresses the need to recognize this relationship in endemic regions in order to improve what is proposed by the List of Work-Related Diseases.


Assuntos
Humanos , Masculino , Feminino , Esquistossomose , Previdência Social/legislação & jurisprudência , Causalidade , Saúde Ocupacional , Áreas Alagadas
7.
Brasília; Conselho Nacional de Saúde; 14 ago. 2020. 3 p.
Não convencional em Português | CNS - Conselho Nacional de Saúde do Brasil | ID: biblio-1179511

RESUMO

Recomenda ad referendum do Pleno do Conselho Nacional de Saúde ao Ministério da Saúde e ao Ministério da Economia, no âmbito do Grupo de Trabalho Interministerial (Portaria nº 256, de 26 de junho de 2020): 1. Que oportunizem o debate amplo, democrático e paritário no GTI e nos grupos técnicos para a adequada evolução da lista atualizada, com a necessária realização de diálogos abertos na complexidade da temática em questão, com envolvimento de todos os setores da sociedade civil e do controle social diretamente relacionados, além das áreas específicas do Ministério da Saúde. Isso porque somente com a participação dos envolvidos, será possível equacionar as graves consequências dessas medidas restritivas para as pessoas com doenças crônicas e patologias e para a classe trabalhadora do país; e 2. Que as Patologias já contempladas não percam nenhum de seus direitos e que sejam incluídas as formas incapacitantes das doenças reumáticas, neuromusculares e osteoarticulares crônicas ou degenerativas no relatório final do GTI com a lista atualizada de doenças e condições cujos portadores são beneficiados com a isenção do cumprimento de prazo de carência para a concessão de auxílio-doença e aposentadoria por invalidez.


Assuntos
Pensões , Previdência Social/legislação & jurisprudência , Governo Federal
8.
BMJ Glob Health ; 5(6)2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32540963

RESUMO

The COVID-19 pandemic is a reminder that insufficient income security in periods of ill health leads to economic hardship for individuals and hampers disease control efforts as people struggle to stay home when sick or advised to observe quarantine. Evidence on income security during periods of ill health is growing but has not previously been reviewed as a full body of work concerning low-income and middle-income countries (LMICs). We performed a scoping review to map the range, features, coverage, protective effects and equity of policies that aim to provide income security for adults whose ill health prevents them from participating in gainful work. A total of 134 studies were included, providing data from 95% of LMICs. However, data across the majority of these countries were severely limited. Collectively the included studies demonstrate that coverage of contributory income-security schemes is low, especially for informal and low-income workers. Meanwhile, non-contributory schemes targeting low-income groups are often not explicitly designed to provide income support in periods of ill health, they can be difficult to access and rarely provide sufficient income support to cover the needs of eligible recipients. While identifying an urgent need for more research on illness-related income security in LMICs, this review concludes that scaling up and diversifying the range of income security interventions is crucial for improving coverage and equity. To achieve these outcomes, illness-related income protection must receive greater recognition in health policy and health financing circles, expanding our understanding of financial hardship beyond direct medical costs.


Assuntos
Acessibilidade aos Serviços de Saúde , Renda , Pobreza , Previdência Social , Adulto , Betacoronavirus , COVID-19 , Infecções por Coronavirus , Países em Desenvolvimento , Acessibilidade aos Serviços de Saúde/economia , Acessibilidade aos Serviços de Saúde/legislação & jurisprudência , Humanos , Pandemias , Pneumonia Viral , SARS-CoV-2 , Licença Médica , Previdência Social/economia , Previdência Social/legislação & jurisprudência
9.
Am J Obstet Gynecol ; 223(3): 379.e1-379.e5, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32446998

