Made available in DSpace on 2016-03-15T19:21:58Z (GMT). No. of bitstreams: 1 Thalita Nayara da Cunha Pereira.pdf: 9322382 bytes, checksum: 1877e7c3f1f8f09c603e2fdc8b382f77 (MD5) Previous issue date: 2012-08-09 / The deployment of the industry in São Paulo city is a phenomenon that originated in the second half of the nineteenth century. The technological resources and production systems adopted in more than a century of industrialization has resulted in environmental damage only now being properly assessed. The contaminated place in the floodplains of Tamanduateí river and along the railways - reflects the history of occupation of the territory of São Paulo. Thus, 41.31% of the 4131 areas currently diagnosed as contaminated by CETESB are located in the Metropolitan Region of São Paulo, especially the state capital, which holds approximately 31.17% - a third of the total. A great example of the consequence of the urban industrial expansion is Vila Carioca, Ipiranga s neighborhood, which was aggravated due to the Shell Company of Brazil, with small leaks over the years and careless operating practices, released contaminants in soil and groundwater, affecting neighboring land. The presence of environmental impacts is one aspect that has gained prominence in the discussions on models of change in urban centers. For urban areas previously occupied by industrial activities, it is necessary to develop specific public policy intervention. The recovery of attention to these areas is associated with the need for requalification of degraded urban areas and to curb the spreading irrational and irresponsible planning of cities, the consequences reflected in the economic, social, health and environment. Thus, it is essential to analysis and understanding how is the relationship between population and the urban environment, lifestyles, standards of production and consumption to assess and minimize risks.The implantation of the industry at São Paulo city is a phenomenon raised on the second half in the 19th century. The technologies sources and productions systems adopted in this period resulted in environmental liabilities that only now it has been correctly analyzed. / A implantação da indústria na cidade de São Paulo é um fenômeno que teve origem na segunda metade do século XIX. Os recursos tecnológicos e sistemas de produção adotados nesse mais de um século de industrialização resultaram em passivos ambientais que somente agora vêm sendo devidamente avaliados. A localização das áreas contaminadas nas várzeas do Rio Tamanduateí e ao longo das estradas de ferro reflete a história de ocupação do território paulista. Deste modo, 41,31% das 4.131 áreas atualmente diagnosticadas como contaminadas pela CETESB estão localizadas na Região Metropolitana de São Paulo, com destaque para a capital paulista, que concentra cerca de 31,17% um terço do total. Um grande exemplo da consequência dessa expansão da malha urbana e escalada industrial é a Vila Carioca, no bairro do Ipiranga, que teve como maior agravante em sua área a empresa Shell do Brasil que, com pequenos vazamentos ao longo dos anos e práticas operacionais pouco cuidadosas, lançou contaminantes no solo e águas subterrâneas, atingindo também terrenos vizinhos. A presença de impactos ambientais é um aspecto que vem ganhando relevância nas discussões sobre os modelos de alteração dos centros urbanos. Para as áreas urbanas anteriormente ocupadas por atividades industriais, faz-se necessário o desenvolvimento de políticas públicas específicas de intervenção. A retomada da atenção para essas áreas associa-se à necessidade de requalificação dos espaços urbanos degradados e da contenção do espraiamento irracional e sem planejamento responsável das cidades, cujas consequências refletem nos planos econômico, social, sanitário e ambiental. Desta forma, é imprescindível a análise e compreensão de como se dá a relação entre a população e o ambiente urbano, estilos de vida, padrões de produção e consumo para a avaliação e minimização de riscos.

