ANA LUIZA D AVILA VIANA
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
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina
5 resultados
Resultados de Busca
Agora exibindo 1 - 5 de 5
- Production of knowledge on policy, planning, and management in Journal Ciencia & Saude Coletiva(2020) MACHADO, Cristiani Vieira; LIMA, Luciana Dias de; BOUSQUAT, Aylene; PEREIRA-SILVA, Marcus Vinicius; FERNANDES, Daniela Rangel Affonso; ARTMANN, Elizabeth; VIANA, Ana Luiza D'Avila; LIMA, Sheyla Maria LemosThe area of Policy, Planning and Health Management (PPG) express the intersection between research, intervention and political action. The article analyzes the dynamics of knowledge production about PPG in the Journal Ciencia & Saude Coletiva (C&SC) from 1996 to 2019. The study articulates a bibliometric and qualitative approach to explore the profile of articles in three dimensions: thematic, methodological and authorship/institutional partnerships. 1680 PPG manuscripts were identified, corresponding to 28.3% of the total publications. Thematic analysis showed a strong influence of the context and the implementation of Unified Health System (SUS). Qualitative empirical studies predominated, followed by quantitative and quanti-qualitative studies. The combination of methodological procedures was frequent, with bibliographic review and interviews being the most cited. The average number of authors per article and national institutional partnerships increased. As most articles were published in Portuguese, the challenge of internationalization persists. The PPG area stands out in the Journal C&SC and in the production of scientific knowledge relevant to SUS.
- Regionalização e acesso à saúde nos estados brasileiros: condicionantes históricos e político-institucionais(2012) LIMA, Luciana Dias de; VIANA, Ana Luiza d'Avila; MACHADO, Cristiani Vieira; ALBUQUERQUE, Mariana Vercesi de; OLIVEIRA, Roberta Gondim de; IOZZI, Fabiola Lana; SCATENA, Joao Henrique Gurtler; MELLO, Guilherme Arantes; PEREIRA, Adelyne Maria Mendes; COELHO, Ana Paula SantanaThis article examines the healthcare regionalization process in the Brazilian states in the period from 2007 to 2010, seeking to identify the conditions that favor or impede this process. Referential analysis of public policies and especially of historical institutionalism was used. Three dimensions sum up the conditioning factors of regionalization: context (historical-structural, political-institutional and conjunctural), directionality (ideology, object, actors, strategies and instruments) and regionalization features (institutionality and governance). The empirical research relied mainly on the analysis of official documents and interviews with key actors in 24 states. Distinct patterns of influence in the states were observed, with regionalization being marked by important gains in institutionality and governance in the period. Nevertheless, inherent difficulties of the contexts prejudice greater advances. There is a pressing need to broaden the territorial focus in government planning and to integrate sectorial policies for medium and long-term regional development in order to empower regionalization and to overcome obstacles to the access to healthcare services in Brazil.
- Descentralização e regionalização: dinâmica e condicionantes da implantação do Pacto pela Saúde no Brasil(2012) LIMA, Luciana Dias de; QUEIROZ, Lucia F. N. de; MACHADO, Cristiani Vieira; VIANA, Ana Luiza d'AvilaDecentralization and regionalization represent constitutional guidelines for the organization of the Unified Health System, which in the last 20 years has required the adoption of mechanisms to coordinate and accommodate federative tensions in Brazil's healthcare sector. This paper analyzes the national implementation of the Health Pact between 2006 and 2010 involving a strategy that reconfigures intergovernmental relations in the sector. The study involved the analysis of documents, official data and interviews with federal, state and municipal managers in the Brazilian states. The content of the national proposal is initially discussed, including its implications for health policy. The different rhythms and degrees of implementation of the Health Pact are then reviewed, with respect to adherence by states and municipalities and the formation of Regional Management Boards. Lastly, the conditioning factors for the multiplicity of experiences observed in the country are identified and the challenges facing progress toward a decentralized and regionalized health system in Brazil are discussed.
- SUS management in interstate health regions: assessment of the government´s capacity(2022) ALELUIA, Italo Ricardo Santos; MEDINA, Maria Guadalupe; VILASBOAS, Ana Luiza Queiroz; VIANA, Ana Luiza DAvilaThis study displays an assessment of SUS management in a Brazilian interstate health region. An evaluative study was conducted with levels of regional analysis and data production, combining interviews with key informants and documentary analysis. Sources and data were compared and linked to analytical categories of the Government Triangle, showing a cutout of the outcomes and the government???s capacity as-sessment. There is a low capacity for government in interstate health regions when managers and co-management spaces are unable to influence regional political decisions, limiting themselves to normative and ratifying government strategies. Disparities in the management capacity among the border states prevent the sustainability of co-ordinating state decision-making goals, exposing that management strategies are not enough to in-stitutionalize interstate regionalization. There is a predominance of low SUS governance capacity in interstate health regions, and its political pat-tern becomes an unclear project restricted to the ideological level. The broad documentary appre-ciation with the use of powerful theoretical ref-erential are methodological contributions of this research for the political analysis of SUS manage-ment in spaces that were the least examined, such as interstate borders.
- Neoliberal meritocracy and financial capitalism: consequences for social protection and health(2018) VIANA, Ana Luiza d'Avila; SILVA, Hudson Pacifico daThere is inherent tension between the idea of health as a social right and of health as a private good. From the latter perspective, healthcare provision is brought closer to the logic of ownership, where access depends on ability to pay. The prioritization of markets (over governments), economic incentives (over social or cultural norms), and entrepreneurship (over collective or community action), one of the hallmarks of neoliberalism, constitutes a project to dismantle the welfare state, defined as a set of policy mechanisms designed to meet collective needs. This article examines the above process and its consequences for social protection and health by reflecting upon two phenomena that threaten the principle of health as a social right: neoliberal ideas and policies; and financial capitalism. We argue that the common good must be defended or insulated from the negative effects of financial capitalism and from the erosion and fragmentation of public institutions and social protection systems caused by neoliberalism.