University participation in defense of the Unified Health System

ABSTRACT One of the essential achievements of Health Reform was social participation, the main driver for promoting equality, given that, through this, different groups in health have gained a voice, a valuable precept of the democratic base. In the university context, the theme has been incorporated in several aspects, forming an environment that polarizes opinions and provides reflections that corroborate, or contradict, those of the reform and consolidation of the Unified Health System (SUS). Thus, this study aimed to investigate and discuss the participation of university students in order to defend and strengthen the SUS. This is a field study, of the exploratory descriptive type with a qualitative approach, using a semi-structured interview for data collection, and the IRaMuTeQ software for processing. For the appreciation, the thematic categorical analysis proposed by Minayo was followed. Satisfactory knowledge was observed regarding the importance of social participation in a context of social movements, however, active participation does not occur in a desired way even if it is at conferences and health councils. Despite the weaknesses, a new horizon is envisaged in which the university is a space that consolidates this principle of SUS.

摘要：医疗改革的核心成果之一是社会参与，其为促进公平的核心驱动力。通过社会参与，医疗卫生领域的不同群体得以发声，这是民主根基的一项宝贵准则。在大学语境中，该主题已在多个维度得到融入，由此形成了观点分化的讨论环境，并催生了能够佐证或驳斥统一健康系统（Unified Health System，SUS）改革与巩固相关观点的反思内容。因此，本研究旨在调查并探讨大学生的参与情况，以捍卫并强化统一健康系统（SUS）。本研究属于实地研究范畴，采用探索性描述性研究设计与质性研究方法，通过半结构化访谈开展数据收集，并使用IRaMuTeQ软件进行数据处理。本研究遵循米纳约（Minayo）提出的主题分类分析法开展分析阐释。研究结果显示，受访者对社会运动语境下社会参与的重要性具备较为充分的认知，但即便在医疗卫生会议与健康委员会等场景中，主动参与仍未达到预期效果。尽管存在诸多不足，但人们仍展望到了新的发展图景：大学可成为巩固统一健康系统这一核心原则的重要场域。