RESUMO

For the last century, healthcare coverage in the United States has been a debated topic. The passage of the Social Security Act Amendments and the Patient Protection and Affordable Care Act has improved the available coverage of vulnerable populations, but access to healthcare is still fraught with barriers. This is particularly true for women in the postpartum period. It is widely accepted that the postpartum period is the optimal time to address health issues that developed during pregnancy or predated pregnancy. With more than half of maternal deaths occurring in the year after a birth and disproportionately affecting women of color, the postpartum time period is critical. The United States is the only industrialized country with a rising maternal mortality rate and therefore must take advantage of the 12 months postpartum, or "fourth trimester," to aid in addressing this national health crisis. As an incentivized provision, most states have expanded Medicaid since the signing of the Patient Protection and Affordable Care Act. However, pregnancy-related coverage still ceases after 60 days postpartum. Although states can apply for a waiver to extend this coverage, this process is unnecessarily laborious. The time has far passed for the federal government to act. Presently, there are numerous pieces of legislation before Congress to provide Medicaid coverage for pregnant patients through 365 days postpartum. Insurance coverage alone will not reverse the rising maternal mortality rate in this country, but it is a crucial first step.


Assuntos
Cobertura do Seguro/legislação & jurisprudência , Medicaid/legislação & jurisprudência , Cuidado Pós-Natal/economia , Feminino , Humanos , Morte Materna/prevenção & controle , Período Pós-Parto , Gravidez , Previdência Social/legislação & jurisprudência , Fatores de Tempo , Estados Unidos
10.
J Law Health ; 34(1): 106-128, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33449457

RESUMO

The United States has failed its citizens who suffer from severe and persistent mental illness (SPMI). Homelessness is one of the most obvious manifestations of this failure. The combination of a lack of effective treatment, inadequate entitlement programs such as Social Security Disability Insurance (SSDI), and subpar housing options form systemic barriers that prevent people suffering from mental illness from being able to obtain adequate housing. Cultural beliefs within the United States regarding who is homeless and what homelessness means also play a significant role in the development of positively impactful social welfare programs. Part II of this Note reviews the history of treatment for persons with SPMI--specifically how that treatment has evolved, the history of federal policies regarding SSI, SSDI and housing, and societal beliefs regarding homelessness and mental illness that have impacted policymaking decisions. Part III looks at these same areas from a current perspective and addresses the current issues and some possible solutions. Part IV discusses how lack of effective treatment, poor disability programs, and the need for better housing options work together to form systemic barriers for people with SPMI. Part IV also address how the cultural beliefs in the United States regarding people who have SPMI and are homeless serve as an independent barrier to policy change. Ultimately, this Note argues that homelessness is a product of system failures rather than individual factors.


Assuntos
Pessoas Mal Alojadas/história , Pessoas Mal Alojadas/psicologia , Transtornos Mentais/história , Transtornos Mentais/psicologia , Habitação Popular/economia , Habitação Popular/legislação & jurisprudência , História do Século XIX , História do Século XX , Humanos , Seguro por Deficiência/legislação & jurisprudência , Formulação de Políticas , Previdência Social/legislação & jurisprudência , Estigma Social , Seguridade Social/legislação & jurisprudência , Estados Unidos
11.
Sangyo Eiseigaku Zasshi ; 62(1): 13-24, 2020 Jan 25.
Artigo em Japonês | MEDLINE | ID: mdl-31434810

RESUMO

AIM: Labor and social security attorneys (LSSAs) are involved in the field of occupational mental health. However, little attention has been paid to the involvement of LSSAs in this field. This study investigated the occupational mental health competencies that are expected of LSSAs. SUBJECTS AND METHODS: Our investigation utilized the Delphi method. In Step 1, we conducted semi-structured interviews with LSSAs and then created an initial list of competencies based on the interviews and a previous investigation. In Step 2, we recruited LSSAs with 10 or more cases related to occupational mental health. They completed a questionnaire assessing the importance of their work (how important they felt it was to conduct work related to mental health) and level of achievement (how much they felt they had achieved). The respondents were also asked to provide additional competencies (not listed on the questionnaire) if they regarded them as necessary for their work, and these were later added to the list of proposed competencies. In Step 3, we presented the results of Step 2 to the same respondents and asked them to rate their agreement with the proposed competencies. Items with agreement of 80% or higher were set as competencies. We also asked LSSAs about the level of importance of their work and their perceived level of achievement with regard to the additional items created in Step 2. Items for which the level of achievement fell below the median were extracted even if the level of importance of the work fell at or above the median. RESULTS: We recruited 8 LSSAs in Step 1 and created a list of 68 preliminary competencies in 20 fields. We recruited 57 LSSAs in Step 2, and 45 LSSAs completed the survey (response rate: 78.9%). Seven competencies were added to the list as a result. We recruited 34 LSSAs in Step 3 (response rate: 75.6%) . Two items with an agreement rate of less than 80% were removed, resulting in 73 competencies in 20 fields. One of the items with an agreement rate of 100% was "The plan is based on the merits and disadvantages (risks) for both labor and management." CONCLUSIONS: This study identified the competencies required of LSSAs in the field of occupational mental health. Our findings suggest that specifying these competencies will enable efficient training of LSSAs.


