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1.
Recurso educacional aberto em Espanhol | ID: oer-3880

RESUMO

1º Jornada «Derecho a la Salud», organizada por el CVSP Nodo Argentina, la Sala de Derecho a la Salud del Colegio de Abogados de Córdoba y la Escuela de Salud Pública y Ambiente de la Facultad de Ciencias Médicas–UNC. La misma se llevó a cabo el día 4 de diciembre del corriente año en el Salón Rojo de la Secretaría de Graduados en Ciencias de la Salud FCM-UNC. La jornada contó con la presencia de Profesionales de la Salud, Profesionales del Derecho, alumnos de postgrado de las Carreras de Ciencias Médicas, Derecho y Ciencias Sociales y público en general. Conferencia dictada por el Dr. José María Palacio. Abogado- Doctor en Ciencias de la Salud. Miembro de la Sala de Derecho a la Salud del Colegio de Abogados de Córdoba.


Assuntos
Ética , Bioética/tendências , Direitos Humanos/legislação & jurisprudência , Regulação e Fiscalização em Saúde
3.
Georgian Med News ; (294): 165-171, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31687971

RESUMO

The article explores the issue of human rights protection in the field of health care by the Constitutional Court of Ukraine. The decisions of the Constitutional Court of Ukraine in the case of K. G. Ustimenko (1997), the case of paid medical services (1998), the case of free medical care (2002), the case of judicial control over the hospitalization of incapacitated persons into psychiatric institute are analyzed (2016), as well as the new legislation of Ukraine in the light of radical reform in the healthcare sector. Attention is drawn to the principle of friendly attitude to international law, constitutional complaint, legal positions of the Constitutional Court of Ukraine in the above-mentioned cases and the prospect of their application into the development of new legislation of Ukraine in the context of radical reform of the health care system of Ukraine. It is emphasized that the legal positions of the Constitutional Court of Ukraine, with regard of peculiarities of the national legislature, can serve as a source of inspiration for the courts of other countries. The purpose of the article is to specify the role and place of the Constitutional Court of Ukraine in the system of judicial protection of human and citizen rights, to determine the prospects of applying the legal positions of the Constitutional Court of Ukraine within the development of new legislation of Ukraine in the light of radical reform of the health care system. The object of the study is the social relations that arise during protection of human rights in the field of health care by the Constitutional Court of Ukraine. The methodological basis of the research are general and special methods of scientific knowledge (formal-logical method, comparative-legal, structural-logical). As a result of the conducted research, the role and place of the Constitutional Court of Ukraine in the system of judicial protection of human and citizen rights, the role of the decisions of the Constitutional Court of Ukraine in the case of K. G. Ustimenko, the case of paid medical services, the case of free medical care, the case of judicial control over hospitalization of incapacitated persons into psychiatric institution in the formation and development of domestic constitutional proceedings are defined. It is emphasized that the introduction of the constitutional complaint concept (institution) contributed to the improvement of the national mechanism of human rights protection in the field of health care. Conflicts of constitutional regulation of the human right to free medical care have been identified, and proposals have been worked out regarding possible ways and methods to eliminate them.


Assuntos
Assistência à Saúde/legislação & jurisprudência , Direitos Humanos , Direitos do Paciente , Instalações de Saúde , Hospitalização , Humanos , Ucrânia
5.
Bull World Health Organ ; 97(9): 612-619, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31474774

RESUMO

The delivery of emergency care is an effective strategy to reduce the global burden of disease. Emergency care cross cuts traditional disease-focused disciplines to manage a wide range of the acute illnesses and injuries that contribute substantially to death and disability, particularly in low- and middle-income countries. While the universal health coverage (UHC) movement is gaining support, and human rights and health systems are integral to UCH, few concrete discussions on the human right to emergency care have been taken place to date. Furthermore, no rights-based approach to developing emergency care systems has been proposed. In this article, we explore key components of the right to health (that is, availability, accessibility, acceptability and quality of health facilities, goods and services) as they relate to emergency care systems. We propose the use of a rights-based framework for the fulfilment of core obligations of the right to health and the progressive realization of emergency care in all countries.

