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Brazilian union actions for workers' health protection
Repullo Junior, Rodolpho;Gomes, Jorge da Rocha;
Sao Paulo Medical Journal , 2005, DOI: 10.1590/S1516-31802005000100006
Abstract: context: many authors have emphasized the importance of worker strength through unionized organizations, in relation to the improvement of working procedures, and have reported on the decisiveness of labor movement actions in achieving modifications within the field of work and health. objective: to describe the ways in which brazilian unions have tried to intervene in health-illness and work processes, identifying the existence of commonality in union actions in this field. type of study: qualitative study. setting: postgraduate program, environmental health department, faculdade de saúde pública, universidade de s?o paulo, s?o paulo, brazil. methods: union health advisers and directors were interviewed. documents relating to union action towards protecting workers' health were collected and analyzed. results: unions articulate actions regarding workers' health of a technical and political nature that involve many aspects and high complexity. these have been divided into thematic categories for better analysis. discussion: union actions regarding workers' health in brazil are restricted to some unions, located mainly in the southern, southeastern and northeastern regions of the country. nonetheless, the unions undertaking such actions represent many professions of great economic and political importance. conclusions: the recent changes in health and safety at work regulations, recognition of professional diseases, creation of workers' health services and programs within the unified health system, and operational improvements in companies' specialized safety and occupational medicine services, all basically result from union action. there is commonality of union action in this field in its seeking of technical and political strengthening for all workers and their general and local representation. this has the objective of benefiting collective bargaining between employers and workers. inter-institutional action on behalf of workers' rights guarantees and amplifies t
Implications of the process of production in the health of workers: some reflections  [PDF]
Saulo Vasconcelos Rocha,Edna Maria de Araújo
Revista Saúde.Com , 2011,
Abstract: The work represents a conscious activity of human beings, fruit of the effort to transform the nature of products or services. The industrial revolution and how the relationship of work organization are modified resulting consequences on the health of the worker. The purpose of this paper is to present some reflections on the implications of the production process on the health of workers, addressing the discussion of management models of work. Based in analyzes of studies it was found that the methods of analysis of the work contributed to better understanding of the implications of the production process on the health of workers. All types of studies proposed found that working conditions can lead to wear biopsychic employees, becoming the main component illness.
Swedish advanced home care: organizational structure and implications of adopting this care model in Brazilian health care system
Perroca, Marcia Galan;Ek, Anna-Christina;
Revista Latino-Americana de Enfermagem , 2004, DOI: 10.1590/S0104-11692004000600002
Abstract: the purpose of this paper was to describe the organization of the advanced home care program provided in a region of sweden and to discuss some benefits and implications of this model adoption in brazilian settings. data triangulation as interview, observation and questionnaire was used. thirty two professionals participated in this study. the organizational structure, working method, home visits, and related health resources were described. the investigated model presented both clear effectiveness and versatility; therefore feasible to be adopted in brazilian settings improving their population health care. doubtless, the improvement of life quality and security are the best benefits this model of care can provide.
Utilization of HIV and Tuberculosis Services by Health Care Workers in Uganda: Implications for Occupational Health Policies and Implementation  [PDF]
Esther Buregyeya, Fred Nuwaha, Rhoda K. Wanyenze, Ellen M. H. Mitchell, Bart Criel, Suzanne Verver, Simon Kasasa, Robert Colebunders
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0046069
Abstract: Background Access to HIV testing and subsequent care among health care workers (HCWs) form a critical component of TB infection control measures for HCWs. Challenges to and gaps in access to HIV services among HCWs may thus compromise TB infection control. This study assessed HCWs HIV and TB screening uptake and explored their preferences for provision of HIV and TB care. Methods A cross-sectional mixed-methods study involving 499 HCWs and 8 focus group discussions was conducted in Mukono and Wakiso districts in Uganda between October 2010 and February 2011. Results Overall, 5% of the HCWs reported a history of TB in the past five years. None reported routine screening for TB disease or infection, although 89% were willing to participate in a TB screening program, 77% at the workplace. By contrast, 95% had previously tested for HIV; 34% outside their workplace, and 27% self-tested. Nearly half (45%) would prefer to receive HIV care outside their workplace. Hypothetical willingness to disclose HIV positive status to supervisors was moderate (63%) compared to willingness to disclose to sexual partners (94%). Older workers were more willing to disclose to a supervisor (adjusted prevalence ratio [APR] = 1.51, CI = 1.16–1.95). Being female (APR = 0.78, CI = 0.68–0.91), and working in the private sector (APR = 0.81, CI = 0.65–1.00) were independent predictors of unwillingness to disclose a positive HIV status to a supervisor. HCWs preferred having integrated occupational services, versus stand-alone HIV care. Conclusions Discomfort with disclosure of HIV status to supervisors suggests that universal TB infection control measures that benefit all HCWs are more feasible than distinctions by HIVstatus, particularly for women, private sector, and younger HCWs. However, interventions to reduce stigma and ensuring confidentiality are also essential to ensure uptake of comprehensive HIV care including Isoniazid Preventive Therapy among HCWs.
