Acesso às informações de saúde e inclusão digital: a percepção dos Conselheiros Municipais de Saúde de Botucatu - SP
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Data
2016-01-22
Autores
Fernandes, Violeta Campolina [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
Introdução: Na sociedade da informação acredita-se que a internet e os meios digitais possibilitam a participação comunitária e ampliação do acesso às informações, fundamentais para um agir mais autônomo e crítico. O presente estudo insere-se no contexto da inclusão digital de conselheiros de saúde e no fortalecimento de suas práticas. Objetivo: Conhecer a percepção dos conselheiros municipais de saúde em relação ao acesso à informação de saúde e inclusão digital no município de Botucatu, SP. Método: Trata-se de pesquisa qualitativa, alicerçada no método “Estudo de caso”, realizada com dezesseis conselheiros municipais de saúde sendo, dois dos representantes da administração pública (gestores), dois dos prestadores de serviço, cinco dos trabalhadores da saúde e sete dos representantes dos usuários. Foi realizada entrevista orientada por roteiro semiestruturado de julho a agosto de 2014 e os dados analisados à luz da Análise de Conteúdo representacional temática. A discussão foi alicerçada pelos referenciais teóricos da “Teoria da Democracia Participativa” a partir dos pressupostos do filósofo Jean-Jacques Rousseau sob a ótica de Pateman e os princípios do Sistema Único de Saúde (SUS) com destaque para a diretriz da participação comunitária. Resultados: Revelaram-se quatro categorias temáticas: 1) “Percepções dos conselheiros sobre a sua qualificação em saúde”. Evidenciou-se a insuficiência da educação permanente para conselheiros por parte dos gestores e dos próprios representantes de cada categoria tanto na área do controle social quanto em inclusão digital, os quais apresentam dificuldades que inviabilizam sua inserção nas novas tecnologias da informação. 2) “A percepção dos conselheiros sobre o acesso às informações de saúde”. Ainda é incipiente o acesso às informações no campo da saúde por meio digital, tendo como desdobramento a fragilização democrática e participativa do conselho, pois, pode haver algum controle daqueles que detém melhor conhecimento sobre as informações relativas à política de saúde, restringindo assim o debate. 3) “A percepção dos conselheiros sobre inclusão digital”. Os conselheiros reconheceram a importância da inclusão digital na sociedade atual. Porém é necessário que os sítios visitados sejam seguros, confiáveis e que possibilitem a aquisição do conhecimento. 4) “Expectativas dos conselheiros em relação à inclusão digital”. Demonstrou-se uma realidade na qual não há estímulo para a inclusão digital, mostrando obstáculos de natureza pessoal e operacional. Entretanto, apesar das dificuldades os conselheiros desejam desenvolver competências e habilidades para sua inclusão. Conclusão: Os conselheiros concebem a inclusão digital como algo importante e de grande utilidade para exercer a sua função, porém existem lacunas no acesso às informações de saúde e uma frágil inserção digital, o que pode comprometer o reconhecimento e a efetividade da participação social.
Introduction: In the information society it is believed that the Internet and digital media enable the community participation and increased the access of basic informationto an act more autonomous and critical. This study is part of the context of the digital inclusion of health counselors and strengthening of their practices. Objective: To know the perception of municipal health counselors in relation to access to health information and digital inclusion the municipality of Botucatu, SP. Method: This is a qualitative research, based on the method "Case of Study" conducted with sixteen municipal health directors and two representatives of public administration (management), two service providers, five of health workers and seven representatives of users. The interview was conducted semi-structured guided by July-August 2014 and the analysis of data in the light of Analysis Representational thematic content. The discussion was grounded by the theoretical frameworks of the "Theory of Participatory Democracy" from the assumptions of Jean-Jacques Rousseau philosopher from the perspective of Pateman and the principles of the Unified Health System (UHS) with emphasis on the policy of participation Community. Results: were revealed four thematic categories: 1) "Counselors perception about their health qualification”. The failure was evidenced continuing education for the counselors by managers and the own representatives of each category both in the area of social control as in digital inclusion, which present difficulties that prevent their involvement in the new information oftechnologies 2) "The counselors perception about access to health information". It is still incipient access to information in the field of health by digital media, having as unfolding democratic and participatory weakening of the board, because there may be some control of those who has better knowledge about information relating to health policy, thereby restricting the debate. 3) "The perception of the counselors on digital inclusion." The counselors recognized the importance of digital inclusion in society today. However it is necessary that the visited sites are safe, reliable and that enable the acquisition of knowledge. 4) "Expectations of the counselors in relation to digital inclusion". Proved to be a reality in which there is no stimulus for digital inclusion, showing obstacles of personal and operational. However, despite of the difficulties the counselors want to develop skills and abilities to their inclusion. Conclusion: Municipal health counselors value digital inclusion as a key and highly important tool to their practice. However, the Brazilian Health System has gaps in access to information and weak digital inclusion which impacts community engagement recognition and effectiveness.
Introduction: In the information society it is believed that the Internet and digital media enable the community participation and increased the access of basic informationto an act more autonomous and critical. This study is part of the context of the digital inclusion of health counselors and strengthening of their practices. Objective: To know the perception of municipal health counselors in relation to access to health information and digital inclusion the municipality of Botucatu, SP. Method: This is a qualitative research, based on the method "Case of Study" conducted with sixteen municipal health directors and two representatives of public administration (management), two service providers, five of health workers and seven representatives of users. The interview was conducted semi-structured guided by July-August 2014 and the analysis of data in the light of Analysis Representational thematic content. The discussion was grounded by the theoretical frameworks of the "Theory of Participatory Democracy" from the assumptions of Jean-Jacques Rousseau philosopher from the perspective of Pateman and the principles of the Unified Health System (UHS) with emphasis on the policy of participation Community. Results: were revealed four thematic categories: 1) "Counselors perception about their health qualification”. The failure was evidenced continuing education for the counselors by managers and the own representatives of each category both in the area of social control as in digital inclusion, which present difficulties that prevent their involvement in the new information oftechnologies 2) "The counselors perception about access to health information". It is still incipient access to information in the field of health by digital media, having as unfolding democratic and participatory weakening of the board, because there may be some control of those who has better knowledge about information relating to health policy, thereby restricting the debate. 3) "The perception of the counselors on digital inclusion." The counselors recognized the importance of digital inclusion in society today. However it is necessary that the visited sites are safe, reliable and that enable the acquisition of knowledge. 4) "Expectations of the counselors in relation to digital inclusion". Proved to be a reality in which there is no stimulus for digital inclusion, showing obstacles of personal and operational. However, despite of the difficulties the counselors want to develop skills and abilities to their inclusion. Conclusion: Municipal health counselors value digital inclusion as a key and highly important tool to their practice. However, the Brazilian Health System has gaps in access to information and weak digital inclusion which impacts community engagement recognition and effectiveness.
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Palavras-chave
Tecnologia da Informação, Conselhos de Saúde, Participação Social, Informação, Internet, Technology, Health Councils, Social Participation, Information, Internet