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Previous issue date: 2011-02-16 / Health policies in Brazil, the decentralization of SUS management responsibilities for the
three spheres of government has driven the creation and regulation of the audits of
health services in the National Audit Office, this is a trend of neoliberal policies imposed
by international bodies like the World Bank and IMF to peripheral countries
characterized by productive restructuring and reforming the state focuses on the
presence of two competing projects in the area of health: Health Sector Reform Project
which is based on the democratic rule of law with the assumption of health as social
right and duty of the State in defending the extension of the conquest of rights and
democratization of access to health care guaranteed through the public financing
strategies and the effective decentralization of decisions pervaded by social control and
privatized Health Project which is based on the state minimum, with a reduction in social
spending or in partnerships and privatization, stronger nonprofit sector, subject to
capitalist interests, is made effective through strategies targeting health policy and refilantropiza??o
actions. In this context, the present study is an analysis on the work of
social audits of public health in infants from a qualitative and quantitative approach,
embodied by the critical method of dialectical Marxist social theory that enabled us to
unveil the characterization, the demands, challenges and outline the profile of Social
Work in teams inserted audits of SUS in RN, but also provided evidence to demonstrate
the prospects and possibilities of this area of activity of social workers. It was also found
that through the audit work that the state fulfill its role as bureaucratic and regulator of
health services with efficiency, effectiveness and economy. Yet, paradoxically, the audits
of SUS may provide a vehicle for enforcing rights and ensuring the fundamental
principles contained in the project of health reform, because it can be configured in a
space of political struggle as representing a new field of knowledge production that
needs to be appropriate for a theoretical critic able to redirect the social interests in favor
of the user. From this perspective, it is concluded that the work of social audits of public
health in infants despite the social relevance that prints, as they constitute an activity
study of reality and its transformation proposition requires a transformative political
action guided the discussion Marxist theory holds that the ethical project professional
politician of Social Work / Nas pol?ticas de sa?de do Brasil, o processo de descentraliza??o das responsabilidades
da gest?o do SUS para as tr?s esferas de governo tem impulsionado a cria??o e
regulamenta??o das auditorias em servi?os de sa?de no Sistema Nacional de Auditoria.
Isso constitui uma tend?ncia da pol?tica neoliberal imposta pelos organismos
internacionais como Banco Mundial e FMI aos pa?ses perif?ricos caracterizado pela
reestrutura??o produtiva e a reforma do Estado que incide na presen?a de dois projetos
em disputa na ?rea da sa?de: o Projeto de Reforma Sanit?ria que tem como base o
Estado Democr?tico de Direito com a premissa da sa?de enquanto direito social e dever
do Estado, na defesa da amplia??o da conquista dos direitos e democratiza??o do
acesso aos servi?os de sa?de, garantido atrav?s das estrat?gias de financiamento
p?blico efetivo e da descentraliza??o das decis?es perpassadas pelo controle social; e
o Projeto Privatista de Sa?de que tem por base o Estado m?nimo, com diminui??o dos
gastos sociais ou atrav?s de parcerias e privatiza??es, fortalecimento do terceiro setor,
condicionado aos interesses capitalistas, efetiva-se atrav?s das estrat?gias de
focaliza??o das pol?ticas de sa?de e a re-filantropiza??o das a??es. Nesse contexto, o
presente estudo consiste numa an?lise sobre o trabalho do assistente social nas
auditorias p?blicas de sa?de no RN a partir de uma abordagem quali-quantitativa,
consubstanciada pelo m?todo cr?tico dial?tico da teoria social marxista que nos permitiu
desvelar a caracteriza??o, as demandas, os desafios e tra?ar o perfil profissional do
assistente social inserido nas equipes de auditorias do SUS no RN, como tamb?m
forneceu elementos para demonstrar as perspectivas e possibilidades dessa ?rea de
atua??o do assistente social. Constatou-se tamb?m que ? atrav?s dos trabalhos de
auditoria que o Estado cumpre seu papel burocr?tico e regulador dos servi?os de sa?de
com efic?cia, efici?ncia e economicidade. No entanto, paradoxalmente, as auditorias do
SUS podem representar um instrumento de efetiva??o de direitos e garantia dos
princ?pios fundamentais contidos no projeto de reforma sanit?ria, pois tanto pode se
configurar num espa?o de lutas pol?ticas quanto representa um novo campo de
produ??o de conhecimento que precisa ser apropriado por um referencial te?rico cr?tico
capaz de redirecionar os interesses sociais em favor do usu?rio. Nessa perspectiva,
conclui-se tamb?m que o trabalho do assistente social nas auditorias p?blicas de sa?de
no RN apesar da relev?ncia social que imprime, por se constituir uma atividade de
estudo da realidade e proposi??o de sua transforma??o, requer uma a??o pol?tica
transformadora pautada no debate te?rico marxista que sustenta o projeto ?tico pol?tico
profissional do Servi?o Social
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/17897 |
| Date | 16 February 2011 |
| Creators | Medeiros, Aparecida Dantas de Almeida |
| Contributors | CPF:05660181449, Ara?jo, Od?lia Sousa de, CPF:19996663460, http://lattes.cnpq.br/7597657505430445, Ramos, Maria da Concei??o Pereira, Rocha, M?rcia Maria de S? |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Servi?o Social, UFRN, BR, Servi?o Social, Forma??o Profissional, Trabalho e Prote??o Social; Servi?o Social, Cultura e Rela??e |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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