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A economia social como solução para o pós-alta hospitalar da pessoa que recorre ao SNS ao abrigo do acordo de cooperação bilateral para a saúde com os PALOP: proposta de trajectória
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Abstract(s)
A evacuação de doentes ao abrigo dos acordos bilaterais para saúde, entre Portugal e os PALOP, conduz, em grande parte dos casos, a situações de carência após a alta hospitalar. Este estudo pretende alertar para a disparidade do que é acordado entre as partes e a realidade vivida pelos sujeitos. Propõe-se a sua inclusão num projecto de economia social, que surja na base na potenciação dos recursos locais e fomente, acima de tudo, a redefinição do projecto de vida dos indivíduos, permitindo-lhes a saída da situação de carência, que aqui se apresenta com a dicotomia económica/relacional.
O método de pesquisa utilizado foi a história de vida, permitindo enquadrar os testemunhos do sujeito individual no sujeito social. As entrevistas mostraram as dificuldades sentidas por estas pessoas, e pela sua família, ao nível económico e o isolamento social de que padecem em Portugal. Apesar das situações de carência vividas, muitas não pensam regressar ao país de origem, e é nas redes de apoio informal que encontram o suporte económico, cultural e anímico necessário ao dia-a-dia.
The patients evacuation under the bilateral agreements, between Portugal and the PALOP countries, often drives to impoverishment situations after hospital discharge. This work aims to aware for the disparity of the deal between intervenient and the day life experienced by the individuals. A social economy project is suggested, where the subjects can participate, based on the potentiation of the local resources and, above all, gives a new perspective of the life project, allowing to exit from the in needing situation, presented here as the dichotomy economic/relational. The research method is the life history, allowing the self-testimonials to be framed in the social-self. The conducted interviews revealed the difficulty situations experienced by subjects and their families, in terms of, among others, finances and isolation, while leaving in Portugal. Despite those situations, many of them don´t consider the return to their native country, even being the informal social help networks where they found the support, of economic and cultural nature, needed for day life.
The patients evacuation under the bilateral agreements, between Portugal and the PALOP countries, often drives to impoverishment situations after hospital discharge. This work aims to aware for the disparity of the deal between intervenient and the day life experienced by the individuals. A social economy project is suggested, where the subjects can participate, based on the potentiation of the local resources and, above all, gives a new perspective of the life project, allowing to exit from the in needing situation, presented here as the dichotomy economic/relational. The research method is the life history, allowing the self-testimonials to be framed in the social-self. The conducted interviews revealed the difficulty situations experienced by subjects and their families, in terms of, among others, finances and isolation, while leaving in Portugal. Despite those situations, many of them don´t consider the return to their native country, even being the informal social help networks where they found the support, of economic and cultural nature, needed for day life.
Description
Trabalho de Projecto para obtenção de grau de Mestre em Administração Pública
Keywords
Saúde Acordos de cooperação bilateral Evacuação PALOP Economia Social Projecto de vida Health Bilateral cooperation agreements Evacuation PALOP Social Economy Life project
Pedagogical Context
Citation
Publisher
Instituto Superior de Ciências Sociais e Políticas