scholarly journals Proposal of a Multicriteria Method to Implement New Primary Health Care Units - a Case Study in São Carlos - SP

2021 ◽  
Vol 73 (4) ◽  
pp. 1071-1085
Author(s):  
Lucas Brandão Monteiro de Assis ◽  
Paulo César Lima Segantine
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Transportation ◽  
Population Distribution ◽  
Main Tool ◽  
Raster Calculator ◽  
Primary Health ◽  
Multicriteria Method ◽  
The City

Primary Health Care (PHC) is understood as the user's first contact with the Brazilian health system. The planning of PHC units is usually done based on political decisions, which neglect technical aspects related to the theme. The general objective of this study is to present a multicriteria method to assist in planning the implantation of new PHC units, through technical and objective criteria. Then this method is put into practice in the city of São Carlos - SP. The study used as the main tool the Geographic Information System (GIS), and evaluated the quality of six criteria, which are: (1) service area; (2) spatial constraints; (3) risk of natural events; (4) public transportation supply; (5) population distribution; and (6) average income. Each criterion was based on a series of indicators with clear definitions that allowed for the assignment of values according to the theme of the criterion. Each criterion culminated in a thematic map, which, when combined through a raster calculator, allowed the general classification of the study area and the viability of implanting new PHC units. The proposed method proved to be a technical and objective tool, capable of helping in the planning of new PHC units. This is exemplified in the case study in the city of São Carlos- SP.

scholarly journals Fragilidades e fortalezas da assistência à saúde do homem na atenção primária à saúde

2020 ◽  
Vol 10 (32) ◽  
pp. 53-61
Author(s):  
Angélica Cristina Silveira Marques ◽  
Adriani Izabel de Souza Moraes ◽  
Sílvia Carla da Silva André Uehara
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Men’S Health ◽  
Men's Health ◽  
Health It ◽  
Access To Health Services ◽  
Primary Health ◽  
Access To Health ◽  
Care Health ◽  
The City

O processo de adoecimento dos homens vem sendo determinado pelo seu comportamento na sociedade e como expressam suas crenças de masculinidade. O objetivo deste trabalho foi identificar as ações realizadas pelos enfermeiros da Atenção Primária à Saúde (APS) direcionadas à promoção da saúde do homem. Trata-se de uma pesquisa descritiva, exploratória e de abordagem quantitativa. A pesquisa foi realizada com 29 enfermeiros de serviços da APS do município de São Carlos-SP. Os dados foram coletados por meio de uma entrevista, utilizando um instrumento validado. Os dados foram analisados por meio da estatística descritiva. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa. Os resultados mostram que 65,5% (19) dos enfermeiros referiram não ter recebido capacitação sobre a saúde do homem. Quanto aos fatores facilitadores do acesso dos homens nos serviços de saúde, destacam-se que 19% (11) das respostas incluíram o vínculo estabelecido entre os profissionais e usuários; e, como agentes dificultadores, em 35,1% (19) das respostas foi ressaltada a cultura do homem. Para uma maior efetividade da assistência à saúde do homem, torna-se necessário a sensibilização de profissionais e gestores de saúde na busca de estratégias para facilitar o acesso da população masculina aos serviços de saúde.Descritores: Saúde do Homem, Atenção Primária à Saúde, Enfermagem. Fragilities and strengths of man's health care in primary health careAbstract: The illness process of men has been determined by their behavior in society and how they express their beliefs about masculinity. The objective of this study was to identify the actions performed by nurses of Primary Health Care (PHC) directed to the promotion of men's health. It is descriptive, exploratory, and quantitative approach research. The research was conducted with 29 nurses from the PHC services of the city of São Carlos-SP. Data were collected through an interview using an instrument validated. Data were analyzed using descriptive statistics. Still, data collection began after approval by the Research Ethics Committee. The results show that 65.5% (19) of the nurses reported not having received training on men's health. Regarding factors that facilitate men's access to health services, it is noteworthy that 19% (11) of the answers included the bond established between professionals and users; and, as hindering agents, 35.1% (19) of the answers highlighted men's culture. Thus, for greater effectiveness of men's health care, health professionals and managers need to be sensitized in the search for strategies to facilitate the male population's access to health services.Descriptors: Men's Health, Primary Health Care, Nursing. Fragilidades y fortalezas de la atención médica del hombre en la atención primaria de saludResumen: El proceso de enfermedad de los hombres ha sido determinado por su comportamiento en la sociedad y cómo expresan sus creencias sobre la masculinidad. El objetivo de este estudio fue identificar las acciones realizadas por las enfermeras de Atención Primaria de Salud (APS) dirigidas a la promoción de la salud de los hombres. Es una investigación de enfoque descriptivo, exploratorio y cuantitativo. La investigación se realizó con 29 enfermeras de los servicios de APS de la ciudad de São Carlos-SP. Los datos fueron recolectados a través de una entrevista utilizando un instrumento validado. Los datos se analizaron mediante estadística descriptiva. Aún así, la recopilación de datos comenzó después de la aprobación del Comité de Ética en Investigación. Los resultados muestran que el 65.5% (19) de las enfermeras informaron no haber recibido capacitación sobre la salud de los hombres. En cuanto a los factores que facilitan el acceso de los hombres a los servicios de salud, cabe destacar que el 19% (11) de las respuestas incluyeron el vínculo establecido entre profesionales y usuarios; y, como agentes obstaculizadores, el 35,1% (19) de las respuestas destacaron la cultura de los hombres. Por lo tanto, para una mayor efectividad de la atención médica de los hombres, los profesionales de la salud y los gerentes deben ser sensibilizados en la búsqueda de estrategias para facilitar El acceso de la población masculina a los servicios de salud.Descriptores: Salud del Hombre, Atención Primaria de Salud, Nursing.

