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A representação de velhice entre os profissionais que atuam nos Núcleos de Saúde da Família; The representation of old among the professionals who actuate in the Nucleus of Health of Family

Bimbato, Angélica Maria Jabur
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 28/11/2008 PT
Relevância na Pesquisa
65.62%
BIMBATO, A. M. J. A representação de velhice entre os profissionais que atuam nos Núcleos de Saúde da Família. 2008. 91 f. Dissertação (Mestrado) Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, 2008. Diversas mudanças têm ocorrido no perfil demográfico do Brasil, passando o envelhecimento populacional a ser uma realidade e não mais uma expectativa. Muitos são os mitos, conceitos e concepções sobre idoso, velhice e envelhecimento existentes em nossa sociedade, assim como meios legais que regem sobre os direitos e deveres da pessoa idosa (Programa Nacional de Saúde do Idoso, Estatuto do Idoso e Pacto pela Vida 2006). Objetivando analisar as representações de velhice presentes entre os profissionais que atuam nos Núcleos de Saúde da Família I, III, IV e V do Centro de Saúde Escola da Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo (CSE FMRP/USP) e as possíveis implicações para o serviço de saúde, realizamos este estudo, utilizando-se da abordagem qualitativa por meio de entrevistas semi-estruturadas, com dezenove profissionais que atuam nesses Núcleos (agentes comunitários de saúde, auxiliares de enfermagem, enfermeiras, médicos e dentistas). As concepções de velhice variaram em função da formação...

Estratégia saúde da família: satisfação de usuários; The Family Health Strategy: users' satisfaction

Santos, Ellen Tahan
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 09/12/2011 PT
Relevância na Pesquisa
65.64%
Nas últimas décadas, ocorreram transformações significativas na área da Saúde Pública, dentre elas, a implantação da Estratégia Saúde da Família (ESF) como uma tentativa de efetivação das diretrizes do Sistema Único de Saúde (SUS). A avaliação em saúde torna-se uma importante ferramenta para planejar intervenções capazes de atender às necessidades de saúde da população. Tendo em vista que a temática da satisfação de usuários ainda é pouco explorada no Brasil dentro da atenção primária, o presente estudo teve como objetivo investigar a satisfação de usuários em relação à ESF, considerando-se as dimensões estrutural, organizacional e relacional, assim como, as concepções de saúde dos usuários. Para tanto, foram entrevistados 16 usuários que frequentavam uma Unidade de Saúde da Família. Utilizou-se a abordagem qualitativa em pesquisa. A partir da análise das entrevistas, realizada através da Análise de Conteúdo Temática, foram construídas três categorias: Concepções, Avaliação e Contraponto. A primeira categoria englobou as concepções dos usuários em relação à saúde e ao cuidado. A segunda referiu-se à avaliação que os usuários fazem do NSF que frequentam e englobou o relacionamento entre equipe de saúde-usuário e médico-usuário...

Pró-saúde na perspectiva dos profissionais de saúde da Secretaria Municipal de Saúde de Bauru: análise do discurso; Pro-Health in the perspective of health professionals of the municipal health Bauru: discourse analysis

Souza, Sylvia Helena Scombatti de
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 24/04/2014 PT
Relevância na Pesquisa
65.65%
A Estratégia Saúde da Família surgiu como uma proposta para impulsionar a reestruturação da Atenção Básica em Saúde, tendo como foco o núcleo familiar. A inserção da Equipe de Saúde Bucal foi um importante componente nesta proposta de atendimento integral, vislumbrando um paradigma de atenção odontológica que promova melhorias nas condições de vida da população e a perspectiva de atuação dentro dos princípios da integralidade, desenvolvendo atividades de promoção, prevenção e recuperação da saúde bucal. O Agente Comunitário de Saúde é um profissional que emerge da comunidade e integra a equipe de saúde da família tornando-se um vínculo entre esses dois polos, trazendo as demandas da comunidade para a equipe e facilitando o acesso aos serviços. Este estudo teve como objetivo analisar, através dos discursos dos cirurgiões-dentistas, auxiliares em saúde bucal e agentes comunitários de saúde, suas percepções sobre a integralidade das ações, a integração ensino-serviço, através do programa Pró- Saúde, e as implicações na rotina de trabalho desses profissionais. Trata-se de um estudo de abordagem qualitativa, onde os profissionais integrantes das Equipes de Saúde Bucal e Agentes Comunitários de Saúde foram entrevistados com auxílio de um roteiro semiestruturado...

