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Previous issue date: 2008-10-29 / This ethnographic work studies the experiences of patients admitted in public (PUH) and private (PRH) hospitals in the Brazilian northeastern region. 28 adult patients of different clinics participated in the study. Data were analyzed by the patient path method, consisting in a combination of complemented and articulated techniques free observation, participating observation, ethnographic interview and patient testimonials collected prospectively during the patients admissions, from their arrival and until their discharge. The analysis was carried out according to the Thematic Categories Analysis Technique and the data were interpreted pursuant to medical anthropology, healthcare humanization and healthcare promotion theoretical references. The ethical principles of Resolution 196/96 were followed. The human hospital, as revealed by the patient, highlights the significance of subjectivity. 225 (54.7%) out of 411 mentioned concepts were collected in a public hospital (PUH) and 186 (45.3%) in a private institution (PRH). The results show that the patient at the PUH and PRH ethnoevaluates different aspects of the healthcare professionals? human and technical competence, the hospital?s functioning structure, the access to and the ethics in the financial management, and develops overcoming strategies for his stay at the hospital. This ethnoevaluation is mediated by different factors, namely: social and economic status, personality, religiosity, ironic speech, somber diagnosis and satisfied needs, prior hospital experiences and the conditions under which the interview was carried out. A pedagogic proposal for the hospital humanization must include structural, managerial and organizational changes of the offered services and use active methodologies aimed to the political resolution of problematic situations at work and the inclusion of affective and subjective factors, and become as well a tool for the collective learning. This study shows the importance for the user?s ethnoevaluation to be incorporated into the hospital management and care as a guideline in the decision making and clinical action, thus promoting practices that shall lead to a decent and humanized care. The multidisciplinary nature of this study allowed a wide understanding of the user?s perspective as a socially critical ethnoevaluator / Este estudo etnogr?fico investiga a experi?ncia vivida do paciente internado em hospital p?blico (HPU) e privado (HPR) no Nordeste brasileiro. Os participantes da pesquisa foram 28 pacientes adultos atendidos nas diversas cl?nicas. Os dados foram estudados pelo m?todo O Percurso do Paciente , consistindo de uma combina??o complementar e articulada de t?cnicas - observa??o livre, observa??o participante, entrevista etnogr?fica e narrativas do paciente, coletadas prospectivamente durante a hospitaliza??o, desde a sua chegada at? a alta. A an?lise ocorreu conforme a T?cnica de An?lise Categorial Tem?tica e os dados foram interpretados ? luz dos referenciais te?ricos da Antropologia M?dica, humaniza??o do cuidado e promo??o da sa?de. Foram observados os princ?pios ?ticos da Resolu??o 196/96. O hospital humano, revelado pelo paciente, destaca a import?ncia da subjetividade. Das 411 unidades de significados desveladas, 225 (54,7%) foram no hospital p?blico (HPU) e 186 (45,3%) no hospital privado (HPR). Os resultados indicam que o paciente etnoavalia no HPU e no HPR aspectos da compet?ncia humana e t?cnica do profissional da sa?de, a estrutura e funcionamento hospitalar, o acesso e a ?tica na condu??o das finan?as; e desenvolve estrat?gias de supera??o da hospitaliza??o. Esta etnoavalia??o ? mediada por diversos fatores: condi??o socioecon?mica, personalidade, religiosidade, discurso ir?nico, diagn?stico sombrio e necessidades atendidas, experi?ncia anterior de hospitaliza??o e condi??es da entrevista. Uma proposta pedag?gica para humaniza??o hospitalar dever? vincular-se ?s mudan?as estruturais, gerenciais e organizacionais dos servi?os; utilizar-se de metodologias ativas que visem ? politiza??o, ? problematiza??o das situa??es concretas de trabalho e ? inclus?o dos afetos e intersubjetividades; al?m de constituir-se em aprendizagem coletiva. O estudo mostra a import?ncia de a etnoavalia??o do usu?rio ser incorporada ao projeto da gest?o e aten??o hospitalar como orientadora de decis?es e a??es cl?nicas, consistindo em promotora de pr?ticas que levem a um cuidado resolutivo, digno e humanizado. A multidisciplinaridade da pesquisa permitiu ampla apreens?o da perspectiva do usu?rio como etnoavaliador cr?tico social
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/13145 |
| Date | 29 October 2008 |
| Creators | Gomes, Annat?lia Meneses de Amorim |
| Contributors | CPF:15590097487, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4788255Y3&dataRevisao=null, Andrade, Luiz Odorico Monteiro de, CPF:19249330391, http://lattes.cnpq.br/4138758876612437, Moura, Escol?stica Rejane Ferreira, CPF:31841376353, http://lattes.cnpq.br/1900945940214033, Vasconcelos, Cipriano Maia de, CPF:07421648453, http://lattes.cnpq.br/6561196586776281, Alchieri, Jo?o Carlos, CPF:34616055068, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4790051D1&dataRevisao=null, Alves, Maria do Socorro Costa Feitosa |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Ci?ncias da Sa?de, UFRN, BR, Ci?ncias da Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| 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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