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Atividades educativas de trabalhadores na atenção primária: concepções de educação permanente e de educação continuada em saúde presentes no cotidiano de Unidades Básicas de Saúde em São Paulo; Educational activities for primary healthcare workers: permanent education and inservice healthcare education concepts in the daily life of primary healthcare units in São Paulo; Actividades educativas de trabajadores en la atención primaria: concepciones de educación permanente y de educación continuada en salud presentes en el quehacer cotidiano de Unidades Básicas de Salud en Sao Paulo, Brasil

PEDUZZI, Marina; GUERRA, Débora Antoniazi Del; BRAGA, Carina Pinto; LUCENA, Fabiana Santos; SILVA, Jaqueline Alcântara Marcelino da
Fonte: Revista Interface - Comunicação, Saúde, Educação Publicador: Revista Interface - Comunicação, Saúde, Educação
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56.23%
Esta pesquisa tem o objetivo de analisar a prática de atividades educativas de trabalhadores da saúde em Unidade Básica de Saúde (UBS) segundo as concepções de educação permanente em saúde (EPS) e de educação continuada (EC), processo de trabalho em saúde e enfermagem, trabalho em equipe e integralidade. Estudo do tipo transversal, realizado em dez UBS do Município de São Paulo, por meio de entrevista dirigida com 110 informantes-chave, representantes de todas as categorias profissionais e equipes das UBS, sobre as atividades educativas desenvolvidas em 2005. As informações foram classificadas segundo categorias operacionais para cada variável de estudo, com base no referencial teórico. Os trabalhadores relataram 396 atividades educativas, que revelam a complementaridade das concepções de EPS e EC. De acordo com a perspectiva do Sistema Único de Saúde (SUS) e da transformação das práticas de saúde, coloca-se a necessidade de ampliação do debate em torno da EPS como política pública.; The objective of this study was to analyze the educational activity practices among healthcare workers in primary healthcare units (PHUs) according to the concepts of permanent healthcare education (EPS) and continuing education (CE)...

Prevalência e fatores associados à síndrome metabólica em usuários de unidades básicas de saúde em São Paulo - SP; Prevalence and factors associated with metabolic syndrome in users of primary healthcare units in Sao Paulo - SP, Brazil

Leitao, Maria Paula Carvalho; Martins, Ignez Salas
Fonte: ASSOC MEDICA BRASILEIRA; SAO PAULO Publicador: ASSOC MEDICA BRASILEIRA; SAO PAULO
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
66.12%
OBJETIVO: Determinar a relação da síndrome metabólica (SM) com o nível socioeconômico, hábitos comportamentais, condições de saúde, antecedentes familiares de morbidades e áreas de residência. MÉTODOS: Trata-se de um estudo de corte transversal. A amostra aleatória foi constituída por usuários de duas Unidades Básicas de Saúde da cidade de São Paulo - Jardim Comercial (UBS1) e Jardim Germânia (UBS2) -, totalizando 452. Para o diagnóstico de SM utilizou-se o critério do Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (NCEP-ATP III). Na avaliação antropométrica foram aferidas medidas de peso, estatura, circunferências abdominal e do quadril. Foi utilizado questionário geral para obtenção de dados sociodemográficos, socioeconómicos, antecedentes familiares e pessoais de morbidades, hábitos comportamentais como tabagismo, etilismo e nível de atividade física. Foi estabelecida associação entre as variáveis explicativas de interesse e SM, empregando-se a regressão logística multivariada. RESULTADOS: Na UBS1, o percentual de SM foi de 56,1% e na UBS2, de 34,0%. Houve associação direta e significativa entre SM e idade...

Atenção primária à saúde e a construção de sentidos para a saúde bucal: leitura construcionista social sobre discursos de idosos; Primary healthcare and the construction of meanings for oral health: a social constructionist interpretation of discourses by the elderly

