The perception of the social determinants of health in Brasil according to users and professionals: a qualitative study

Authors

  • Rodrigo de Oliveira Machado Pontifical Catholic University of Rio Grande do Sul
  • Katia B. Rocha Pontifical Catholic University of Rio Grande do Sul
  • Adolfo Pizzinato Pontifical Catholic University of Rio Grande do Sul
  • João P. Cé Pontifical Catholic University of Rio Grande do Sul

DOI:

https://doi.org/10.17533/udea.rfnsp.13632

Keywords:

social determinants of health, unified health system (SUS), healthcare professionals, health system users

Abstract

Objective: this study aims to analyze the perception that the users of the Brazilian Unified Health System (SUS) and the healthcare professionals have of the social determinants of health (SDH) in a health district of the city of Porto Alegre. Methodology: the research was conducted with 34 healthcare professionals and 64 users of the SUS. The professionals participated in a semi-structured interview, while the health system users were assessed via focus groups. In both cases we analyzed the perception of users and professionals regarding the SDH. Similarly, we conducted an intersectional content analysis. Results: the results demonstrated that there are five categories that are prominent for both the healthcare professionals and the health system users: food access/quality, community conditions, violence, mental health and healthcare services. In the categories, differences and similarities emerged between the different actors (professionals and users) regarding the healthcare process, the needs of the population and the forms of intervention. Conclusions: the analysis expanded the understanding of the SDH and reinforced the importance of implementing other social policies in those communities.
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Author Biographies

Rodrigo de Oliveira Machado, Pontifical Catholic University of Rio Grande do Sul

MSc. Psychology, Pontifical Catholic University of Rio Grande do Sul. Brazil.

Katia B. Rocha, Pontifical Catholic University of Rio Grande do Sul

PhD. Clinical and Health Psychology, Autonomous University of Barcelona, ​​Spain, Professor at the Pontifical Catholic University of Rio Grande do Sul, Brazil.

Adolfo Pizzinato, Pontifical Catholic University of Rio Grande do Sul

PhD. Educational Psychology, Autonomous University of Barcelona, ​​Spain, associate professor at the Pontifical Catholic University of Rio Grande do Sul, Brazil.

João P. Cé, Pontifical Catholic University of Rio Grande do Sul

Student in Psychology, Pontifical Catholic University of Rio Grande do Sul, Brazil.

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Published

2013-08-14

How to Cite

1.
Machado R de O, Rocha KB, Pizzinato A, Cé JP. The perception of the social determinants of health in Brasil according to users and professionals: a qualitative study. Rev. Fac. Nac. Salud Pública [Internet]. 2013 Aug. 14 [cited 2025 Feb. 4];31:160-9. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/13632

Issue

Vol. 31 (2013): Determinación Social en Salud

Section

Debate

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Copyright (c) 2021 Rodrigo de Oliveira Machado, Katia B. Rocha, Adolfo Pizzinato, João P. Cé

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