Trata-se de uma pesquisa teórica que verifica as relações existentes entre saúde mental e saúde pública a partir da identificação dos principais problemas referentes à infância em recomendações divulgadas pela Organização Mundial da Saúde nos seguintes momentos históricos: início da década de 1950, meados da década de 1970 e primeiros anos do século XXI. Apresenta a diversidade presente na construção do campo da saúde mental, as principais perspectivas teóricas e o lugar da clínica psiquiátrica e psicanalítica nesse processo. Ações dirigidas à infância pelo movimento da Higiene Mental, nas primeiras décadas do século XX, também são analisadas. Verifica-se que a prevenção se instaura como principal modelo de assistência. A saúde materno-infantil, a escola e a família são os principais componentes das medidas preventivas propostas. Nestas recomendações, evidencia-se uma relação de quase equivalência entre psiquiatria e saúde mental. A diversidade deste campo é substituída por um discurso relativamente hegemônico, no qual a noção de adaptação ocupa lugar central. Nas recomendações da OMS, deste início de século, observa-se a influência das neurociências, da psiquiatria biológica e das terapias cognitivo-comportamentais. / This is a theoretical research aiming at detecting the main problems concerning children on the intersection of mental and public health, and based upon the World Health Organization’s commendations at the following historical moments: the 1950s and 1970s, as well as the early 21st century. The foundations of such commendations were checked, keeping in mind the diversity of orientations in the field of mental health. The theoretical frame presents the origins of psychiatric and psychoanalytical clinics with children, and their fundamentals. Actions aiming at children by the Mental Hygiene Movement in the early 20th century were also analyzed. It can be observed that prevention imposes itself as the main assistance pattern. The health of both mothers and children, schools and families are the main components of the proposed prevention measures. In these commendations it can also be noticed an almost equivalent relationship between psychiatrist and mental health. Diversity in this field is substituted for a relatively hegemonic speech, in which the notion of adaptation plays a crucial role. In the World Health Organization’s commendations in this early century, it can be detected the influence of neurosciences, biological psychiatry, and behaviorist-cognitive therapies.

The growth of e-health system has influenced the way health organizations conducttheir business. Communication between these systems is one of the most significantfactors since a more efficient communication system can improve an organizationperformance. Nowadays the health organizations make a lot of investments to deploya suitable information and communication technology to meet their goals.This study investigates the health information exchange within different healthinformation systems. We first carried out a theoretical study to find out the relevantconcepts by reviewing the related literature and analyzing them. As a result of ourtheoretical study we investigate and redesign the basic model of the “Super Clinic” asa new model for health information exchange system. Then we conducted anempirical study to validate the result from the theoretical study which helped us tonarrow down our research area. We revised our proposed theoretical model by thelesson learnt from our empirical study results. Three interviews were conducted withexperts and the outcomes were analyzed using comparative analysis. These interviewsallowed us to outline the most important factors of successful health informationexchange systems (i.e. “Super Clinic”).They also helped us to design a central hub (i.e. “health Hub”) for communicationand information exchange between different information systems. This revised modelof Super Clinic (with the central hub) could be going under more investigation infuture works. / Program: Masterutbildning i Informatik