6.
Rev Infirm ; 68(253): 49-50, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31472788
8.
Hu Li Za Zhi ; 66(5): 65-71, 2019 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-31549382

RESUMO

Medical equality is a basic right for patients, and awareness of the need for friendly medical care is increasing alongside international trends of promoting gender equality. Whether clinical professionals are sufficiently enabled and motivated to maintain justice and protect their patients, especially those from vulnerable populations, is an issue that deserves greater attention. We examined the situation of pregnant and postpartum lesbian woman to assess the ethical abilities of clinical professionals. We reflect on whether these patients received appropriate medical care and treatment from the perspective of medical equality. To date, nursing education has placed significantly greater emphasis on protecting the autonomy of patients and on ethical decision-making abilities than on instituting medical equality. In clinical practice, the ethical responses of clinical professionals to equality directly impact vulnerable populations. How clinicians collect clinical data and judge individual cases may cause patients to feel neglected. To carry out friendly medical care effectively, steps must be taken to improve the quality of care. As clinical professionals provide medical treatment, they should be more empathetic toward lesbian postpartum women, maintain an attitude of equality, and refrain from judging the sexual tendencies of individual cases, and protect the privacy of their patients. Regarding the special needs of vulnerable populations, clinical professionals should continue learning and spending time reflecting on methods to improve quality of care.


Assuntos
Disparidades em Assistência à Saúde , Homossexualidade Feminina , Direitos Humanos , Populações Vulneráveis , Feminino , Humanos , Serviços de Saúde Materna , Cuidado Pós-Natal , Gravidez
10.
RECIIS (Online) ; 13(3): 618-633, jul.-set. 2019. ilus
Artigo em Português | LILACS | ID: biblio-1021535

RESUMO

Nesta entrevista concedida à Reciis, Richard Parker discute sobre as configurações contemporâneas das identidades, dos movimentos LGBT e do combate ao HIV/aids a partir de um cenário histórico da década de 1980, quando por motivos pessoais e profissionais resolve se mudar para o Brasil e começa a desenvolver pesquisas sobre sexualidade. O pesquisador comenta que a globalização da sexualidade e a velocidade do mundo digital ampliaram as possiblidades e transformações das identidades LGBT, o que, contudo, não propiciou mudanças nos sistemas de exclusão, de desigualdades, de discriminação e de formação de estigmas desses sujeitos. No período de emergência da epidemia, Parker testemunhou e participou da construção de importantes organizações de apoio ao combate do HIV/aids no país e, hoje, propõe pensar em uma desconstrução do estigma desta infecção na interceccionalidade a partir dos estigmas das desigualdades sociais e de raça. Em relação à prevenção e tratamento, argumenta sobre a prevalência de uma abordagem biomédica de "testar e tratar" em detrimento de uma pedagogia da prevenção que reforça princípios de solidariedade e direitos humanos no compartilhamento e incorporação de saberes entre a ciência e a comunidade. Richard Parker é professor visitante sênior do Instituto de Estudos em Saúde Coletiva (Iesc) da Universidade Federal do Rio de Janeiro (UFRJ) e professor titular emérito da Universidade de Columbia.


Assuntos
Humanos , Síndrome de Imunodeficiência Adquirida , HIV , Vulnerabilidade Social , Estigma Social , Minorias Sexuais e de Gênero , Ativismo Político , Direitos Humanos , Preconceito , Transexualismo , Brasil , Sexualidade , Cultura , Profilaxia Pré-Exposição
11.
RECIIS (Online) ; 13(3): 471-481, jul.-set. 2019.
Artigo em Português | LILACS | ID: biblio-1016425

RESUMO

Este artigo tem como escopo estabelecer, a partir de pesquisa bibliográfica e documental, um comparativo legal entre o aporte jurisprudencial brasileiro (Ação Direta de Inconstitucionalidade nº 4.275-DF, Supremo Tribunal Federal do Brasil, 2018) e o Projeto de Lei nº 816/2017 (Ley Integral para Personas Trans), recentemente aprovado pela Câmara dos Deputados do Uruguai, a fim de combater a discriminação e ampliar direitos para transexuais, transgêneros e travestis no Brasil, considerando-se a necessidade de se expandir a cidadania para essas pessoas: tradicionalmente marginalizados. Busca-se discutir sobre as legislações dos dois países selecionados como objeto de pesquisa (integrantes do Mercosul), a fim de verificar se estão promovendo Direitos Humanos à População T. Como resultado, evidencia-se que, ao passo que o Uruguai tem empreendido esforços na positivação de direitos e no reconhecimento do respeito à autodeterminação da identidade de gênero, o Brasil, ainda, tem caminhado timidamente na mesma construção, dependendo ­ prioritariamente ­ de jurisprudências e atos administrativos para tanto.