A presente dissertação tem por objetivo analisar pela memória social a saúde mental no distrito do MBoi Mirim, localizado no Município de São Paulo. Esse distrito é conhecido por estigmas de vulnerabilidade econômica e social. O objetivo dessa análise foi explorar a memória social como instrumento para a compreensão da saúde e da saúde mental. O caminho desenhado para realização desse fim começou com a revisão e análise dos conceitos de saúde e de saúde mental. Essa revisão e análise foram seguidas pela construção de um quadro conceitual sobre memória social como fonte de informações. A metodologia para a realização desse propósito combinou as informações da revisão bibliográfica com a observação da rede complementar de saúde da região e com os dados produzidos em entrevista com um trabalhador. Essa entrevista seguiu a técnica do roteiro semi estruturado elaborado com o referencial teórico da memória social. Os resultados demonstraram que a memória social das mudanças nas práticas em saúde mental no Mboi Mirim revelou categorias subjetivas que influenciaram e construíram a base atual das ações em saúde mental. Demonstraram igualmente que essas práticas são limitadas pelas vulnerabilidades do território que criam riscos ao direito de saúde, mas não impedem sua construção que é de caráter contínuo. Essas conclusões ensinaram que a memória social é um instrumento de transformação que favorece o sentido e o valor da saúde mental comunitária, como fatores cruciais do direito à saúde. Os resultados revelam igualmente fatores subjetivos impactando na memória social e na sustentação de suas práticas. Essas práticas embora limitadas pelas vulnerabilidades e necessidades que fragilizam a proteção à saúde, não impediram o desenvolvimento da saúde mental no distrito do MBoi Mirim. A memória social é instrumento de transformação que reforça o valor da comunidade na atenção à saúde mental. Nesta dissertação aprendemos que a melhoria da saúde mental depende da melhoria da qualidade de vida da população / This dissertation aimed at the scrutiny of the mental health social memory in the district of M\'Boi Mirim, in the city of São Paulo. That district is acknowledged by wellknown social stigmas related to economic and social vulnerabilities, inequalities and needs, as well as to deficient infrastructure and violence. The main target of that scrutiny was to explore social memory as a way for the understanding of both health and mental health with which social memory could be matched. The path designed for the achievement of those goals began with a review of the concepts of health and mental health which was followed by the analysis of the challenges their practices brought about. Those review and analysis were followed by the construction of a frame of reference on social memory as a powerful source of empirical and analytical data for the understanding of the links between agents roles and performances and the outcomes. The methodology designed for the accomplishment of those purposes and tasks combined data from the bibliographical review, from the observation of the communitarian health networks enterprising in the region and from data produced by one interview with a key local mental health agent. That interview was carried out through a semi structured schedule aimed at exploring the M\'boi Mirim social memory. The results revealed that subjective aspects have impacted the social memory as have sustained the mental health practices. These practices are limited by the vulnerabilities and needs that undermine health rights and protection, but notwithstanding those limitations health protection in M\'boi Mirim is in progress. Social memory is an instrument of transformation because reinforces the value of community mental health care. Our main conclusion was that the improvement of mental health in the territory is linked to the upgrading of the quality of life of that population

Citizenship, as effective social, cultural and economic participation for refugee groups, depends on appropriate institutional structures and processes in resettlement societies. This thesis using critical social theoretical perspectives addresses the paradox of being legally a citizen, but substantively excluded from the very rights that constitute such citizenship. The thesis draws on theoretical models of newcomer integration in order to promote the development of a more inclusive society for refugees in New Zealand. The issues to be considered include responses from central government and from public institutions—particularly health, education, employment and welfare—in addressing social exclusion and promoting integration. The questions of refugee integration to be