Submitted by Joana Azevedo (joanad@id.uff.br) on 2017-08-24T18:51:24Z No. of bitstreams: 1 Dissert Sandra Saraiva Brito Chimelli.pdf: 1394558 bytes, checksum: 59ffd0a7ecb0a2cb7a151ce587d7859e (MD5) / Approved for entry into archive by Biblioteca da Escola de Engenharia (bee@ndc.uff.br) on 2017-09-04T14:39:16Z (GMT) No. of bitstreams: 1 Dissert Sandra Saraiva Brito Chimelli.pdf: 1394558 bytes, checksum: 59ffd0a7ecb0a2cb7a151ce587d7859e (MD5) / Made available in DSpace on 2017-09-04T14:39:16Z (GMT). No. of bitstreams: 1 Dissert Sandra Saraiva Brito Chimelli.pdf: 1394558 bytes, checksum: 59ffd0a7ecb0a2cb7a151ce587d7859e (MD5) Previous issue date: 2016-10-20 / A relação entre Estado, mercado e sociedade vem se tornando mais complexa nos últimos anos, levando ao surgimento de instituições que se dispõem entre esses atores, e ao aparecimento de uma esfera pública não estatal, chamada Terceiro Setor. Considera-se que o Primeiro Setor é representado pelo Estado, o Segundo Setor, pelo mercado, esfera privada, e o Terceiro Setor é representado por instituições de direito privado direcionadas a serviços e bens públicos, dentre elas as Organizações Sociais de Saúde (OSS). O presente trabalho tem como objetivo central, avaliar de maneira conceitual sobre a importância das organizações sociais de saúde para a população, tomando como base o Hospital Estadual da Criança, gerido por uma OSS – Instituto D’or de Gestão de Saúde Pública. O método de pesquisa empreendido segue natureza qualitativa, com pesquisa do tipo bibliográfica na modalidade de estudo de caso. De modo que foi possível concluir que, a importância desse método de gestão se dá no sentido de efetivar a materialização dos mecanismos legais em ações sociais para saúde que, de fato alcancem as famílias e indivíduos mais necessitados delas. O que se nota, porém, é que na realidade brasileira, a gestão destas políticas, tende a ser muitas vezes, uma ação isolada, ainda que positiva, caso a sociedade brasileira não passe por uma reformulação em seus princípios sociais, políticos, éticos e morais, sabendo então cobrar adequadamente de seus governantes uma gestão positiva e adequada à realidade brasileira. Do mesmo modo que as OSS demandam de uma revisão e de otimizações para que todas sejam adequadas ao mesmo padrão de qualidade e ao atendimento qualitativo da população. A justificativa para a escolha do tema paira sobre sua contemporaneidade, além da expectativa de contribuir para o âmbito acadêmico. / The relationship between state, market and society has become more complex in recent years, leading to the emergence of institutions that have between these actors, and the appearance of a non-state public sphere, called Third Sector. It is considered that the first sector is represented by the state, the second sector, the market, private sphere, and the third sector is represented by private institutions directed to public services and goods, among them the Social Health Organizations (SHO). This study was aimed to evaluate conceptually about the importance of social health organizations to the population, based on the Child’s State Hospital, run by an SHO - DOR Institute of Public Health Management. The research method undertaken following qualitative nature, with research bibliographical in the case study method. So it was concluded that the importance of this management method is given in order to effect the realization of legal mechanisms in social action for health that actually reach the families and most in need of them individuals. What can be observed, however, is that the Brazilian reality, the management of these policies tends to be often an isolated action, although positive, if Brazilian society does not pass a makeover in their social principles, political, ethical and moral, knowing then properly charge its rulers positive management and adequate to the Brazilian reality. Just as the SHO require a review and optimizations for all are appropriate to the same standard of quality and service quality of the population. The rationale for the choice of subject hovers over its contemporaneity, beyond expectation to contribute to the academic environment.

