LILIA BLIMA SCHRAIBER
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Medicina Preventiva, Faculdade de Medicina - Docente
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina - Líder
11 resultados
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Agora exibindo 1 - 10 de 11
- Medicine under the lens of history: theoretical and methodological reflections(2014) MOTA, Andre; SCHRAIBER, Lilia BlimaThe need for studies in the field of health to be based on a historical perspective has opened up new horizons for the analysis of the conditions for the creation of a body of knowledge aimed at explaining the role of social elements in determining pathological processes and health practices. The purpose of this paper is to examine how historical science, with its methodological aspects of analysis, has contributed to the physician's practice, especially raising broader critical aspects of the issues related to the field of health care. It is based on dialogues between culture and society molded around a discursive order to act not just as a language, but in its effective implementation within a medical rationale, with attention to the ruptures and continuities of a scientific discourse.
article 48 Citação(ões) na Scopus Concepções de gênero, masculinidade e cuidados em saúde: estudo com profissionais de saúde da atenção primária(2011) MACHIN, Rosana; COUTO, Marcia Thereza; SILVA, Georgia Sibele Nogueira da; SCHRAIBER, Lilia Blima; GOMES, Romeu; FIGUEIREDO, Wagner dos Santos; VALENCA, Otavio Augusto; PINHEIRO, Thiago FelixThis paper analyzes concepts of gender and masculinity among Primary Healthcare professionals in four Brazilian States (Pernambuco, Rio de Janeiro, Rio Grande do Norte, Sao Paulo). It is based on two perspectives: the meanings associated with being a man and the relations between masculinity and healthcare. This qualitative study is part of a multicentric investigation, which used triangulation methods as a benchmark. Sixty-nine in-depth interviews carried out among health professionals with higher education were analyzed. The discourses (re) produce the notion that health facilities are ""feminized spaces"". Within the daily routine, this notion is translated as reinforcing the idea that the male body is not a locus of this care, as opposed to the female body which is considered a locus of care. The presence of a hegemonic pattern of masculinity is prominent among professionals' representations of men and seems to influence the latter, in their lack of commitment with healthcare. The existence of a stereotyped gender model (re) produces disparities between men and women in healthcare and compromises the visibility of other meanings and expressions of gender identities.- Men don't come! Absence and/or invisibility in primary healthcare services(2011) GOMES, Romeu; MOREIRA, Martha Cristina Nunes; NASCIMENTO, Elaine Ferreira do; REBELLO, Lucia Emilia Figueiredo de Sousa; COUTO, Marcia Thereza; SCHRAIBER, Lilia BlimaThis article deals with the masculine absence and/or invisibility in primary health-care services and the consequent exclusion of men of the preventive care. The analytical frame is based on the literature that discusses care related to health and masculinity. Methodologically the study uses qualitative analysis of the empirical data (reports) gathered by semi-structured individual interviews of 20 professionals and by two focus groups with 12 workers of the nursing assistants staff of two primary healthcare services of the city of Rio de Janeiro (RJ). Results point out two significant dimensions: the structural and the symbolic one. The structural dimension reveals low investment in the services' organization related to gender perspective approach, reinforcing the common sense that men are not primary healthcare users. The symbolic dimension shows the non consideration of the masculine universe themes as the difficulty men have in revealing themselves to the professional, demanding a special privacy for attendance. Dealing with these questions enhance the possibility of changing practices that are making men invisible to the primary healthcare programs and taking them apart of the self care condition as well as the condition of carriers of others.
- A ciência ou as ciências? Encruzilhada para diálogos interdisciplinares(2017) SCHRAIBER, Lilia Blima
- Mulheres com deficiência e sua dupla vulnerabilidade: contribuições para a construção da integralidade em saúde(2013) NICOLAU, Stella Maris; SCHRAIBER, Lilia Blima; AYRES, Jose Ricardo de Carvalho MesquitaWomen with disabilities have few measures geared to their needs in the primary health care services. Despite the attention given to the female population in these facilities, they still fail to address specificities of women with disabilities, such as issues related to their sexual and reproductive rights and their double vulnerability, both as women and as disabled individuals. This research is part of a qualitative study to identify the individual, social and programmed double vulnerability of fifteen women with different types and degrees of disabilities, who are frequenters of three primary health care facilities in Sao Paulo city. The women's narratives highlighted experiences of rejection or overprotection in their family relationships, difficulties in obtaining equipment for their autonomy, poor education and lack of professional qualification, lower social participation, obstacles in their sex lives and motherhood. They face physical and communication barriers and poor care from primary health care services. All of the dimensions of vulnerability are present and addressing them makes it possible to build comprehensive health care practices that ensure the human rights of groups that historically experience violations, namely women and disabled persons.