Bulgarelli, Alexandre Favero; Lorenzi, Carla Guanaes; Silva, Rosalina Carvalho da; Mestriner, Soraya Fernandes; Villa, Tereza Cristina Scatena; Pinto, Ione Carvalho
Fonte: ABRASCO; RIO DE JANEIRO Publicador: ABRASCO; RIO DE JANEIRO
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
66.18%
Dentistry is nowadays open to new ideas about the constructions of meanings for oral health. This openness tallies with the social production of health and shows the need to contextualize the social, historical and sundry knowledge in the development of oral health for different communities. The scope of this research is to build meanings for oral health with a group of elderly people. With this in mind, we propose an approximation between the discourses of the elderly on oral health and the Social Constructionist discourse. Thus, we interviewed 14 elderly people registered with a Family Health Unit in Ribeirao Preto in the State of Sao Paulo in the first semester of 2010. This enabled us to identify two Interpretative Repertoires with the use of Discourse Analysis, which showed the relationship between: 1 Lack of dental information and assistance in childhood; and 2 - Primary Healthcare constructing meaning for oral health. We concluded that Social Constructionism assists epistemologically for the construction of meaning for oral health and that Primary Healthcare is essential for valuing healthcare for the construction of meaning for oral health on the part of the elderly by fostering conditions for self care and healthy attitudes.; A odontologia mostra-se...

The participation of the nutritionist in Primary Health Care in a large urban center

Mancuso, Ana Maria Cervato; Tonacio, Larissa Vicente; da Silva, Erika Rodrigues; Vieira, Viviane Laudelino
Fonte: ABRASCO; RIO DE JANEIRO Publicador: ABRASCO; RIO DE JANEIRO
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56.17%
Nutritionists are important professionals for ensuring the implementation of health promotion, treatment and rehabilitation. However, their participation in primary healthcare from a quantitative standpoint is limited. The city of Sao Paulo has experienced an uneven urbanization process triggering new problems of insecurity in terms of food and nutrition. This article analyzes the performance of the primary healthcare nutritionist in a large urban center. It is a quantitative study that used data from the Municipal Health Department, population data of Sao Paulo and a semi-structured questionnaire applied in individual interviews. All regions of the city are found to have fewer nutritionists than the recommendation of the Federal Council of Nutritionists. There are 123 nutritionists in the basic healthcare network and 51 in the Family Health Support Nuclei (FHSN) (57.3%). Each nutritionist from the FHSN accompanies 7.1 family health strategy teams on average. The age groups corresponding to children are less frequently seen by nutritionists. Comparing the activities, the transition from a model of primary health care focused on individual care to a model that prioritizes group care was observed.

The viewpoint of health professionals on the role of basic units in the healthcare network of the Brazilian Unified Health System

Puccini, Paulo de Tarso; Cornetta, Vitoria Keddy; Sahyom, Tania Zogbi; Pagliarini Fuentes, Isabel Cristina; Gimenez Botta, Luiza Maria; Puccini, Rosana Fiorini
Fonte: ABRASCO; RIO DE JANEIRO Publicador: ABRASCO; RIO DE JANEIRO
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56.25%
In the process of creation of the Unified Health System (SUS) as a universal policy seeking to ensure comprehensive care, unscheduled assistance in primary healthcare units (UBS) is an unresolved challenge. The scope of this paper is to analyze the viewpoint of health professionals on the role of primary healthcare units in meeting this demand. It is a transversal study of qualitative data obtained through questionnaires and interviews with 106 medical practitioners from 6 emergency medical services and 190 professionals from 30 units. They explained why people seek emergency care for occurrences pertaining to primary care. The content analysis technique with thematic categories was used for data analysis. Lack of resources and problems with primary health unit work processes (50.8%) were the reasons most frequently cited by emergency care physicians to explain this inadequate demand. Only 33.3% of the health unit professionals agreed that these occurrences should be attended in the primary healthcare services. The limited viewpoint of the role of health services on the unscheduled care, particularly among primary care professionals, possibly leads to restrictive practices for access by the population.

A prática dos articuladores da atenção básica: comunicação e mudança do modelo de atenção em saúde; The primary healthcare articulators practice: communication and healthcare model change.

