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首页> 外文期刊>Ciencia e Saude Coletiva >Desafios para o trabalho em sa?ode: um estudo comparado de Hospitais Universit??rios na Arg??lia, Brasil e Fran?§a
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Desafios para o trabalho em sa?ode: um estudo comparado de Hospitais Universit??rios na Arg??lia, Brasil e Fran?§a

机译：SA的工作挑战？ODE：与大学医院相比，arg ?? Lia，巴西和法国相比

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摘要

This study compares the challenges for work in emergency services of publicuniversity hospitals in Algeria, Brazil and France. The description and analysis are organized in three topics: context and trajectory of the health systems; hospitals and emergency services; and the challenges that are faced. The research carried out interviews, surveys, observation and “groupes de rencontre du travail” / GRT. The data analysis was done using participatory appraisal techniques associated to triangulation of sources and data. The main challenges found were: workforce deficit; lack of hospitals beds in inpatient units; deficit of infrastructure and materials; excess of “chronophagic activities”; generational transition; and violence by patients and families.Despite their particularities, the countries coincide regarding the challenges. Measures to rationalize and restrain spending have a greater impact on Algeria and Brazil due to the low level of public funding, but they also occur in France. The hospital management cannot be dissociated from healthcare system planningconsidering the increasing pressures of the demographic and epidemiological transition. In medium term, measures that may mitigate “chronophagic activities”, materials deficit and the violence should be considered to improve work in emergencies.
机译：本研究比较了阿尔及利亚，巴西和法国的公用医院紧急服务工作挑战。在三个主题中组织了描述和分析：卫生系统的上下文和轨迹;医院和紧急服务;以及面临的挑战。该研究进行了面试，调查，观察和“Groupes de Rencontre du Travail”/ Grt。数据分析采用与源和数据的三角测量相关的参与式评估技术进行。发现的主要挑战是：劳动力赤字;缺少住院部门的医院床;基础设施和材料的缺陷;过量的“年间活动”;世代过渡;患者和家庭的暴力和暴力。他们的特殊性，这些国家关于挑战恰逢其有挑战。由于公共资金水平低，合理化和抑制支出的措施对阿尔及利亚和巴西的影响更大，但他们也发生在法国。医院管理层不能从医疗保健系统中解剖，规划人口统计和流行病学过渡的增加压力。在中期，应考虑可能减轻“时效活动”，材料赤字，材料赤字和暴力的措施，以改善紧急情况的工作。

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