Family Health Care Tasks: An Exploration

Abstract Background The state of São Paulo recorded a significant reduction in infant mortality, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioeconomic and demographic factors, health care model and both infant mortality and maternal mortality in the state of São Paulo, Brazil. Methods In this ecological study, data from national official open sources were used. Analyzed were 645 municipalities in the state of São Paulo, Brazil. For each municipality, the infant mortality and maternal mortality rates were calculated for every 1000 live births, 2013. The association between these rates, socioeconomic variables, demographic models and the primary care organization model in the municipality were verified. We used the zero-inflated negative binomial model. Gross analysis was performed and then multiple regression models were estimated. For associations, we adopted “p” at 5%. Results The increase in the HDI of the city and proportion of Family Health Care Strategy implemented were significantly associated with the reduction in both infant mortality (neonatal + post-neonatal) and maternal mortality rates. In turn, the increase in birth and caesarean delivery rates were associated with the increase in infant and maternal mortality rates. Conclusions It was concluded that the Family Health Care Strategy model that contributed to the reduction in infant (neonatal + post-neonatal) and maternal mortality rates, and so did actors such as HDI and cesarean section. Thus, public health managers should prefer this model. Key messages Implementation of public policies with specific focus on attenuating these factors and making it possible to optimize resources, and not interrupting the FHS. Knowledge of the factors with impact on these indicators would be of help in formulating public policies.

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Wrist Wearable Physiological Signal Detection Equipment with Biochemical Materials

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.459.293 ◽

2012 ◽

Vol 459 ◽

pp. 293-297 ◽

Cited By ~ 2

Author(s):

Xing Chen ◽

Hong Lun Hou ◽

Ming Hui Wu ◽

Mei Mei Huo

Keyword(s):

Health Care ◽

Oxygen Saturation ◽

Signal Detection ◽

Human Body ◽

Family Health ◽

Medical Field ◽

Physiological Signal ◽

Potential Value ◽

Care Field ◽

Physiological Information

This paper designed a wrist Device which can detect physiological information and save the information data. The information got by device is including Oxygen saturation of blood, Pulse rate and steps. And the device even can distinguish the state of human body between fall and normal activities with 3-axis accelerometer. The equipment designed for family health care and remote healthy care field. The operation of device is so easy to be mastered that the device might have a potential value for the future medical field

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Oral health indicators in primary health care: the understanding and the information recorded by dentist-surgeons

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-8637201400010000062505 ◽

2014 ◽

Vol 62 (1) ◽

pp. 37-45

Author(s):

Patrícia Maria Costa de OLIVEIRA ◽

Léa Maria Bezerra de MENEZES ◽

Maria Vieira de Lima SAINTRAIN ◽

Paulo César de ALMEIDA ◽

Maria Eneide Leitão de ALMEIDA

Keyword(s):

Health Care ◽

Oral Health ◽

Sampling Error ◽

Family Health ◽

Health Indicators ◽

Ministry Of Health ◽

Health Strategy ◽

The Family ◽

Family Health Strategy ◽

Oral Health Indicators

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.

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Practice of Biopsychosocial Medicine in Portugal: Perspectives of Professionals Involved

The Spanish Journal of Psychology ◽

10.1017/s1138741600001621 ◽

2009 ◽

Vol 12 (1) ◽

pp. 217-225 ◽

Cited By ~ 3

Author(s):

M. Graça Pereira ◽

Alfonso Alonso Fachado ◽

Thomas Edward Smith

Keyword(s):

Health Care ◽

Care Delivery ◽

Interdisciplinary Collaboration ◽

Family Health ◽

Future Research ◽

Care Practice ◽

Multidisciplinary Teams ◽

Full Time ◽

Biopsychosocial Medicine ◽

Health Care Centers

Although, recently, the biopsychosocial approach has been emphasized in the practice of family medicine, how psychologists and physicians interact in collaborative family health care practice is still emerging in Portugal. This article describes a qualitative study that focused on the understanding of psychologists and family physicians' perceptions of their role and the collaborative approach in health care.A questionnaire gathered information regarding collaboration, referral, training and the practice of biopsychosocial medicine. A content analysis on respondents' discourse was performed. Results show that both physicians and psychologists agree on the importance of the biopsychosocial model and interdisciplinary collaboration. However, they also mentioned several difficulties that have to do with the lack of psychologists working full time in health care centers, lack of communication and different expectancies regarding each other roles in health care delivery.Both physicians and psychologists acknowledge the lack of academic training and consider the need for multidisciplinary teams in their training and practice to improve collaboration and integrative care. Implications for future research and for the practice of biopsychosocial medicine are addressed.