The Future Role of the Family Physician in the United States: A Rigorous Exercise in Definition

Phillips, Robert L.; Brundgardt, Stacy; Lesko, Sarah E.; Kittle, Nathan; Marker, Jason E.; Tuggy, Michael L.; LeFevre, Michael L.; Borkan, Jeffrey M.; DeGruy, Frank V.; Loomis, Glenn A.; Krug, Nathan
Fonte: American Academy of Family Physicians Publicador: American Academy of Family Physicians
Tipo: Artigo de Revista Científica
Publicado em /05/2014 EN
Relevância na Pesquisa
75.67%
As the US health care delivery system undergoes rapid transformation, there is an urgent need to define a comprehensive, evidence-based role for the family physician. A Role Definition Group made up of members of seven family medicine organizations developed a statement defining the family physician’s role in meeting the needs of individuals, the health care system, and the country. The Role Definition Group surveyed more than 50 years of foundational manuscripts including published works from the Future of Family Medicine project and Keystone III conference, external reviews, and a recent Accreditation Council on Graduate Medical Education Family Medicine Milestones definition. They developed candidate definitions and a “foil” definition of what family medicine could become without change. The following definition was selected: “Family physicians are personal doctors for people of all ages and health conditions. They are a reliable first contact for health concerns and directly address most health care needs. Through enduring partnerships, family physicians help patients prevent, understand, and manage illness, navigate the health system and set health goals. Family physicians and their staff adapt their care to the unique needs of their patients and communities. They use data to monitor and manage their patient population...

Examining clinical and direct care staff sexual health knowledge, attitudes, and training at work in an agency serving youth

Russell, Elizabeth Bruce (1975 - ); Douthit, Kathryn Z.
Fonte: University of Rochester. Publicador: University of Rochester.
Tipo: Tese de Doutorado Formato: Number of Pages:145
ENG
Relevância na Pesquisa
75.66%
Thesis (Ph. D.)--University of Rochester. Margaret Warner Graduate School of Education and Human Development, 2008.; Sexual health is woven into the fabric of society and is “inherently related to many of the social and public health concerns and challenges in the United States today” (di Mauro, 1995, p.1). Despite the saliency of sexual health concerns in the public health arena, sexuality is not currently being adequately addressed in counseling and mental health training curriculum (Gray, House, & Eicken, 1995). This gap in sexual health content at the baccalaureate and master levels of clinical training was the focus of this dissertation study, which aimed to explore how clinical staff at a not-for-profit child and adolescent mental health service agency: 1) conceptualize sexual health, 2) characterize their own practices related to inclusion of sexual health considerations, and 3) respond to questions related to their general attitudes and knowledge of sexual health.
Research participants completed instruments that included a survey pertaining to staff attitudes and beliefs, a sexual knowledge questionnaire, and a demographic questionnaire created by this researcher that included training, cultural values, family influences...

Assessing internal stakeholder support for a school-based family systems counseling intervention in an economically diverse suburban school district