Trata-se de uma pesquisa teórica que verifica as relações existentes entre saúde mental e saúde pública a partir da identificação dos principais problemas referentes à infância em recomendações divulgadas pela Organização Mundial da Saúde nos seguintes momentos históricos: início da década de 1950, meados da década de 1970 e primeiros anos do século XXI. Apresenta a diversidade presente na construção do campo da saúde mental, as principais perspectivas teóricas e o lugar da clínica psiquiátrica e psicanalítica nesse processo. Ações dirigidas à infância pelo movimento da Higiene Mental, nas primeiras décadas do século XX, também são analisadas. Verifica-se que a prevenção se instaura como principal modelo de assistência. A saúde materno-infantil, a escola e a família são os principais componentes das medidas preventivas propostas. Nestas recomendações, evidencia-se uma relação de quase equivalência entre psiquiatria e saúde mental. A diversidade deste campo é substituída por um discurso relativamente hegemônico, no qual a noção de adaptação ocupa lugar central. Nas recomendações da OMS, deste início de século, observa-se a influência das neurociências, da psiquiatria biológica e das terapias cognitivo-comportamentais. / This is a theoretical research aiming at detecting the main problems concerning children on the intersection of mental and public health, and based upon the World Health Organization’s commendations at the following historical moments: the 1950s and 1970s, as well as the early 21st century. The foundations of such commendations were checked, keeping in mind the diversity of orientations in the field of mental health. The theoretical frame presents the origins of psychiatric and psychoanalytical clinics with children, and their fundamentals. Actions aiming at children by the Mental Hygiene Movement in the early 20th century were also analyzed. It can be observed that prevention imposes itself as the main assistance pattern. The health of both mothers and children, schools and families are the main components of the proposed prevention measures. In these commendations it can also be noticed an almost equivalent relationship between psychiatrist and mental health. Diversity in this field is substituted for a relatively hegemonic speech, in which the notion of adaptation plays a crucial role. In the World Health Organization’s commendations in this early century, it can be detected the influence of neurosciences, biological psychiatry, and behaviorist-cognitive therapies.

Masters of Public Health - see Magister Public Health / The World Health Organization (WHO) considers violence to be a global public health problem. It is estimated that 1.6 million people worldwide lost their lives to violence in 2000. This translates to a global rate of 28.8 deaths per 100 000 population. The end of Apartheid in South Africa in 1994 brought about various economic, social and political transitions within the country, resulting in rapid urbanization, increasing unemployment and deepening inequalities. Consequently, these conditions also brought about increased incidences of crime and violence. The South African Police Service (SAPS) recorded approximately 2.58 million crimes in 2000. The SAPS faced many challenges in transforming the eleven South African Police Forces to a combined South African Police Service in 1994. Literature has indicated that while serious crimes increased, the chances of an offender being caught and punished declined between 1994 and 2000. During the 2002-2003 financial year the SAPS recorded a national homicide rate of 47.4 per 100 000 population. The Western Cape and Limpopo province had the highest and lowest provincial homicide rate of 84.8 and 12.1 per 100 000 population respectively. Other studies indicated that city-specific homicide rates for Cape Town increased from 84 to 88 per 100 000 population between 1999 and 2001. A pilot study conducted in Cape Town during 2003 to determine victim-perpetrator relationships and motives for homicide that occurred in 1999 was hampered by difficulties in tracing police dockets, inconsistencies in data capturing, and the absence of perpetrator information due to some court cases not being finalized. It was therefore decided to conduct a qualitative, descriptive, comparative study between two police stations in Cape Town. Semi-structured interviews were conducted with police officers at different ranks to document the procedures and route of reported crimes and to explore the factors impacting on the criminal investigation process. The interviews were audio-recorded, transcribed and analysed using thematic content analysis. The interviews provided an insight to the contextual environment and the attitudes of police officers regarding the transformation of the SAPS, and identified the factors impacting on the criminal investigation process at the two selected police stations. Issues discussed are discipline, restructuring and motivational factors regarding the transformation process, as well as training courses, the court impact and the relationship between the detectives and prosecutors. The main constraints identified at both police stations were human resources, training courses and vehicles. Social support and community factors are also discussed. The interviews with police officers revealed that there are various issues of management at national and provincial level that need to be addressed, such as detective recruitment standards, training courses and the management of different crime types to reduce the workload of detectives. The need for closer collaboration with the courts to avoid the misplacement of dockets and to minimise delays in the finalisation of court cases was also identified. Previous studies have also identified blockages within the South African criminal justice system and it is hoped that this study could highlight those issues that still need to be addressed.