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Health-Care Waste: Knowledge of Primary Care nurses

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0244 ◽

2018 ◽

Vol 71 (5) ◽

pp. 2367-2375 ◽

Cited By ~ 1

Author(s):

Ana Paula Mhirdaui Sanches ◽

Karen Sayuri Mekaro ◽

Rosely Moralez de Figueiredo ◽

Silvia Carla da Silva André

Keyword(s):

Primary Care ◽

Health Care ◽

Family Health ◽

Chemical Waste ◽

Know How ◽

Paulo State ◽

Care Services ◽

Primary Care Services ◽

Primary Care Nurses ◽

Health Care Waste

ABSTRACT Objective: to describe the knowledge of nurses on Health-Care Waste Management (HCW) in Family Health Units (FHU) of São Carlos city, São Paulo State. Method: exploratory, descriptive and quantitative approach. The research was carried out with nurses of 16 FHU of the municipality of São Carlos-SP. Data were collected through an interview using a tool validated and analyzed using descriptive statistics. Results: it is noteworthy that 68.7% (11) of the nurses did not know how to describe how chemical waste was sorted. In addition, regarding the treatment of HCW, 50.0% (8) of the nurses did not know if the general waste were subjected to some type of treatment. Conclusion: the HCW management can be considered a challenge in the nurses' agenda inserted in the Primary Care services, which refers to the need to implement periodic training on the management of this waste.

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Child Health Booklet: experiences of professionals in primary health care

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-6234201400005000012 ◽

2014 ◽

Vol 48 (5) ◽

pp. 857-864 ◽

Cited By ~ 3

Author(s):

Gisele Nepomuceno de Andrade ◽

Tércia Maria Ribeiro Lima Rezende ◽

Anézia Moreira Faria Madeira

Keyword(s):

Health Care ◽

Child Health ◽

Family Health ◽

Phenomenological Approach ◽

Health Strategy ◽

Incomplete Filling ◽

Family Health Strategy ◽

Child Health Surveillance ◽

Objective Understanding ◽

Belo Horizonte

Objective: Understanding the experiences of health professionals in primary care with the Child Health Booklet in child health care. Method: A qualitative study with a phenomenological approach, in which participated nurses and doctors from six teams of the Family Health Strategy (FHS) in Belo Horizonte, MG. In total, were carried out 12 non-directive interviews, using two guiding questions. Results: A comprehensive analysis of the speeches enabled the construction of three categories that signal the experiences of the professionals with the booklet. The experiments revealed difficulties arising from the limitations of knowledge about the instrument; incomplete filling out of the booklet by many professionals that care for children; the daily confrontations of the process and the organization of work teams; disinterest of families with the instrument. Conclusion: The research points possible and necessary ways to improve the use of booklets as an instrument of full child health surveillance.

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Professional and community satisfaction with the Brazilian family health strategy

Revista de Saúde Pública ◽

10.1590/s0034-8910.2013047003868 ◽

2013 ◽

Vol 47 (2) ◽

pp. 403-413 ◽

Cited By ~ 8

Author(s):

Lilian G Perez ◽

Juliet D Sheridan ◽

Andrea Y Nicholls ◽

Katherine E Mues ◽

Priscila S Saleme ◽

...

Keyword(s):

Health Care ◽

Community Health ◽

Health Care Professionals ◽

Healthcare Professionals ◽

Family Health ◽

Pediatric Care ◽

Southeastern Brazil ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

OBJECTIVE: To analyze the strengths and limitations of the Family Health Strategy from the perspective of health care professionals and the community. METHODS: Between June-August 2009, in the city of Vespasiano, Minas Gerais State, Southeastern Brazil, a questionnaire was used to evaluate the Family Health Strategy (ESF) with 77 healthcare professionals and 293 caregivers of children under five. Health care professional training, community access to health care, communication with patients and delivery of health education and pediatric care were the main points of interest in the evaluation. Logistic regression analysis was used to obtain odds ratios and 95% confidence intervals as well as to assess the statistical significance of the variables studied. RESULTS: The majority of health care professionals reported their program training was insufficient in quantity, content and method of delivery. Caregivers and professionals identified similar weaknesses (services not accessible to the community, lack of healthcare professionals, poor training for professionals) and strengths (community health worker-patient communications, provision of educational information, and pediatric care). Recommendations for improvement included: more doctors and specialists, more and better training, and scheduling improvements. Caregiver satisfaction with the ESF was found to be related to perceived benefits such as community health agent household visits (OR 5.8, 95%CI 2.8;12.1), good professional-patient relationships (OR 4.8, 95%CI 2.5;9.3), and family-focused health (OR 4.1, 95%CI 1.6;10.2); and perceived problems such as lack of personnel (OR 0.3, 95%CI 0.2;0.6), difficulty with access (OR 0.2, 95%CI 0.1;0.4), and poor quality of care (OR 0.3, 95%CI 0.1;0.6). Overall, 62% of caregivers reported being generally satisfied with the ESF services. CONCLUSIONS: Identifying the limitations and strengths of the Family Health Strategy from the healthcare professional and caregiver perspective may serve to advance primary community healthcare in Brazil.

