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
4 resultados
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- 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.
- An evidence-based primary health care intervention to address domestic violence against women in Brazil: a mixed method evaluation(2023) BACCHUS, Loraine J.; D'OLIVEIRA, Ana Flavia Pires Lucas; PEREIRA, Stephanie; SCHRAIBER, Lilia Blima; AGUIAR, Janaina Marques de; GRAGLIA, Cecilia Guida Vieira; BONIN, Renata Granusso; FEDER, Gene; COLOMBINI, ManuelaBackgroundHealth systems have a critical role in a multi-sectoral response to domestic violence against women (DVAW). However, the evidence on interventions is skewed towards high income countries, and evidence based interventions are not easily transferred to low-and middle-income countries (LMIC) where significant social, cultural and economic differences exist. We evaluated feasibility and acceptability of implementation of an intervention (HERA-Healthcare Responding to Violence and Abuse) to improve the response to DVAW in two primary health care clinics (PHC) in Brazil.MethodsThe study design is a mixed method process and outcome evaluation, based on training attendance records, semi-structured interviews (with 13 Primary Health Care (PHC) providers, two clinic directors and two women who disclosed domestic violence), and identification and referral data from the Brazilian Epidemiological Surveillance System (SINAN).ResultsHERA was feasible and acceptable to women and PHC providers, increased providers' readiness to identify DVAW and diversified referrals outside the health system. The training enhanced the confidence and skills of PHC providers to ask directly about violence and respond to women's disclosures using a women centred, gender and human rights perspective. PHC providers felt safe and supported when dealing with DVAW because HERA emphasised clear roles and collective action within the clinical team. A number of challenges affected implementation including: differential managerial support for the Nucleo de Prevencao da Violencia (Violence Prevention Nucleus-NPV) relating to the allocation of resources, monitoring progress and giving feedback; a lack of higher level institutional endorsement prioritising DVAW work; staff turnover; a lack of feedback from external support services to PHC clinics regarding DVAW cases; and inconsistent practices regarding documentation of DVAW.ConclusionTraining should be accompanied by system-wide institutional change including active (as opposed to passive) management support, allocation of resources to support roles within the NPV, locally adapted protocols and guidelines, monitoring progress and feedback. Communication and coordination with external support services and documentation systems are crucial and need improvement. DVAW should be prioritised within leadership and governance structures, for example, by including DVAW work as a specific commissioning goal.
- A relação professor-aluno em medicina - um estudo sobre o encontro pedagógico(2012) RIOS, Izabel Cristina; SCHRAIBER, Lilia BlimaThe humanistic training of medical students is currently an important educational objective in medical schools. Part of this training is provided through disciplines within the humanities, but a large proportion comes through learning achieved within the cultural environment and interpersonal relationships of the medical school, especially from the teacher-student relationship. With the aim of studying the teacher-student relationship at a typical medical school in the state of São Paulo, Brazil, this case study was designed. Through ethnographic observations and in-depth interviews, in contrast with official teaching documents, we obtained data that were analyzed using a hermeneutic method, within analytical categories that were constructed from the theoretical reference framework for research and the empirical findings relating to the types of pedagogical relationships observed in this school. We constructed three types of relationship of this nature, based on: omnipotence of the teacher, construction of a link and disqualification of the student. In each of these, one predominant mode of behavior was being taught informally, thereby coming closer towards or moving away from the teaching of ethics and relational competence. Teacher-student relationships within medical schools need to be studied further, with clear definition of an institutional ethical standard for everyone, so that the objective of humanistic training within medicine can be achieved.
- Humanidades como disciplina da graduação em Medicina(2013) AYRES, José Ricardo de Carvalho Mesquita; RIOS, Izabel Cristina; SCHRAIBER, Lilia Blima; FALCÃO, Marcia Thereza Couto; MOTA, AndréThis paper presents the development of an academic discipline in Medical Humanities. The goal was to analyse both practical and conceptual contributions from humanistic knowledge toward health care. The discipline was organised in four inter-related modules corresponding to particular areas of humanistic knowledge: philosophy, history, socio-anthropology and the psychodynamics of a medical consultation. The text points out the different pedagogic and didactic strategies used, the programmatic content of each module and their bridge-overs, and the impacts on students, lecturers and the actual design of the discipline. The discipline, according to the opinion of lecturers and students, was found to be capable of developing not only specific content but also interrelated content between modules. After the first class had completed the course, some themes and methods were reformulated, but the After the first time, some reorientation of themes and methods were done, but the modular strategy and the choice of specialized researchers as the teacher team were reaffirmed, leading to improvements on knowledge about the concept of health care since a comprehensive perspective in health. The conclusion is that the discipline's design suited the proposed educational goals and reinforces the relevance of humanities to the medical school curricula.