Doricci, Giovanna Cabral
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 16/12/2014 PT
Relevância na Pesquisa
56.33%
O Programa Articuladores da Atenção Básica, iniciativa da Secretaria Estadual da Saúde de São Paulo (SES-SP), objetiva apoiar o processo de qualificação da Atenção Básica no estado e oferecer suporte técnico aos municípios na reorientação do modelo de atenção em saúde. O Programa estabeleceu uma nova função profissional, a do articulador da atenção básica. Destacam-se, dentre os pré-requisitos para execução dessa nova função, habilidades de comunicação e negociação. Devido à escassez de informações na literatura sobre o Programa, e à falta de clareza quanto ao papel desempenhado, na prática, por esses novos profissionais, delineamos este estudo com o objetivo de compreender e analisar a forma como os articuladores da atenção básica significam sua atuação profissional. Buscamos, ao mesmo tempo, oferecer contribuições da Psicologia sobre o processo de comunicação e sua relação com esta nova proposta. Participaram deste estudo treze articuladores alocados em quatro Departamentos Regionais de Saúde (DRS) que formam a Rede de Atenção à Saúde XIII do estado de São Paulo (DRS de Ribeirão Preto, Araraquara, Franca e Barretos). As entrevistas individuais e semiestruturadas foram gravadas em áudio e...

Institutional and matrix support and its relationship with primary healthcare

Santos,Alaneir de Fátima dos; Machado,Antônio Thomaz Gonzaga da Matta; Reis,Clarice Magalhães Rodrigues dos; Abreu,Daisy Maria Xavier; Araújo,Lucas Henrique Lobato de; Rodrigues,Simone Cristina; Lima,Ângela Maria de Lourdes Dayrell de; Jorge,Alzira d
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
56.17%
OBJECTIVE To analyze whether the level of institutional and matrix support is associated with better certification of primary healthcare teams.METHODS In this cross-sectional study, we evaluated two kinds of primary healthcare support – 14,489 teams received institutional support and 14,306 teams received matrix support. Logistic regression models were applied. In the institutional support model, the independent variable was “level of support” (as calculated by the sum of supporting activities for both modalities). In the matrix support model, in turn, the independent variables were the supporting activities. The multivariate analysis has considered variables with p < 0.20. The model was adjusted by the Hosmer-Lemeshow test.RESULTS The teams had institutional and matrix supporting activities (84.0% and 85.0%), respectively, with 55.0% of them performing between six and eight activities. For the institutional support, we have observed 1.96 and 3.77 chances for teams who had medium and high levels of support to have very good or good certification, respectively. For the matrix support, the chances of their having very good or good certification were 1.79 and 3.29, respectively. Regarding to the association between institutional support activities and the certification...

Equity in primary health care delivery: an examination of the cohesiveness of strategies relating to the primary healthcare system, the health workforce and hepatitis C

Scarborough, J.; Eliott, J.; Miller, E.; Aylward, P.
Fonte: CSIRO Publishing Publicador: CSIRO Publishing
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
56.32%
OBJECTIVE: To suggest ways of increasing the cohesiveness of national primary healthcare strategies and hepatitis C strategies, with the aim of ensuring that all these strategies include ways to address barriers and facilitators to access to primary healthcare and equity for people with hepatitis C. METHODS: A critical review was conducted of the first national Primary Healthcare System Strategy and Health Workforce Strategy with the concurrent Hepatitis C Strategy. Content relating to provision of healthcare in private general practice was examined, focussing on issues around access and equity. RESULTS: In all strategies, achieving access to care and equity was framed around providing sufficient medical practitioners for particular locations. Equity statements were present in all policies but only the Hepatitis C Strategy identified discrimination as a barrier to equity. Approaches detailed in the Primary Healthcare System Strategy and Health Workforce Strategy regarding current resource allocation, needs assessment and general practitioner incentives were limited to groups defined within these documents and may not identify or meet the needs of people with hepatitis C. CONCLUSIONS: Actions in the primary healthcare system and health workforce strategies should be extended to additional groups beyond those listed as priority groups within the strategies. Future hepatitis C strategies should outline appropriate...

Research activity and capacity in primary healthcare: The REACH study: A survey

Glynn, Liam G.; O'Riordan, Ciara; MacFarlane, Anne; Newell, John; Iglesias, Alberto A; Whitford, David; Cantillon, Peter; Murphy, Andrew W
Fonte: BioMed Central Publicador: BioMed Central
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
66.3%
peer-reviewed; Background: Despite increased investment in primary care research and development (R&D), the level of engagement of primary healthcare professionals with research remains poor. The aim of this study is to assess the level of research activity and capacity for research among primary healthcare professionals in a health authority of over one million people in a mixed urban/rural setting in the West of Ireland. Methods: A questionnaire, incorporating the R+D Culture Index, was sent to primary healthcare professionals in the HSE Western Region. Baseline characteristics were analysed with the use of one-way ANOVA and Chi-square test and the dependence of R&D Culture Index score on all sixteen available covariates was examined using multiple regression and regression tree modelling. Results: There was a 54% response rate to the questionnaire. Primary healthcare professionals appeared to have an interest in and awareness of the importance of research in primary care but just 15% were found to be research active in this study. A more positive attitude towards an R&D culture was associated with having had previous research training, being currently involved in research and with not being a general practitioner (GP) (p < 0.001)...