Factors associated with job satisfaction among commune health workers: implications for human resource policies
Bach Xuan Tran,Minh Van Hoang,Hinh Duc Nguyen
Global Health Action , 2013, DOI: 10.3402/gha.v6i0.18619
Abstract: Background: Job satisfaction among health workers is an important indicator in assessing the performance and efficiency of health services. Objective: This study measured job satisfaction and determined associated factors among health workers in 38 commune health stations in an urban district and a rural district of Hanoi, Vietnam. A total of 252 health workers (36 medical doctors and 216 nurses and technicians; 74% female) were interviewed. A job satisfaction measure was developed using factor analysis, from which four dimensions emerged, namely ‘benefits and prospects,’ ‘facility and equipment,’ ‘performance,’ and ‘professionals.’ Results: The results demonstrate that respondents were least satisfied with the following categories: salary and incentives (24.0%), benefit packages (25.1%), equipment (35.7%), and environment (41.8%). The average satisfaction score was moderate across four domains; it was the highest for ‘performance’ (66.6/100) and lowest for ‘facility and equipment’ (50.4/100). Tobit-censored regression models, constructed using stepwise selection, determined significant predictors of job satisfaction including age, areas of work and expertise, professional education, urban versus rural setting, and sufficient number of staff. Conclusion: The findings highlight the need to implement health policies that focus on incentives, working conditions, workloads, and personnel management at grassroots level.
Ambivalent implications of health care information systems: a study in the Brazilian public health care system
Albuquerque, Jo?o Porto de;Prado, Edmir P. V.;Machado, Gabriel Raja;
Revista de Administra??o de Empresas , 2011, DOI: 10.1590/S0034-75902011000100006
Abstract: this article evaluates social implications of the "siga" health care information system (his) in a public health care organization in the city of s?o paulo. the evaluation was performed by means of an in-depth case study with patients and staff of a public health care organization, using qualitative and quantitative data. on the one hand, the system had consequences perceived as positive such as improved convenience and democratization of specialized treatment for patients and improvements in work organization. on the other hand, negative outcomes were reported, like difficulties faced by employees due to little familiarity with it and an increase in the time needed to schedule appointments. results show the ambiguity of the implications of his in developing countries, emphasizing the need for a more nuanced view of the evaluation of failures and successes and the importance of social contextual factors.
Ambivalent implications of health care information systems: a study in the Brazilian public health care system  [cached]
Jo?o Porto de Albuquerque,Edmir P. V. Prado,Gabriel Raja Machado
Revista de Administra??o de Empresas , 2011,
Abstract: This article evaluates social implications of the "SIGA" Health Care Information System (HIS) in a public health care organization in the city of S o Paulo. The evaluation was performed by means of an in-depth case study with patients and staff of a public health care organization, using qualitative and quantitative data. On the one hand, the system had consequences perceived as positive such as improved convenience and democratization of specialized treatment for patients and improvements in work organization. On the other hand, negative outcomes were reported, like difficulties faced by employees due to little familiarity with IT and an increase in the time needed to schedule appointments. Results show the ambiguity of the implications of HIS in developing countries, emphasizing the need for a more nuanced view of the evaluation of failures and successes and the importance of social contextual factors.
Impact of Metabolic-Syndrome Risk Factors on the Absenteeism of Health Workers from a Brazilian University Hospital  [PDF]
Almerinda Luedy, Danile Leal Barreto, Hugo Costa-Ribeiro Júnior
Health (Health) , 2018, DOI: 10.4236/health.2018.106064
Abstract: Objective: Analyzing the association between Metabolic Syndrome (MS) risk factors and work absenteeism due to illnesses among University Hospital employees in Salvador City, Bahia, Brazil. Methods: Cross-sectional study comprised 1173 Bahia Federal University Hospital employees: 57.3% of them were federal employees (statutory officers) and 42.7% were civil servants (CLT employees). Participants were in the age group 41.5 years: 69.4% were female and 30.6% were male. Results: MS prevalence in employees reached 6.6%; women accounted for 69.7% of the total. The percentage increases with age and has similar proportion among directcare providers and ancillary supports personnel, 40.8% and 39.5%, respectively. The risk factor analysis showed 25% hypertension, 54.6% weight excess (18.4% obese and 36.2% overweight patients), 20% hypercholesterolemia, 9.9% hypertriglyceridemia and 6.5% diabetes mellitus prevalence. Absenteeism longer than one day within the studied population reached 40.1%. Osteoarticular diseases were the most common reason for absenteeism, accounting for 50.7% of it: 62.6% of whom were either overweight or obese. The mean cost with absenteeism per employee was R$5492.87 ($2347.00 US Dollars), and it corresponds to annual cost of R 2,587,139.53 ($1,105,610.00 US Dollars). The highest cost with absenteeism caused by illnesses was recorded for female workers; for federal employees who were patient caregivers, who worked in the Pediatric Centre and who worked at night shifts. Conclusion: The high Metabolic Syndrome risk factors and overweight incidence are responsible for the increased costs faced by hospitals due to high absenteeism rates.
