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      Análise do planejamento como dispositivo mediador de mudanças institucionais com base em um estudo de caso Translated title: Analysis of planning as a mediating device for institutional changes, based on a case study

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          Abstract

          Este trabalho analisa o papel de tecnologias de planejamento num contexto de mudança institucional, situando-as no espaço de mediação. Trata-se de uma pesquisa de caráter qualitativo, na qual se analisaram tecnologias de planejamento em relação a um referencial teórico da saúde coletiva, valendo-se de um estudo de caso sobre o Serviço de Saúde Cândido Ferreira (Campinas, São Paulo). Esboça-se uma proposta de abordagem metodológica, visando subsidiar tecnologias de planejamento como dispositivo viabilizador de mudanças institucionais. Enfatiza-se a importância de a área do planejamento dialogar com outros corpos teóricos: análise institucional, psicanálise, saúde pública etc.

          Translated abstract

          This study analyzes the role of planning technologies in a changing institutional environment in which they are involved as a space for mediation. This is a qualitative study, in which planning technologies were compared with theoretical landmarks in public health. A case study was conducted at the Cândido Ferreira Health Service in Campinas, São Paulo State, Brazil. By way of conclusions, the author proposes a methodological approach to stimulate the use of planning technologies as a device for institutional change. The focus is on the importance of planning in establishing a dialogue with other theoretical corpora, such as institutional analysis, psychoanalysis, and public health.

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          A Larger Perspective on the Flexner Report

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            A larger perspective on the Flexner report.

            H Berliner (1974)
            This paper is an attempt to place the Flexner Report of 1910 in the larger perspective of dynamics of American society in the years surrounding the turn of the 19th century. It looks at medicine as an integral part of society affected by the contradictions affecting the larger society. The Flexner Report is viewed as an attempt by the capitalist class to ameliorate those contradictions affecting medicine. The events preceding the publication of the Flexner Report are described in detail, and some problems with conventional accounts of the origins of the Flexner Report are discussed. In addition, the paradigm of medicine that was institutionalized with the acceptance and implementation of the Flexnerian recommendations is discussed.
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              Author and article information

              Contributors
              Role: ND
              Journal
              csp
              Cadernos de Saúde Pública
              Cad. Saúde Pública
              Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz (Rio de Janeiro )
              1678-4464
              December 2000
              : 16
              : 4
              : 1021-1030
              Affiliations
              [1 ] Universidade Estadual de Campinas Brazil
              Article
              S0102-311X2000000400020
              10.1590/S0102-311X2000000400020
              e8aee569-d228-4705-90e0-3b0c0d74795f

              http://creativecommons.org/licenses/by/4.0/

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              Product

              SciELO Public Health

              Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=0102-311X&lng=en
              Categories
              Health Policy & Services

              Public health
              Institutional Changes,Health Planning,Planning,Mudanças Institucionais,Planejamento em Saúde,Planejamento

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