- The social in health: trajectory and contributions of Maria Cecilia Ferro Donnangelo(2015) SCHRAIBER, Lilia Blima; MOTA, AndreThis text covers the professional and scientific career of Maria Cecilia Ferro Donnangelo, professor, researcher and influential intellectual in the area of Collective Health. Born in 1940, and killed in a car accident in 1983, she actively participated in the emergence of Collective Health in Brazil and greatly influenced the creation of the sub-areas of Social Science and the Humanities in the health field. Her brief biography, contextualized professional choices and scientific production is hereby presented. Graduated in pedagogy at the time of national developmentalism with a post graduation in Sociology, Donnangelo fell into the triangulated area of Education, Sociology and Health, focusing medicine as a social practice and as a profession in society. Always with an eye to human rights and an ongoing dialogue with the modern Brazilian state and public policy, she examined questions of the social aspects in health and education, as well as questions of health education as a social tool. An educator of great prestige, her published work was limited. However, due to her foundational presence, her writings are classic references with assured presence and contributions for today and also vital to the future development of the Brazilian Collective Health.
- An interdisciplinary space of scientific communication in Collective (Public) Health: the journal Interface - Communication, Health, Education(2015) CYRINO, Antonio Pithon; LIMA, Elizabeth Araujo; GARCIA, Vera Lucia; TEIXEIRA, Ricardo Rodrigues; FORESTI, Miriam Celi Pimentel Porto; SCHRAIBER, Lilia BlimaThis is a reflection upon 17 years of experience in the production of an interdisciplinary scientific journal, the publication ""Interface: Communication, Health, Education"", whose scope is in the fields of Collective (Public) Health, Education and Communication. It also examines retrospectively the themes published by the journal, seeking to identify them in different sections of this publication. Finally, the evolution of the journal is analyzed.
- Necessidades de saúde, políticas públicas e gênero: a perspectiva das práticas profissionais(2012) SCHRAIBER, Lilia BlimaThis paper examines the relationship between public policies and professional practices with respect to healthcare needs. Taking a theoretical-conceptual approach, practices are defined as acts that are permeated by technical-scientific and socio-historical determinants for the social production of work, and the possibilities for cultural, ethical and political changes were analyzed in order to take critical action regarding gender inequalities. With comprehensive healthcare for men as the reference point, the relevance of a distinction between male and female needs, as partial and not necessarily convergent realities in (re) producing these inequalities, is examined. Likewise, professional practices are examined as partial and distinct realities of policies that establish non-immediate relationships. It is considered that the following are symbolic and practical obstacles to change: the reduction of needs through biomedical normalization; the culture of self-employment and approaches that individualize needs; the traditional gender-based culture that conserves unequal practices for men and women; and the lack of registration of rights as part of professional action. This requires proposals specifically geared to healthcare practices and male needs, in order to achieve greater convergence with policy reforms.
article 41 Citação(ões) na Scopus Social medical themes and the health intervention: violence against women in the professional's discourse(2011) KISS, Ligia Bittencourt; SCHRAIBER, Lilia BlimaThis study deals with violence against women as a health care matter. It was part of a research in public services of Sao Paulo (Brazil), including the prevalence of violence among users from 15 to 49 years old; the study of their medical records; the description of the services; and interview with 50 professionals, focusing the routine and the ideals of health work, the perception on the existence of violence cases, the offer of assistance or its obstacles and the representations on violence. This article analyses the content of the professional narratives and uses the other data to characterise the assistance context. Confirming the literature, violence was almost always regarded as a relevant problem but outside the professional's intervention boundaries. Isolated actions and in a personal basis were reported. Fear and professional impotence were mentioned, but none positive aspect for potential interventions. The professionals showed lack of knowledge of specialized reference services. In conclusion, the difficulties in the acceptance of violence cases should be worked in three dimensions: the narrow definition of professionals' competence that excludes violence as an object; the absence of technological definitions for professional actions; and effective support in their services.article 23 Citação(ões) na Scopus Male users' and primary care services health professionals' conceptions of gender and possible impacts on men's health, Sao Paulo, Brazil(2011) FIGUEIREDO, Wagner dos Santos; SCHRAIBER, Lilia BlimaThis paper studied the relation between the exercise of masculinities and health care of men in primary health care services. It focuses on representations and meanings of primary health care service users and professional of what it is to be a man. Male service users and professionals were interviewed in two primary health care facilities. Diverse models of masculinity were found, defining various forms of reasoning upon men's health care. This study indicates that issues such as work, sexuality, body structure, relationship with women, and transformations in gender relations are important for men, and should be considered in health care services.