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

Martin Heidegger posited a fundamental contrast between genuine thinking and the realm of opinion of the public sphere. This conflict is expressed in Being and Time’s critique of the phenomenon of the “they” as an inappropriate setting for true philosophizing, and in the Letter on Humanism’s denunciation of Western metaphysics as based on a technification of thought. Exploring possible links between these ideas and Heidegger’s involvement with National Socialism can refine the discussion on the relationship between politics and philosophy in Heidegger’s thinking. Specifically, it can lead to the identification of an implicit notion of the political in Heidegger’s thought. 

This article discusses a proposal for the supervision of Primary Health Care workers who provide direct care to women in situations of domestic violence, through a space for debate on what they do and the emerging affections, considering issues of gender, women’s human and social rights. This proposal was part of an intervention research, offered after training on the subject in four Primary Health Care services in the municipality of São Paulo, Brasil, from 2020 to 2022. The technique used was participant observation with field diary records of monthly supervisions and semi-structured interviews with workers and managers. Through content analysis, the data was divided into the following axes: discussion of work - listening to women, gender perspective and human rights; the worker and her process; organization of work and teamwork; intersectoral network and organization of the supervision itself and the need for a framework. The supervision qualified theidentification and care of the cases, highlighting its dual character: monitoring care and critical reflection on ethical and political issues. It has an impact beyond the specific topic and is fundamental to the safety and practical success of the intervention, with management being essential in maintaining it. Supervision is advocated as part of Primary Care protocols for the care of cases of violence.  

The pharmaceutical workforce in municipal Primary Care has proven to be relevant, given the healthcare needs. The aim of this study was to analyze the rates of pharmacists working in Primary Care in municipalities and their relationship with investments in aquisition of medicines, considering the Municipal Human Development Index and the population size of Brazilian municipalities. The study includes primary data from 2021, which corresponds to Brazilian municipalities on a national scale, and secondary data from national databases. The average rate of pharmacists is 1.85 per 10,000 inhabitants. Municipalities with higher development indices have higher rates of pharmacists. Municipalities with low development indices, small size, in the North and Northeast regions are associated with none or one pharmacist per 10,000 inhabitants. Small municipalities showed a positive relationship between investment in medicines and the rate of pharmacists, meaning that places that invest more in medicines also have higher rates of pharmacists. However, municipalities with high development indices show a correlation with higher rates of pharmacists and invest more in medicines.

This is a cross-sectional study aimed at evaluating the knowledge, self-efficacy, and collective efficacy of professionals working in multidisciplinary teams in the public service of the city of Campinas, Brazil, regarding the recommendations of the Dietary Guidelines for the Brazilian population. Validated selfadministered questionnaires were used to collect data and linear regressions were used to compare groups and identify factors influencing outcomes. The study involved a sample of 141 professionals from the health and education sectors, mostly women, aged 35 to 45 years, with a municipal employment contract of up to ten years. About half of the professionals knew the Guide, but only 28.9% of health professionals and 19.5% of education professionals used it. Nutritionists scored the highest in knowledge, with an overall average of 64.6 points. Health professionals had a higher proportion of high self-efficacy compared to education professionals. Nutritionists from both sectors and health professionals had higher collective efficacy scores than education professionals. Those with higher self-efficacy and longer careers were more likely to achieve high collective efficacy. The diagnosis highlighted the need for training on the Guide to increase knowledge and empower professionals for intersectoral work.

The National Policy for Integrative and Complementary Practices of the Brazilian Unified Health System is a set of norms and guidelines created to implement such practices. The study aimed to analyze the trajectory of this policy through official documents, focusing on the challenges related to health training and the impact of the hegemony of the biomedical model on the implementation of such practices. The study used descriptive documentary analysis and discursive textual analysis as data collection tools. Four documents were analyzed. The results showed that the most recent document details the trajectory of professional experiences with the practices, justifying the officialization of the policy. We identified the existence of a field of knowledge about practices before the regulation of the policy. However, the approach to teaching was considered incipient. The other documents analyzed presented only a description of the practices included in the policy. Encompassing the cultural dimension in teaching integrative and complementary practices can contribute to a diversified view of such practices in the Unified Health System, in order to break away from the scientific exclusivity of the biomedical model.

This article aimed to discuss gender, race, and education as social markers that influence the participation of community health workers in matrix support in mental health in Belo Horizonte, Brazil, in 2023. The results are from a qualitative research study, using semi-structured interviews and participant observations as data production techniques. Intersectionality was used as an analytical tool. In the researched teams, it was observed that the majority of the agents were black women with high school education, while the majority of the professionals offering matrix support were white women with higher education. These racial and educational differences influence the relationships established between agents and supporters, being related to some mechanisms of exclusion of community health workers from the spaces of matrix support in mental health.

Precarization is situated within the context of transformations in the world of work that have unfolded over the past forty years, driven by the process of productive restructuring supported by the neoliberal political and economic project. In this scenario of intensified attacks on the working class and social policies, the first undergraduate programs in collective health emerged in 2008. This study analyzed the professional integration of graduates from these programs, who completed their degrees between 2016 and 2021 at public universities in Pernambuco (Brazil), considering the phenomena of labor precarization and the regulation of the profession. This is a descriptive study with a qualitative approach, carried out on 85 questionnaires sent to all graduates and eight semi-structured interviews with alumni, program coordinators, and a representative from the State Council of Municipal Health Secretariats. Insecure jobs, lacking social protection and offering low wages, are realities faced by some graduates in collective health. Law N. 14.725/2023, which regulates the profession of the sanitarista (public health professional), was enacted 11 years after the first professionals were trained, although it does not resolve the issue of precarious employment. The strategies for developing this new profession failed to consider the preexisting impacts on professional labor markets, which are consequences of the neoliberal agenda.

We sought to understand the perspectives of Primary Health Care professionals regarding care transitions, as well as the work contexts that influence the continuity of such care. This is a qualitative research study, employing content analysis of interviews conducted with 15 health professionals from Primary Care units affiliated with a public hospital group in southern Brazil, within the framework of the Health Care Networks concept. The findings were organized into three thematic axes: communication and care transitions between health services; the role of Primary Health Care in the organization and coordination of care; and the relationship between users, families, and care networks. The study identified isolated practices of care transition between hospitals and Primary Care, revealing challenges ranging from limited referral options to other services to the lack of information regarding hospital admissions. Despite these challenges, Primary Health Care is highlighted as a potentially central coordinator of care within the organization of Health Care Networks, even though it faces difficulties in fulfilling this role. The study underscores the need to rethink care transitions between health services, aiming to improve the quality of care and promote better integration across the health system.

Aquilombamento, from a mental health perspective, proposes an approach attentive to the social determinants of health, grounded in ethical and committed work with marginalized groups. It aims to produce knowledge and practices aligned with the paradigms of the Brazilian sanitary and psychiatric reforms. This article seeks to demonstrate how ethnic-racial issues gain relevance and expression, transforming the possibilities of providing health and mental health care for Black women, based on a Permanent Health Education activity. The study analyzed the discourse of 31 health professionals from a municipality in Ceará (Brazil) regarding mental health care practices offered to Black women who use public health services. This was an intervention-research conducted between October 2023 and February 2024, which identified the following categories of analysis: perceptions of care for Black women within mental health services; collection of race/color data and the invisibilization of racial relations; and Permanent Health Education as a tool to confront institutional racism. Therefore, we argue that Permanent Health Education can serve as a valuable instrument within the mental health aquilombamento framework, fostering not only racial literacy among professionals and users but also promoting ethics, political engagement, and affection in everyday care practices for Black women and the broader Black population.