Reasons for encounter in primary health care in Brazil

2020 ◽  
Vol 37 (5) ◽  
pp. 648-654
Author(s):  
Patricia S Chueiri ◽  
Marcelo Rodrigues Gonçalves ◽  
Lisiane Hauser ◽  
Lucas Wollmann ◽  
Sotero Serrate Mengue ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Cross Sectional Study ◽  
Geographic Region ◽  
Cross Sectional ◽  
Primary Health ◽  
Family Health Strategy ◽  
Specialized Care ◽  
Reasons For Encounter

Abstract Background Primary health care (PHC) delivery in Brazil has improved in the last decades. However, it remains unknown whether the Family Health Strategy teams are meeting the health needs of the population. Objectives To describe the reasons for encounter (RFEs) in PHC in Brazil and to examine variations in RFEs according to sex, age and geographic region. Methods This descriptive study is part of a national cross-sectional study conducted in 2016. The sample was stratified by the number of PHC physicians per geographic region. Physicians who had been working for at least 1 year in the same PHC unit were included. For every participating physician, 12 patients aged ≥18 years who had attended at least two encounters were included. Patients were asked about their RFEs, which were classified according to the International Classification of Primary Care. Results In 6160 encounters, a total of 8046 RFEs were coded. Seven reasons accounted for 50% of all RFEs. There was a high frequency of codes related to test results, medication renewal and preventive medicine. RFEs did not vary significantly by sex or geographic region, but they did by age group (P < 0.001). The rates of prescriptions, requests for investigations and referrals to specialized care were 71.1%, 42.8%, and 21.3%, respectively. Conclusion This novel study opened the ‘black box’ of RFEs in PHC in Brazil. These findings can contribute to redefining the scope of PHC services and reorienting work practices in order to improve the quality of PHC in Brazil.

scholarly journals PERFIL DOS PROFISSIONAIS DA ATENÇÃO PRIMÁRIA À SAÚDE, VINCULADOS AO CURSO DE ESPECIALIZAÇÃO EM SAÚDE DA FAMÍLIA UNA-SUS NO RIO GRANDE DO SUL

2020 ◽  
Vol 1 ◽  
pp. 04
Author(s):  
Giovani Sturmer ◽  
Maria Eugênia Bresolin Pinto ◽  
Monica Maria Celestina de Oliveira ◽  
Alessandra Dahmer ◽  
Airton Tetelbom Stein ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Rio Grande ◽  
Cross Sectional Study ◽  
Physical Structure ◽  
Health Unit ◽  
Rio Grande Do Sul ◽  
Cross Sectional ◽  
Primary Health

No Brasil, a Atenção Primária em Saúde (APS) é porta de entrada no serviço de saúde do Sistema Único de Saúde (SUS). A rede é constituída por unidades de saúde onde profissionais preparados para atuar na prevenção e manutenção da saúde da comunidade buscam atender às necessidades locais de forma equitativa, eficaz e precisa. O objetivo deste estudo é descrever o perfil dos profissionais da APS, vinculados a Especialização em Saúde da Família – UNA-SUS UFCSPA. Foi realizado um estudo transversal com profissionais da saúde não participantes do Programa Mais Médicos, que atuam na APS no Rio Grande do Sul vinculados ao curso, entre 2011 e 2013, para observar as características dos profissionais e o seu vínculo com o trabalho. Entre os 277 avaliados, a maioria são mulheres, enfermeiras, com média de 35 anos, formadas a menos de 10 anos, 88% trabalham em ESF, e 73,1% participam de equipes de saúde bucal. A pós-graduação concluída direcionada para APS foi observada em 30% dos profissionais; e 56,3% estavam no primeiro trabalho em APS, com media de 4,5 anos de atuação; 40,4% tinham outra atividade remunerada (77% médicos). Observou-se que 59% estavam satisfeitos com o tipo de vínculo, e entre a maioria foi observada a satisfação com as condições gerais de trabalho (58,1%), com a estrutura física e com os equipamentos das unidades (58,3%). Observaram-se profissionais com menor idade e pouca especialidade na área, entretanto, todos eles buscando aprimoramento através da Especialização para melhorar sua atuação na APS.Palavras-chave: Atenção Primária à Saúde. Saúde da Família. Profissionais da Saúde.ABSTRACTIn Brazil Primary Health Care (PHC) is the gateway to health service of the Unified Health System. The network consists of health unit where professionals seek to meet local needs fairly and effectively, and it must rely on trained professionals to work in community health prevention and maintenance. The aim of this study is to describe the profile of PHC professionals who are linked to UNA-SUS–UFCSPA’s Specialization Program in Family Health. A cross-sectional study with health professionals who work in PHC in Rio Grande do Sul and were linked to the program between 2011 and 2013 was conducted to observe the characteristics of professionals and their relationship with work. Among the participants (277), the majority are women, nurses with an average of 35 years, professionals for less than 10 years, 88% work in FHS, and 73.1% with oral health team. The completed a graduate degree focused on PHC was observed in 30% of the professionals; 56.3% were working their first job in PHC, with a median of 4.5 years of operation; and 40.4% engaged in another paid activity (77% physicians). It was observed that 59% were satisfied with their type of employment, and most participants showed to be satisfied with their general working conditions (58.1%) and the physical structure and equipment of the health unit (58.3%). Younger professionals and with little expertise in the area were observed, however all of them were seeking development through Specialization to improve their performance in PHC.Keywords: Primary Health Care. Family Health. Health Personnel.