The purpose of this article is to establish, based on bibliographical and documentary research, a legal comparison between the Brazilian jurisprudential contribution (Direct Unconstitutionality Action nº 4,275-DF, Supreme Federal Court of Brazil, 2018) and Bill nº 816/2017 (Ley Integral para Personas Trans), recently approved by the Chamber of Deputies of Uruguay, in order to combat discrimination and expand rights for transsexuals, transgenders and transvestites in Brazil, considering the need to expand citizenship for these people: traditionally marginalized. The aim is to discuss the legislation of the two countries selected as an object of research (members of Mercosur), in order to verify if they are promoting Human Rights to Population T. As a result, it is evident that, while Uruguay has made efforts in the positivation of rights and in the recognition of respect for the self-determination of gender identity, Brazil has also walked timidly in the same construction, depending - primarily on jurisprudence and administrative acts for that purpose.


Este artículo tiene como objetivo establecer, a partir de investigación bibliográfica y documental, un comparativo legal entre el aporte jurisprudencial brasileño (Acción Directa de Inconstitucionalidad nº 4.275-DF, Supremo Tribunal Federal de Brasil, 2018) y el Proyecto de Ley nº 816/2017 (Ley Integral para Personas Trans), recientemente aprobado por la Cámara de Diputados de Uruguay, a fin de combatir la discriminación y ampliar derechos para transexuales, transgéneros y travestis en Brasil, considerando la necesidad de expandir la ciudadanía para esas personas: tradicionalmente marginados. Se busca discutir sobre las legislaciones de los dos países seleccionados como objeto de investigación (integrantes del Mercosur), a fin de verificar si están promoviendo Derechos Humanos a la Población T. Como resultado, se evidencia que, mientras que Uruguay ha emprendido esfuerzos en la positivación de derechos y en el reconocimiento del respeto a la autodeterminación de la identidad de género, Brasil, aún, ha caminado tímidamente en la misma construcción, dependiendo- prioritariamente - de jurisprudencias y actos administrativos para tanto.


Assuntos
Humanos , Uruguai , Brasil , Pessoas Transgênero , Direitos Humanos , Participação da Comunidade , Violações dos Direitos Humanos , Sexismo , Ativismo Político , Identidade de Gênero
12.
Int J Equity Health ; 18(1): 112, 2019 07 23.
Artigo em Inglês | MEDLINE | ID: mdl-31337403

RESUMO

BACKGROUND: People's social and economic circumstances are important determinants of their health, health experiences, healthcare access, and healthcare outcomes. However, patients' socioeconomic circumstances are rarely asked about or documented in healthcare settings. We conducted a systematic review of published reasons for why patients' socioeconomic contexts (including education, employment, occupation, housing, income, or wealth) should, or should not, be enquired about. METHODS: Systematic review of literature published up to and including 2016. A structured literature search using databases of medicine and nursing (pubmed, embase, global health), ethics (Ethicsweb), social sciences (Web of Science), and psychology (PsychINFO) was followed by a 'snowball' search. Eligible publications contained one or more reasons for: asking patients about socioeconomic circumstances; collecting patients' socioeconomic information; 'screening' patients for adverse socioeconomic circumstances; or linking other sources of individual socioeconomic data to patients' healthcare records. Two authors conducted the screening: the first screened all references, the second author screened a 20% sample with inter-rater reliability statistically confirmed. 'Reason data' was extracted from eligible publications by two authors, then analysed and organised. RESULTS: We identified 138 eligible publications. Most offered reasons for why patients' should be asked about their socioeconomic circumstances. Reasons included potential improvements in: individual healthcare outcomes; healthcare service monitoring and provision; population health research and policies. Many authors also expressed concerns for improving equity in health. Eight publications suggested patients should not be asked about their socioeconomic circumstances, due to: potential harms; professional boundaries; and the information obtained being inaccurate or unnecessary. CONCLUSIONS: This first summary of literature on the subject found many published reasons for why patients' social and economic circumstances should be enquired about in healthcare settings. These reasons include potential benefits at the levels of individuals, health service provision, and population, as well as the potential to improve healthcare equity. Cautions and caveats include concerns about the clinician's role in responding to patients' social problems; the perceived importance of social health determinants compared with biomedical factors; the use of average population data from geographic areas to infer the socioeconomic experience of individuals. Actual evidence of outcomes is lacking: our review suggests hypotheses that can be tested in future research.