Denslow, Susan M. (1957 - ); Douthit, Kathryn Z.
Fonte: University of Rochester Publicador: University of Rochester
Tipo: Tese de Doutorado Formato: Number of Pages:xi, 98 leaves
ENG
Relevância na Pesquisa
65.74%
Thesis (Ed. D.)--University of Rochester. Margaret Warner Graduate School of Education and Human Development, 2010.; The purpose of this research was to ascertain the perceived need for a school-based family counseling program by school administrators, teachers, support staff and Board of Education members in an economically diverse suburban school district in the Northeastern United States. This research examined whether internal stakeholders, including district administrators, faculty, staff, and School Board members perceive that current practices in the school district are adequate to meet student mental health needs that are barriers to learning. In addition, this proposed study assessed internal stakeholders’ perceptions of the potential for a school-based family counseling center to address student barriers to learning. In order to address the topics of inquiry, a mixed-methods research approach was used, that included an internal survey administered electronically and focus groups comprised of participants who responded to the survey. One hundred twenty-two survey responses were received and analyzed using descriptive statistics. Two focus groups of five participants each were facilitated by the principal researcher for this study. Focus group data was analyzed according to themes and how these themes provided depth of meaning to the survey data. Results of this study indicated that current mental health services were perceived to be inadequate in addressing what was determined to be the most common barriers to student learning in the district. Focus group discussion further emphasized this perception. Furthermore...

Prática do enfermeiro do Programa Saúde da Família PSF na promoção da saúde do adolescente; Practice of Nurse Program Health of the Family PSF in promotion the health of adolescents.

Nóbrega, Líbne Lidianne da Rocha e
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Enfermagem; Assistência à Saúde Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Enfermagem; Assistência à Saúde
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
65.63%
Attention to the health of adolescents, based on paradigm flexneriano, needs to be overcome. Since the International Conference of Ottawa (1986), the literature is developing a discussion of the promotion of health, based on the paradigm of social production in health, suggests a design to overcome the health care traditional practices. Program Health of the Family PSF has this purpose to transmute the model of existing assistance, where the nurse is an essential element to the work done in the program. Around this context, it is our purpose to analyze the practice of nurse of the PSF for the promotion of health of adolescents, produced by a search of descriptive quantitative approach with the inclusion of qualitative data. Interviews were conducted with 9 nurses 3 units of health of the family USF, Mossoró-RN and applied questionnaires with 74 teenagers aged between 15 and 19 years old, with some nearby public schools where USF operate these nurses. The quantitative descriptions were transformed on tables, pictures and graphics using the program Excel (Microsoft) and the qualitative were worked through the technique of analyzing the content of Bardin (2004). The review was realized using the reference to promote health brought by the study. The results show that the most common problems that happen with teenagers are the drugs (33...

Accelerating Progress towards Achieving the MDG to Improve Maternal Health : A Collection of Promising Approaches

Nanda, Geeta; Switlick, Kimberly; Lule, Elizabeth
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
65.73%
One of the Millennium Development Goals (MDG) is to improve maternal health, with the target of reducing maternal mortality by three-quarters between 1990 and 2015. In an effort to accelerate progress towards achieving this MDG, this paper brings together high-quality information on a wide range of promising approaches that aim to improve maternal health outcomes. These global promising approaches, based on field research and practice by experienced organizations working in this arena, can serve as a useful starting point in the process to improve current maternal health programming. This paper will be useful for World Bank staff when assisting client countries in developing their National Poverty Reduction Strategy Papers (PRSPs) and costing health sector plans. Moreover, the paper provides Bank staff with substantive evidence to share with governments on how best to prioritize and implement maternal health programs, and scale up efforts to achieve progress. Although primarily intended for use by Bank staff, we hope this guide will also be useful to governments...

Timor-Leste Health Sector Review : Appendices

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
95.61%
The Timor-Leste health sector review describes the accomplishments made by the government of Timore-Leste in the health sector since it separated from Indonesia, and analyzes the challenges still facing the government moving forward. Infant and maternal mortality, and malnutrition, are still important battles. Underutilization of services, and poor quality of services when available, are also reasons for the poor health quality indicators. Improving the quality or effectiveness of health services is difficult. However, now that most of the basic health care infrastructure is in place, the time is right for the Ministry of Health (MOH) to develop a system to monitor and upgrade the quality of health care services, starting with public sector services. One initiative put forth is health education delivered through various channels, which would make households better aware of the risks associated with certain health conditions or symptoms and the importance of using the available health services from government and NGO facilities. A second type of potential intervention is the introduction of conditional cash transfers...

