scholarly journals Médicos de Família e Comunidade ou médicos da Estratégia Saúde da Família? / Family and Community doctors, or doctors from the Family Health strategy?

2021 ◽  
Vol 15 (58) ◽  
pp. 242-244
Author(s):  
Leonardo Ferreira Fontenelle
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Family Health ◽  
Medical Specialty ◽  
Scope Of Practice ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Em resposta à revisão integrativa “Papel do Médico de Família e Comunidade no Manejo da Hipertensão Arterial na Atenção Primaria à Saúde”, cumpre destacar que os médicos de família e comunidade constituem uma especialidade médica, enquanto os médicos da estratégia Saúde da Família constituem uma ocupação. Discute-se a não sobreposição entre as duas categorias no mercado de trabalho, e a distinção no que diz respeito ao escopo da prática, com ênfase na saúde mental.---Abstract: In response to the integrative review “Role of the Family and Community Doctor in theManagement of Hypertension in Primary Health Care”, it should be noted that family and communitydoctors are a medical specialty, while doctors of the Family Health strategy constitute an occupation. Itdiscusses the non-overlapping between the two categories in the labor market, and the distinctionregarding the scope of practice, with an emphasis on mental health.

scholarly journals Mental Health In Primary Care

10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Prescription Drugs ◽  
Family Health ◽  
Structured Interview ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective: To understand how the professionals of the Family Health Strategy (FHS) develop their actions with people who need mental health care. Methods and results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34 - Report No.: 1,082,101 / 2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions. Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act. Keywords: Mental Health; Primary Health Care; Family Health Strategy.

scholarly journals Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

2014 ◽  
Vol 48 (6) ◽  
pp. 1060-1066 ◽  
Author(s):  
Maria Salete Bessa Jorge ◽  
Mardênia Gomes Ferreira Vasconcelos ◽  
Euton Freitas de Castro Junior ◽  
Levi Alves Barreto ◽  
Lianna Ramalho de Sena Rosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychosocial Care ◽  
Family Health ◽  
Social Representation ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective To aprehend the social representations about the solvability in mental health care with users of the Family Health Strategy and professionals of family health teams and of the Center for Psychosocial Care. Method A qualitative study using semi-structured interviews for data collection, and the Alceste software for analysis. This software uses the Hierarchical Descending Classification based on the examination of lexical roots, considering the words as units and providing context in the corpus. Results The representations emerge in two opposing poles: the users require satisfaction with care and the professionals realize the need for improvement of health actions. Although the matricial support in mental health and the home visits are developed, the barriers related to investment in health, continuing education and organization of care persist. Conclusion The different representations enable improvements in customer service, solvability of care and aggregate knowledge and practices in the expanded perspective of health needs in the family, social and therapeutic context.


scholarly journals Cuidado em saúde mental na estratégia saúde da família: a experiência do apoio matricial [Mental health care in the family health strategy: the experience of matrix support]

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Anne Larissa Lima Guimarães Gurgel ◽  
Maria Salete Bessa Jorge ◽  
Emília Cristina Carvalho Rocha Caminha ◽  
José Pereira Maia Neto ◽  
Mardênia Gomes Ferreira Vasconcelos
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

scholarly journals Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy

2017 ◽  
Vol 20 (4) ◽  
pp. 714-726 ◽  
Author(s):  
Cristina Rabelo Flôr ◽  
Cláudia Di Lorenzo Oliveira ◽  
Clareci Silva Cardoso ◽  
Cleonice Ferreira Rabelo ◽  
Bernardo Luis Gontijo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Family Health ◽  
Traditional Model ◽  
Care Model ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units.

scholarly journals Hospitalizations for ambulatory care-sensitive conditions, Minas Gerais, Southeastern Brazil, 2000 and 2010

2014 ◽  
Vol 48 (6) ◽  
pp. 958-967 ◽  
Author(s):  
Rita Maria Rodrigues-Bastos ◽  
Estela Márcia Saraiva Campos ◽  
Luiz Cláudio Ribeiro ◽  
Mauro Gomes Bastos Filho ◽  
Maria Teresa Bustamante-Teixeira
Keyword(s):  
Health Care ◽  
Ambulatory Care ◽  
Family Health ◽  
Hospitalization Rates ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Ambulatory Care Sensitive Hospitalizations ◽  
Ambulatory Care Sensitive

