Challenges for obesity management in a unified health system: the view of health professionals

2020 ◽  
Author(s):  
Mariana S Lopes ◽  
Patrícia P Freitas ◽  
Maria C R Carvalho ◽  
Nathália L Ferreira ◽  
Suellen F Campos ◽  
...  
Keyword(s):  
Health System ◽  
Health Professionals ◽  
Health Department ◽  
Instructional Materials ◽  
Obesity Management ◽  
Work Process ◽  
Web Based ◽  
Professional Qualification ◽  
Unified Health System ◽  
Routine Work

Abstract Background Obesity is an increasingly prevalent chronic condition. Its multiple causes and the complexity of its treatment pose challenges for health professionals. Objective To explore and describe the challenges for obesity management in the Brazilian Unified Health System according to health professionals. Methods An exploratory quantitative web-based study, carried out in 2018 with health professionals, developed from the first stage of a national project that aims to examine the management of obesity in Brazil. The questionnaire was self-applied. Invitations to participate in the research were sent by the Ministry of Health, Health Department of Minas Gerais and members of the research group. We collected data on sex, age, professional category, region and level of care. The challenges were investigated using a Likert scale and categorized into structure and work process. Results We evaluated 1323 professionals, of which about 45% were dietitians, 90.2% were women, and 83.1% self-reported working in primary health care. The main barriers cited included a high demand for curative and individual assistance, the presence of comorbidities, and the absence or insufficient access to instructional materials, professional qualification and lack of support. Conclusion Obesity management is a critical challenge for all professionals. Barriers were related to the work process and structural aspects and reinforce the need to empower health teams. We propose that permanent education activities should be established, as well as the development of instructional materials that are applicable to routine work. Finally, the results may be used to develop policies and strategies to improve obesity management.

scholarly journals RECEPTION: STRATEGIC POINT FOR USER ACCESS TO THE UNIFIED HEALTH SYSTEM

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Thaise Honorato de Souza ◽  
Maria Terezinha Zeferino ◽  
Vivian Costa Fermo
Keyword(s):  
Content Analysis ◽  
Data Collection ◽  
Qualitative Study ◽  
Health System ◽  
Acute Illness ◽  
Health Centers ◽  
Work Process ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
User Access

ABSTRACT This study investigated to understand how user embracement of users with acute illness or chronic worsened works, which has no scheduled service (spontaneous demand) from the perspective of workers of the reception service of health centers in a municipality in the southern region of Brazil. Descriptive exploratory qualitative study conducted in ten health centers in a municipality of Santa Catarina, Brazil. In data collection 17 workers from the reception of these health services were interviewed between January and March 2014. Thematic content analysis was performed. The results showed that user access does not occur as recommended by the Ministry of Health, due to weaknesses in the work process. Therefore, it is necessary to reorganize the work process, considering the reception as a strategic point in order to qualify the access of users to the Unified Health System.

scholarly journals GÊNERO E SAÚDE: um olhar para a mulher estomizada no contexto social e familiar

2021 ◽  
Vol 7 (1) ◽  
pp. 398-407
Author(s):  
Sirlei Favero Cetolin ◽  
Simone Kelly Cetolin Wackerhagen ◽  
Vilma Beltrame ◽  
Jorge Fernando Soares
Keyword(s):  
Health Professionals ◽  
Social Life ◽  
Health Department ◽  
Self Esteem ◽  
Social Rejection ◽  
Regional Health ◽  
Whole Process ◽  
Unified Health System ◽  
The Family ◽  
Negative Feelings

This article presents results of a qualitative research, carried out with the objective of identifying aspects of overcoming in the family and social life of ostomized women. The information was collected through an interview during the monthly withdrawal of collection bags and accessories, provided by the Unified Health System (SUS), during 2019. Participated in the study, ostomized women living in municipalities covered by the 1st Management Regional Health Department of the State of Santa Catarina. Among the results, it was noticed that living with the ostomy caused significant changes related to the affective and loving relationships of women. Insecurity and fear of family and social rejection were highlighted as the main generators of negative feelings. These feelings were also evident in gender relations, due to the historical construction focused on the importance of appearance for the female sex. On the other hand, the adequacy to the condition of ostomized women was demonstrated by strong reports of the recovery of self-esteem and “option for life”. Carrying out the study enabled important reflections, among which, the responsibility of health professionals, to contribute so that the whole process that involves the condition of ostomy, is reduced and humanized.