addressed conceptually must take into consideration cultural and religious diversity, on the one hand, and socio-economic inequality on the other. In New Zealand, the 1987 review of refugee resettlement policy, which established an annual quota of 750 places, has given priority to those with the highest health and social needs and removed preferences for specific national, ethnic and religious groups. Significantly, in the 1990s radical neo-liberal economic reforms were introduced and publicly provided health, education and welfare systems were restructured. This posed serious challenges to the core idea of social citizenship in general in New Zealand society. Noticeable ethnic diversification has been just one element of the resettlement policy changes; the other has been long-term social and economic exclusion in the refugee groups settled since this time. This study indicates that New Zealand’s notably humanitarian refugee resettlement policy is not matched by adequate central government and public institutional responses and resources with which to integrate refugee groups. This qualitative study examines the role of one institution in particular, health care. The study takes a multi-method approach, using historical and social policy analysis to set the structural context for the interpretation of data from participant interviews. During fieldwork, twenty-eight semi-structured interviews were conducted with health care providers in community, primary and secondary care sectors in the Auckland region, in both governmental and non-governmental agencies. This research demonstrates at a service level, the consequences of overlooking refugee peoples in New Zealand social policy, data collection systems, research and health strategies. Importantly though, the research discovers a number of ‘activation points’—or approaches that have been developed by health care practitioners—that highlight future opportunities for the inclusion of refugee groups. One finding is that the New Zealand health system must address the question of how to effect a shift from universalist conceptions of generalised eligibility for health services to targeted interventions for refugees. The conclusions drawn from the study are: firstly, that an overarching integration policy for refugees, led by central government, is required. Secondly, institutional responses that accommodate the special psychosocial, socio-economic and cultural/religious requirements of refugee groups are needed. This would include the development of a locally relevant multiculturalism to guide social policy in New Zealand. In the long-term, for peoples from refugee backgrounds to become full political, social, economic and cultural members of New Zealand society, there needs to be a rethinking of the contemporary models of citizenship offered.

OBJETIVO: Evaluar la salud percibida en fumadores de cigarrillos según las etapas del cambio. METODOLOGIA: Se estudiaron 253 personas mediante el cuestionario de salud SF-36 cada 6 meses durante dos años. RESULTADOS: Después del abandono del tabaco mejora la Evolución Declarada de la Salud y las percepciones de salud del componente físico y mental. Los fumadores que siguen fumando pero progresan en las etapas del cambio experimentan un descenso en Función Física, Salud General y en el Componente Sumario Físico. La recaída en el tabaquismo se asocia a peor Vitalidad y Salud Mental, y a considerar el consumo de tabaco como causa del deterioro actual de la salud. CONCLUSIONES: Se observa una peor percepción de salud física al plantearse el abandono del consumo de tabaco a medio plazo, una mejoría global de la salud percibida al dejar de fumar y una peor salud emocional en la recaída. / OBJECTIVES: To evaluate the health-related quality of life in smokers with different stages of change. METHODOLOGY: 250 subjects evaluating their perception of health every 6 months for two years through the SF-36 health questionnaire. RESULTS: After stopping smoking, the Self-evaluated Health Transition improves, and the perception of health improves both in physical and mental components. Smokers that do not stop smoking but progress in the stages of change experience a fall in Physical Functioning, General Health and in the Physical Component Summary. Relapse in the use of tobacco is associated with a worsening in the Vitality and Mental Health, considering smoking to be a cause of deterioration in the state of health. CONCLUSIONS: Worse perception of physical health is observed when stopping smoking is contemplated as a medium-term objective, an overall improvement in health is observed on stopping smoking, and worse emotional health is observed in the case of relapse.