O homem na atenção primária à saúde: discutindo (in)visibilidade a partir da perspectiva de gênero; Men in primary healthcare: discussing (in) visibility based on gender perspectives; El hombre en la atención primaria a la salud: discutiendo (in)visibilidad a partir de la perspectiva de género

COUTO, Márcia Thereza; PINHEIRO, Thiago Félix; VALENÇA, Otávio; MACHIN, Rosana; SILVA, Geórgia Sibele Nogueira da; GOMES, Romeu; SCHRAIBER, Lilia Blima; FIGUEIREDO, Wagner dos Santos
Fonte: Revista Interface - Comunicação, Saúde, Educação Publicador: Revista Interface - Comunicação, Saúde, Educação
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
66.18%
Este trabalho apresenta estudo de caráter etnográfico acerca da relação entre homens e a assistência à saúde na Atenção Primária, realizado em oito serviços de quatro estados brasileiros. Seu objetivo é compreender a (in)visibilidade dos homens no cotidiano da assistência a partir da perspectiva de gênero, que discute os mecanismos promotores de desigualdades presentes no trabalho em saúde. Foram identificadas, nesse contexto, diferentes dimensões desta (in) visibilidade: os homens como alvo de intervenções no campo das políticas públicas de saúde; como usuários que enfrentam dificuldades na busca por atendimento e no estímulo à sua participação efetiva; como sujeitos do cuidado (de si e de terceiros). O trabalho reforça a importância dos estudos de gênero e sua relação com a saúde, na medida em que discute a produção das iniquidades sociais (re) produzidas pelas desigualdades de gênero presentes no imaginário social e nos serviços de saúde.; This paper presents an ethnographic study on the relationship between men and primary healthcare in eight clinics in four Brazilian states. The objective was to comprehend the (in)visibility of men within the daily routine of care, based on gender perspectives...

Os homens não vêm! Ausência e/ou invisibilidade masculina na atenção primária; Men don't come! Absence and/or invisibility in primary healthcare services

GOMES, Romeu; MOREIRA, Martha Cristina Nunes; NASCIMENTO, Elaine Ferreira do; REBELLO, Lucia Emília Figueiredo de Sousa; COUTO, Márcia Thereza; SCHRAIBER, Lilia Blima
Fonte: Associação Brasileira de Pós-Graduação em Saúde Coletiva Publicador: Associação Brasileira de Pós-Graduação em Saúde Coletiva
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56.22%
O artigo se debruça na discussão da ausência e/ou invisibilidade masculina nos serviços de atenção primária, com consequente ausência da inclusão dos homens nos cuidados preventivos. A grade analítica está fundamentada na literatura que discute cuidados em saúde e masculinidade. O método deste estudo se baseia em uma análise qualitativa do material empírico advindo dos depoimentos, na forma de entrevistas individuais semi-estruturadas, de vinte profissionais, e do material de dois grupos focais com doze trabalhadoras de nível médio de enfermagem de dois serviços de saúde em atenção primária do município do Rio de Janeiro (RJ). Os dados da pesquisa apontam para duas dimensões dignas de atenção: a estrutural e a simbólica. A estrutural revela pouco investimento na organização do serviço numa perspectiva de gênero, reforçando o senso comum de que os homens não são usuários da atenção primária. A simbólica diz respeito à não consideração de temas do universo masculino, como a dificuldade que homens têm em se desnudar para o profissional, demandando uma privacidade no atendimento. Trabalhar nessas questões pode possibilitar a transformação das práticas que tornam os homens invisíveis nos programas de saúde de atenção primária...