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Melhores práticas de enfermagem na saúde da pessoa idosa

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2020.244049 ◽

2020 ◽

Vol 14 ◽

Author(s):

Maria Alice De Freitas ◽

Angela Maria Alvarez

Keyword(s):

Health Care ◽

Primary Health Care ◽

Best Practices ◽

Methodological Approach ◽

Family Health ◽

The Elderly ◽

Structured Interview ◽

Primary Health ◽

La Red ◽

The Impact

Objetivo: compreender, dentro das melhores práticas, as experiências de busca por conhecimento e utilização da experiência profissional dos enfermeiros no cuidado da pessoa idosa na Atenção Primária à Saúde. Método: trata-se de um estudo qualitativo, descritivo e exploratório, com 30 enfermeiros atuantes nas Estratégias Saúde da Família. Utilizou-se um instrumento de entrevista semiestruturado. Analisaram-se os dados pela técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: revelaram-se a busca por conhecimento com outros profissionais e o acesso à rede de internet como fontes de conhecimento. Evidenciou-se a necessidade do estabelecimento de uma rotina de estudos sistematizada e agenda de educação permanente sob a temática do envelhecimento. Conclusão: conclui-se que o estudo confirma que os enfermeiros realizam ações que carecem de notoriedade e que estão preocupados com o impacto de suas ações para o usuário idoso, mas, para que as melhores práticas sejam completamente estabelecidas, se faz necessária a imersão científica e metodológica dos profissionais e da gestão, além da busca por conhecimento e valorização da experiência, que já coexistem. Descritores: Idoso; Enfermagem; Conhecimento, Atenção Primária à Saúde; Saúde da Pessoa Idosa; Dinâmica Populacional.AbstractObjective: to understand, within the best practices, the experiences of searching for knowledge and using nurses' professional experience in the care of the elderly in Primary Health Care. Method: this is a qualitative, descriptive and exploratory study, with 30 nurses working in the Family Health Strategies. A semi-structured interview instrument was used. Data was analyzed using the Content Analysis technique in the Thematic Analysis modality. Results: the search for knowledge with other professionals and access to the internet network as sources of knowledge were revealed. The need to establish a systematic study routine and a permanent education agenda under the theme of aging became evident. Conclusion: it is concluded that the study confirms that nurses perform actions that lack notoriety and that they are concerned with the impact of their actions for the elderly user, but, for the best practices to be completely established, scientific immersion is necessary and methodological approach of professionals and management, in addition to the search for knowledge and appreciation of experience, which already coexist. Descriptors: Elderly; Nursing; Knowledge; Primary Health Care; Elderly health; Population Dynamics.ResumenObjetivo: comprender, dentro de las mejores prácticas, las experiencias de búsqueda de conocimiento y el uso de la experiencia profesional de los enfermeros en el cuidado de ancianos en Atención Primaria de Salud. Método: estudio cualitativo, descriptivo y exploratorio con 30 enfermeros activos en las Estrategias de Salud Familiar. Se utilizó un instrumento de entrevista semiestructurada. Los datos se analizaron utilizando la técnica de Análisis de Contenido en la modalidad de Análisis Temático. Resultados: se reveló la búsqueda de conocimiento con otros profesionales y el acceso a la red de Internet como fuentes de conocimiento. La necesidad de establecer una rutina de estudio sistemática y una agenda de educación permanente bajo el tema del envejecimiento se hizo evidente. Conclusión: se concluye que el estudio confirma que los enfermeros realizan acciones que carecen de notoriedad y que están preocupados por el impacto de sus acciones para el usuario mayor, pero, para que las mejores prácticas se establezcan por completo, es necesaria la inmersión científica y enfoque metodológico de profesionales y directivos, además de la búsqueda de conocimiento y valoración de la experiencia, que ya coexisten. Descriptores: Anciano; Enfermería; Conocimiento; Atencíon Primária de la Salud; Saúde do Idoso; Dinámica Poblacional.

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