scholarly journals Knowledge and attitude of patients with diabetes mellitus in Primary Health Care

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Suelen Cordeiro Assunção ◽  
Alisson Pereira Fonseca ◽  
Marise Fagundes Silveira ◽  
Antônio Prates Caldeira ◽  
Lucinéia de Pinho
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Negative Attitude ◽  
Cross Sectional ◽  
Primary Health ◽  
Patients With Diabetes ◽  
Family Health Strategy ◽  
Knowledge And Attitude

Abstract Objective: To evaluate the knowledge and attitude of patients with diabetes mellitus in Primary Health Care and associated factors. Methods: Cross-sectional, quantitative and analytical study with 353 patients with type 2 diabetes mellitus in Family Health Strategy units. The Knowledge and Psychological Attitudes Questionnaires were used for data collection, as well as a script with sociodemographic, economic and clinical data. Results: The majority of the population was female (73.1%), aged more than 50 years (81.5%), diagnosed for more than five years (54.9%) and with a per capita income of up to half a minimum wage (59.3%). The scores of knowledge and attitude were low. Age (p = 0.001) and level of education (p = 0.002) were variables associated with knowledge about diabetes mellitus. Conclusion: Users had a low level of knowledge about diabetes, indicating an unsatisfactory result in self-care and mainly a negative attitude towards coping with this disease.

scholarly journals The Prevalence of Abdominal Adiposity among Primary Health Care Physicians in Bahia, Brazil: An Epidemiological Study

2021 ◽  
Vol 18 (3) ◽  
pp. 957
Author(s):  
André Luiz Brandão Costa ◽  
Magno Conceição das Merces ◽  
Amália Ivine Costa Santana ◽  
Douglas de Souza e Silva ◽  
Rodrigo Fernandes Weyll Pimentel ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Waist Circumference ◽  
Family Health ◽  
Cross Sectional Study ◽  
Abdominal Adiposity ◽  
Cross Sectional ◽  
Primary Health ◽  
The Family ◽  
Primary Health Care Physicians

Background: Labor activities are demanding for workers and can induce occupational stress. Primary health care (PHC) workers have faced problems that can lead to the development of stress and abdominal obesity. The aim of this study was to estimate the prevalence of abdominal adiposity among primary health care physicians in the metropolitan mesoregion of Salvador, Bahia. Methods: This is a cross-sectional study conducted with physicians from the family health units (FHUs) of the metropolitan mesoregion of Salvador, Bahia, Brazil. The number of FHUs corresponded to 41 teams (52 physicians). Anamnesis was performed and a questionnaire was applied. The clinical examination consisted of measuring waist circumference (WC), blood pressure levels (BP), and body mass index (BMI), as well as examining for acanthosis nigricans. Blood samples were collected for biochemical dosages. The data obtained were analyzed by SPSS version 22.0. Results: The sample included 41 physicians (response rate: 78.8%), of which 18 were women (44.0%). The percentage of overweight participants represented by BMI was 31.7%. The hypertriglyceridemia prevalence was 29.2%. HDL-c was low in 48.7% of the participants. The waist circumference measurement revealed a prevalence of abdominal adiposity of 38.8% (women) and 34.8% (men). Conclusions: Medical professionals in PHC are more susceptible to having higher abdominal adiposity, especially female physicians.

scholarly journals Primary health care attributes of family health teams with and without family physician