Violência contra a mulher: percepção dos médicos das unidades básicas de saúde da cidade de Ribeirão Preto, São Paulo; Violence against women: perceptions of medical doctors from primary healthcare units in the city of Ribeirão Preto, São Paulo; Violencia contra la mujer: percepción de los médicos de las unidades básicas de salud de la ciudad de Ribeirão Preto, estado de São Paulo, Brasil

DE FERRANTE, Fernanda Garbelini; SANTOS, Manoel Antônio dos; VIEIRA, Elisabeth Meloni
Fonte: Revista Interface - Comunicação, Saúde, Educação Publicador: Revista Interface - Comunicação, Saúde, Educação
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
66.12%
Violência contra a mulher é um fenômeno complexo e altamente prevalente, considerado problema de saúde pública. Comumente, as mulheres afetadas buscam serviços de saúde para tratar sintomas associados. Este estudo, de abordagem qualitativa, teve por objetivo verificar a percepção dos médicos das unidades básicas de saúde de Ribeirão Preto-SP sobre violência contra a mulher perpetrada por parceiro íntimo. Os dados foram levantados por meio de entrevistas com 14 médicos ginecologistas-obstetras e clínicos gerais. A análise de conteúdo permitiu definir os seguintes temas: conhecimento sobre tipos e gravidade de violência, percepções acerca de quem é a mulher acometida, prática médica frente à situação de violência, possibilidades de intervenções e barreiras de acesso ao serviço. Os médicos, por se sentirem despreparados para abordar o tema, o enfrentam com muitos preconceitos de classe social e gênero, transferindo a responsabilidade, por eventuais falhas no atendimento, aos "outros": os serviços, a rede e as mulheres.; Violence against women is a complex and highly prevalent phenomenon that is considered a public health problem. The affected women generally search for healthcare services in order to treat associated symptoms. This qualitative study aimed to verify the perception of doctors working at primary healthcare units of Ribeirão Preto...

Teaching at primary healthcare services within the Brazilian national health system (SUS) in Brazilian healthcare professionals' training

Toassi,Ramona Fernanda Ceriotti; Baumgarten,Alexandre; Warmling,Cristine Maria; Rossoni,Eloá; Rosa,Arisson Rocha da; Slavutzky,Sonia Maria Blauth
Fonte: UNESP Publicador: UNESP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2013 EN
Relevância na Pesquisa
66.26%
The aim of this study was to analyze the role of teaching at primary healthcare services within the Brazilian National Health System (SUS) in dentists' training, at a public university in the south of Brazil. A qualitative methodological approach (case study) was used. Interviews were conducted with 12 dentistry students, six dentists who were preceptors working in public primary healthcare services and three teachers connected with this curricular training. Our findings showed that the curricular training in SUS primary healthcare services had an impact on the dentists' education through establishment of bonds, autonomy in problem-solving and multiprofessional teamwork. It was seen that they learned about how healthcare services function, about healthcare and about development of cultural competence. There is a need to maintain constant questioning regarding these practices, and to ensure the presence of infrastructure and qualified professionals for teaching at these services.

Pain measurement as part of primary healthcare of adult patients with sickle cell disease

Signorelli,Andreza Aparecida Felix; Ribeiro,Sonia Beatriz Felix; Moraes-Souza,Helio; Oliveira,Lucas Felix de; Ribeiro,Joao Batista; Silva,Sheron Hellen da; Oliveira,Daniel Fachinelli Felix de; Ribeiro,Matheus Fernando Felix
Fonte: Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular Publicador: Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 EN
Relevância na Pesquisa
66.18%
OBJECTIVE: The aim of this exploratory, cross-sectional study was to evaluate pain in sickle cell disease patients and aspects related to primary healthcare. METHODS: Data were obtained through home interviews. The assessment instruments (body diagram, Numerical Pain Scale, McGill Pain Questionnaire) collected information on the underlying disease and on pain. Data were analyzed using the Statistical Package for Social Sciences program for Windows. Associations between the subgroups of sickle cell disease patients (hemoglobin SS, hemoglobin SC, sickle β-thalassemia and others) and pain were analyzed using contingency tables and non-parametric tests of association (classic chi-square, Fisher's and Kruskal-Wallis) with a level of 5% (p-value < 0.05) being set for the rejection of the null hypothesis. RESULTS: Forty-seven over 18-year-old patients with sickle cell disease were evaluated. Most were black (78.7%) and female (59.6%) and the mean age was 30.1 years. The average number of bouts of pain annually was 7.02; pain was predominantly reported by individuals with sickle cell anemia (hemoglobin SS). The intensity of pain (Numeric Pain Scale) was 5.5 and the quantitative index (McGill) was 35.9. This study also shows that patients presented a high frequency of moderately painful crises in their own homes. CONCLUSION: According to these facts...