Assuntos
Confidencialidade/normas , Revelação/normas , Relações Profissional-Paciente/ética , Fatores Socioeconômicos , Assistência à Saúde/organização & administração , Serviços de Saúde , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Reprodutibilidade dos Testes
13.
Hautarzt ; 70(10): 804-810, 2019 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-31267179

RESUMO

BACKGROUND: Treatment of patients with malignant melanoma includes informing the patients about their rights regarding social/disability benefits. In particular, every patient has the right to rehabilitation treatment according to SGB V and IX (SGB: Sozialgesetzbuch; Social Security Code) and to an examination regarding the classification of the disability. OBJECTIVES: The present study examines the extent to which patients with invasive malignant melanoma are informed after initial diagnosis about their social rights to medical rehabilitation measures and the classification of disability. MATERIALS AND METHODS: In the course of a survey in 2014, n = 1800 German dermatological practices were contacted and provided a standardized questionnaire on several care-relevant questions, including the aforementioned ones. RESULTS: Evaluable questionnaires were submitted by n = 424 practices. In all, 52% of dermatologists stated that they regularly provided information on the right to rehabilitation, 15% sometimes, 41% rarely or never. Furthermore, 44% of dermatologists regularly, 17% sometimes and 38% rarely or never informed their patients about the classification of disability. Relevant differences were found in regional comparisons. CONCLUSIONS: Practicing dermatologists seem to transfer the information requirement to the clinics involved in the treatment. It would be beneficial if the information were also provided again by the dermatologists in private practice. In view of the known limited capacity to receive new information from patients with newly diagnosed melanoma, repeated counselling appears to be more patient-friendly.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Melanoma/terapia , Educação de Pacientes como Assunto/métodos , Direitos do Paciente , Reabilitação/legislação & jurisprudência , Neoplasias Cutâneas/terapia , Assistência ao Convalescente/normas , Avaliação da Deficiência , Humanos , Melanoma/patologia , Neoplasias Cutâneas/patologia , Inquéritos e Questionários
15.
Rev. bioét. derecho ; (46): 185-202, jul. 2019.
Artigo em Espanhol | IBECS | ID: ibc-184859

RESUMO

La estrategia de rehabilitación basada en la comunidad fue desarrollada para abordar una importante preocupación ética relacionada con la justicia social y la equidad. A continuación, en base una revisión de la literatura existente, se desarrollan cinco temas claves relacionados con la ética de dicha estrategia, destacando el aporte de Clarke, quien contempla argumentación crítica de cinco temas vinculados a la Rehabilitación basada en la comunidad, tales como; asociación de las partes interesadas, respeto a la cultura y experiencia local, equidad en el diseño del programa, empoderamiento comunitario y rendición de cuentas, se discuten dichas temáticas con el fin de comprender mejor el panorama de la rehabilitación, a partir de las sistematizaciones y experiencias en la población chilena


The community-based rehabilitation strategy was developed to address an important ethical concern related to social justice and equity. Then, based on a review of the existing literature, five key issues related to the ethics of this strategy are developed, highlighting the contribution of Clarke, who considers critical argumentation of five issues related to community-based rehabilitation, such as; Partnerships among stakeholders, Respect for culture and local experience, equity in program design, community empowerment and accountability, these topics are discussed in order to better understand the rehabilitation landscape in Chile, based on systematizations and experiences in the Chilean population


L'estratègia de rehabilitació basada en la comunitat va ser desenvolupada per a abordar una important preocupació ètica relacionada amb la justícia social i l'equitat. A continuació, en base una revisió de la literatura existent, es desenvolupen cinc temes claus relacionats amb l'ètica d'aquesta estratègia, destacant l'aportació de Clarke, qui contempla argumentació crítica de cinc temes vinculats a la rehabilitació basada en la comunitat: associació de les parts interessades, respecte a la cultura i experiència local, equitat en el disseny del programa, apoderament comunitari i rendició de comptes, es discuteixen aquestes temàtiques amb la finalitat de comprendre millor el panorama de la rehabilitació, a partir de les sistematitzacions i experiències en la població xilena