In recent years, concern has grown over the consequences of global warming. The arctic region is thought to be particularly vulnerable to increasing temperatures, and warming is occurring here substantially more rapidly than at lower latitudes. Consequently, assessments of the state of the Arctic are a focus of international efforts. For the terrestrial Arctic, large datasets are generated by remote sensing of above-ground variables, with an emphasis on vegetation properties, and, by association, carbon fluxes. However, the terrestrial component of the carbon (C) cycle remains poorly quantified and the below-ground distribution and stocks of soil C can not be quantified directly by remote sensing. Large areas of the Arctic are also difficult to access, limiting field surveys. The scientific community does know, however, that this region stores a massive proportion (although poorly quantified, soil C stocks for tundra soils vary from 96 to 192 Gt C) of the global reservoir of soil carbon, much of it in permafrost (900 Gt C), and these stocks may be very vulnerable to increased rates of decomposition due to rising temperatures. The consequences of this could be increasing source strength of the radiatively forcing gases carbon dioxide (CO2) and methane (CH4). The principal objective of this project is to provide a critical evaluation of methods used to link soil C stocks and fluxes at the usual scales spanned by the field surveys (centimetre to kilometre) and remote sensing surveys (kilometre to hundreds of kilometres). The soil C distribution of two sub-arctic sites in contrasting climatic, landscape/geomorphologic and vegetation settings has been described and analysed. The transition between birch forest and tundra heath in the Abisko (Swedish Lapland) field site, and the transition between mire and birch forest in the Kevo (Finnish Lapland) field site span several vegetation categories and landscape contexts. The natural variability of below-ground C stocks (excluding coarse roots > 2 mm diameter), at scales from the centimetre to the kilometre scale, is high: 0.01 to 18.8 kg C m-2 for the 0 - 4 cm depth in a 2.5 km2 area of Abisko. The depths of the soil profiles and the soil C stocks are not directly linked to either vegetation categories or Leaf Area Index (LAI), thus vegetation properties are not a straightforward proxy for soil C distribution. When mapping soil or vegetation categories over large areas, it is usually necessary to aggregate several vegetation or soil categories to simplify the output (both for mapping and for modelling). Using this approach, an average value of 2.3 kg C m-2 was derived both for soils beneath treeless areas and forest understorey. This aggregated value is potentially misleading, however, because there is significant skew resulting from the inclusion of exposed ridges (with very low soil C stocks) in the ‘treeless’ category. Furthermore, if birch trees colonise tundra heath and other ‘open’ plant communities in the coming decades, there will likely be substantial shifts in soil C stocks. This will be both due to direct climate effects on decomposition, but also due to changes in above- and below-ground C inputs (both in quantity and quality) and possibly changes in so-called root ‘priming’ effects on the decomposition of existing organic matter. A model of soil respiration using parameters from field surveys shows that soils of the birch forest are more sensitive to increases in mean annual temperature than soils under tundra heath. The heterogeneity of soil properties, moisture and temperature regimes and vegetation cover in ecotone areas means that responses to climate change will differ across these landscapes. Any exercise in upscaling results from field surveys has to indicate the heterogeneity of vegetation and soil categories to guide soil sampling and modelling of C cycle processes in the Arctic.

Darbo tikslas: įvertinti psichologinių ir socialinių darbo sąlygų ir jūrininkų fizines ir psichologine sveikatos sutrikimu sąsajas . Tyrimo metodai: duomenys buvo surinkti vienmomentinės anketinės apklausos būdu, ištyrus 370 Klaipėdos jūrininkų ligoninėje dėl privalomojo sveikatos patikrinimo besikreipiančius jūrininkus. Anoniminės anketinės apklausos būdu, naudojantis norvegų pasiūlytu Negatyvaus elgesio darbe klausimynu, buvo surinkta informacija apie jūrininkų patiriamo negatyvaus elgesio darbe formas, trukmę. Tiriamieji informavos apie diagnozuotus sveikatos sutrikimus. Tirta jūrininkų vidinė darna, potrauminio streso sutrikimo simptomai, minimalūs psichikos sveikatos sutrikimai. Tyrimo duomenys buvo analizuojami statistiškai, taikant SPSS 13,0 for Windows