Quality of assistance provided to children with sickle cell disease by primary healthcare services

Gomes,Ludmila Mourão Xavier; Reis,Tatiana Carvalho; Vieira,Magda Mendes; Andrade-Barbosa,Thiago Luis de; Caldeira,Antônio Prates
Fonte: Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular Publicador: Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2011 EN
Relevância na Pesquisa
56.18%
OBJECTIVE: To evaluate the quality of healthcare provided to sickle cell disease children by primary healthcare services in a region of high prevalence. METHODS: A cross-sectional, descriptive study was performed by interviewing members of families with sickle cell disease children. The children had been identified from the Neonatal Screening Program in Minas Gerais state over the last 12 years in towns of the Montes Claros-Bocaiuva microregion. A structured questionnaire specially developed for this study and based on three axes was used: indicators of the child's health (immunization, growth and development, prophylaxis antibiotic therapy), perception of care by the family (health education and accessibility) and knowledge of the family about the disease. RESULTS: Sixty-three of 71 families with children identified as having sickle cell disease were interviewed. The predominant genotypes were Hb SS (44.4%) and Hb SC (41.2%). Adequate monitoring of growth and development was recorded for the first year of life in 23 children (36.6%) and for the second year of life in 18 children (28.6%). The basic vaccination schedule was completed by 44 children (69.8%) but 62 vaccination record cards (98.4%) identified delays of special vaccines. Regular use of prophylactic penicillin was reported by 55 caregivers (87.3%). The family's perception of the care provided suggests poor accessibility to health services and lack of opportunities to answer doubts. The average performance of families in knowledge testing was 59.8%. CONCLUSION: The quality of healthcare is unsatisfactory. The care provided to children with sickle cell disease in primary healthcare services needs improvements.

Print media coverage of primary healthcare and related research evidence in South Africa

Akintola, Olagoke; Lavis, John N; Hoskins, Ryan
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
66.24%
Background: The news media is located at the nexus of the public and policy agendas and provides a window into issues concerning the public. Therefore, it could be a powerful tool for advocating for citizens’ health and could help promote evidence-based primary health systems responsive to the needs of citizens. However, research on the coverage of primary healthcare and related research evidence in the South African print media is virtually non-existent. Methods: We examined 2,077 news stories that covered primary healthcare from 25 South African newspapers retrieved from the Lexis-Nexis online archive over a 16-year period (1997–2012). We analysed basic characteristics and conducted a content analysis of the news stories. Results: Of the 2,077 news stories that mentioned primary healthcare, this was the main focus in 8.3% (n = 173). Of these, 45.7% discussed issues relating to clinics, whereas issues relating to community health workers and nurses were covered by 42.8% and 34.1% of news stories, respectively. The number of news stories discussing infectious diseases (55.5%) was more than twice the number discussing non-communicable diseases (21.4%). HIV/AIDS/TB illness- and service-related issues were covered by 54.3% of news stories and social determinants of health by 22%. Issues relating to how healthcare is organised to deliver services to the people received substantial coverage in the print media...

Atenção primária no sistema de saúde: debates paulistas numa perspectiva histórica; Primary care in the health system: debates from São Paulo in a historical perspective

Mota, André; Schraiber, Lilia Blima
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2011 POR
Relevância na Pesquisa
56.24%
Este artigo traz como objetivo central a recuperação histórica, por meio de vestígios e pistas, de dimensões que trataram da organização das práticas de saúde no Brasil, tendo a "Atenção Primária em Saúde" um lugar especial nessa contenda. Para isso, atentou-se para um momento bastante rico e complexo, quando alternativas nesse campo eram propostas, sobretudo, por profissionais da saúde que trabalhavam entre experiências também marcadas em sua "dimensão regional paulista", a partir de seus lugares e vivências institucionais. Nesse sentido, olhar para o passado como ponto de apoio para essa compreensão será de extremo valor, já que essas experiências vividas não se rompem completamente, mas estarão permanentemente sendo recuperadas, quer para que se ultrapassem certos liames conjunturais, quer para utilizá-las como ponto de referência para se pensar desdobramentos futuros do pensamento e das práticas de saúde. Cobriu-se, em especial, o período entre 1970 a 1990, com destaque à proposta da Programação em Saúde como política oficial do Estado de São Paulo para a implantação da atenção primária como projeto de extensão de acesso, primeiro nível do sistema de saúde e produção de cuidados específicos. Examinaram-se complementarmente as propostas paulistas da Ação Programática e da Defesa da Vida como formulações críticas à Programação e base de debate acerca das inovações na assistência à saúde e nas práticas profissionais.; The central aim of this paper was to historically retrieve the dimensions relating to the organization of healthcare practices in Brazil based on clues left in records. Primary healthcare had a special place within this context. To accomplish this...