Contracting for Primary Health Care in Brazil : The Cases of Bahia and Rio de Janeiro

Araujo, Edson; Cavalini, Luciana; Girardi, Sabado; Ireland, Megan; Lindelow, Magnus
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
EN_US
Relevância na Pesquisa
85.63%
This study presents two case studies, each on a current initiative of contracting for primary health services in Brazil, one for the state of Bahia, the other for the city of Rio de Janeiro. The two initiatives are not linked and their implementation has independently sprung from a search for more effective ways of delivering public primary health care. The two models differ considerably in context, needs, modalities, and outcomes. This paper identifies their strengths and weaknesses, initially by providing a background to universal primary health care in Brazil, paying particular attention to the family health strategy, the driver of the basic health care model. It then outlines the history of contracting for health care within Brazil, before analyzing the two studies. The state of Bahia sought to expand coverage of the family health strategy and increase the quality of services, but had difficulty in attracting and retaining qualified health professionals. Rigidities in the process of public hiring led to a number of isolated contracting initiatives at the municipal level and diverse...

Ken Campbell - Emeritus Professor, geologist and evolutionist

Campbell, Ken
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Sound Formato: Audio
Relevância na Pesquisa
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This interview, with Emeritus Professor Ken Campbell, is part of the Emeritus Faculty's Oral History Program, involving retired staff members of ANU who were part of the university in the early decades of its life. The Oral History Program was initiated and developed by ANU Emeritus Faculty as a contribution to university and community understanding of the beginnings and development of ANU over the past six decades. Emeritus Faculty has a special interest in this era, since the Faculty's membership includes many of the people who helped shape ANU in its early days, to make it the pre-eminent university it is today. Ken Campbell is Emeritus Professor in the Department of Earth and Marine Sciences at ANU. Born in Ipswich, Queensland in 1927, he is a graduate of the University of Queensland. After completing his PhD there, he spent 10 years in New England University College (predecessor of UNE) researching and teaching in paleontology and stratigraphy. Ken was then invited to apply for a lectureship at ANU by David Brown, founding professor of the Department of Geology in the School of General Studies, and arrived in Canberra with his family in 1962. He was appointed Dean of Science in 1978, and became Professor in Geology in 1982. Ken has been a visiting scientist at Harvard University...

The Production, Transportation, and Performance of Physicians, Nurses, and Midwives in Indonesia : An Update

Anderson, Ian; Meliala, Andreasta; Marzoeki, Puti; Pambudi, Eko
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
75.56%
Indonesia launched the national health insurance program - Jaminan Kesehatan National (JKN), on January 1, 2014, and aims to achieve universal health coverage (UHC) by 2019. Achieving UHC means not only increasing the number of people covered but also expanding the benefits package and ensuring financial protection. Although the JKN benefits package is comprehensive, a key challenge related to the capacity to deliver the promised services is ensuring the availability, distribution, and quality of human resources for health (HRH). Of Indonesia's 33 provinces, 29 do not have the WHO recommended ratio of 1 physician per 1,000 population, although Indonesia regularly produces 6,000 to 7,000 new physicians annually. The shortage of nurses in hospitals and health centers (puskesmas) is noticeable despite the large number of graduates. The government's health worker contract policy (PTT [Pegawai Tidak Tetap]) was the main policy lever to improve the distribution of physicians and midwives; it offered a shorter contract and higher monetary benefits for rural and remote postings. Nevertheless...

Healthy Partnerships : How Governments Can Engage the Private Sector to Improve Health in Africa

International Finance Corporation
Fonte: World Bank Publicador: World Bank
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH
Relevância na Pesquisa
85.66%
Health systems across Africa are in urgent need of improvement. The public sector should not be expected to shoulder the burden of directly providing the needed services alone, nor can it, given the current realities of African health systems. Therefore to achieve necessary improvements, governments will need to rely more heavily on the private health sector. Indeed, private providers already play a significant role in the health sector in Africa and are expected to continue to play a key role, and private providers serve all income levels across sub- Saharan Africa's health systems. The World Health Organization (WHO) and others have identified improvements in the way governments interact with and make use of their private health sectors as one of the key ingredients to health systems improvements. Across the African region, many ministries of health are actively seeking to increase the contributions of the private health sector. However, relatively little is known about the details of engagement; that is...

