Thesis (Ph. D.)--Virginia Commonwealth University, 2007. / Prepared for: Dept. of Health Administration. Bibliography: leaves 175-186.

O cuidado em saúde tem sido um tema abordado atualmente por autores da Saúde Coletiva. Estas práticas e estudos refletem dois modos de se conceber o cuidado aparentemente antagônicos, ora baseados na instrumentalidade, com ênfase nos procedimentos e nas intervenções técnicas, ora com foco na relação de encontro entre profissionais e usuários dos serviços de saúde. A partir de uma leitura crítica desse conjunto de estudos, este trabalho procura não opor os dois grupos identificados, acentuando suas diferenças e supostas incompatibilidades, mas sim articulá-los em sua complementaridade por meio da ontologia fundamental de Martin Heidegger. Em Ser e Tempo, obra originalmente publicada em 1927, Heidegger desconstrói a ontologia tradicional, da qual o conhecimento da ciência e o da vida cotidiana são desdobramentos para reconstruir uma nova ontologia que busque os fundamentos da existência humana. Considerando que em toda prática de saúde há uma concepção de homem e de mundo que a sustenta, um retorno aos fundamentos mostra-se essencial para uma reconstrução das práticas de saúde e do cuidado / Care in healthcare has been a subject currently approached by authors in the field of Collective Health. Both practices and studies reflect two ways of conceiving care, which are only apparently antagonistic. Part of them being based on instrumentality, with emphasis on the procedures and technical interventions, and part with a focus on the relationship between health professionals and the users of healthcare services. Based on a critical reading of this collection of studies, this work intends not to oppose the two groups identified, accentuating their differences and supposed incompatibilities, but to articulate them in their complementarity through the use of Martin Heideggers fundamental ontology. In Being and Time, originally published in 1927, Heidegger deconstructs traditional ontology, which scientific and everyday knowledge unfold from, to reconstruct a new ontology which searches for the fundamentals of human existence. Considering that in every health practice there is a conception of man and world that sustains it, a return to these fundamentals proves itself to be essential for a reconstruction of health practices and care

O cuidado em saúde tem sido um tema abordado atualmente por autores da Saúde Coletiva. Estas práticas e estudos refletem dois modos de se conceber o cuidado aparentemente antagônicos, ora baseados na instrumentalidade, com ênfase nos procedimentos e nas intervenções técnicas, ora com foco na relação de encontro entre profissionais e usuários dos serviços de saúde. A partir de uma leitura crítica desse conjunto de estudos, este trabalho procura não opor os dois grupos identificados, acentuando suas diferenças e supostas incompatibilidades, mas sim articulá-los em sua complementaridade por meio da ontologia fundamental de Martin Heidegger. Em Ser e Tempo, obra originalmente publicada em 1927, Heidegger desconstrói a ontologia tradicional, da qual o conhecimento da ciência e o da vida cotidiana são desdobramentos para reconstruir uma nova ontologia que busque os fundamentos da existência humana. Considerando que em toda prática de saúde há uma concepção de homem e de mundo que a sustenta, um retorno aos fundamentos mostra-se essencial para uma reconstrução das práticas de saúde e do cuidado / Care in healthcare has been a subject currently approached by authors in the field of Collective Health. Both practices and studies reflect two ways of conceiving care, which are only apparently antagonistic. Part of them being based on instrumentality, with emphasis on the procedures and technical interventions, and part with a focus on the relationship between health professionals and the users of healthcare services. Based on a critical reading of this collection of studies, this work intends not to oppose the two groups identified, accentuating their differences and supposed incompatibilities, but to articulate them in their complementarity through the use of Martin Heideggers fundamental ontology. In Being and Time, originally published in 1927, Heidegger deconstructs traditional ontology, which scientific and everyday knowledge unfold from, to reconstruct a new ontology which searches for the fundamentals of human existence. Considering that in every health practice there is a conception of man and world that sustains it, a return to these fundamentals proves itself to be essential for a reconstruction of health practices and care

General practitioners (GPs), already in a profession with a high workload, have been at the frontline of providing COVID-19-related healthcare in addition to routine care. Our study examined the impact of pandemic-related consultations and changes in practice organization on GPs' current workload and provision of healthcare in summer 2021 (May 2021-July 2021) and early 2022 (January 2022-February 2022). In total, 143 German GPs participated in an online survey in the summer of 2021. Of these, 51 GPs participated in the follow-up survey in 2022. Most GPs perceived an increase in consultation frequency, consultation times, and workload since the pandemic outbreak. Increased consultation times were related to the reduced provision of medical care to other patients with chronic diseases. More SARS-CoV-2 vaccination consultations were associated with reduced home visits, acute consultation times, and cancer screenings. A quarter of GPs considered leaving their job. Pandemic-related bureaucracy, restricted access to therapy and rehabilitation services specialized on COVID-19, unreliable vaccine deliveries, mandatory telematics-infrastructure implementation, and frequent changes in official regulations were the main reasons reported for dissatisfaction. Our results provide insights into how the pandemic continues to burden GPs' work routines and how better working conditions in times of high demand could be achieved in future pandemics.