Assuntos
Humanos , Preferência do Paciente/legislação & jurisprudência , Pessoas com Deficiência/legislação & jurisprudência , Pessoas com Deficiência/reabilitação , Justiça Social , Defesa das Pessoas com Deficiência/legislação & jurisprudência , Empoderamento para a Saúde/legislação & jurisprudência , Equidade em Saúde/legislação & jurisprudência , Chile
16.
Cad. Ibero Am. Direito Sanit. (Impr.) ; 8(2): 09-30, abr.-jun.2019. Ilus
Artigo em Português | LILACS | ID: biblio-1015750

RESUMO

Objective: to analyze the proposals of actions of the three versions of the National Plan of Policies for Women (PNPM, in Portuguese) as contributions to the development of the human rights of women in Brazil, especially the right to health. Methodology: theoretical and documentary research on the historical advancement of women's rights as dimensions of rights, in aspects related to the attention of the State in public health promotion policies. The documentary revision was adopted as a technical procedure of indirect observation through official documents, using as sources of secondary data the texts of the three versions of the National Plan of Policies for Women, available in official sites of the Brazilian government. Results: PNPM brings the narrative of the search for innovations and advances in women's rights, but the proposed actions focus more on traditional practices for reproductive health. Conclusions: Despite some limitations, the strategies and actions of the plans can contribute to develop aspects of citizenship and rights that aim to increase social experience and equity, reduce vulnerabilities and improve the quality of life. (AU).


Objetivo: analisar os resultados da auditoria em saúde na área de órteses, próteses e materiais especiais (OPM) e cirurgias múltiplas e sequenciais (CMS), realizada pela Secretaria Estadual de Saúde do Rio Grande do Sul (SES/RS). Metodologia: estudo quantitativo descritivo, baseado em dados secundários da SES/RS, na área de OPM e CMS, referente ao período da prática de auditoria de pós-pagamento, de março de 2013 a janeiro de 2017, utilizando a abordagem estudo de caso. Resultados: foram analisadas 1.004 observações concluídas para o período; o número de processos administrativos com solicitação de devolução de recursos financeiros não teve uma tendência na série histórica analisada, resultado influenciado pela presença de processos administrativos não conclusos, em especial a partir de 2014, relativos à execução da auditoria ou até mesmo a judicialização do assunto pelas instituições auditadas. Quanto ao valor financeiro solicitado para devolução dos processos analisados, foi maior em 2014, decrescendo em 2015 e diminuiu consideravelmente nos anos 2016 e 2017. Considerando as 30 regiões de saúde do estado do Rio Grande do Sul, três instituições hospitalares tiveram destaque, a primeira com 43 processos administrativos com solicitação de devolução de recursos financeiros; a segunda com 30; e a terceira com 28. Conclusão: as ações em saúde, nessa área, podem ser qualificadas por meio de atenção especial para as regiões de saúde e instituições hospitalares que mais reincidem e tem grandes volumes financeiros glosados. (AU).


Objetivo: analizar las propuestas de acciones de las tres versiones del Plan Nacional de Políticas para las Mujeres (PNPM) como contribuciones al desarrollo de los derechos humanos de las mujeres en Brasil, especialmente el derecho a la salud. Metodología: investigación teórica y documental sobre el avance histórico de los derechos de las mujeres como dimensiones de los derechos, en aspectos relacionados con la atención del Estado en las políticas de promoción de la salud pública. La revisión documental se adoptó como un procedimiento técnico de observación indirecta a través de documentos oficiales, utilizando como fuentes de datos secundarios los textos de las tres versiones del Plan Nacional de Políticas para la Mujer, disponibles en los sitios oficiales del gobierno brasileño. Resultados: PNPM trae la descripción de la búsqueda de innovaciones y avances en los derechos de las mujeres, pero las acciones propuestas se centran más en las prácticas tradicionales de salud reproductiva. Conclusiones: A pesar de algunas limitaciones, las estrategias y acciones de los planes pueden contribuir a desarrollar aspectos de ciudadanía y derechos que tienen como objetivo aumentar la experiencia social y la equidad, reducir las vulnerabilidades y mejorar la calidad de vida. (AU).


