<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0874-0283</journal-id>
<journal-title><![CDATA[Revista de Enfermagem Referência]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Enf. Ref.]]></abbrev-journal-title>
<issn>0874-0283</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra - Unidade de Investigação em Ciências da Saúde - Enfermagem]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0874-02832023000200207</article-id>
<article-id pub-id-type="doi">10.12707/rvi22032</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Análise das dimensões do contexto da Organização Mundial da Saúde num conselho municipal de saúde]]></article-title>
<article-title xml:lang="en"><![CDATA[Analysis of the context components proposed by the World Health Organization in a municipal health council]]></article-title>
<article-title xml:lang="es"><![CDATA[Análisis de las dimensiones del contexto de la Organización Mundial de la Salud en un consejo municipal de salud]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ventura]]></surname>
<given-names><![CDATA[Carla Aparecida Arena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonato]]></surname>
<given-names><![CDATA[Patrícia de Paula Queiroz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serapioni]]></surname>
<given-names><![CDATA[Mauro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caetano]]></surname>
<given-names><![CDATA[Maria Helena Donadon]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[Maria Luiza dos Santos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade de São Paulo Escola de Enfermagem de Ribeirão Preto ]]></institution>
<addr-line><![CDATA[São Paulo Ribeirão Preto]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade NOVA de Lisboa Instituto de Higiene e Medicina Tropical ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de Coimbra Centro de Estudos Sociais da Universidade de Coimbra ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Faculdade de Educação São Luís  ]]></institution>
<addr-line><![CDATA[São Paulo Jaboticabal]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>31</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>serVI</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0874-02832023000200207&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0874-02832023000200207&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0874-02832023000200207&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  Estudos sobre a participação social apontam algumas limitações na arquitetura participativa, razão pela qual a Organização Mundial da Saúde desenhou um modelo que enfatiza as dimensões constitutivas para aproximar a sociedade civil e os governos.  Objetivos:  O estudo buscou identificar os elementos que influenciam a participação à luz das dimensões propostas pela Organização Mundial da Saúde.  Metodologia:  Trata-se de estudo de caso, com abordagem qualitativa e transversal, que foi realizado por meio de análise documental, observação não participante e entrevistas semiestruturadas nos anos de 2020 e 2021 com os conselheiros do Conselho Municipal de Saúde de uma cidade brasileira do interior do Estado de São Paulo.  Resultados:  Foram observadas fragilidades nas arquiteturas institucionais do Conselho estudado, tais como o excesso de burocracia, falta de representatividade dos utilizadores, insegurança por parte dos conselheiros nos assuntos económico-financeiros relacionados à saúde do município.  Conclusão:  Conclui-se pela necessidade de fortalecimento da cultura participativa no Conselho Municipal de Saúde estudado, destacando-se a necessidade de divulgação das ações desenvolvidas e reformulação da lógica tecnoburocrática predominante neste ambiente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Studies on social participation point out some limitations in participatory architecture. For this reason, the World Health Organization designed a model with key components for bringing civil society and governments closer together.  Objectives:  This study aimed to identify the aspects that influence participation based on the components proposed by the World Health Organization.  Methodology:  This case study used a qualitative and cross-sectional approach. Data were collected through document analysis, non-participant observation, and semi-structured interviews in 2020 and 2021 with the municipal health council members of an inland city in the state of São Paulo, Brazil.  Results:  Weaknesses were observed in the council&#8217;s institutional structure, such as excessive bureaucracy, lack of user representativeness, and council members&#8217; insecurity regarding the municipality&#8217;s health-related economic-financial issues.  Conclusion:  There is a need to strengthen the culture of participation in this municipal health council, disseminate the activities developed, and reformulate the technical-bureaucratic dynamics that predominate in this environment.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  Los estudios sobre participación social señalan algunas limitaciones en la arquitectura participativa, por lo que la Organización Mundial de la Salud ha diseñado un modelo que hace hincapié en las dimensiones constitutivas para acercar a la sociedad civil y a los gobiernos.  Objetivos:  El estudio pretendía identificar los elementos que influyen en la participación en función de las dimensiones propuestas por la Organización Mundial de la Salud.  Metodología:  Se trata de un estudio de caso, con un enfoque cualitativo y transversal, que se llevó a cabo mediante el análisis documental, la observación no participante y entrevistas semiestructuradas en los años 2020 y 2021 con los consejeros del CMS de una ciudad brasileña del interior del estado de São Paulo.  Resultados:  Se observaron deficiencias en las arquitecturas institucionales del consejo estudiado, tales como la excesiva burocracia, la falta de representatividad de los usuarios, la inseguridad de los consejeros en los asuntos económicos y financieros relacionados con la salud del municipio.  Conclusión:  Se sugiere la necesidad de fortalecer la cultura participativa en el consejo municipal de salud estudiado, sobre todo la necesidad de difundir las acciones desarrolladas y reformular la lógica tecnoburocrática predominante en este entorno.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[participação social]]></kwd>
<kwd lng="pt"><![CDATA[conselho municipal de saúde]]></kwd>
<kwd lng="pt"><![CDATA[determinantes sociais]]></kwd>
<kwd lng="en"><![CDATA[social participation]]></kwd>
<kwd lng="en"><![CDATA[municipal health council]]></kwd>
<kwd lng="en"><![CDATA[social determinants]]></kwd>
<kwd lng="es"><![CDATA[participación social]]></kwd>
<kwd lng="es"><![CDATA[consejo municipal de salud]]></kwd>
<kwd lng="es"><![CDATA[determinantes sociales]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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