Assuntos
Advogados , Saúde Mental/legislação & jurisprudência , Saúde Ocupacional/legislação & jurisprudência , Competência Profissional , Previdência Social/legislação & jurisprudência , Humanos , Japão
12.
Scand J Public Health ; 48(4): 405-411, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29366393

RESUMO

Aims: Study objectives were to investigate how changes in social insurance legislation influenced the incidence of disability pension. Methods: The study included 295,636 male construction workers who attended health examinations between 1971 and 1993, aged 20-60 years and without previous disability pension. Via the Swedish National Insurance Agency national register we identified 66,046 subjects who were granted disability pension up until 2010. The incidence rates were calculated and stratified according to age and diagnosis. Results: The incidence rate of disability pension was fairly stable until the 1990s when large variations occurred, followed by a strong decreasing trend from the early 2000s to 2010. Trends in incidence rates, stratified by age and diagnosis, showed a consistent decrease in cardiovascular disease for all age groups. In subjects aged 30-49 years there was a high peak around 2003 for musculoskeletal diseases and psychiatric diseases. For the age group 50-59 years, musculoskeletal diagnosis, the most common cause of disability pension, had a sharp peak around 1993 and then a decreasing trend. In the 60-64 age group, the incidence rate for psychiatric diagnosis was stable, while incidence rates for musculoskeletal diagnosis varied during the 1990s. Conclusions: There are considerable variations in the incidence rate of disability pension over time, with different patterns depending on age and diagnosis. Changes in social insurance legislation, as well as in administration processes, seem to influence the variation.


Assuntos
Pessoas com Deficiência/estatística & dados numéricos , Pensões/estatística & dados numéricos , Previdência Social/legislação & jurisprudência , Adulto , Estudos de Coortes , Indústria da Construção , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Suécia/epidemiologia , Adulto Jovem
13.
Ciênc. Saúde Colet. (Impr.) ; 24(12): 4473-4478, dez. 2019.
Artigo em Português | LILACS | ID: biblio-1055733

RESUMO

Resumo Ao longo das três décadas de vigência da Constituição Federal, redesenhos normativos e fiscais foram introduzidos pela União nas garantias de organização federativa solidária e de custeio dos direitos sociais, a pretexto de resguardar a sustentabilidade intertemporal da dívida pública brasileira. Para equalizar a tensão entre estabilidade econômica e efetividade dos direitos sociais e sua repercussão para o processo de endividamento, foram mitigados paulatinamente os pisos de custeio da saúde e educação e o orçamento da seguridade social, os quais operavam, tanto no campo simbólico, quanto no pragmático, como uma espécie de contrapeso fiscal à necessidade de custo alegadamente ilimitado para as políticas monetária e cambial. Desvincular receitas, reduzir o escopo dos regimes de gasto mínimo e restringir o alcance interpretativo de transferências intergovernamentais equalizadoras das distorções federativas tornou-se estratégia, assumida - direta ou indiretamente - pela União desde o início da década de 1990, de estabilização macroeconômica, sobretudo, monetária. Assim tem sido empreendido um longo e ainda atual processo de desconstrução orçamentário-financeira dos direitos sociais, que restringe a identidade estrutural da CF/1988, a pretexto de consolidação fiscal cada vez mais exigente da redução do tamanho do Estado.