Educational activities for primary healthcare workers: "educação permanente em saúde" and continuing education concepts in the day-to-day routine of primary healthcare units in São Paulo

Peduzzi,Marina; Guerra,Débora Antoniazi Del; Braga,Carina Pinto; Lucena,Fabiana Santos; Silva,Jaqueline Alcântara Marcelino da
Fonte: Interface - Comunicação, Saúde, Educação Publicador: Interface - Comunicação, Saúde, Educação
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2010 EN
Relevância na Pesquisa
56.2%
The objective of this study was to analyze the educational activity practices among healthcare workers in primary healthcare units (PHUs) according to the concepts of "educação permanente em saúde" (EPS)¹ and continuing education (CE), healthcare and nursing work processes, teamwork and comprehensiveness. This was a cross-sectional study conducted in 10 PHUs in the municipality of São Paulo, through structured interviews with 110 key informants who represented all professional categories and teams at the PHUs. The interviews covered educational activities developed in 2005. The information was classified according to operational categories for each study variable, based on the theoretical framework. The workers reported 396 educational activities that demonstrated the complementary nature of the concepts of EPS and CE. In accordance with the perspectives of the Brazilian Unified Health System (SUS) and the transformation of healthcare practices, there is a need to expand the debate relating to EPS as public policy.

Teaching at primary healthcare services within the Brazilian national health system (SUS) in Brazilian healthcare professionals' training

Toassi,Ramona Fernanda Ceriotti; Baumgarten,Alexandre; Warmling,Cristine Maria; Rossoni,Eloá; Rosa,Arisson Rocha da; Slavutzky,Sonia Maria Blauth
Fonte: UNESP Publicador: UNESP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2013 EN
Relevância na Pesquisa
66.26%
The aim of this study was to analyze the role of teaching at primary healthcare services within the Brazilian National Health System (SUS) in dentists' training, at a public university in the south of Brazil. A qualitative methodological approach (case study) was used. Interviews were conducted with 12 dentistry students, six dentists who were preceptors working in public primary healthcare services and three teachers connected with this curricular training. Our findings showed that the curricular training in SUS primary healthcare services had an impact on the dentists' education through establishment of bonds, autonomy in problem-solving and multiprofessional teamwork. It was seen that they learned about how healthcare services function, about healthcare and about development of cultural competence. There is a need to maintain constant questioning regarding these practices, and to ensure the presence of infrastructure and qualified professionals for teaching at these services.

Institutional and matrix support and its relationship with primary healthcare

Santos,Alaneir de Fátima dos; Machado,Antônio Thomaz Gonzaga da Matta; Reis,Clarice Magalhães Rodrigues dos; Abreu,Daisy Maria Xavier; Araújo,Lucas Henrique Lobato de; Rodrigues,Simone Cristina; Lima,Ângela Maria de Lourdes Dayrell de; Jorge,Alzira d
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
56.17%
OBJECTIVE To analyze whether the level of institutional and matrix support is associated with better certification of primary healthcare teams.METHODS In this cross-sectional study, we evaluated two kinds of primary healthcare support – 14,489 teams received institutional support and 14,306 teams received matrix support. Logistic regression models were applied. In the institutional support model, the independent variable was “level of support” (as calculated by the sum of supporting activities for both modalities). In the matrix support model, in turn, the independent variables were the supporting activities. The multivariate analysis has considered variables with p < 0.20. The model was adjusted by the Hosmer-Lemeshow test.RESULTS The teams had institutional and matrix supporting activities (84.0% and 85.0%), respectively, with 55.0% of them performing between six and eight activities. For the institutional support, we have observed 1.96 and 3.77 chances for teams who had medium and high levels of support to have very good or good certification, respectively. For the matrix support, the chances of their having very good or good certification were 1.79 and 3.29, respectively. Regarding to the association between institutional support activities and the certification...