A Estratégia Saúde da Família no Estado de Pernambuco: avaliação do processo de trabalho das equipes por porte populacional

2019 ◽  
Vol 9 ◽  
pp. 203
Author(s):  
Fernando Castim Pimentel ◽  
Paulette Cavalcanti de Albuquerque ◽  
Wayner Vieira de Souza

O estudo teve como objetivo avaliar o processo de trabalho das equipes de saúde da família do Estado de Pernambuco, por porte populacional, no ano de 2009. Foram aplicados questionários estruturados a 154 equipes de 24 municípios e avaliados itens referentes à organização da equipe, articulação com a comunidade e a programas específicos. Os resultados mostraram que as equipes dos municípios de maior porte se destacaram-se dos demais quanto à existência de pelo menos um grupo temático e no preenchimento dos livros de registro de tuberculose e hanseníase. Já os municípios de menor porte apresentaram melhores resultados nas ações de acolhimento, busca ativa de adolescentes de risco e no conjunto das ações de saúde da mulher. Entretanto, de uma forma geral, as equipes apresentaram dificuldades para realizar várias ações, sendo necessário capacitar os profissionais, a fim de desenvolverem suas práticas conforme preconiza a Política Nacional de Atenção Básica.AbstractThe study aimed to evaluate the family health teams process of work in the state of Pernambuco based on population size in the year 2009. Structured questionnaires were applied to 154 teams of 24 municipalities assessed and items related to the organization of the team were applied to the joint community and to specific programs. The results showed that teams of larger municipalities stood out from the others regarding the existence of at least one thematic group and the completion of the registration books of tuberculosis and leprosy. The smaller municipalities showed better results when performing the hosting actions, active search for risky adolescents and into the actions of women’s health. However, in general, the teams had difficulties to perform various actions, showing that it is necessary to train professionals in order to develop their practices as recommended by the National Primary Care Policy.

2015 ◽  
Vol 23 (4) ◽  
pp. 611-619 ◽  
Author(s):  
Maicon Henrique Lentsck ◽  
Thais Aidar de Freitas Mathias

AbstractObjective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011.Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearson's and Spearman's correlation coefficients.Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions.Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.


10.3823/2275 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Izaias Almeida Belas ◽  
Jorge Henrique Alves da Rocha ◽  
Filipe Melo da Silva ◽  
João Victor Batista Lustosa ◽  
Wendell Soares Carneiro ◽  
...  

Objective: From the perspective of professionals acting in the Family Health Strategy (FHS) in the state of Piauí, Brazil, the aim of this study was to asses the articulated actions of technical-pedagogical and clinical-care support offered by the Family Health Support Centres (FHSC) to the FHS’s professionals. Methodology: This is an analytical census retrospective study, with a cross sectional design developed in a quantitative approach with a descriptive and exploratory nature. The research data was collected through the Program of Improvement in Quality of Access in Primary Care (PIAQ-PC) in Brazil, on its second cycle in 2013, and were analysed by using descriptive statistics. Results: The actions of clinical-care support has been further developed by FHSC, all with frequency greater than 85%. In Piauí, the fields where FHSC has showed to be the nutritional care, rehabilitation and maternal and child care and also non-communicative diseases NCD that showed frequency higher than 85%. Conclusion: The FHSC initiative contributes significantly with their services to the FHS to achieve its goals. However, to make the work of these teams more effective there must be ownership of Primary Care Services by its user and appreciation of it by the managers. The developed actions are being supported and agreed on among the matrix support teams.  Keywords: Primary Health Care; Health  Promotion; Family Health.


2014 ◽  
Vol 5 (6) ◽  
pp. 45-54
Author(s):  
Márcia Sousa Santos ◽  
Maria Eliete Batista Moura ◽  
Inez Sampaio Nery ◽  
Eliana Campêlo Lago ◽  
Benevina Maria Vilar Teixeira Nunes

Objectives: To evaluate the influence of the nursing education process in primary care related to women's health. In addition, to analyze nursing training in primary care for women's health and as a National Policy for Comprehensive Care of Women's Health. Method: An exploratory study with 30 nurses from the Family Health Strategy. Data were generated through interviews, processed and analyzed in Alceste4.8 by Descending Hierarchical Classification. Results: The data were presented as dendrogram classes: training at the graduate level to work in the area of women's health; the work of nurses in primary care to women's health; the Program for Integral Attention to Women's Health in primary care and continuing education of nurses in primary health care of women. Final considerations: Permanent education of nurses is necessary for the promotion healthcare and public policy on care for women.