Abstract Throughout the three decades of the Federal Constitution, normative and fiscal redesigns were introduced by the Union in the guarantees of solidary federative organization and of social rights costing, under the pretext of safeguarding the intertemporal sustainability of the Brazilian public debt. In order to equalize the tension between economic stability and the effectiveness of social rights and their repercussion for the indebtedness process, the health and education minimum spending and the social security budget were gradually mitigated, which operated both in the symbolic field and in the pragmatic, as a kind of fiscal balance to the need for allegedly unlimited cost for monetary and cambial policies. Unlink taxes, reduce the scope of minimum spending regimes and restrict the interpretative scope of intergovernmental equalization transfers of federative distortions has become a strategy, assumed - directly or indirectly - by the Union since the early 1990s, of macroeconomic stabilization policy, above all, monetary. Thus, a long and still ongoing process of budgetary and financial deconstruction of social rights has been undertaken, which restricts the structural identity of the FC/1988, under the pretext of increasingly demanding fiscal consolidation of the reduction of the size of the state.


Assuntos
Humanos , Orçamentos/legislação & jurisprudência , Governo Federal , Financiamento da Assistência à Saúde , Direitos Humanos/legislação & jurisprudência , Previdência Social/economia , Previdência Social/legislação & jurisprudência , Brasil , Educação/economia , Educação/legislação & jurisprudência , Direitos Humanos/economia
14.
Cien Saude Colet ; 24(12): 4473-4478, 2019 Dec.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31778497

RESUMO

Throughout the three decades of the Federal Constitution, normative and fiscal redesigns were introduced by the Union in the guarantees of solidary federative organization and of social rights costing, under the pretext of safeguarding the intertemporal sustainability of the Brazilian public debt. In order to equalize the tension between economic stability and the effectiveness of social rights and their repercussion for the indebtedness process, the health and education minimum spending and the social security budget were gradually mitigated, which operated both in the symbolic field and in the pragmatic, as a kind of fiscal balance to the need for allegedly unlimited cost for monetary and cambial policies. Unlink taxes, reduce the scope of minimum spending regimes and restrict the interpretative scope of intergovernmental equalization transfers of federative distortions has become a strategy, assumed - directly or indirectly - by the Union since the early 1990s, of macroeconomic stabilization policy, above all, monetary. Thus, a long and still ongoing process of budgetary and financial deconstruction of social rights has been undertaken, which restricts the structural identity of the FC/1988, under the pretext of increasingly demanding fiscal consolidation of the reduction of the size of the state.


Ao longo das três décadas de vigência da Constituição Federal, redesenhos normativos e fiscais foram introduzidos pela União nas garantias de organização federativa solidária e de custeio dos direitos sociais, a pretexto de resguardar a sustentabilidade intertemporal da dívida pública brasileira. Para equalizar a tensão entre estabilidade econômica e efetividade dos direitos sociais e sua repercussão para o processo de endividamento, foram mitigados paulatinamente os pisos de custeio da saúde e educação e o orçamento da seguridade social, os quais operavam, tanto no campo simbólico, quanto no pragmático, como uma espécie de contrapeso fiscal à necessidade de custo alegadamente ilimitado para as políticas monetária e cambial. Desvincular receitas, reduzir o escopo dos regimes de gasto mínimo e restringir o alcance interpretativo de transferências intergovernamentais equalizadoras das distorções federativas tornou-se estratégia, assumida ­ direta ou indiretamente ­ pela União desde o início da década de 1990, de estabilização macroeconômica, sobretudo, monetária. Assim tem sido empreendido um longo e ainda atual processo de desconstrução orçamentário-financeira dos direitos sociais, que restringe a identidade estrutural da CF/1988, a pretexto de consolidação fiscal cada vez mais exigente da redução do tamanho do Estado.


