Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional
Ano de defesa: | 2019 |
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Autor(a) principal: | |
Outros Autores: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade do Estado do Rio de Janeiro
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Serviço Social
|
Departamento: |
Centro de Ciências Sociais::Faculdade de Serviço Social
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://www.bdtd.uerj.br/handle/1/18988 |
Resumo: | This study was conducted from the experience lived in the multidisciplinary residence in oncology at the National Cancer Institute José Alencar Gomes da Silva (INCA). The insertion as Social Worker, in one of the units, at the bone marrow transplantation center (BMT), allowed the reflection and the study about the social worker performance in face of the complexity of the reality of the bone marrow transplant users. We aim to analyze the inversion of the logic of SUS in the materialization of BMT, addressing the role played by the social worker who opts for the professional ethical-political project, in the face of contradictions, limits and possibilities put to practice in health, in a transplant unit. To this end, we address the need for bone marrow transplantation for the recovery of the user's health, the real socioeconomic conditions for maintaining the quality of life of the transplanted user and the limits and possibilities of acting against the reality of public policies today and health trends. The way to achieve these goals is to identify the routine and impacts suffered by users after bone marrow transplantation, post-transplant survival and mortality, the cost of BMT and the analysis of social policies in the current conjuncture and trends assumed mainly in the health area. The research is qualitative and was conducted, through semi-structured interviews, bibliographic and documentary research. Data interpretation was performed using the Hermeneutic-dialectical methodological approach. The analysis was supported by the method of social theory and dialectical historical materialism. In the field work, data collection was used, with documentary analysis, through medical records of users who were participants of the research, as well as interviewees. Thus, we sought to classify the major impacts and changes in lifestyle suffered by users, in an attempt to identify how much the disease and especially the treatment of BMT impacts on new needs and weaknesses in the lives of workers using SUS. Our study reveals that, with the almost exclusive priority of performing BMT, without guaranteeing the socioeconomic conditions for the user to support the transplant and survive and / or do not need a new transplant, the SUS logic is reversed. , that is, inversion of what is ensured in the legislation, in relation to the principle of integrality of health, expressly announced in art. 198, item II (CF, 1988): comprehensive care, with priority for preventive activities, without prejudice to care services. |
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Vasconcelos, Ana Maria dehttp://lattes.cnpq.br/2760521434750181Alcantara, Luciana da Silvahttp://lattes.cnpq.br/3127079137464402Matos, Maurílio Castro dehttp://lattes.cnpq.br/7477661587355470http://lattes.cnpq.br/0744360651952385Maia, Priscilla Bezerra da Silva dos Santospriscillabssmaia@gmail.com2023-01-30T14:17:54Z2019-08-14MAIA, Priscilla Bezerra da Silva dos Santos. Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional. 2019. 117 f. Dissertação (Mestrado em Serviço Social) – Instituto de Filosofia e Ciências Humanas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2019.http://www.bdtd.uerj.br/handle/1/18988This study was conducted from the experience lived in the multidisciplinary residence in oncology at the National Cancer Institute José Alencar Gomes da Silva (INCA). The insertion as Social Worker, in one of the units, at the bone marrow transplantation center (BMT), allowed the reflection and the study about the social worker performance in face of the complexity of the reality of the bone marrow transplant users. We aim to analyze the inversion of the logic of SUS in the materialization of BMT, addressing the role played by the social worker who opts for the professional ethical-political project, in the face of contradictions, limits and possibilities put to practice in health, in a transplant unit. To this end, we address the need for bone marrow transplantation for the recovery of the user's health, the real socioeconomic conditions for maintaining the quality of life of the transplanted user and the limits and possibilities of acting against the reality of public policies today and health trends. The way to achieve these goals is to identify the routine and impacts suffered by users after bone marrow transplantation, post-transplant survival and mortality, the cost of BMT and the analysis of social policies in the current conjuncture and trends assumed mainly in the health area. The research is qualitative and was conducted, through semi-structured interviews, bibliographic and documentary research. Data interpretation was performed using the Hermeneutic-dialectical methodological approach. The analysis was supported by the method of social theory and dialectical historical materialism. In the field work, data collection was used, with documentary analysis, through medical records of users who were participants of the research, as well as interviewees. Thus, we sought to classify the major impacts and changes in lifestyle suffered by users, in an attempt to identify how much the disease and especially the treatment of BMT impacts on new needs and weaknesses in the lives of workers using SUS. Our study reveals that, with the almost exclusive priority of performing BMT, without