Formative Second Opinion: Qualifying Health Professionals for the Unified Health System Through the Brazilian Telehealth Program

2015 ◽  
Vol 21 (2) ◽  
pp. 138-142 ◽  
Author(s):  
Ana Estela Haddad ◽  
Mary Caroline Skelton-Macedo ◽  
Verônica Abdala ◽  
Caren Bavaresco ◽  
Daniele Mengehel ◽  
...  
Keyword(s):  
Health System ◽  
Health Professionals ◽  
Second Opinion ◽  
Unified Health System

scholarly journals Mediate evaluation of replicating a Training Program in Nonverbal Communication in Gerontology

2015 ◽  
Vol 49 (2) ◽  
pp. 0309-0316 ◽  
Author(s):  
Teresa Cristina Gioia Schimidt ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Maria Julia Paes da Silva
Keyword(s):  
Health System ◽  
Training Program ◽  
Interpersonal Communication ◽  
Nonverbal Communication ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Active Aging ◽  
Hospital Services ◽  
Unified Health System ◽  
Direct Administration

OBJECTIVE Replicating the training program in non-verbal communication based on the theoretical framework of interpersonal communication; non-verbal coding, valuing the aging aspects in the perspective of active aging, checking its current relevance through the content assimilation index after 90 days (mediate) of its application. METHOD A descriptive and exploratory field study was conducted in three hospitals under direct administration of the state of São Paulo that caters exclusively to Unified Health System (SUS) patients. The training lasted 12 hours divided in three meetings, applied to 102 health professionals. RESULTS Revealed very satisfactory and satisfactory mediate content assimilation index in 82.9%. CONCLUSION The program replication proved to be relevant and updated the setting of hospital services, while remaining efficient for healthcare professionals.

scholarly journals NURSES AND THE WORKING PROCESS AT A TEACHING HOSPITAL: IMPLEMENTATION OF THE UNIFIED HEALTH SYSTEM

2015 ◽  
Vol 24 (4) ◽  
pp. 959-967
Author(s):  
Daiane Siqueira de Luccas ◽  
Liliana Müller Larocca ◽  
Maria Marta Nolasco Chaves ◽  
Elizabeth Bernardino
Keyword(s):  
Social Control ◽  
Health System ◽  
Teaching Hospital ◽  
Working Process ◽  
Work Process ◽  
Relational Dynamics ◽  
Unified Health System ◽  
Health Funding ◽  
System Data ◽  
Health System Data

Study guided by Norberto Elias's theoretical, methodological background, which objectified to analyze the changes in nurses' work process at a Teaching Hospital since the implementation of the Unified Health System. Data were gathered by means of an interview applied to 12 nurses working in the studied setting since 1990, with further discourse analysis. Eight themes emerged as results (integrality, decentralization, hierarchization, regionalization, work process, health funding and social control), and 35 thematic statements, categorized from concepts of figuration, interdependence and tension balance, which enabled discussions on relational dynamics between society and individuals in order to apply Unified Health System principles, and tension production to carry out the work process. We concluded that Unified Health System implementation-ridden changes reflected on such professionals' work process even indirectly.

scholarly journals Congenital Zika Virus Syndrome: care in light of the Brazilian Unified Health System principles

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Gleice Kelli Santana de Andrade ◽  
Elen Ferraz Teston ◽  
Sonia Silva Marcon ◽  
Bianca Cristina Ciccone Giacon-Arruda ◽  
Milena Dalariva Amorim ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health System ◽  
Prior Knowledge ◽  
Health Professionals ◽  
Zika Virus ◽  
Therapeutic Interventions ◽  
Family Experiences ◽  
Unified Health System ◽  
Continuous Care ◽  
Specialized Service

ABSTRACT Objective: to know health professionals’ perceptions about care actions provided to children with Congenital Zika Virus Syndrome and their families. Methods: this is a qualitative study, carried out in a capital of center-western Brazil, based on the Unified Health System theoretical precepts. Data were collected in September and October 2020, through audio-recorded interviews with 12 health professionals from a specialized service and submitted to analysis of content, thematic modality. Results: the implementation of care actions with these children occurs through multidimensional assessment of children and their families, use of the Unique Therapeutic Project, therapeutic interventions for the development of children and the communication and exchange of interprofessional and family experiences, in addition to considering professionals’ prior knowledge and their search for it. Final considerations: children with CZS and their families need individualized, frequent, integrated and continuous care.

scholarly journals Activators of processes of change: a proposal oriented to the transformation of educational practices and the training of health professionals