Contracting and Providing Basic Health Care Services in Honduras : A Comparison of Traditional and Alternative Service Delivery Models

Garcia Prado, Ariadna; Lao Peña, Christine
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
85.56%
This study uses data from health facility and patient exit surveys carried out in 2006 in Honduras to examine the characteristics of two basic health care provision models: a traditional Ministry of Health (MOH) public health care one versus a community based one also known as 'alternative' or 'public-social'. The author compare these models based on access, quality, costs, productivity, and management autonomy. While the alternative model has higher unit costs for drugs, it also has higher labor productivity. The fact that alternative providers are held accountable through performance-based contracts and that their personnel are hired on a contractual basis and can be demoted or even fired may account for their stronger performance relative to traditional providers whose personnel are centrally hired civil service staff. The findings support the alternative model as a viable option to expand services to other areas of Honduras that lack health services, compensating for the MOH's insufficient capacity to deliver and manage health care services in poor and remote areas. Some elements of this model such as performance-based agreements and other incentives can be also incorporated in the management and implementation of the traditional MOH health units in order to improve their performance. As the alternative models increase in number...

Ethiopia : Improving Health Service Delivery

El-Saharty, Sameh; Kebede, Sosena; Olango Dubusho, Petros; Siadat, Banafsheh
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
75.61%
This case study aims to identify how Ethiopia has adopted and implemented strategies to improve health services, including the factors that enabled and inhibited success across a meaningful range of health services for the period 1996-2006. Particular emphasis has been given to the impact of utilized strategies on the poor. This case study reviewed one 'primary strategy', decentralization in the form of devolution of authority to the regional level in 1996 and to the district (woreda) level in 2002, and seven 'corollary strategies' in the context of decentralization implemented at the subnational level. The study concludes that decentralization in the health sector is likely to be more effective when it is implemented as part of a broader government decentralization policy across sectors. Sequencing in implementing Ethiopia's decentralization strategy made decentralization more manageable, although decentralization was rolled out prematurely. Moreover, the effectiveness of implementation was found to be driven largely by the institutional and management capacity at the subnational level. At the subnational level...

Health Care in Sri Lanka : What Can the Private Health Sector Offer?

Govindaraj, Ramesh; Navaratne, Kumari; Cavagnero, Eleonora; Seshadri, Shreelata Rao
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
85.56%
This review represents an attempt to bridge the significant knowledge gaps on the private health sector in Sri Lanka, and foster a dialogue on opportunities for collaboration between the government and the private sector. It accomplishes this through a systematic collection and analysis of primary and secondary data on the provision, financing, and regulation of health care services. On health service delivery, the review finds that the private sector: includes a range of providers; focuses primarily on curative and outpatient services rather than preventive services; is heavily dependent on the public sector for its supply of human resources; and is concentrated in urban areas. The quality of health care services in Sri Lanka in both the private and public sectors, while better than in most developing countries, still lags behind those in more advanced countries. There is also little systematic dialogue and collaboration between the public and private sectors. On financing, the review finds that private health expenditure is more than half of total health expenditure...

Government Spending and Central-Local Relations in Thailand's Health Sector

Lindelow, Magnus; Hawkins, Loraine; Osornprasop, Sutayut
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
75.61%
This paper focuses on efficiency and equity in the financing of health services, and the evolving role of central and local government in the health sector. Thailand has seen significant improvements in health outcomes and succeeded in expanding the coverage of health protection schemes over the last decades. While the achievements of Thailand's health system are undeniable, this paper highlights three key challenges: (i) inequalities in utilization and spending under different health financing schemes and across geographic areas; (ii) mounting cost pressures; and (iii) fragmentation of financing and unresolved issues concerning the respective roles of central and local governments. This paper shows that although some of the differences in utilization and spending across schemes can be explained by the age profile of members, significant variations remain even after controlling for differences. It documents large variation in resources and spending across regions, both for the system as a whole and within the respective health financing schemes. In addition...

