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dc.contributor.CRUESPUniversidade Estadual de Campinaspt_BR
dc.typeArtigo de periódicopt_BR
dc.titleDecentralization of workers' health surveillance in the city of Campinas, Sao Paulo State, Brazil: a process evaluationpt_BR
dc.contributor.authorBalista, SRRpt_BR
dc.contributor.authorSantiago, SMpt_BR
dc.contributor.authorCorrea, HRpt_BR
unicamp.author.emailsalmarrb@fcm.unicamp.brpt_BR
unicamp.authorRodrigues Balista, Salma Regina Univ Estadual Campinas, Fac Ciencias Med, Dept Med Prevent & Social, BR-13083970 Campinas, SP, Brazilpt_BR
dc.subjectSurveillance of the Workers Healthpt_BR
dc.subjectHealth Evaluationpt_BR
dc.subjectDecentralizationpt_BR
dc.description.abstractThis study evaluates the decentralization of workers' health surveillance to district teams in Campinas, Sao Paulo State, Brazil, from 1990 to 2006. The history and context of this process were retrieved from documents at the Municipal Health Department in order to establish evaluation criteria and define facilitating factors and obstacles in guideline implementation, as well as to measure the gap between guidelines and reality. The evaluation used qualitative techniques with stakeholders' focus groups. The results showed that decentralization was defined according to the prevailing political options and according to the principles of the Unified National Health System ( SUS). Facilitating factors included the increase in technical capability and integration among the teams, and obstacles included excessively centralized planning with limited participation, insufficient resources, and lack of clarity between the services concerning roles and responsibilities. The discussion of these results with health system administrators, social actors, and participating health professionals has contributed to the analysis and organization of transformative measures in regional public practices in workers' health surveillance.pt
dc.relation.ispartofCadernos De Saude Publicapt_BR
dc.relation.ispartofabbreviationCad. Saude Publicapt_BR
dc.publisher.cityRio De Janieropt_BR
dc.publisher.countryBrasilpt_BR
dc.publisherCadernos Saude Publicapt_BR
dc.date.issued2011pt_BR
dc.date.monthofcirculationAPRpt_BR
dc.identifier.citationCadernos De Saude Publica. Cadernos Saude Publica, v. 27, n. 4, n. 759, n. 768, 2011.pt_BR
dc.language.isoptpt_BR
dc.description.volume27pt_BR
dc.description.issuenumber4pt_BR
dc.description.firstpage759pt_BR
dc.description.lastpage768pt_BR
dc.rightsabertopt_BR
dc.sourceWeb of Sciencept_BR
dc.identifier.issn0102-311Xpt_BR
dc.identifier.wosidWOS:000290867000015pt_BR
dc.date.available2014-08-01T18:27:56Z
dc.date.available2015-11-26T17:00:19Z-
dc.date.accessioned2014-08-01T18:27:56Z
dc.date.accessioned2015-11-26T17:00:19Z-
dc.description.provenanceMade available in DSpace on 2014-08-01T18:27:56Z (GMT). No. of bitstreams: 0 Previous issue date: 2011en
dc.description.provenanceMade available in DSpace on 2015-11-26T17:00:19Z (GMT). No. of bitstreams: 2 WOS000290867000015.pdf: 93333 bytes, checksum: af89a7647706377cd2d3e1210b11640f (MD5) WOS000290867000015.pdf.txt: 48186 bytes, checksum: 5b2f2f9c4cb7d1939c43d41b9a304167 (MD5) Previous issue date: 2011en
dc.identifier.urihttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/79315
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/79315-
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