Lay agency and healthcare: producing healthcare maps

Lay agency and healthcare: producing healthcare maps

Title: Lay agency and healthcare: producing healthcare maps;
O agir leigo e o cuidado em saúde: a produção de mapas de cuidado
Author Cecilio, Luiz Carlos de Oliveira Autor UNIFESP Google Scholar
Carapinheiro, Graca Google Scholar
Andreazza, Rosemarie Autor UNIFESP Google Scholar
Medeiros de Souza, Ana Lucia Autor UNIFESP Google Scholar
Garcia Andrade, Maria da Graca Google Scholar
Santiago, Silvia Maria Google Scholar
Meneses, Consuelo Sampaio Autor UNIFESP Google Scholar
Reis, Denizi Oliveira Autor UNIFESP Google Scholar
Araujo, Eliane Cardoso Autor UNIFESP Google Scholar
Pinto, Nicanor Rodrigues da Silva Autor UNIFESP Google Scholar
Spedo, Sandra Maria Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Inst Univ Lisboa
Universidade Estadual de Campinas (UNICAMP)
Abstract This study aimed to characterize which regulatory logics (other than government regulation) result in healthcare output, using a two-stage qualitative study in two municipalities in the ABCD Paulista region in São Paulo State, Brazil. the first stage included interviews with strategic actors (managers and policymakers) and key health professionals. the second phase collected life histories from 18 individuals with high health-services utilization rates. An analysis of the researchers' involvement in the field allowed a better understanding of the narratives. Four regulatory systems were characterized (governmental, professional, clientelistic, and lay), indicating that regulation is a field in constant dispute, a social production. Users' action produces healthcare maps that reveal the existence of other possible health system arrangements, calling on us to test shared management of healthcare between health teams and users as a promising path to the urgent need to reinvent health.
Keywords Health Care Coordination and Monitoring
Delivery of Health Care
Qualitative Research
Language Portuguese
Date 2014-07-01
Published in Cadernos de Saude Publica. Rio de Janiero: Cadernos Saude Publica, v. 30, n. 7, p. 1502-1514, 2014.
ISSN 0102-311X (Sherpa/Romeo, impact factor)
Publisher Cadernos Saude Publica
Extent 1502-1514
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000341565100016
SciELO ID S0102-311X2014000701502 (statistics in SciELO)

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