Assuntos
Orçamentos/legislação & jurisprudência , Governo Federal , Financiamento da Assistência à Saúde , Direitos Humanos/legislação & jurisprudência , Brasil , Educação/economia , Educação/legislação & jurisprudência , Direitos Humanos/economia , Humanos , Previdência Social/economia , Previdência Social/legislação & jurisprudência
15.
Revista Nacional de Saúde ; 4(13): 22-22, 21 nov. 2019.
Artigo em Português | CNS - Conselho Nacional de Saúde do Brasil | ID: biblio-1283619

RESUMO

A proposta de Reforma da Previdência Social compromete diretamente a saúde de todos os brasileiros e brasileiras, conforme definiu a moção de repúdio e recomendações do Conselho Nacional de Saúde (CNS) sobre o tema. O tema esteve nos principais debates e mobilizações da 16ª Conferência Nacional de Saúde (8ª+8), realizada entre 4 a 7 de agosto, em Brasília.


Assuntos
Previdência Social/legislação & jurisprudência , Fatores Socioeconômicos
16.
Health Econ ; 28(7): 906-920, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31237097

RESUMO

The 2008 reform of the Spanish disability system reduced the benefits for individuals who have a short contributory history relative to their age. It also unintentionally introduced an incentive for individuals to apply for disability in the present. We use a lifecycle model and an empirical analysis to understand the overall impact of the reform. Our baseline estimates suggest that men and women who were affected by the reform were 46% and 22% more likely to be on permanent partial disability following the reform, respectively, and 55% and 46% more likely to be on total disability, respectively.


Assuntos
Pessoas com Deficiência/legislação & jurisprudência , Reforma dos Serviços de Saúde/legislação & jurisprudência , Previdência Social/legislação & jurisprudência , Fatores Etários , Definição da Elegibilidade/legislação & jurisprudência , Feminino , Humanos , Masculino , Espanha
17.
Salud trab. (Maracay) ; 27(1): 15-26, jun. 2019. tab, ilus
Artigo em Espanhol | LIVECS, LILACS | ID: biblio-1103364

RESUMO

El sistema chileno de salud laboral sobrevivió a las enormes transformaciones que introdujo en materia de seguridad social la Dictadura Militar, y se suele presentar como un modelo a seguir en otras latitudes. En el presente artículo se expone un breve análisis de dicho sistema, comenzado por la ley del Seguro contra Accidentes del Trabajo y Enfermedades Profesionales que le da origen, para luego evaluar la operación del sistema, a fin de identificar sus mayores fortalezas y debilidades. También se revisan algunas propuestas de cambio que han aparecido en los últimos años. Se concluye que el sistema cuenta con un alto nivel de reconocimiento y legitimidad, y que presenta un desarrollo importante en el plano curativo para las tres cuartas partes de los trabajadores que están afiliados. En contraste con la cobertura que reciben los accidentes del trabajo, presenta baja sensibilidad ante las enfermedades profesionales, además de importantes desafíos en el plano preventivo, que podrían llevar a revisar algunos supuestos sobre los cuales se construyó(AU)


The Chilean occupational health system survived the enormous transformations introduced by the Military Dictatorship with regard to social security. This system is often suggested as a model to emulate overseas. In this article, I analyze the system, beginning with the law that regulates the Insurance against work accidents and occupational diseases which origins the system. Then, I examine its performance, and as a whole I identify its strengths and weaknesses. I also review some of the proposals of modification that have appeared in the last years. I conclude that the system counts on a high level of recognition and legitimacy, and that it presents an important level of development at the therapeutics sphere three fourths parts of those workers who are affiliated. In contrast with the coverage given to accidents at work, the system presents low sensibility with regard to occupational diseases, on top of important challenges in the preventive sphere. These critical elements could take us to review the basic assumptions under which the system was built on(AU)


Assuntos
Humanos , Previdência Social/legislação & jurisprudência , Previdência Social/organização & administração , Trabalho , Riscos Ocupacionais , Sistemas de Saúde/organização & administração , Saúde Ocupacional , Seguro , Jurisprudência
18.
Brasília; Conselho Nacional de Saúde; 15 mar. 2019. 2 p.
Não convencional em Português | CNS - Conselho Nacional de Saúde do Brasil | ID: biblio-1179552

