Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

The technical cooperation among Latin American countries has been promoting great debates in the field of collective health and in the consolidation of labor management in the Brazilian Unified Health System (SUS, in the Portuguese acronym). The present paper had the goal of understanding the conceptions of Primary Health Care managers in a municipality located in a border region - which has been historically distant from the Brazilian sanitary reform movement - regarding the implementation of the “More Doctors” Program. The study is of a qualitative nature, and it was based on the hermeneutic-dialectic method, with an exploratory approach, and was conducted in the tri-border area of Brazil, Paraguay and Argentina. We performed open interviews that were recorded, transcribed and analyzed in an interpretive and dialectic manner in the empirical-conceptual context. In the understanding of the managers, the Program contributed to the continuance of the offer of services in the local Primary Health Care, and it is a way to ensure the provision of medical care in a municipality located in a border region. The Program also contributed to the co-responsibilization for the care. We observed a dialectic movement in the longitudinality attribute as well as in the difficulties to operationalize the binomial management-planning, demonstrating a contradiction in the operational praxis of the services. We concluded that, for the managers interviewed, the Program was an important strategy for the management of labor in health, even though there is a critical issue regarding the fleeting period these professionals remain in the Primary Health Care teams.

The present study was conducted in September 2018, and had the goal of checking the current state of the teaching of speech therapy in Brazil through a characterization of its undergraduate courses. In order to do so, a documentary and descriptive research was conducted with a quantitative and qualitative approach. Data collection was made through the website of the Brazilian Ministry of Education. We analyzed 87 speech therapy undergraduate courses linked to public (27.6%) and private (72.4%) higher education institutions, totaling 7,044 slots offered annually, with an average of 3,681 credit hours, and a period of integralization ranging from eight to ten semesters. The courses were distributed among 23 Brazilian states, with a higher concentration in the Southern region of the country. Most courses were graded 3 regarding the indicators of quality proposed by the Ministry of Education. We concluded that the teaching of speech therapy in Brazil is fundamentally in-person, private, distributed throughout the country, with a low rate of students taking the slots, an aspect deduced by the small number of graduates compared with the amount of slots offered, higher credit hours in the public higher education institutions, concluded between eight and ten semesters, and it presents satisfactory quality indicators.

Supervision promotes changes in the services under the perspective of psychosocial care. Its institutionalization took place in the fields of clinical practice, training and management in health, and it expresses contradictory forces that were established and that also establish these forces. The present study originated from a research that analyzed the clinical-institutional supervision process within two teams of the health care network of a municipality in the countryside of the Northeastern region of Brazil. The theoretical-methodological framework used was that of the institutional analysis, under a socioclinical perspective. The process took place throughout 12 meetings from March 2011 through February 2012, and was recorded on institutional journals. During this process we evidenced that: the analysis of the order, and especially of the demands, mobilized the supervision process; there were conflicts regarding the use of clinical cases and the development of unique therapeutic projects, as well as regarding the understanding of the supervision training process; there were rivalries and cooperation between the two teams regarding the development of care in municipal networks; challenges arose regarding the care of the crisis in the context of the regional networks under the perspective of psychosocial care. The supervision directive must be expanded and internalized, and constantly reviewed so it can be in line with the presuppositions of psychosocial care, and also to provide moments of experimentation on the part of the workers as groups-subjects.

Teaching-service integration, understood through the combined work of students, teachers and workers in a practice setting, has as its goals excellency in professional training and quality of the work in health. The goal of the study is to analyze, through the perception of the students, the teaching-service integration, which takes place during the undergraduate Pharmacy studies. It is a quantitative study conducted in 2018, and characterized as a cross-sectional survey in which a structured questionnaire was applied. A total of 155 undergraduate Pharmacy students, enrolled in three different universities, a private university and two public ones, located in the metropolitan region of the city of Porto Alegre, in the state of Rio Grande do Sul, Brazil, participated in the study. The results found indicate the potentialities of the internships in public health settings for the training of Pharmacy professionals who are more confident regarding their future work at the Brazilian Unified Health System. The data obtained reveal the variable age of the students as a relevant factor for the acknowledgement of the competencies needed for the job. Such findings may contribute to the process of development or reformulation of the syllabi of the Pharmacy undergraduate courses, with the goal of training professionals who are critical, thoughtful and knowledgeable regarding the local health reality.

Humanization is an important theoretical-practical framework for the social transformation of organizations and personnel management because it promotes inclusive and developmental policies and practices for workers, managers and institutions. Emphasizing this understanding, the present essay encompassed critical conceptions of the organizational phenomena in order to contribute to the analysis of humanized management practices in social organizations. The theoretical-practical field of the practices of management and organization of labor was analyzed, highlighting the inefficacy of the instrumental positivism, administrative practices of human resources and dataism. Contemporary elaborations regarding organizational, dialogical and political-pedagogical practices, liberation versus domination and an analysis of implications were also transposed to the labor contexts. We highlight these contributions as initial formulations to provide humanized labor management and organizational conditions. These elaborations may also be useful in order to visualize negative practices and to give more visibility to actions and practices that enable the subjects, the organizations and even society itself to have conditions to 'be more'.

The present theoretical study proposes a critical diagnosis of the relationships among work, education, and contemporary youths through a brief dialogue with the social thinking of Christian Laval and Pierre Dardot. Its main concern lies in the rise of new subjective arrangements within the context of neoliberalism. In order to think of these relationships, we have considered three conceptual traits derived from the works of the selected authors: the understanding of the crisis as a permanent way of life, the emphasis on the emotional aspects and on the performance/enjoyment device, and the reassignment of youth training to the territory of the common. Throughout the study, it is evidenced that an analytical, critical, and unorthodox framework, backed by a specific reinterpretation of Marx’s thinking combined with other contributions, as treated by Dardot and Laval, displays a significant heuristic potentiality to think about the concepts of work, education, and youth in the current Brazilian context.

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