Health Systems Governance for Health Equity: Critical Reflections
Labonté,Ronald;
Revista de Salud Pública , 2010, DOI: 10.1590/S0124-00642010000700005
Abstract: this article addresses several issues pertinent to health systems governance for health equity. it argues the importance of health systems using measures of positive health (well-being), discriminating in favour of historically less advantaged groups and weighing the costs of health care against investments in the social determinants of health. it cautions that the concept of governance could weaken the role of government, with disequalizing effects, while emphasizing the importance of two elements of good governance (transparency and participation) in health systems decision-making. it distinguishes between participation as volunteer labour and participation as exercising political rights, and questions the assumption that decentralization in health systems is necessarily empowering. it then identifies five health system roles to address issues of equity (educator/watchdog, resource broker, community developer, partnership developer and advocate/catalyst) and the implications of these roles for practice. drawing on preliminary findings of a global research project on comprehensive primary health care, it discusses political aspects of progressive health system reform and the implications of equity-focused health system governance on health workers' roles, noting the importance of health workers claiming their identity as citizens. the article concludes with a commentary on the inherently political nature of health reforms based on equity; the necessary confrontation with power relations politics involves; and the health systems governance challenge of managing competing health discourses of efficiency and results-based financing, on the one hand, and equity and citizen empowerment, on the other.
The health care needs of the physically disabled patient in a home-based care environment: Implications for the training of ancillary health care workers
K Jooste, M Chabeli, M Springe
Health SA Gesondheid , 2010,
Abstract: According to existing literature, ancillary health care workers (AHCWs) often do not meet the health care needs of patients with physical disabilities (physically disabled patients) in a homebased environment, because of inadequate training programmes. The purpose of this research study was to explore the health care needs of physically disabled patients in long-term, home-based care in the northern suburbs of Johannesburg and, based on results, to offer recommendations for the training of AHCWs. Qualitative, exploratory, descriptive and contextual means were employed in data collection and analysis. The population consisted of eight physically disabled participants who employed an AHCW to assist them with their long-term home care. Purposive sampling was used with subsequent snowballing to identify further participants for the study. Individual interviews were conducted, where participants had to answer the questions (1)‘What are your health care needs?’ and(2) ‘How should these be met?’ Data saturation was ensured, after which Tesch’s method of data analysis was followed. Three categories of health care needs were identified (1) physical health care needs, (2) interpersonal relationship needs and (3) social needs, and 12 themes were derived from these categories. These categories of health care needs should be addressed in the training of AHCWs.From the themes, recommendations were described for the training of AHCWs on the health care needs of the home-based physically disabled patients. The AHCW should assist in the adaptation of the environment to the patient’s individual needs, and should use knowledge and critical thinking skills to ensure a patient-centred care setting. Opsomming Volgens die literatuur kan assistentgesondheidsorgwerkers (AGWs), as gevolg van ontoereikende opleiding, nie altyd aan die behoeftes van fisies gestremde pasi nte in 'n tuisopset voldoen nie.Die doel van hierdie navorsingstudie was om die gesondheidsorgbehoeftes van langtermyn,tuisgebaseerde fisies gestremde pasi nte in die noordelike voorstede van Johannesburg te verken en te beskryf, en om hieruit aanbevelings vir die opleiding van AGWs voor te stel. Kwalitatiewe,verkennende, beskrywende en kontekstuele metodes is gebruik om die data in te samel en die analise te doen. Die studiepopulasie het uit agt fisies gestremde deelnemers bestaan wat 'n AGW aangestel het om hulle met hul langtermyntuisversorging by te staan. Doelbewuste steekproefneming met die daaropvolgendesneeubalmetode is gebruik om verdere deelnemers vir die studie te identifiseer.Individuele onderhoude is gevoer waartydens deelnemers die volgende vrae moes beantwoord (1)‘Wat is jou gesondheidsorgbehoeftes?’ en (2) ‘Hoe behoort hieraan voldoen te word?’ Datasaturasie is verseker, waarna Tesch se data-analisemetode gevolg is. Drie kategorie van gesondheidsorgbehoeftes is ge dentifiseer (1) fisiese gesondheidsorgbehoeftes, (2) interpersoonlike verhoudingsbehoeftes en (3)sosiale behoeftes, en 12 temas
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