Public Health Contributions in covid-19: an approach from discourse analysis
Abstract
Introduction: The Covid-19 pandemic continues to be the subject of constant discussions in the field of biomedicine and public health. In the first case, it allowed the emergence of new knowledge in the immune system (in addition to vaccines) and the creation of new pharmacological treatments and other currently available therapies). In public health, the situation is more complex because it involves different systems such as education, the economy, the health system, and the government. Despite these efforts, the scope of the pandemic is not fully defined and many debates remain open.
Objective: To know the expectations that a group of experts has about the role of public health in the management of covid-19
Materials and methods: An exploratory qualitative research was carried out, a questionnaire was shared with 3 open questions that were answered online by the participating public (key informants), these questions inquired about conceptions of public health. The chosen sample was voluntary participants. Based on these contents, an analysis of the content of their answers was developed. The interpretive methodology used was discourse analysis.
Results: The speeches collected from the participants recognize the need to build an empowered public health, but this assertion is made with an ambiguous discourse since it advocates a supremacy of the technical over the political. The disagreement with the epistemological bases of public health is highlighted, although it is not clarified what these bases consist of. Finally, the assumptions about the role of PHC professionals are held between two positions, one that favors a more diligent orientation in operations, and another that calls for greater political and managerial influence of the units and the health system.
Discussion: The discourse that is held about the role of public health in the management of covid-19 is ambiguous, with opposing, contradictory and even irreconcilable positions.
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