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Type: Artigo de periódico
Title: [lay Agency And Healthcare: Producing Healthcare Maps].
Author: Cecilio, Luiz Carlos de Oliveira
Carapinheiro, Graça
Andreazza, Rosemarie
Souza, Ana Lúcia Medeiros de
Andrade, Maria da Graça Garcia
Santiago, Silvia Maria
Meneses, Consuelo Sampaio
Reis, Denizi Oliveira
Araújo, Eliane Cardoso
Pinto, Nicanor Rodrigues da Silva
Spedo, Sandra Maria
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.
Rights: aberto
Identifier DOI: 
Date Issue: 2014
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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