Exclusão social em ambientes de atenção primária: chegou a hora da medição

Autores

  • Patrick O’Donnell University of Limerick
  • Khalifa Elmusharaf University of Limerick

DOI:

https://doi.org/10.7322/jhgd.157747

Palavras-chave:

exclusão social, inclusão social, marginalização, cuidados de saúde primários, instrumentos de medição, desigualdades na saúde

Resumo

A exclusão social é um conceito que tem sido discutido e debatido em muitas disciplinas nas últimas décadas. Em 2006, a Rede de Conhecimento de Exclusão Social da OMS publicou um relatório detalhando seu trabalho explicando a relevância da exclusão social para o domínio da saúde. Como parte desse trabalho, os autores formularam uma definição complexa de exclusão social que se mostrou difícil de adaptar ou operacionalizar nos contextos de saúde. Analisamos esse trabalho da OMS e outras evidências publicadas, e decidimos que a exclusão social é um conceito que vale a pena medir no nível individual nos contextos de saúde. Sugerimos que o espaço da atenção primária à saúde, em particular, seja um cenário ideal para fazer essa medição. Examinamos as ferramentas de medição de exclusão social existentes e examinamos as abordagens adotadas por seus autores e os vários domínios que mediram. Propomos agora desenvolver e validar essa ferramenta para uso em ambientes de atenção primária.

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Biografia do Autor

  • Patrick O’Donnell, University of Limerick

    Clinical Fellow in Social Inclusion, Graduate Entry Medical School

     

  • Khalifa Elmusharaf, University of Limerick

    Senior Lecturer in Public Health, Graduate Entry Medical School

     

Referências

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3. Popay J, Escorel S, Hernández M, Johnston H, Mathieson J, Rispel L. Understanding and tackling social exclusion. Final report to the WHO Commission on Social Determinants of Health from the Social Exclusion Knowledge Network. World Health Organization, 2008.

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Publicado

2019-05-06

Edição

v. 29 n. 1 (2019)

Seção

Artigos Originais

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