OBJECTIVE To analyze hospitalization rates and the proportion of deaths due to ambulatory care-sensitive hospitalizations and to characterize them according to coverage by the Family Health Strategy, a primary health care guidance program. METHODS An ecological study comprising 853 municipalities in the state of Minas Gerais, under the purview of 28 regional health care units, was conducted. We used data from the Hospital Information System of the Brazilian Unified Health System. Ambulatory care-sensitive hospitalizations in 2000 and 2010 were compared. Population data were obtained from the demographic censuses. RESULTS The number of ambulatory care-sensitive hospitalizations declined from 20.75/1,000 inhabitants [standard deviation (SD) = 10.42) in 2000 to 14.92/thousand inhabitants (SD = 10.04) in 2010 Heart failure was the most frequent cause in both years. Hospitalizations rates for hypertension, asthma, and diabetes mellitus, decreased, whereas those for angina pectoris, prenatal and birth disorders, kidney and urinary tract infections, and other acute infections increased. Hospitalization durations and the proportion of deaths due to ambulatory care-sensitive hospitalizations increased significantly. CONCLUSIONS Mean hospitalization rates for sensitive conditions were significantly lower in 2010 than in 2000, but no correlation was found with regard to the expansion of the population coverage of the Family Health Strategy. Hospitalization rates and proportion of deaths were different between the various health care regions in the years evaluated, indicating a need to prioritize the primary health care with high efficiency and quality.

scholarly journals Mental health care practices in the family health strategy: a review of possibilities and limit for na integrated care

2011 ◽  
Vol 4 (1) ◽  
pp. 33
Author(s):  
Vladimir Andrei Rodrigues Arce ◽  
Maria Fátima de Sousa
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Professional Training ◽  
Family Health ◽  
Support Network ◽  
Health Care Practices ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

The implementation of Mental Health actions in the Family Health Strategy (ESF) still represents a challenge for professionals and health managers, although several experiences of practice are known in Brazil. Based on a literature review, we aimed to systematize the main elements of the facilities and difficulties in the insertion of mental health in the context of ESF. If it is possible to identify similarities between the characteristics reported in the literature, we found that the relationship between professionals and community, the knowledge about the reality of the communities and the proposed actions for prevention and health promotion will facilitate the development of mental health actions in the ESF. Still, the lack of professional training, the medicalized and fragmented mental health design, the lack of a support network for the actions of professionals and the prejudice against mental disorders are factors that make the implementation of health care difficult, what must be focus of technical actions and policies to subsidize the construction of mental health care, focused on deinstitutionalization.

scholarly journals Primary Health Care Evaluation: the view of clients and professionals about the Family Health Strategy

2015 ◽  
Vol 23 (5) ◽  
pp. 979-987 ◽  
Author(s):  
Simone Albino da Silva ◽  
Tamara Cristina Baitelo ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Family Counseling ◽  
Primary Health ◽  
Health Strategy ◽  
Care Assessment ◽  
The Family ◽  
Community Counseling ◽  
Family Health Strategy

Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process.Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1.Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services.Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.

scholarly journals Estratégia saúde da família - a ótica dos cuidadores de crianças

2018 ◽  
Vol 12 (3) ◽  
pp. 607
Author(s):  
Adriano Trigolo Pahim ◽  
Maria Fernanda Pereira Gomes ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Sao Paulo ◽  
São Paulo ◽  
Primary Health ◽  
Health Strategy ◽  
Care Assessment ◽  
The Family ◽  
Family Health Strategy

