0346/2019 - Realismo crítico e desigualdades sociais: Considerações a partir de uma pesquisa avaliativa. Critical realism and social inequalities: Considerationsan evaluative research.
A partir de distintos referenciais teóricos (saúde coletiva, avaliação de programas e realismo crítico), o artigo analisa se a transferência de renda condicionada contribui para a redução da pobreza monetária e a melhoria do cuidado à saúde. Utiliza material de pesquisa avaliativa, constituída por um estudo de caso sobre as condicionalidades de saúde do Programa Bolsa Família e sua implementação pela Estratégia de Saúde da Família, em uma Unidade Básica de Saúde, localizada em uma favela no Rio de Janeiro. Ao privilegiar o realismo crítico (Roy Bhaskar), parte da concepção da ontologia da realidade estratificada e operacionaliza os três domínios intransitivos: o real, o atual e o empírico. Para compreender a dinâmica do programa, foram priorizadas experiências e percepções de gestores, profissionais de saúde e famílias beneficiárias. Como percepção predominante, entre os entrevistados, destaca-se que o PBF: “beneficia quem precisa, mas também quem não precisa”. De um lado, os cuidados em saúde são reconhecidos como limitados, uma vez que as famílias são vulneráveis e apresentam problemas de saúde decorrentes desta condição e, por outro, ter acesso à Clínica é um recurso fundamental dado que benefício é visto como de pequeno valor o que reforça a ideia da “ajuda”. Conclui que os três domínios da realidade estratificada contribuem para compreender o alcance dos programas que lida
Based on different theoretical references (public health, program evaluation and critical realism), the article analyzes whether the cash transfer contributes to the reduction of monetary poverty and the improvement of health care. It uses evaluative research material, consisting of a case study on the health conditionalities of the “Bolsa Família” Program (PBF) and its implementation by the “Family Health Strategy”, in a basic health Unit, located in a favela in Rio de Janeiro. By focusing on critical realism (Roy Bhaskar), it startsthe conception of the ontology of stratified reality and operationalizes the three intransitive domains: the real, the actual, and the empirical. To understand the dynamics of the program, prioritizes experiences and perceptions of managers, health professionals and beneficiary families. As a predominant perception, among those interviewed, it is noted that the PBF \"benefits those who need it, but also those who do not need it\". On the one hand, health care is recognized as limited, since families are vulnerable and have health problems resultingthis condition and, on the other hand, having access to the Clinic is a key resource since the benefit is seen as of little value which reinforces the idea of \"aid\". It concludes that the three domains of stratified reality contribute to understanding the scope of programs that deal with the imb
Keywords:
social inequalities; poverty; evaluation; critical realism; public health
Critical realism and social inequalities: Considerationsan evaluative research.
Resumo (abstract):
Based on different theoretical references (public health, program evaluation and critical realism), the article analyzes whether the cash transfer contributes to the reduction of monetary poverty and the improvement of health care. It uses evaluative research material, consisting of a case study on the health conditionalities of the “Bolsa Família” Program (PBF) and its implementation by the “Family Health Strategy”, in a basic health Unit, located in a favela in Rio de Janeiro. By focusing on critical realism (Roy Bhaskar), it startsthe conception of the ontology of stratified reality and operationalizes the three intransitive domains: the real, the actual, and the empirical. To understand the dynamics of the program, prioritizes experiences and perceptions of managers, health professionals and beneficiary families. As a predominant perception, among those interviewed, it is noted that the PBF \"benefits those who need it, but also those who do not need it\". On the one hand, health care is recognized as limited, since families are vulnerable and have health problems resultingthis condition and, on the other hand, having access to the Clinic is a key resource since the benefit is seen as of little value which reinforces the idea of \"aid\". It concludes that the three domains of stratified reality contribute to understanding the scope of programs that deal with the imb
Palavras-chave (keywords):
social inequalities; poverty; evaluation; critical realism; public health
Costa, D. M., Magalhaes, R. Realismo crítico e desigualdades sociais: Considerações a partir de uma pesquisa avaliativa.. Cien Saude Colet [periódico na internet] (2019/Nov). [Citado em 07/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/realismo-critico-e-desigualdades-sociais-consideracoes-a-partir-de-uma-pesquisa-avaliativa/17420?id=17420
