Pathways to Sanitary Surveillance: the challenge of health care surveillance

Authors

  • Ana Maria Caldeira Oliveira Faculdade de Saúde Pública da Universidade de São Paulo (FSP/USP), São Paulo, SP Author
  • Aurea Maria Zollner Ianni Faculdade de Saúde Pública da Universidade de São Paulo (FSP/USP), São Paulo, SP Author

DOI:

https://doi.org/10.22239/2317-269X.01114

Keywords:

Sanitary Surveillance, Health Services, Health Risk, Continuing Education

Abstract

This debate problematizes the questioning presented by the Central of the Hospitals of Minas Gerais about the lack of standardization of the work of the Sanitary Surveillance (VISA). The case was analyzed under the logic of the technical and social division of labor, under two dimensions: the technical-scientific, which involves the necessary technologies to assess the risk; and the political-administrative organization of work, related to the operational spaces and the political-administrative levels of the State. With regard to technical-scientific actions, there are still problems with no solution. The standardization and qualification of the actions of VISA are directly related to the existence of a National Policy of Permanent Education, as well as to a satisfactory infrastructure and adequate human resources. In addition, it is also necessary to develop educational activities for the regulated sector in order to explain that the inspection actions are permeated by elements of uncertainty, allowing different points of view on the part of the “experts” who carry it out. And that the dimension of “risk management” is permeated by conflict and controversy, especially when the consideration of alternatives to what to do with assessed risk considers the public and the private. In this context, it concludes on the difficulties that VISA finds to fulfill its mission.

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Author Biographies

  • Ana Maria Caldeira Oliveira, Faculdade de Saúde Pública da Universidade de São Paulo (FSP/USP), São Paulo, SP

    Fiscal Sanitário Municipal da Secretária Municipal de Saúde de Belo Horizonte, desde outubro de 2002.  Mestre e Doutora em Saúde Pública pela Faculdade de Saúde Pública da Universidade de São Paulo.

  • Aurea Maria Zollner Ianni, Faculdade de Saúde Pública da Universidade de São Paulo (FSP/USP), São Paulo, SP
    Pós-doutora pela Universidade Estadual de Campinas (UNICAMP). Professora do Departamento de Política, Gestão e Saúde da Faculdade de Saúde Pública da Universidade de São Paulo (FSP/USP).

Published

2018-08-31

Issue

Section

Debate

How to Cite

Pathways to Sanitary Surveillance: the challenge of health care surveillance. (2018). Health Surveillance under Debate: Society, Science & Technology , 6(3), 4-11. https://doi.org/10.22239/2317-269X.01114