Assuntos
Feminino , Política Pública , Direitos da Mulher , Direito à Saúde
17.
Cad. Ibero Am. Direito Sanit. (Impr.) ; 8(2): 100-115, abr.-jun.2019. ilus
Artigo em Português | LILACS | ID: biblio-1016301

RESUMO

Objective: to present a panorama of the requests for judicial proceedings concerning medicines from the observations in the municipalities of the metropolitan region of Belém-PA; verify the arguments used by the plaintiffs, judges and defendants in observance of the compatibility of court proceedings with public drug policy; and classify the medications requested in these actions. Methodology: research conducted from the project The judicialization of public health policy in Brazilian municipalities, conducted in the second half of 2017, in the municipalities of Belém, Marituba and Benevides. Descriptive study of quantitative approach with health-related demands, through the analysis of 264 lawsuits, in which the data found were organized in a spreadsheet made in Excel 2010 software. Results: 40 out of the total number of cases analyzed refer to totaling 72 different drugs, these were divided into those present in the Essential Drug Relationships (46), absent from the SUS lists (25) and those not registered for use (1). The Public Prosecution Service and the Public Defender's Office are the most sought after actors in conflict mediation and their resolutions. The plaintiffs use the health-related legal framework to justify their arguments. Conclusion: the request for drugs not on the SUS lists shows the lack of knowledge of prescribing professionals, since among the prescribed drugs, there is an equal choice in the relationships of essential drugs and that will not cause risk to the patient. (AU).


Objetivo: presentar el panorama municipal de las solicitudes de procedimientos judiciales sobre medicamentos a partir de las observaciones en los municipios de la región metropolitana de Belém-PA; verificar los argumentos utilizados por los demandantes, los jueces y los acusados en cumplimiento de la compatibilidad de los procedimientos judiciales con la política pública de drogas; y clasificar los medicamentos solicitados en estas acciones. Metodología: investigación realizada desde el proyecto La judicialización de la política de salud pública en los municipios brasileños, realizada en el segundo semestre de 2017, en los municipios de Belém, Marituba y Benevides. Estudio descriptivo de un enfoque cuantitativo con demandas relacionadas con la salud, a través del análisis de 264 juicios, en el que los datos encontrados se organizaron en una hoja de cálculo realizada en el software Excel 2010. Resultados: 40 del total de casos analizados se refieren a totalizando 72 medicamentos diferentes, estos se dividieron en aquellos presentes en las Relaciones de medicamentos esenciales (46), ausentes de las listas de SUS (25) y aquellos que no están registrados para su uso (1). El Servicio de la Fiscalía y la Oficina del Defensor Público son los actores más buscados en la mediación de conflictos y sus resoluciones. Los demandantes utilizan el marco legal relacionado con la salud para justificar sus argumentos. Conclusión: la solicitud de medicamentos que no están en las listas del SUS muestra la falta de conocimiento de los profesionales que los recetan, ya que entre los medicamentos prescritos hay una opción equitativa en las relaciones de los medicamentos esenciales y eso no causará riesgo para el paciente. (AU).


Objetivo: apresentar o panorama municipal das solicitações dos processos judiciais referentes a medicamentos a partir das observações nos municípios da região metropolitana de Belém-PA; verificar quais os argumentos utilizados pelos autores, juízes e réus em observância da compatibilidade dos processos judiciais com a política pública de medicamentos; e classificar os medicamentos solicitados nessas ações. Metodologia: pesquisa realizada a partir do projeto A judicialização da política pública de saúde nos municípios brasileiros, realizada no segundo semestre de 2017, nos municípios de Belém, Marituba e Benevides. Estudo descritivo de abordagem quantitativa com demandas relacionadas à saúde, por meio da análise de 264 processos de ações judiciais, em que os dados encontrados foram organizados em uma planilha feita no software Excel 2010. Resultados: do total de processos analisados, 40 são referentes a medicamentos, totalizando 72 fármacos diferentes, estes foram divididos em presentes nas Relações de medicamentos essenciais (46), ausentes nas listas do SUS (25) e os que não possuem registro para uso (1). O Ministério Público e Defensoria Pública são os atores mais procurados pela sociedade na mediação de conflitos e suas resoluções. Os autores das ações, fazem uso do arcabouço legal relacionado a saúde para justificar seus argumentos. Conclusão: a solicitação de medicamentos não presentes nas listas dos SUS mostra a falta de conhecimento dos profissionais prescritores, visto que, entre os medicamentos prescritos, existe uma opção igual nas relações de medicamentos essenciais e que não causará risco ao paciente. (AU).