programą. Apskaičiuotas Spirmano koreliacijos koeficientas tikslu įvertinti jūrininkų patiriamo psichologinio teroro darbe sąsajas su gydytojo diagnozuotais fizinės sveikatos sutrikimais bei psichologinės sveikatos rodmenimis. Rezultatai: bent vieną negatyvaus elgesio aktą per 6 mėnesius patyrė 75 proc. jūrininkų savo darbe, 25 proc. jūrininkų nepatyrė nė vieno negatyvaus elgesio akto. Dažno psichologinio teroro jūrininkų darbe paplitimas siekė 3,8 proc., atsitiktinio – 10,1 proc. 2,3 proc. jūrininkų nurodė, kad labai jaučia stresą darbe. Stebėtos statistiškai reikšmingos sąsajos tarp jūrininkų patiriamo psichologinio teroro darbe ir arterinės hipertenzijos (r =0,154), kaklo/peties skausmų (r =0,138), migrenos (r =0,15... [toliau žr. visą tekstą] / Aims of the study–to evaluate the associations between psychological terror in the workplace and adverse health outcomes. Methods. totally 370 seafarers, attending the mandatory health examination in the Marine health care centre. The Lithuanian version of the Norwegian Negative Acts Questionnaire was used for the investigation of the prevalence and duration of negative acts among seafarers. The investigated seafarers were asked about diagnosed by the physician health outcomes over the last twelve months. The questionnaires on the sense of coherence, post-traumatic stress disorder and minor psychological disorders (psychological distress) were distributed as well. The statistical software SPSS 13.0 for Windows was used in the statistical analysis. The associations between psychological terror in the workplace and adverse health outcomes were evaluated by Spirman’s correlation coefficient. Results. 75.0% of the investigated seafarers were exposed to at least one negative act over the last six months, only 25.0% were not exposed. The prevealence of severe bullying was 3.8%, the prevalence of occasional bullying was 10.1%. 2.3% of the investigated seafarers perceived severe stress in the workplace. Statistically significant associations between psychological terror and arterial hypertension (r=0.154), neck/shoulder pain (r=0.138), migraine (r=0.158), diseases, prostate diseases (r=0.122), hand/arm pain (r=0.196), non allergic skin diseases (r=0.138) were observed... [to full text]

Thesis (Ph. D.)--University of Texas at Austin, 2004. / Supervisor: Stacy Wolf. Vita. Includes bibliographical references.

Made available in DSpace on 2015-07-22T20:50:26Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-04-28. Added 1 bitstream(s) on 2015-08-11T03:26:03Z : No. of bitstreams: 1 Publico-12535.pdf: 742021 bytes, checksum: 9518cc7caeeb58090e95e52453539267 (MD5) / A Medicina Tradicional Chinesa (MTC), com bases fundamentadas no estímulo à prevenção, visão holística e ênfase no autocuidado adequa-se às atuais Diretrizes Curriculares dos cursos da área da saúde e aos princípios do SUS, portanto vem sendo utilizada no sistema público de saúde no Brasil. Porém, a inserção de uma Medicina com bases filosóficas e culturais orientais em um contexto ocidental enfrenta numerosos desafios. Esta pesquisa tem como objetivo caracterizar o perfil profissional, as concepções, práticas e o processo de formação em MTC de profissionais que atuam em unidades do serviço público de saúde na cidade de São Paulo. Esta pesquisa descritiva exploratória foi realizada com abordagem qualitativa. A coleta de dados compreendeu a aplicação de formulários e entrevistas semiestruturadas a 12 profissionais que exercem MTC em duas unidades de saúde da região centro-oeste de São Paulo. A análise de conteúdo foi orientada pelos seguintes núcleos: perfil profissional, concepções e práticas, formação em MTC. Os resultados indicaram a configuração de dois grupos de profissionais que atuam com MTC, os médicos que praticam acupuntura e possuem formação mais normatizada e os não médicos que realizam práticas corporais e meditativas, com formação em diversas instituições que oferecem cursos com escassa normatização em relação à carga horária, aos conteúdos e requisitos de admissão. Os entraves na formação para ambos os grupos mencionados referem-se também à escassez de textos didáticos, docentes com insuficiente formação didático-pedagógica e ausência de apoio institucional para aprimoramento profissional em MTC. Os profissionais entrevistados expressam concepções condizentes com os princípios da MTC, contudo, o exercício da prática no cotidiano da unidade se vê prejudicado pela resistência da equipe multiprofissional, pelo escasso número de profissionais, carência de recursos materiais e falta de informação e divulgação da oferta e benefícios da MTC para usuários e profissionais da saúde. Os princípios