2015 ◽  
Vol 20 (1) ◽  
pp. 279-288 ◽  
Author(s):  
Valeria Vernaschi Lima ◽  
Laura Camargo Macruz Feuerwerker ◽  
Roberto de Queiroz Padilha ◽  
Romeu Gomes ◽  
Virginia Alonso Hortale
Keyword(s):  
Distance Learning ◽  
Health System ◽  
Health Professionals ◽  
The Political ◽  
Processes Of Change ◽  
Main Achievement ◽  
Unified Health System ◽  
Transformation Potential ◽  
Meaning Interpretation ◽  
Interpretation Method

This paper investigates an educational proposal articulated through a policy of the Ministry of Health, which aims to promote changes in the training of health professionals. An inter-institutional partnership promoted the training of specialists as Activators of Processes of Change. This study analyzes the characteristics of a post-graduate semi-distance-learning course, examining the transformation potential of health praxis. It involves the analysis of documents and interviews published in official reports of the course addressing competency profile construction, the political-pedagogical project and management and evaluation of the proposal. The analysis of data and information used the principles of the meaning interpretation method as a reference. The educational praxis of the tutors was transformed, since students became professionals in change activation. 698 activators were qualified, with a loss of 12.9%. The characteristics of the proposal enhanced participants' involvement in the construction of new capacities, highlighting the broadening of analysis and intervention in reality. Eliciting the potential of individuals and the group, and the spaces for reflection proved to be the main achievement in the construction of educational projects, in the context of the Unified Health System.

scholarly journals Designing animated pictorial instructions: A methodology proposed for the Open University of the Unified Health System in Brazil (UNA-SUS/UFMA)

2020 ◽  
Vol 2 (4) ◽  
pp. 42-51
Author(s):  
Carla Galvão Spinillo ◽  
Ana Emília Figueiredo de Oliveira ◽  
Katherine Marjorie ◽  
Camila Lima ◽  
Larissa Ugaya Mazza ◽  
...  
Keyword(s):  
Decision Making ◽  
Health System ◽  
Health Professionals ◽  
Open University ◽  
Online Questionnaire ◽  
Context Analysis ◽  
Unified Health System ◽  
Usability Tests ◽  
Educational Production ◽  
Pictorial Instructions

Animated pictorial instructions are effective resources for learning medical content (e.g., surgical procedures). Considering this, the Open University of the Unified Health System of the Federal University of Maranhão (UNA-SUS/UFMA) in Brazil employs animation in their distance learning courses. From 2009 to the present the UNA-SUS/UFMA has offered 48 e-courses to health professionals, reaching around 470,000 enrolments. The development of animated instructions at UNA-SUS/UFMA considers medical and pedagogical knowledge only, lacking information design expertise to reach communication effectiveness. Thus, a design methodology was proposed based on: (a) the results of an analytical study of 100 medical animations; (b) the outcomes of a context analysis of the UNA-SUS/UFMA design process through interviews with the heads of the educational production departments; and (c) the results of an online questionnaire with 1,735 health professionals. The methodology consists of three phases: (1) Structuring: identification and arrangement of different contents (introductory content, inventory information, steps, warnings), resulting in an animation script; (2) Representation: definition of the animation graphic appearance and technological resources (e.g., pictorial style, camera framing, interaction cues), resulting in a visual storyboard or mock-up/prototype that can be tested with users (e.g., comprehension, usability tests); and (3) Finalization: programming and production of the animation. For each phase, instruments/protocols were developed to aid decision-making (form, guidelines and checklist). To evaluate the methodology, a focus group was conducted with the animation stakeholders/developers of the UNA-SUS/UFMA. The results were positive, but suggestions were made to improve the decision-making instruments, which were considered in the methodology final design.

scholarly journals Living, collective and political organisms for construction of the attributes of the National Oral Health Policy

2021 ◽  
Vol 69 ◽  
Author(s):  
Alexandre Fávero BULGARELLI
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Oral Health ◽  
Social Policy ◽  
Health System ◽  
Health Professionals ◽  
Health Policies ◽  
Public Health Policies ◽  
Unified Health System ◽  
Oral Health Policy

ABSTRACT The last few decades have witnessed a growth in the value of dentists as health professionals as they act as protagonists in the construction of public health policies. This change comes from powerful and representative dentists in the Unified Health System (acronym in Portuguese is SUS). This short theoretical essay aims to bring the reader closer to the attributes necessary for the building of a social policy and draws a parallel with the National Oral Health Policy (acronym in Portuguese is PNSB). Issues such as context-oriented health policy and the National Oral Health Policy associated with the attributes of a social policy are presented in a narrative and reflective manner. In this process, the exercise of citizenship is demonstrated, emphasizing the importance of the collective role and policy of dentist surgeons in the stages of health policies in Brazil

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