guaranteeing the socioeconomic conditions for the user to support the transplant and survive and / or do not need a new transplant, the SUS logic is reversed. , that is, inversion of what is ensured in the legislation, in relation to the principle of integrality of health, expressly announced in art. 198, item II (CF, 1988): comprehensive care, with priority for preventive activities, without prejudice to care services.O presente estudo foi realizado a partir da experiência vivenciada na residência multiprofissional em oncologia no Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). A inserção como Assistente Social, em uma das unidades, no centro de Transplante de Medula Óssea (TMO), possibilitou a reflexão e o estudo acerca da atuação do assistente social diante da complexidade da realidade dos usuários transplantados de medula óssea. Temos como objetivo analisar a inversão da lógica do SUS na materialização do TMO, abordando o papel desempenhado pelo assistente social que opta pelo projeto ético-político profissional, diante das contradições, limites e possibilidades postos à prática na saúde, numa unidade de transplante. Para tanto, abordamos a necessidade da realização de transplante de medula óssea para a recuperação da saúde do usuário, as condições socioeconômicas reais para manutenção da vida com qualidade do usuário transplantado e os limites e possiblidades da atuação frente a realidade das políticas públicas na atualidade e as tendências na área da saúde. O caminho construído para atingir estes objetivos passa pela identificação da rotina e dos impactos sofridos pelos usuários, após o transplante de medula óssea, da sobrevida e da mortalidade pós-transplante, do custo do TMO e da análise das políticas sociais na conjuntura atual e das tendências assumidas, principalmente, na área da saúde. A pesquisa é qualitativa e foi realizada, através de entrevistas semiestruturadas, pesquisa bibliográfica e documental. A interpretação dos dados foi realizada a partir da abordagem metodológica Hermenêutica-dialética. A análise foi sustentada pelo método da teoria social e pelo materialismo histórico dialético. No trabalho de campo, foi utilizada a coleta de dados, com análise documental, através de prontuários de usuários que foram participantes da pesquisa, também como entrevistados. Desta forma, buscou-se classificar os maiores impactos e mudanças do modo de vida sofridos pelos usuários, na tentativa de identificar o quanto o adoecimento e, principalmente, o tratamento de TMO impacta em novas necessidades e debilidades à vida dos trabalhadores usuários do SUS. Nosso estudo revela que, com a prioridade, quase que exclusiva, de realizar o TMO, sem a garantia das condições socioeconômicas para que o usuário suporte o transplante e sobreviva e/ou não necessite de novo transplante, se dá a inversão da lógica do SUS, ou seja, inversão do que está assegurado na legislação, com relação ao princípio da integralidade da saúde, expressamente anunciado no art. 198, inciso II (CF, 1988): atendimento integral, com prioridade para as atividades preventivas, sem prejuízo dos serviços assistenciais.Submitted by Vanessa CCS/A (vanessa.biblioteca.2022@gmail.com) on 2023-01-30T14:17:54Z No. of bitstreams: 1 Dissertação - Priscilla Bezerra da Silva dos Santos Maia - 2019 - Completa.pdf: 999561 bytes, checksum: 7afecd1e75a74d3279e10fd1740a0005 (MD5)Made available in DSpace on 2023-01-30T14:17:54Z (GMT). No. of bitstreams: 1 Dissertação - Priscilla Bezerra da Silva dos Santos Maia - 2019 - Completa.pdf: 999561 bytes, checksum: 7afecd1e75a74d3279e10fd1740a0005 (MD5) Previous issue date: 2019-08-14application/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em Serviço SocialUERJBrasilCentro de Ciências Sociais::Faculdade de Serviço SocialSocial WorkBone marrow transplantHealth Unic SystemProfessional ProjectSocial politicsServiço SocialTransplante de Medula ÓsseaSistema Único de SaúdeProjeto ProfissionalPolíticas SociaisCIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL::SERVICO SOCIAL APLICADO::SERVICO SOCIAL DA SAUDETransplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissionalBone Marrow Transplantation and inverted logic f SUS: challenges for professional practice.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALDissertação - Priscilla Bezerra da Silva dos Santos Maia - 2019 - Completa.pdfDissertação - Priscilla Bezerra da Silva dos Santos Maia - 2019 - Completa.pdfapplication/pdf999561http://www.bdtd.uerj.br/bitstream/1/18988/2/Disserta%C3%A7%C3%A3o+-+Priscilla+Bezerra+da+Silva+dos+Santos+Maia+-+2019+-+Completa.pdf7afecd1e75a74d3279e10fd1740a0005MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82123http://www.bdtd.uerj.br/bitstream/1/18988/1/license.txte5502652da718045d7fcd832b79fca29MD511/189882024-02-27 13:42:39.758oai:www.bdtd.uerj.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://www.bdtd.uerj.br/PUBhttps://www.bdtd.uerj.br:8443/oai/requestbdtd.suporte@uerj.bropendoar:29032024-02-27T16:42:39Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ)false |
dc.title.por.fl_str_mv |
Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional |
dc.title.alternative.eng.fl_str_mv |
Bone Marrow Transplantation and inverted logic f SUS: challenges for professional practice. |
title |
Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional |
spellingShingle |
Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional Maia, Priscilla Bezerra da Silva dos Santos Social Work Bone marrow transplant Health Unic System Professional Project Social politics Serviço Social Transplante de Medula Óssea Sistema Único de Saúde Projeto Profissional Políticas Sociais CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL::SERVICO SOCIAL APLICADO::SERVICO SOCIAL DA SAUDE |
title_short |
Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional |
title_full |
Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional |
title_fullStr |
Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional |
title_full_unstemmed |
Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional |
title_sort |
Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional |
author |
Maia, Priscilla Bezerra da Silva dos Santos |
author_facet |
Maia, Priscilla Bezerra da Silva dos Santos priscillabssmaia@gmail.com |
author_role |
author |
author2 |
priscillabssmaia@gmail.com |
author2_role |
author |
dc.contributor.advisor1.fl_str_mv |
Vasconcelos, Ana Maria de |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2760521434750181 |
dc.contributor.referee1.fl_str_mv |
Alcantara, Luciana da Silva |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/3127079137464402 |
dc.contributor.referee2.fl_str_mv |
Matos, Maurílio Castro de |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/7477661587355470 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0744360651952385 |
dc.contributor.author.fl_str_mv |
Maia, Priscilla Bezerra da Silva dos Santos priscillabssmaia@gmail.com |
contributor_str_mv |
Vasconcelos, Ana Maria de Alcantara, Luciana da Silva Matos, Maurílio Castro de |
dc.subject.eng.fl_str_mv |
Social Work Bone marrow transplant Health Unic System Professional Project Social politics |
topic |
Social Work Bone marrow transplant Health Unic System Professional Project Social politics Serviço Social Transplante de Medula Óssea Sistema Único de Saúde Projeto Profissional Políticas Sociais CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL::SERVICO SOCIAL APLICADO::SERVICO SOCIAL DA SAUDE |
dc.subject.por.fl_str_mv |
Serviço Social Transplante de Medula Óssea Sistema Único de Saúde Projeto Profissional Políticas Sociais |
dc.subject.cnpq.fl_str_mv |
CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL::SERVICO SOCIAL APLICADO::SERVICO SOCIAL DA SAUDE |
description |
This study was conducted from the experience lived in the multidisciplinary residence in oncology at the National Cancer Institute José Alencar Gomes da Silva (INCA). The insertion as Social Worker, in one of the units, at the bone marrow transplantation center (BMT), allowed the reflection and the study about the social worker performance in face of the complexity of the reality of the bone marrow transplant users. We aim to analyze the inversion of the logic of SUS in the materialization of BMT, addressing the role played by the social worker who opts for the professional ethical-political project, in the face of contradictions, limits and possibilities put to practice in health, in a transplant unit. To this end, we address the need for bone marrow transplantation for the recovery of the user's health, the real socioeconomic conditions for maintaining the quality of life of the transplanted user and the limits and possibilities of acting against the reality of public policies today and health trends. The way to achieve these goals is to identify the routine and impacts suffered by users after bone marrow transplantation, post-transplant survival and mortality, the cost of BMT and the analysis of social policies in the current conjuncture and trends assumed mainly in the health area. The research is qualitative and was conducted, through semi-structured interviews, bibliographic and documentary research. Data interpretation was performed using the Hermeneutic-dialectical methodological approach. The analysis was supported by the method of social theory and dialectical historical materialism. In the field work, data collection was used, with documentary analysis, through medical records of users who were participants of the research, as well as interviewees. Thus, we sought to classify the major impacts and changes in lifestyle suffered by users, in an attempt to identify how much the disease and especially the treatment of BMT impacts on new needs and weaknesses in the lives of workers using SUS. Our study reveals that, with the almost exclusive priority of performing BMT, without guaranteeing the socioeconomic conditions for the user to support the transplant and survive and / or do not need a new transplant, the SUS logic is reversed. , that is, inversion of what is ensured in the legislation, in relation to the principle of integrality of health, expressly announced in art. 198, item II (CF, 1988): comprehensive care, with priority for preventive activities, without prejudice to care services. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-08-14 |
dc.date.accessioned.fl_str_mv |
2023-01-30T14:17:54Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MAIA, Priscilla Bezerra da Silva dos Santos. Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional. 2019. 117 f. Dissertação (Mestrado em Serviço Social) – Instituto de Filosofia e Ciências Humanas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2019. |
dc.identifier.uri.fl_str_mv |
http://www.bdtd.uerj.br/handle/1/18988 |
identifier_str_mv |
MAIA, Priscilla Bezerra da Silva dos Santos. Transplante de Medula Óssea e lógica invertida do SUS: desafios para a prática profissional. 2019. 117 f. Dissertação (Mestrado em Serviço Social) – Instituto de Filosofia e Ciências Humanas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2019. |
url |
http://www.bdtd.uerj.br/handle/1/18988 |
dc.language.iso.fl_str_mv |
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openAccess |
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Universidade do Estado do Rio de Janeiro |
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UERJ |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Centro de Ciências Sociais::Faculdade de Serviço Social |
publisher.none.fl_str_mv |
Universidade do Estado do Rio de Janeiro |
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