da MTC e o perfil dos profissionais têm muito a contribuir com o atual modelo biopsicossocial de saúde no Brasil, embora medidas efetivas que incluam a aproximação das Instituições de Ensino Superior aos serviços de saúde devam ser estabelecidas para utilização e ampliação da MTC no serviço público, garantindo sua aplicação com segurança e qualidade visando à melhoria da saúde da população. / The Traditional Chinese Medicine, founded in the principles of stimulating prevention, holistic view and emphasis in self care, is appropriated in the current Curriculum Directive and to the Brazilian Unified Heath System, however, it has been used in the Brazil public health system. Nevertheless, the insertion of a Medicine with oriental philosophical and cultural approach in a western context has a number of challenges. The purpose of this search is to identify the professionals’ profile, the concepts, the practises and the education process of those professionals exercising Traditional Chinese Medicine in public centers in the city of São Paulo. This descriptive exploratory search was conducted with a qualitative approach. The data collection was through forms and semi-structured interviews with 12 professionals that exercise Traditional Chinese Medicine in two health public centers in the central west region of São Paulo. The content analysis was directed by: professional profile, concepts, practises and Traditional Chinese Medicine education. The results indicated the configuration of two professional groups that exercise Traditional Chinese Medicine: the doctors that practise acupuncture and have a formal academic education and the other professionals that give corporal and meditation practises and have a technical education acquired through several institutions that offer courses with limited regulation on minimum lecture and study hours, content and admission requirements. The issues regarding the education of both groups are also with respect to the limited availability of teaching material, teachers with insufficient teaching education and lack of institutional support for the professional improvement in Traditional Chinese Medicine. The traditional Chinese Medicine principles and the profile of the professionals have a lot to contribute with the current bio phiso social model of health in Brazil; nevertheless effective measures, which include the closer interaction between the universities and the health services, must be established in order for the Traditional Chinese Medicine to be used and amplified in the public service, safeguarding its qualified and secure application and aiming at the improvement of the heath standard of the population. / TEDE / BV UNIFESP: Teses e dissertações

Due to the higher migration rates, there is more cultural diffusion. The healthe care personnel will be dealing with patients from different cultures more often. This is why it is important to use an appropriate approach and give competent heathcare considering cultural backround of the patients. The goal of this thesis was to map the cultural differences in care for an underage patient and to trend the minority groups that are being cared for by nurses in the children's ward. To achieve the goal of this thesis, there were four specified questions and to achieve the result, there was a threephase trial, specifically qualitative trial supplemented with quantitative method using a questionnaire. The first phase was the pilot poll and a techniquire "snowball slamping" was used. The second phase of the trial consisted of pre-structured interviews with the nurses. The third phase consisted of pre-structured interviews with the parents. On the basis of this trial, it was concluded that the nurses are caring for Romany and Vietnamese minority groups most often. The other most patiens from Ukraine, Russia, Germany, Poland, Muslims and Jehova witnesses. The most common problems that occur during the care are: language barrier, cultural customs, communication and co-operation. Based on the data collected from interviews with nurses and parents, there are specific variations in expectency of care, such as food, daily regime, differences in behavour, communication, reliability to adhere to given rules and consequent care after the hospital stay. There are other different specifics such as rituals and traditions during child labour or at the time of death, celebration of different festivals, fasting and other spiritual needs. Traditions relating to refusal or demand of specific care were also mentioned. Results of this thesis were presented at the 13th Student conference in Pardubice and will be published in a technical journal.