<p>Background: The Baby Friendly Hospital Initiative (BFHI) is considered one of the most successful international efforts to protect, promote and support breastfeeding. The initiative has proven impact, increasing the likelihood of babies being exclusively breastfed for six months. Official designation as Baby Friendly requires careful assessment completed by a trained external team to confirm that the institution is truly carrying out all Ten Steps of successful breastfeeding and conforming to the International Code of Marketing of Breastmilk Substitutes (BMS).The implementation of these principles are however challenging for facilities as it requires &ldquo / strategic planning, implementation and maintaining change&rdquo / within the facilities. Aim: To assess the factors influencing the implementation of BFHI principles in non accredited MOU` s in the Metropole region of the Western Cape.</p>

The CIDI is a fully standardised diagnostic interview designed for assessing mental disorders based on the definitions and criteria of ICD-1Oand DSM-IlI-R. Field trials with the CIDI have been conducted in 18 centres around the world, to test the feasibility and reliability of the CIDI in different cultures and settings, as well as to test the inter-rater agreement for the different types of questions used. Of 590 subjects interviewed across all sites and rated by an interviewer and observer, 575 were eligible for analysis. The CIDI was judged to be acceptable for most subjects and was appropriate for use in different kinds of settings. Many subjects fulfilled criteria for more than one diagnosis (lifetime and six-month). The most frequent lifetime disorders were generalised anxiety, major depression, tobacco use disorders, and agoraphobia. Percentage agreements for all diagnoses were above 90% and the kappa values were all highly significant. No significant numbers of diagnostic disconcordances were found with lifetime, six-month, and four-week time frames.

<p>Background: The Baby Friendly Hospital Initiative (BFHI) is considered one of the most successful international efforts to protect, promote and support breastfeeding. The initiative has proven impact, increasing the likelihood of babies being exclusively breastfed for six months. Official designation as Baby Friendly requires careful assessment completed by a trained external team to confirm that the institution is truly carrying out all Ten Steps of successful breastfeeding and conforming to the International Code of Marketing of Breastmilk Substitutes (BMS).The implementation of these principles are however challenging for facilities as it requires &ldquo / strategic planning, implementation and maintaining change&rdquo / within the facilities. Aim: To assess the factors influencing the implementation of BFHI principles in non accredited MOU` s in the Metropole region of the Western Cape.</p>

Este trabalho tem o objetivo de discutir o surgimento e desenvolvimento da noção de qualidade de vida como uma estratégia de avaliação em saúde, a partir da trajetória do instrumento de qualidade de vida da Organização Mundial de Saúde, WHOQOL. Através de uma perspectiva construcionista foi realizada uma pesquisa bibliográfica e documental identificando os usos da noção de qualidade de vida nas políticas de saúde internacionais e na literatura médica. A discussão proposta pelo trabalho aponta para as relações entre os processos de globalização e o campo da saúde como a matriz política e cognitiva para o surgimento dos instrumentos de avaliação de qualidade de vida, principalmente a partir de sua perspectiva transcultural. A criação e uso do WHOQOL em seus diversos centros de pesquisa distribuídos em 40 países visam produzir consensos técnicos e políticos para a construção de sistemas de informação em saúde baseada em critérios universais, possibilitando às agências internacionais, como a OMS, influir globalmente sobre as políticas nacionais de saúde. / This work aims to discuss the emergence and development of the concept of quality of life as an strategy to assess health, based on the WHOQOL, an instrument developed by the World Health Organization to assess quality of life. Through a constructionist perspective, a bibliographical and documental research has been carried out, in order to identify uses of the concept of quality of life in international health policies and in medical literature. The discussion provided by this work points to the relations between globalization processes and the health area as political and cognitive matrix for the emergence of tools to assess quality of life mainly from their transcultural perspective. The creation and use of the WHOQOL in research centers in 40 countries aim to produce technical and political consensus to build health information systems based on universal systems, and afford international agencies, like WHO, worldwide influence on national health politics.