RESUMOObjetivo: avaliar sob a ótica dos cuidadores de crianças menores de dois anos e usuários adultos se os atributos essenciais e derivados da atenção primária à saúde estavam presentes e como estavam sendo operacionalizados na Estratégia Saúde da Família. Método: estudo quantitativo, descritivo e transversal realizado em três municípios da região de Presidente Prudente, Estado de São Paulo, Brasil. Utilizou-se o instrumento de avaliação da atenção primária à saúde (PCATool) na versão criança e adulto, em que 176 cuidadores de crianças menores de dois anos e 181 adultos usuários participaram da pesquisa. Resultados: os atributos da atenção primária à saúde estavam presentes na Estratégia Saúde da Família da região; porém, alguns atributos como Coordenação – Integração de Cuidados, Acesso de Primeiro Contato – Acessibilidade e Orientação Familiar precisavam melhorar sua operacionalização. Conclusão: os atributos da atenção primária à saúde devem estar adequadamente incorporados à prática dos profissionais da saúde por meio da capacitação e valorização das ações que caracterizam a Estratégia Saúde da Família como modelo com foco na família. Descritores: Avaliação em Saúde; Estratégia Saúde da Família; Atenção Primária à Saúde; Saúde Pública; Saúde da Criança; Saúde do Adulto. ABSTRACT Objective: to assess whether the essential attributes and derivatives of primary health care were present and how they were being implemented in the Family Health Strategy from the point of view of caregivers of children under two years of age and adult users. Method: quantitative, descriptive and cross-sectional study conducted in three municipalities of the region of Presidente Prudente, State of São Paulo, Brazil. We used the child and adult versions of the Primary Care Assessment Tool (PCATool), and 176 caregivers of children under two years of age and 181 adult users participated in the research. Results: the attributes of primary health care were present in the Family Health Strategy in the region; however, some attributes, such as healthcare coordination-integration, access to initial contact–accessibility, and family guidance needed to have their implementation improved. Conclusion: the attributes of primary health care should be properly incorporated into the practice of health professionals through training and actions that characterize the Family Health Strategy as a model with a focus on the family. Descritoprs: Health Assessment; Family Health Strategy; Primary Health Care; Public Health; Child Health; Adult Health.                                                            RESUMEN Objetivo: evaluar bajo la óptica de los cuidadores de niños menores de dos años y adultos usuarios si los atributos esenciales y derivados de la atención primaria de salud estaban presentes y cómo estaban siendo puestos en marcha en la Estrategia Salud de la Familia. Método: estudio cuantitativo, descriptivo y transversal realizado en tres municipios de la región de Presidente Prudente, Estado de São Paulo, Brasil. Se usaron las versiones niño y adulto del Instrumento de Evaluación de la Atención Primaria (PCATool) y 176 cuidadores de niños menores de dos años y 181 adultos participaron en la investigación. Resultados: los atributos de la atención primaria de salud estaban presentes en la Estrategia Salud de la Familia en la región; sin embargo, algunos atributos tales como coordinación-integración de los cuidados, acceso a primer contacto–accesibilidad y asesoramiento familiar necesitaban mejorar su puesta en marcha. Conclusión: los atributos de la atención primaria de salud deben ser debidamente incorporados a la práctica de profesionales de la salud a través de capacitación y desarrollo de acciones que caracterizan la Estrategia Salud de la Familia como un modelo con enfoque en la familia. Descriptores: Evaluación De La Salud; Estrategia Salud de la Familia; Atención Primaria de Salud; Salud Pública; Salud Del Niño; Salud del Adulto.

scholarly journals The network of mental health care from the family health strategy service

2014 ◽  
Vol 35 (2) ◽  
pp. 27-32
Author(s):  
Christine Wetzel ◽  
Leandro Barbosa de Pinho ◽  
Agnes Olschowsky ◽  
Ariane da Cruz Guedes ◽  
Marcio Wagner Camatta ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Family Health ◽  
Daily Routine ◽  
Care Network ◽  
Health Strategy ◽  
The Family ◽  
Health Care Network ◽  
Family Health Strategy

The Family Health Strategy Service (FHSS) is an important ally in the mental health system, contributing to the completeness and effectiveness of care. This study aimed to discuss the mental health care network as compared to the daily routine of an FHSS. It is an evaluative study with a qualitative methodological approach. It was developed in an FHSS in Porto Alegre-RS, Brazil. Data was collected between July and December of 2010 through interviews with 16 workers and ten relatives. We identified important resources in primary health care, such as partnerships with academia. However, the constitution of this care is still based on specialty, following the logic of patient referral. Our intention for this study was to contribute to the operationalization of the mental health care network, consolidating the partnership with the FHSS and developing activities in the territorial space, raising awareness, demystifying health care service in the area, and countering the perception that it is uniquely specialized.

Nursing practice in mental health at family health strategy

2017 ◽  
Vol 41 (S1) ◽  
pp. S602-S602
Author(s):  
P. Amaral Mussumeci ◽  
N. De Almeida Nassif Rodrigues ◽  
B. Gerbassi Costa Aguiar ◽  
S. Maria do Amaral Chaves ◽  
W. Maria Antunes Ramos ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Family Health ◽  
Professional Practices ◽  
Health Practices ◽  
Mental Health Nurses ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Mental Health Practices

The nurse practice model at the family health strategy is characterized by direct involvement in the patient's health-disease recovery process, deconstruction of social stigma involving mental health disorders, and the restoration of patient autonomy their social ties. This descriptive study follows a qualitative approach to document and analyse practices performed by mental health nurses at the family health strategy (FHS) in Rio das Ostras, Brazil. The study identifies practices implemented by Mental Health Nurses at FHS and the nurses’ own reflection and analysis on these mental health practices. Data was collected through semi-structured interviews. All interviewed nurses had worked in the primary mental health care for at least one year at the FHS units in Rio das Ostras. Data was analysed, grouped, and coded according to two categories: 1) The nurses’ professional practices in mental health at the FHS, and 2) The nurses’ view on mental health practices at the FHS. Results show that the main activities in mental health at FHS involve working with the matricial team, continuing education, reception, home visits, referrals, therapeutic workshops and community therapy. Nurse perspectives on professional practices involve prevention, establishment of bonds with patient, and nurses’ training to deliver care to patients who are suffering. The bond with and care for the patient, family and community, is one of the FHS differentiators. In that vein, the study looks at the link between health care delivery, territory and population attended. The health care based on territoriality, allows increased patient and family confidence.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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