2019 ◽  
Vol 53 ◽  
pp. 2
Author(s):  
Ludmila Grego Maia ◽  
Luiz Almeida Da Silva ◽  
Rafael Alves Guimarães ◽  
Bruno Bordin Pelazza ◽  
Ana Cláudia Souza Pereira ◽  
...  

OBJECTIVE: To evaluate the trend of hospitalizations due to primary care sensitive conditions and its relationship with the Family Health Strategy coverage. METHODS: Ecological study of time series using the records from the Hospital Information System, from 2005 to 2015, with data for the state of Goiás, Brazil. Trend analyses were performed by the generalized linear regression method of Prais-Winsten with robust variance, which allowed to verify if the trend of hospitalizations due to primary care sensitive conditions was stationary (p > 0.05), declining (p < 0.05 and negative regression coefficient), or ascending (p < 0.05 and positive regression coefficient) in each region of Goiás and for each diagnosis group, stratified by sex. Pearson correlation was used to verify the degree of association between the Family Health Strategy coverage and the rate of hospitalizations due to primary care sensitive conditions. RESULTS: Hospitalizations due to primary care sensitive conditions accounted for 1,092,070 (30.0%) of hospitalizations in Goiás. The average hospitalizations rate due to primary care sensitive conditions was statically less than the rate for other conditions in the analyzed period (167.6% against 386.2%; t = -13.18; p < 0.001). There has been a downward trend in hospitalizations trend due to primary care sensitive conditions in Goiás and in most health regions. The trends varied between sexes in the groups of causes. We observed a negative correlation between the Family Health Strategy coverage and the hospitalizations trend due to primary care sensitive conditions in the state and also in most health regions. CONCLUSIONS: Hospitalizations due to primary care sensitive conditions had a significant reduction trend over the analyzed period. Despite this progressive decrease, this rate remains high and the reduction trend was not linear for all causes. These results allow for directing public policies, while drawing a general overview of hospitalizations due to primary care sensitive conditions by sex and region in the state.


10.3823/2429 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ana Flávia Laurindo de Souza Dantas ◽  
Anne Milane Formiga Bezerra ◽  
Maria do Carmo Andrade Duarte de Farias ◽  
Edineide Nunes da Silva ◽  
Letícia Sampaio Chaves Silva ◽  
...  

Background: During puerperium, a woman undergoes several changes caused by pregnancy and childbirth. At this stage, complications can occur, which, when not identified or taken care of properly, tend to result in morbidity and mortality from preventable causes. The objective of this study was to evaluate the nursing care provided to women during the puerperium period. Methods: The research is a descriptive exploratory study, with a quantitative approach, carried out in the Family Health Units (FHU) in the municipality of Patos, PB. The population included all the nurses of the FHU. Out of 38 nurses from the FHU, 27 nurses participated. Data were analysed in SPSS (version 21). Results: The study revealed that the sample consisted mostly of females (92.6%), aged between 32 and 34 years (44.4%), unmarried, between 10 and 15 years of training (37.0%), all with post-graduate degrees. All the professionals interviewed performed a puerperal consultation and reported that the most common complaints were related to difficulty with breastfeeding (92.6%). Most of the participants participated in training courses offered by management (66.7%), but the majority did not participate in scientific events in the area of women's health after graduation. Conclusion: Thus, it is necessary to consider how actions are carried out in the women's health care programme concerning puerperium in the city under study. These programmes should consider the health needs of this group and training to fully develop the competencies of qualified professionals.


2014 ◽  
Vol 22 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Fernando Castim Pimentel ◽  
Paulette Cavalcanti de Albuquerque ◽  
Petrônio José de Lima Martelli ◽  
Raquel Moura Lins Acioli ◽  
Wayner Vieira de Souza

This study aimed to analyze the oral health care in the state of Pernambuco, from its indicators, according to variable population size, proportion of the population registered teams and the relationship between family health and oral health teams. For this, we used secondary data obtained from the Outpatient Information System (SIA/SUS), National Registry of Health (CNES) and Information System of Primary Care (SIAB), using the ANOVA and Kruskal-Wallis test for data analysis. The results showed that the population size of cities has shown to be related to the performance of some indicators: large cities had lower values for proportion of tooth extractions (p=0,0006). The organization of oral health teams was another aspect discussed in this study, noting that the greater the coverage and when the relationship between the teams was 1:1, the indicators were more favorable for the first dental visit, supervised brushing, average number of procedures and proportion of individual dental extractions, all show significant differences (p<0,05). Thus, it can be concluded that demographics, coverage of the strategy and proportional relationship teams influence the performance of oral health indicators in municipalities in the state of Pernambuco.


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