O trabalho com determinantes sociais da saúde no Programa Saúde da Família do município de São Paulo; Working with social determinants of health in the context of the Brazilian Family Health Program

Dowbor, Tatiana Pluciennik
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 02/04/2008 PT
Relevância na Pesquisa
65.62%
Introdução - O trabalho com a determinação social da saúde no âmbito do Programa Saúde da Família (PSF) é abordado pelo Ministério da Saúde como estratégia de reorganização da atenção básica no sentido da integralidade. Ao mesmo tempo, a filosofia holística do programa é tida pelos profissionais da promoção da saúde como força sinérgica para o empoderamento comunitário e a eqüidade social. No entanto, sabe-se ainda pouco sobre o trabalho com determinantes sociais de saúde (DSS) no âmbito do PSF. A investigação desta prática apresenta-se como importante estudo de caso sobre a integralidade de serviços de atenção primária à saúde de base comunitária, além de representar um estratégico foco de avaliação para o PSF. Objetivo - Analisar o estado atual do trabalho com DSS no âmbito do Programa Saúde da Família do município de São Paulo e discutir a viabilidade e a pertinência de seu desenvolvimento. Metodologia - Adotando uma posição pragmática, o estudo utilizou-se de métodos mistos de pesquisa divididos em duas fases seqüenciais de coleta e análise de dados, ancoradas em uma estratégia seqüencial explanatória. A primeira fase, majoritariamente quantitativa, contempla a coleta de dados quantitativos e qualitativos através de inquérito com a população de gerentes das Unidades de Saúde da Família do município de São Paulo. A segunda fase...

The practice of family health strategy workers when caring for women in gender violence situations

Rodrigues,Vanda Palmarella; Machado,Juliana Costa; Simões,Aline Vieira; Pires,Vilara Maria Mesquita Mendes; Paiva,Mirian Santos; Diniz,Normélia Maria Freire
Fonte: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Publicador: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2014 EN
Relevância na Pesquisa
65.63%
The aim of the present study was to describe the practice of Family Health Strategy workers when dealing with women in gender violence situations. It is a qualitative study, conducted with 25 healthcare workers from three Family Health Strategy units in a municipality of the state of Bahia, Brazil. Data were collected through a semi-structured interview and analyzed based on the discourse analysis method. The results yielded two empirical categories: expression of violence against women due to gender issues, with display of physical and psychological violence by a spouse, and strategies to face up gender violence. The second category displayed that the unit's actions that do not contemplate gender issues and that referrals to assistance services do not receive counter-referrals. We emphasize the need for Family Health Strategy staff to receive qualification for acting in gender violence situations, and for public management to promote a network structure for assistance services.

How far does family physician supply correlate with district health system performance?

Dyers,Robin E.; Mash,Robert; Naledi,Tracey
Fonte: African Journal of Primary Health Care & Family Medicine Publicador: African Journal of Primary Health Care & Family Medicine
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
105.74%
BACKGROUND: Since 2011, a new cadre of family physicians, with 4 years of postgraduate training, was deployed in the district health services of the Western Cape, and tasked with a considerable range of duties aimed at a general improvement in care and health outcomes. There is a need to evaluate the contribution of these family physicians to the district health system. AIM: To develop a methodology for describing the correlation between family physician supply and district health system performance, clinical processes and outcomes, and to measure this correlation at baseline. METHOD: A cross-sectional study was undertaken that analysed data at an ecological level for the period of 01 April 2011 to 31 March 2012. This was a pilot project analysing data from the first year of a 4-year project. The correlations between family physician supply and 18 health system indicators were assessed within a logic model. The supplies of other categories of staff were also measured. RESULTS: Although most of the correlations with family physicians were positive, the study was unable to demonstrate any strong or statistically significant correlations at baseline. There were significant correlations with other categories of staff. CONCLUSIONS: This study developed a methodology for monitoring the relationship between family physician supply using routinely collected indicators of health system performance...