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A C F Martins ◽  
G A Pereira ◽  
W P P Gomes ◽  
C N Monteiro ◽  
C A S Siqueri ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Management ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Point Of View ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Assessment

Abstract Background The four essential attributes of primary health care (PHC): access, longitudinality, comprehensiveness and coordination, guide the professional practices of service management and also the professionals of the family health strategy teams. Family medicine residence (FMR) is the speciality that trains medical practitioners capable of acting properly in PHC. It develops a person-centred approach, oriented towards the individual, his family and community, which dialogues with the PHC precepts of comprehensive patient care from a social point of view. Thus, the objective of this study was to verify whether there are differences in the PHC attributes perceived by patients treated by teams with FMR doctors and by the others. Methods This was an observed cross-sectional study conducted during 2019, which used the Adult Primary Care Assessment Tool (PCATool) to evaluate preliminarily 28 PHC teams working at the city of São Paulo, Brazil. The teams were compared based on 337 patient answers using domains medians and Mann-Whitney tests. The study was approved by the ethics committee. Results Eight teams (28.6%) had doctors trained in FMR. The attributes of longitudinality and access were very similar between the two groups. The teams with FMR doctors showed better evaluations in the components: information systems, median 7.78, versus 6.67 (p = 0.391); services available, median 6.52, versus 6.06 (p = 0.086); and services received, median 4.85, versus 3.85 (p = 0.180) of the coordination and comprehensiveness attributes. Conclusions We didn't find statistically significant results indicating better PHC attributes of teams with FMR doctors, based on user perception. A continuous study is recommended to follow the evolution of this speciality in the PHC context. Key messages FMR is a fundamental key to PHC and must be evaluated continuously. It is necessary to strengthen their insertion in the Brazilian health system and discuss the ways to do so.

scholarly journals Is the management of obesity in primary health care appropriate in Brazil?

2021 ◽  
Vol 37 (suppl 1) ◽  
Author(s):  
Mariana Souza Lopes ◽  
Patrícia Pinheiro de Freitas ◽  
Maria Cecília Ramos de Carvalho ◽  
Nathália Luíza Ferreira ◽  
Mariana Carvalho de Menezes ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
User Satisfaction ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Geographic Region ◽  
Obesity Management ◽  
Health Care Teams ◽  
Cross Sectional ◽  
Primary Health

Abstract: This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) - an initiative to assess primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management. Likewise, only 26.6% of the 114,615 users interviewed reported adequate access, and 27.8% of the UBS showed adequate service organization. Healthcare was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South and Southeast. Our results suggest that the country may still be at the initial stage of systematizing care with obesity, presenting significant disparities among regions.

Herbal Therapy in Primary Health Care in Maracanaú, Ceará, Brazil

2005 ◽  
Vol 39 (7-8) ◽  
pp. 1336-1341 ◽  
Author(s):  
Maria IG Silva ◽  
Francisca CF Sousa ◽  
Ana PS Gondim
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Herbal Medicines ◽  
Family Health ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Herbal Therapy ◽  
Cross Sectional ◽  
Therapeutic Benefits ◽  
Primary Health

BACKGROUND The public health system in Brazil is insufficient to provide basic pharmaceutical and medical care to the population. Currently, some herbal therapy programs are being developed in primary healthcare services to supply the communities lacking basic medicines. OBJECTIVE To investigate the use of herbal medicines in primary health care in Maracanaú, a northeast Brazilian city. METHODS A descriptive cross-sectional study was conducted in family health care units in Maracanaú during August and September of 2002. Two hundred twenty-six patients were interviewed via structured questionnaire. Descriptive statistical analysis was accomplished using sample size and proportions. χ 2 And Student's t-tests were used to compare percentages and means, respectively. RESULTS Among the 226 patients interviewed, 144 (63.7%) reported previous use of herbal medicines. Among those, 131 (90.9%) observed therapeutic benefits from herbal medicines. We identified 10 types of herbal medicines in the prescriptions, including syrups, dyes, capsules, and ointments, for the treatment of respiratory problems (63.8%), skin conditions (15.3%), diabetes mellitus (11.4%), and other illnesses. Further, we observed that some herbal medicines were not being produced during the study period and that several patients were not aware of the fact that they were receiving herbal medicine. CONCLUSIONS Data support the use of herbal therapy in primary health care in Maracanaú. However, there is a need to conduct further study on the efficacy and safety of these herbal medicines, as well as on their quality control.

scholarly journals Attributes of primary health care provided to children/adolescents with and without disabilities

