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Innovator practices in collective health: re-reading tool of the health disease process

This study aims to present the basis to build a re-reading tool of the Health-Disease Process which relies on dialogical relation among social categories and the functional variables found in the a consultation instrument. The tool is an analytical model for decision support that intends the development of data warehousing. Data from the electronic records of nursing consultation were related to the categories: need, social class, gender, race and generation, unveil the social aspects of the health - disease process and assign degrees of vulnerability to homogeneous social groups. Four degrees of vulnerability can be observed that are qualified by eleven markers. The tool lead to the reflection that inequalities are reproduced as time goes by and transforms groups in targets from the social immobility. Although there are some gaps for the visualization of the social categories, the tool enables to visualize the collective face of families and social groups.

Health vulnerability; Health-disease process; Nursing; Classification; Needs assessment


Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br