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
6 resultados
Resultados de Busca
Agora exibindo 1 - 6 de 6
- Luiz Carlos Bresser-Pereira: o Sistema Único de Saúde (SUS) e a Reforma Gerencial do Estado dos anos de 1990(2019) NEMI, Ana; SCHRAIBER, Lilia Blima
- Neonatal deaths in a highly vulnerable area in Santos, Sao Paulo State, Brazil: examining healthcare issues from women's perspective(2019) DEVINCENZI, Macarena Urrestarazu; SCHRAIBER, Lilia BlimaThe study analyzed the life and healthcare stories of women living in the Northwest Zone of the city of Santos, Sao Paulo State, Brazil, who had experienced neonatal deaths between January 2015 and July 2016. The study used triangulation of data from documents from the surveillance division, field diaries from visits to services, and interviews with the women. The interviews provided the main body of empirical data, based on narratives of the women's sexual and reproductive history, prenatal care, childbirth, and the experience of neonatal death. Of the 15 eligible cases, 8 women were interviewed, 6 of whom over 30 years of age and 2 under 30 years, all African-Brazilians, natives of Santos, and working in unskilled occupations. The data yielded the following results: (1) histories of unplanned pregnancies with various gestational risk factors; (2) the women's acknowledgment that they had experienced good access to health services; (3) questions concerning the need for tests and test results, understanding of complications, explanation of treatment approaches, and referrals; (4) prematurity, present in all the cases; (5) pain during labor, abandonment, and transfer to other services due to lack of beds in the neonatal ICU; (6) lack of integration between levels of care; and (7) after the infant's death, limited approaches and little orientation on comprehensive care related to the neonatal death. In conclusion, although the prenatal care was positively rated by the women, there was no comprehensive care for them in relation to the experience of neonatal death, with dialogue and an offer of more adequate contraceptive methods given their health history, as well as counseling on the emotional distress resulting from these experiences.
- The concept of health in Collective Health: contributions from social and historical critique of scientific production(2019) SILVA, Marcelo José de Souza e; SCHRAIBER, Lilia Blima; MOTA, AndréAbstract This study aimed to understand the concept of health within Collective Health. Our analysis starts from Marxism as a theoretical reference, both to define what is a “concept” and to understand the critical thinking of Collective Health. As empirical research the bibliographic production of the main journals that bring together Collective Health publications as a knowledge area was used, which resulted in 34 papers that somehow treated the concept of health, even if it was not the main object of the study. From this analysis we identified at least three different modalities of definitions, which varied both in the referential basis used to apprehend and analyze empirical realities concerning health, and in the conceptualization of social that could be in this analysis. We have also identified that the papers ranged between a production that was strictly descriptive of these empirical realities and strictly theoretical essays, rather than to produce a concrete (empirical) thought based on the elected definition of social. It was concluded that within Health Collective the concept of health has been taken, in general, either as a notion (a partial approximation of the object) or as a motto, from an ethical-political engagement that ends up relegating the theoretical-conceptual contribution to the background.
book El médico y la medicina: Autonomía y vínculos de confianza en la práctica profesional del siglo XX(2019) SCHRAIBER, Lilia Blima- The Leser Reform: the architecture of a Sao Paulo (Brazil) public health project, 1967-1979(2019) MOTA, Andre; SCHRAIBER, Lilia Blima; AYRES, Jose Ricardo de Carvalho MesquitaAs part of a study on the history of public health in Sao Paulo, aiming at identifying and debating regional peculiarities on the creation and consolidation of public health, this article intends to present a historical dimension analysis on some of the actions carried out by the sanitary physician Walter Leser, in charge of the Secretary of Health in the state of Sao Paulo between 1967 and 1970, in the first period, and between 1975 and 1979, in the second period. It was, in fact, in this last period that actions were undertaken to implement the Leser Sanitary Reform, as was named, at the end, this Sao Paulo initiative. This article recovers the relevance of these actions, both in the sense of reorganization of the government's public health machinery and for the contextual opening to the public health movement of Sao Paulo, which was organized, above all, within the state government's machinery of the period. It is considered that the Leser Reform has had a relevant impact especially in the constitution of Primary Health Care (PHC) and in its consolidation as an important level for the health system, as it would be considered in the proposal and implementation of the Brazilian National Health System (SUS) after 1988. However, the public policy that defined the PHC under the Leser Reform as a certain care model, the Programacao em Saude, had a very short historical existence.
- DAS POSSIBILIDADES DE UM CONCEITO DE SAÚDE(2019) SILVA, Marcelo José de Souza e; SCHRAIBER, Lilia Blima; MOTA, AndréAbstract The study has the goal of discussing what is a concept based on the adoption of the Marxist theoretical framework to define it, with the intent of answering whether the existence of a concept of health is possible or not. We read Marxist authors who deal with the relationship between thought and objective reality, trying to rely on many different authors within this framework, in order to enrichen the current debate in Collective Health. As a result, we understand that that the concept is the way in which thought apprehends the objects that are present in objective reality and that, precisely because it does not contain the concrete-factual features that are present in each particular case, it enables us to understand them based on their abstract-universal objects. Therefore, we conclude that, even though health is an extremely complex object, the existence of its concept is possible, and, according to our frameworks, this concept must refer to the socio-historic whole and to the politicization of the technical dimension that is historically implicated with this social.