Suchergebnisse

<p>Este artigo tem como objetivo compreender a expansão dos segmentos públicos e privados de saúde no atendimento da população de um território periférico da Zona Sul da cidade de São Paulo. Esta gestão é baseada nas mediações entre o Estado e os usuários dos Serviços Públicos de Saúde. Além dos usuários entrevistados, participaram da pesquisa, dirigentes sociais e agentes do programa de Atenção Primária de Saúde, a Estratégia Saúde da Família (ESF). As questões propostas podem contribuir para identificar e repensar a produção da demanda nas redes sociais dos usuários com acesso aos serviços de saúde públicos e privados na região, e na ampliação da interface da gestão social do programa de saúde com as clínicas médicas populares na periferia de São Paulo. Os relatos mostram a relação dinâmica que existe entre as práticas, ações e a emergência do processo de individualização das políticas de saúde brasileiras.</p><p> </p><p>NEOLIBERALISM AND INDIVIDUALIZATION IN HEALTH POLICIES IN THE SOUTHERN PERIPHERY OF SÃO PAULO</p><p>This article aims to understand the expansion of the public and private health segment for the management of a peripheral territory of the South Zone of the city of São Paulo. This management is based on mediations between the State and users of public health services. In addition to the users interviewed, they participated in the research, social leaders and community social agents of the primary health care program, Family Health Strategy (ESF - Estratégia Saúde da Família). The proposed questions can contribute to identifying and rethinking demand production in social networks of users with access to public and private health services in the region and in the expansion of the social management interface of the health program with private health care in the outskirts of Sao Paulo. The reports show the dynamic relationship between practices, actions and the emergence of the individualization process of the Brazilian social policies.</p><p>Keywords: Individualization. Healthcare services. Periphery. Neoliberalism. Public-health.</p><p> </p><p>NÉOLIBÉRALISME ET INDIVIDUALISATION DANS LES POLITIQUES DE SANTÉ DANS LA PÉRIPHÉRIE SUD DE SÃO PAULO</p><p>Cet article vise à comprendre l'expansion du segment de la santé publique et privée dans le cadre de la gestion de la population d'un territoire périphérique de la zone sud de la ville de Sao Paulo. Cette gestion est basée sur des médiations entre l'État et les utilisateurs des services de santé publique. Ces derniers ont été interrogés ainsi que des leaders sociaux et des agents du programme de soins de santé primaires dénommé Stratégie de Santé de la Famille (ESF - Estratégia Saúde da Família). Les questions posées peuvent contribuer à identifier et à repenser la production de la demande dans les réseaux sociaux d'utilisateurs ayant accès aux services de santé publics et privés de la région, ainsi qu'à l'extension de l'interface de gestion sociale du programme de santé avec les soins de santé privés en périphérie de Sao Paulo. Les rapports montrent la relation dynamique entre les pratiques, les actions et l'émergence du processus d'individualisation des politiques sociales brésiliennes.</p><p>Mots-clés: Individualisation. Services de santé. Périphérie. Néolibéralisme. Santé publique.</p>

The present article explores the expansion of the public and private health segment in response to the needs of the population of a peripheral sector of the South Zone of São Paulo, Brazil. Management of the sector is led from the margins of the capitalist peripheral State in the context of the current crisis of democracy which is driving a gradual individualization of social policies. As such, this management is both social and structural in nature. In addition to those users of the system who were interviewed, participants in the research included social leaders, Basic Health Unit (UBS) professionals, and agents of the Family Health Strategy (ESF) primary healthcare program. We focus on the continuities and discontinuities of public policies and highlight the important role that strategies of containment and reproduction of poverty have played in the process of legitimizing the democratic regime in Brazil.

The present article explores the expansion of the public and private health segment in response to the needs of the population of a peripheral sector of the South Zone of São Paulo, Brazil. Management of the sector is led from the margins of the capitalist peripheral State in the context of the current crisis of democracy which is driving a gradual individualization of social policies. As such, this management is both social and structural in nature. In addition to those users of the system who were interviewed, participants in the research included social leaders, Basic Health Unit (UBS) professionals, and agents of the Family Health Strategy (ESF) primary healthcare program. We focus on the continuities and discontinuities of public policies and highlight the important role that strategies of containment and reproduction of poverty have played in the process of legitimizing the democratic regime in Brazil. ; Este artículo pretende comprender la expansión del segmento de salud pública y privada como respuesta a las necesidades de la población de un territorio periférico de la zona sur de la ciudad de São Paulo. Esta gestión se basa en los márgenes del estado periférico capitalista, ya que considera que la crisis de la democracia es una acentuación de los elementos genéricos que operan actualmente en un contexto de individualización de las políticas sociales y, por lo tanto, tiene un carácter social y estructural. Además de los usuarios entrevistados, participaron en la investigación, líderes sociales, profesionales de la Unidad Básica de Salud (UBS) y agentes del programa de atención primaria de salud, Estrategia de Salud Familiar (ESF). Buscamos privilegiar las continuidades/discontinuidades de las políticas públicas y resaltar la importancia que han jugado las estrategias de contención/reproducción de la pobreza en el proceso de legitimación del régimen democrático en el país.