2015 ◽  
Vol 20 (8) ◽  
pp. 2461-2468 ◽  
Author(s):  
Fernando Rodrigues Peixoto Quaresma ◽  
Airton Tetelbom Stein
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Quality Care ◽  
Family Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Physically Challenged

AbstractThis study sought to compare the attributes of the Primary Health Care (PHC) provided by caregivers of the Family Health Strategy (FHS) to children and adolescents with and without physical disabilities in Palmas (State of Tocantins, Brazil). This is a cross-sectional, descriptive study with a quantitative approach. For data collection, the PCA Tool-Brazil (child version) was applied to caregivers of children and adolescents residing and registered in family health teams. The attributes of primary care were evaluated through scores measured according to the criteria of the instrument. The results indicated that three attributes had scores above the cutoff point for the physically disabled population and two attributes for the population without disabilities. Overall, the data showed no significant differences between children with and without disabilities from the standpoint of caregivers. The general score also showed a below satisfactory score in both groups. The evaluation of the attributes of the PHC was characterized as low-quality care to children and adolescents, be they physically challenged or not, which highlights the fact that the biggest challenges lie in ensuring health care to children and adolescents.

scholarly journals Children's health care assistance according to their families: a comparison between models of Primary Care

2015 ◽  
Vol 49 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Vanessa Bertoglio Comassetto Antunes de Oliveira ◽  
Maria de La Ó Ramallo Veríssimo
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Integration Of Care ◽  
Primary Health ◽  
Care Assessment

OBJECTIVE To compare the health assistance models of Basic Traditional Units (UBS) with the Family Health Strategy (ESF) units for presence and extent of attributes of Primary Health Care (APS), specifically in the care of children. METHOD A cross-sectional study of a quantitative approach with families of children attended by the Public Health Service of Colombo, Paraná. The Primary Care Assessment Tool (PCA-Tool) was applied to parents of 482 children, 235 ESF units and 247 UBS units covering all primary care units of the municipality, between June and July 2012. The results were analyzed according to the PCA-Tool manual. RESULTS ESF units reached a borderline overall score for primary health care standards. However, they fared better in their attributes of Affiliation, Integration of care coordination, Comprehensiveness, Family Centeredness and Accessibility of use, while the attributes of Community Guidance/Orientation, Coordination of Information Systems, Longitudinality and Access attributes were rated as insufficient for APS. UBS units had low scores on all attributes. CONCLUSION The ESF units are closer to the principles of APS (Primary Health Care), but there is need to review actions of child care aimed at the attributes of APS in both care models, corroborating similar studies from other regions of Brazil.

scholarly journals PRIMARY HEALTH CARE AS A SCENARIO FOR ASSESSING THE PATIENT'S SAFETY CULTURE

2019 ◽  
Vol 5 ◽  
Author(s):  
Catiele Raquel Schmidt ◽  
Fabiano Pereira dos Santos ◽  
Marli Maria Loro ◽  
Marina Mazzuco de Souza ◽  
Adriane Cristina Bernat Kolankiewicz
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Safety Attitudes ◽  
Unit Management ◽  
Primary Health

Objective: To evaluate attitudes and perceptions about the culture of patient safety by professionals working in primary health care. Method: A cross-sectional study, developed with professionals from the multiprofessional team, who work in basic and family health units of a municipality in the northwest of the State of Rio Grande do Sul. For data collection from June to December 2016, the Safety Attitudes Questionnaire - Outpatient version. Responses follow the Likert scale, and scores were considered positive when ≥7.5. Results: 172 professionals from the multiprofessional team participated in the study. The domains that showed positive results were patient safety and unit management. The lowest scores occurred in the error and working conditions domains. Conclusion: We identified weaknesses in the results, and the need for investments in structure, training and awareness of professionals, managers and users in order to consolidate safe care.Objective: To evaluate attitudes and perceptions about the culture of patient safety by professionals working in primary health care. Method: A cross-sectional study, developed with professionals from the multiprofessional team, who work in basic and family health units of a municipality in the northwest of the State of Rio Grande do Sul. For data collection from June to December 2016, the Safety Attitudes Questionnaire - Outpatient version. Responses follow the Likert scale, and scores were considered positive when ≥7.5. Results: 172 professionals from the multiprofessional team participated in the study. The domains that showed positive results were patient safety and unit management. The lowest scores occurred in the error and working conditions domains. Conclusion: We identified weaknesses in the results, and the need for investments in structure, training and awareness of professionals, managers and users in order to consolidate safe care.

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