Entre o empenho, o acolhimento e a impotência: dilemas de agentes comunitárias de saúde na produção do cuidado e da humanização
Bibliographic record
Abstract
The "Family Health" Strategy (Estratégia de Saúde da Família) extends the doctor-centered model to the team model.Conversations between health workers and users are valued by the National Policy of Humanization (Plano Nacional de Humanização -PNH).The practices and concepts of 41 agents on personal and collective engagement in humanized care were investigated in six health services in a municipality in the State of Mato Grosso do Sul.The content analysis showed that agents oscillate between effort and impotence, because they cannot provide full care to patients, especially when techniques, procedures, and coordination of actions by the management are demanded.The implementation of the National Policy of Humanization, cross-sectional to the "Family Health" Strategy, is fundamental to the local quality of the Public Health Service (SUS); it affects the real possibilities of humanization, the sustainability of agents' engagement in care, and the health service subjectivity.Managers must care about the perceptions and expressions of helplessness and frustration from workers, taking them as indicative of structural and process problems that should to be managed.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.014 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.009 | 0.014 |
| Scholarly communication | 0.008 | 0.004 |
| Open science | 0.001 | 0.006 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".