Assuntos
Equidade no Acesso aos Serviços de Saúde , Direitos do Paciente , Decisões Judiciais , Judicialização da Saúde
18.
J Glob Health ; 9(1): 010415, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31217959

RESUMO

Background: The global development community has increasingly come to frame preventable maternal mortality and morbidity principally as a violation of women's basic human rights, necessitating a human rights-based approach to be appropriately addressed. In this article, we explore how human rights are understood and perceived in relation to maternal health at the local level in rural Bangladesh. This is essential given the momentum at the global level to promote rights and apply rights-based approaches to maternal health. Methods: A community-based, cross-sectional household survey was conducted in three upazilas (sub-districts) of Brahmanbaria district, Bangladesh in 2018. A total of 1367 women with a birth outcome in the past 12 months were interviewed. Descriptive statistics were used to report the awareness and perceptions of human rights related to maternal health. Multiple logistic regression was used to identify the associations between awareness and perceptions of human rights and background characteristics and, finally, with the use of skilled maternal health services. Results: Over two-thirds of women reported that they were aware that women have human rights related to maternal health. However, less than 10% were able to mention at least three specific human rights related to maternal health. Half of the women mentioned husbands as duty-bearers, while only 20% mentioned the government as a duty-bearer. One-third of women reported that they are able to realize their rights related to maternal health satisfactorily. Awareness and perceptions of human rights related to maternal health were significantly associated with higher educational attainment and wealth status. They were also associated with increased use of antenatal care. Conclusions: These findings suggest that interventions promoting the awareness of human rights related to maternal health would be appropriate within the communities of rural Bangladesh as part of a broader human rights-based approach to improving maternal health.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Direitos Humanos , Saúde Materna , População Rural , Mulheres/psicologia , Adolescente , Adulto , Bangladesh , Estudos Transversais , Feminino , Humanos , Gravidez , Cuidado Pré-Natal/estatística & dados numéricos , População Rural/estatística & dados numéricos , Fatores Socioeconômicos , Adulto Jovem
19.
Int J Equity Health ; 18(1): 95, 2019 06 20.
Artigo em Inglês | MEDLINE | ID: mdl-31221156

RESUMO

BACKGROUND: Health social enterprises in Africa working with community health workers (CHWs) are growing rapidly but understudied. In particular, gender equality issues related to their work has important public health and equity implications. METHODS: Particularly suited for generating timely findings from reviews at the intersection of overlapping disciplines, we utilized the rapid evidence assessment (REA) methodology to identify key unanswered research questions at the intersection of the fields of gender equality, social enterprises and community health workers. The REA used a series of structured Google Scholar searches, expert interviews and bibliography reviews to identify 57 articles in the academic and grey literatures that met the study inclusion criteria. Articles were thematically coded to identify answers to "What are the most important research questions about the influence of gender on CHWs working with health social enterprises in Africa?" RESULTS: The analysis identified six key unanswered research questions relating to 1) equitable systems and structures; 2) training; 3) leadership development and career enhancement; 4) payment and incentives; 5) partner, household and community support; and 6) performance. CONCLUSION: This is the first study of its kind to identify the key unanswered research questions relevant to gender equality in health social enterprises in Africa using community health workers. As such, it sets out a research agenda for this newly emerging but rapidly developing area of research and practice with important public health implications.


Assuntos
Serviços de Saúde Comunitária/organização & administração , Serviços de Saúde Comunitária/estatística & dados numéricos , Agentes Comunitários de Saúde/organização & administração , Agentes Comunitários de Saúde/estatística & dados numéricos , Direitos Humanos/estatística & dados numéricos , Admissão e Escalonamento de Pessoal/estatística & dados numéricos , Adulto , África , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais
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