RESUMO

Recomenda ao Congresso Nacional, que: 1. Interrompa a tramitação da PEC 06/2019, por seu conteúdo e forma como foi elaborada, não dialogada com a sociedade brasileira. 2. Não inicie qualquer discussão sobre a Previdência Social antes de amplo debate com a sociedade, com garantia de plena participação de diferentes setores e segmentos sociais e suas representações


Assuntos
Controle Social Formal , Previdência Social/legislação & jurisprudência , Constituição e Estatutos , Governo Federal
19.
Gerontologist ; 59(4): 625-634, 2019 07 16.
Artigo em Inglês | MEDLINE | ID: mdl-29982643

RESUMO

BACKGROUND AND OBJECTIVES: Over the last 2 decades, several international indices have been developed to describe the status of older persons. None, however, have examined their human rights. The International Older Persons' Human Rights Index (IOPHRI) fills in this gap by analyzing the formal legislative foundation of human rights for older people. The objective of this exploratory study is to examine the IOPHRI while comparing the legislation in 6 countries. RESEARCH DESIGN AND METHODS: A comparative international exploratory study comparing the human rights legislation of 6 countries: United States, Chile, Ireland, South Africa, India, and Australia in 5 different human rights domains: constitutional, protection, familial and informal support, planning, and empowerment. RESULTS: The findings suggest that the actual relationship between formal human rights of older persons and the real world is complex: for example, while the IOPHRI index places South Africa in first place, it is far behind compared with all other participants in the Global AgeWatch Index (which measures objective elements such as life expectancy at 60, or poverty rates in old age). DISCUSSION AND IMPLICATIONS: Measuring and indexing human rights of older persons reveal significant methodological issues. Beyond these methodological challenges, comparing the ranking of the IOPHRI to nonlegalistic indices raises significant questions about the relationship between formal human rights and the actual living experiences of older persons.


Assuntos
Abuso de Idosos/legislação & jurisprudência , Família , Direitos Humanos/legislação & jurisprudência , Legislação como Assunto , Diretivas Antecipadas/legislação & jurisprudência , Idoso , Idoso de 80 Anos ou mais , Etarismo , Austrália , Chile , Humanos , Índia , Irlanda , Pessoa de Meia-Idade , Previdência Social/legislação & jurisprudência , África do Sul , Estados Unidos , Testamentos/legislação & jurisprudência
20.
Soc Work ; 64(1): 41-51, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-30395336

RESUMO

The 2018 proposed Family First Prevention Services Act suggests a change in the funding formula of Title IV-E of the Social Security Act-from entitlement to block grants. This study aimed to support the continuation of entitlement support based on the evidence that Title IV-E educational programs are effective in improving retention after the workers have obtained an MSW degree. Using a multigroup, multiple regression approach, this study analyzed secondary data collected from an e-survey sent to public child welfare (PCW) workers in a southern state. Data from 1,025 workers compare "intent to stay" (ITS) factors between PCW workers who received and those who did not receive the Title IV-E MSW educational stipend. The main analysis was conducted using Mplus version 7.4, with R version 3.3.2 used for data screening. Findings indicate that Title IV-E-supported education moderates the strength of the following ITS factors: respect from coworkers, team cohesion, self-assessed skills in working with special needs clients, and holding an MSW degree. MSW holders expressed lower ITS levels unless they had received Title IV-E stipends. These results provide evidence that Title IV-E education could help retain MSW graduates in PCW.


Assuntos
Proteção da Criança/legislação & jurisprudência , Emprego/psicologia , Serviço Social/educação , Assistentes Sociais/psicologia , Apoio ao Desenvolvimento de Recursos Humanos/legislação & jurisprudência , Criança , Financiamento Governamental/legislação & jurisprudência , Programas Governamentais/legislação & jurisprudência , Humanos , Intenção , Previdência Social/legislação & jurisprudência , Assistentes Sociais/educação , Estados Unidos
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