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No. of bitstreams: 1 dissertacao_LFerreira Final Ficha Aprovação 01062016.pdf: 2009019 bytes, checksum: 64380d068659809b6ebe280b45cf37d6 (MD5) Previous issue date: 2015-12-23 / From 2012, the State Government of Rio de Janeiro through the State Health Department began to adopt the management model based on Health Social Organizations (OSS) in order to improve the services provided by health units under their responsibility, ie, extend the service coverage, improve performance and reduce costs. Since June 2014, 80% of State Health Units were already managed by social organizations. The OSS model was created in order to publicize services of public relevance, previously provided by the state, but which are now considered not unique to it, in order to achieve greater efficiency. In this context, the present study aims to analyze the performance of the services provided through the OSS contracted by the State of Rio de Janeiro (RJ). For such a contextualization about the process of implementation and monitoring of management contracts in the State Department of Health of Rio de Janeiro was carried out and documentary research to the study of quantitative and qualitative indicators agreed and the cost of resources used, resulting in the preparation of technical specifications of all management contracts. The analyzes have focused on the development of quantitative indicators of management contracts in 2012 to the 1st half of 2015 as well as the performance measured by the correlation of productivity results based on quantitative indicators. The results show that 80% of Emergency Hospitals management contracts, 75% of the Specialized Hospitals and 92% of the Emergency Care Units meet or exceed the level of performance expected by SES for compliance of the Hospital Production in the year 2015, with increasing the supply of specialized services based on OS. As for the performance indicator Auxiliary Diagnosis and Therapy Services Production results are 60% for Emergency Hospitals and 25% for Specialized Hospitals. One of the possible conclusions and it is for the SES / RJ, improve its regulatory function with the effective utilization of the historical series of information for the construction of indicators compatible with the profile of their units. As a suggestion for future studies, points to the possibility of performing the measurement of the efficiency of the ERJ management contracts using data envelopment technical data that correlates a larger number of qualitative indicators for verification efficiency. / A partir de 2012, o Governo Estadual do Rio de Janeiro através da Secretaria de Estado de Saúde passou a adotar o modelo de gestão com base em Organizações Sociais de Saúde (OSS), a fim de melhorar os serviços prestados pelas Unidades de Saúde sob sua responsabilidade, ou seja, ampliar a cobertura de atendimento, melhorar o desempenho e reduzir custos. Desde junho de 2014, 80% das Unidades Estaduais de Saúde já eram gerenciadas por Organizações Sociais. O modelo de OSS foi criado com o intuito de publicizar serviços de relevância pública, até então prestados pelo Estado, mas que passaram a ser considerados não exclusivos do mesmo, a fim de alcançar maior eficiência. Nesse contexto, a presente pesquisa tem o objetivo de analisar o desempenho dos serviços prestados através das OSS contratualizadas pelo Estado do Rio de Janeiro (ERJ). Para tanto foi realizada uma contextualização sobre o processo de implementação e acompanhamento dos contratos de gestão na Secretaria de Estado de Saúde do Rio de Janeiro, bem como uma pesquisa documental com o levantamento dos indicadores quantitativos e qualitativos pactuados e os recursos de custeio utilizados, resultando na elaboração de ficha técnica de todos os contratos de gestão. As análises tiveram como foco a evolução dos indicadores quantitativos dos contratos de gestão no ano de 2012 até o 1º semestre de 2015, bem como o desempenho medido pela correlação de resultados de produtividade obtidos com base em indicadores quantitativos. Os resultados encontrados mostram que 80 % dos contratos de gestão de Hospitais Emergência, 75 % dos Hospitais Especializados e 92 % das Unidades de Pronto Atendimento atingem ou superam o grau de desempenho esperado pela SES quanto ao cumprimento do indicador Produção Hospitalar no ano de 2015, com ampliação da oferta de serviços especializados através das OS. Já para o cumprimento do indicador Produção Serviços Auxiliares de Diagnose e Terapia os resultados são 60 % para Hospitais Emergência e 25 % para Hospitais Especializados. Uma das conclusões possíveis e que cabe à SES/RJ, aprimorar sua função regulatória com a efetiva utilização da serie histórica de informações para a construção de indicadores compatíveis com o perfil das suas Unidades. Como sugestão para futuros estudos, aponta-se a possibilidade de realizar a mensuração da eficiência dos contratos de gestão do ERJ através da técnica envoltória de dados que correlaciona um número maior de indicadores qualitativos para verificação da eficiência.