Made available in DSpace on 2015-04-16T14:49:19Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 909719 bytes, checksum: 9f58e4b46a9be7683aee64fc095311ee (MD5) Previous issue date: 2009-09-18 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Throughout its history, Brazil has been finding many difficulties in education, economy, security, politics and health. The poor sections of the population - which is a large majority of people in relation to the ones who have more conditions - depend on governmental actions to make use of education and good health care among other services. One of the ways used to find solution to improve public health care services in the country was to create the Unique Health Care System (Sistema Único de Saúde - SUS), which aims at altering inequality in health care assistance to the population, imposing public attendance to any citizen, being prohibited the charge of money under any circumstances. With the increase in advances in technology around the world, public administration has been inserting in its practice devices that information technology (IT) disposes. In the public health care field, besides the Information systems in health, the national health card -or SUS card - represents one of the biggest projects developed by the government, using information systems that integrate all governmental spheres, providing a bigger financial control of the Ministry of health. The SUS card makes the access of registered patients to the SUS services possible, but at the same time it should not obstacle the access of the ones who do not have the card yet. According to the Health Ministry, one of the objectives of SUS card is to raise quality and efficiency in access to public health services. Ahead of the investments carried through in technology, an increase productivity is waited, that reflects in benefits to the population. This research aims at bringing to the reader the way as the users of SUS perceives the politics of SUS Card. Therefore public hospital patients in the metropolitans regions of João Pessoa and Recife were interviewed and the evaluation results proceeded from content analysis, proposed by Gläser and Laudel, with variables and dimensions established from the SERVQUAL model, scientifically validated. It was verified, to the end of the analysis, that the users of SUS do not feel themselves benefited with the implantation of SUS Card, what it makes possible the conclusion of that the high expenses of the Government with SUS Card had not been reverted in benefits to the population. / O Brasil tem encontrado grandes dificuldades, ao longo de sua história, na educação, economia, segurança, política e saúde. A população carente, que ocupa uma fatia enorme em relação àqueles que têm mais recursos depende das ações do Governo para que possa usufruir de educação e saúde de qualidade, além de outros serviços. Uma das formas adotadas na busca de soluções de otimização dos serviços de saúde pública no país foi a criação do Sistema Único de Saúde (SUS), que tem a finalidade de alterar a situação de desigualdade na assistência à saúde da população, tornando obrigatório o atendimento público a qualquer cidadão. Com os crescentes avanços tecnológicos por que vem passando o mundo, a administração pública vem inserindo em suas práticas ferramentas que a Tecnologia da Informação (TI) disponibiliza. No campo da saúde pública, além dos Sistemas de Informação em Saúde, o Cartão Nacional de Saúde, ou Cartão SUS representa um dos maiores projetos criados pelo governo, utilizando sistemas de informação que integram todas as esferas de Governo, propiciando assim maior controle financeiro do Ministério da Saúde. O Cartão SUS possibilita o acesso de pacientes cadastrados aos serviços prestados pelo SUS. De acordo com o Ministério da Saúde, um dos objetivos do Cartão SUS é aumentar a eficiência e a qualidade do acesso aos serviços públicos de saúde. Diante dos investimentos realizados em tecnologia é esperado um aumento de produtividade, que reflete em benefícios à população. Esta pesquisa objetiva trazer ao leitor, o modo como os usuários do SUS percebem a política do Cartão SUS. Para tanto, foram entrevistados pacientes de hospitais públicos das regiões metropolitanas de João Pessoa e Recife e os resultados da avaliação foram provenientes de uma análise de conteúdo, proposta por Gläser e Laudel, com dimensões e variáveis estabelecidas a partir do modelo SERVQUAL, validado cientificamente. Verificou-se, ao final da análise, que os usuários do SUS não se sentem beneficiados com a implantação do Cartão SUS, o que possibilita a conclusão de que os altos gastos do Governo com o Cartão SUS não foram revertidos em benefícios à população.