{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:51:11Z","timestamp":1772232671563,"version":"3.50.1"},"reference-count":51,"publisher":"FapUNIFESP (SciELO)","issue":"10","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Resumo A pandemia de COVID-19 pressiona os sistemas p\u00fablicos de sa\u00fade no mundo desde 2020. Este artigo pretende discutir as condi\u00e7\u00f5es de trabalho na aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade (APS) no Brasil, dialogando tamb\u00e9m com os cuidados de sa\u00fade prim\u00e1rios (CSP) em Portugal no cen\u00e1rio pand\u00eamico. Para isso, apresentam-se dados da pesquisa \u201cCondi\u00e7\u00f5es de trabalho dos profissionais de sa\u00fade no contexto da COVID-19 no Brasil\u201d, para posterior discuss\u00e3o com o relat\u00f3rio das Unidades de Sa\u00fade Familiar - Associa\u00e7\u00e3o Nacional (USF-AN) sobre os CSP em Portugal. No Brasil, no recorte amostral de 3.895 profissionais de sa\u00fade da APS, foram percebidos: m\u00faltiplos v\u00ednculos trabalhistas, falta de apoio institucional e de treinamentos espec\u00edficos, conv\u00edvio com fake news e falta de coes\u00e3o pol\u00edtica entre as autoridades sanit\u00e1rias, com altera\u00e7\u00f5es significativas na sa\u00fade mental desses trabalhadores. Em Portugal, destacaram-se o aumento da carga hor\u00e1ria de trabalho e presen\u00e7a de s\u00edndrome de burnout entre os profissionais das USFs. A pandemia impactou de forma significativa a sa\u00fade e o cotidiano de trabalho dos profissionais de sa\u00fade na APS e nos CSP. Por\u00e9m, o contexto brasileiro foi mais adverso devido \u00e0s fake news e \u00e0s diverg\u00eancias na condu\u00e7\u00e3o do combate \u00e0 pandemia, pela atua\u00e7\u00e3o e negacionismo do governo federal.<\/jats:p>","DOI":"10.1590\/1413-812320232810.10002023","type":"journal-article","created":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T07:16:52Z","timestamp":1698045412000},"page":"2979-2992","source":"Crossref","is-referenced-by-count":5,"title":["Condi\u00e7\u00f5es de trabalho na aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade na pandemia de COVID-19: um panorama sobre Brasil e Portugal"],"prefix":"10.1590","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5206-6392","authenticated-orcid":false,"given":"Renato Penha de Oliveira","family":"Santos","sequence":"first","affiliation":[{"name":"Universidade Federal do Rec\u00f4ncavo da Bahia,  Brazil; Universidade de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0109-8268","authenticated-orcid":false,"given":"Jo\u00e3o Arriscado","family":"Nunes","sequence":"additional","affiliation":[{"name":"Universidade de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8095-6664","authenticated-orcid":false,"given":"Nicole Geovana","family":"Dias","sequence":"additional","affiliation":[{"name":"Universidade Federal de Uberl\u00e2ndia,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9188-9092","authenticated-orcid":false,"given":"Alisson Sampaio","family":"Lisboa","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6880-2702","authenticated-orcid":false,"given":"Valeska Holst","family":"Antunes","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Universidade Federal do Rio de Janeiro,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4389-306X","authenticated-orcid":false,"given":"Everson Justino","family":"Pereira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6231-2291","authenticated-orcid":false,"given":"Swedenberger do Nascimento","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Secretaria Executiva do Minist\u00e9rio da Sa\u00fade do Brasil,  Brasil; Universidade de Bras\u00edlia,  Brazil"}]}],"member":"530","published-online":{"date-parts":[[2023,10]]},"reference":[{"key":"ref1","series-title":"Forma\u00e7\u00e3o do Brasil contempor\u00e2neo: col\u00f4nia","author":"Prado J\u00fanior C","year":"2000"},{"key":"ref2","series-title":"Pol\u00edticas e sistema de sa\u00fade no Brasil","first-page":"89","volume-title":"Sistemas de sa\u00fade: origens, componentes e din\u00e2mica","author":"Lobato LVC","year":"2012"},{"key":"ref3","series-title":"Modelos de aten\u00e7\u00e3o e a sa\u00fade da fam\u00edlia","first-page":"69","volume-title":"Sa\u00fade da fam\u00edlia: constru\u00e7\u00e3o de uma estrat\u00e9gia de aten\u00e7\u00e3o \u00e0 sa\u00fade","author":"Corbo AMD'A","year":"2007"},{"key":"ref4","series-title":"Portaria n\u00ba 2.436, de 21 de setembro de 2017. 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