scholarly journals Evaluation of Access on the perspective of adult users of Primary Health Care in Fortaleza, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Borges Costa ◽  
C Salles Gazeta Vieira Fernandes ◽  
T Custódio Mota ◽  
E Torquato Santos ◽  
M Moura de Almeida ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health System ◽  
Assessment Tool ◽  
Health Coverage ◽  
Access To Health Services ◽  
Primary Health ◽  
Care Assessment ◽  
The City

Abstract The Alma-Ata Conference promoted Primary Health Care (PHC) worldwide as a form of universal and continuous access to quality and effective health services. In Brazil, PHC, through the Family Health Strategy (FHS), aims to be the gateway to the health system and its structuring axis. For this, it is necessary to promote access, an essential condition for the quality of health care services, following the attributes systematized by Barbara Starfield. The aim of this study was to evaluate the presence of the attribute “First Contact Access” on the perspective of adult users of public PHC services in the city of Fortaleza, Ceará, Brazil. A transversal study was carried out, in 19 PHC Units, from June to December 2019, using the Primary Care Assessment Tool (PCATool) Brazil version for adult users. Kruskal-Wallis test was used for statistical analysis. 233 users participated, mostly women (69.5%), aged 30 to 59 years old (55.3%), mixed-race (69.5%), with complete high school (38.2%), without private health coverage (89.3%), homeowners (68.7%) and belonging to families of up to 4 members (87.9%). The “Accessibility” component had the lowest score, 2.83, and the “Utilization” had the highest score, 8.06. Older age was associated with higher “Accessibility” scores (p = 0,018), while lower values of “Utilization” were associated with higher education (p = 0,004). The main problems observed were: low access for acute demand consultations, lack of access at nighttime and weekends, little access through non-personal ways, bureaucratic barriers and a long time for scheduling appointments. We conclude that, although there was an improvement in PHC coverage in the city over the years, mainly due to FHS, there is still a lot to improve to ensure timely access to health services. Key messages Users consider PHC as the usual source of care, demonstrated by the high score of 'Utilization', however, they are unable to use it when necessary, demonstrated by the low score of 'Accessibility'. Expanding forms of access is essential to contribute to the strengthening of PHC in Fortaleza, Brazil, facilitating the entry to its national Universal Health System.

scholarly journals HIV testing and counseling: some aspects of the problem

Medicina ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 89-99
Author(s):  
S. T. Agliullina ◽  
◽  
L. M. Mukharyamova ◽  
G. R. Khasanova ◽  
L. A. Sitdikova ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hiv Testing ◽  
High Quality ◽  
Hiv Testing And Counseling ◽  
Primary Health ◽  
Post Test ◽  
The City ◽  
Prevention Of Hiv ◽  
Testing And Counseling

The aim of the study was to analyze the attitude of the population to HIV testing and counseling and the frequency of testing-related counseling in a sample of the population of Kazan. Materials. An anonymous survey of various groups of the population permanently residing in the city of Kazan (n=301) was conducted using a questionnaire developed by us. The study involved 58.1% of women (175/301), 41.9% of men (126/301). Results. Most of the respondents had experience of undergoing HIV testing (95%, 286/301). Only 92 people out of 286 (32.2%) were examined on their own initiative. HIV testing was mainly carried out in the polyclinic at the place of residence/stay (66.8%, 191/286), while counseling, according to respondents, was carried out only in 16.20% of respondents (31/191). Conclusions. It is important to conduct a high-quality procedure of pre-and post-test counseling in the conditions of primary health care. It is necessary to train the medical staff of the polyclinic level in the skills of counseling on epidemiology and prevention of HIV infection.

Primary Health Care Under Pressure: A Case Study of Amalgamation in Victoria

1996 ◽  
Vol 2 (3) ◽  
pp. 38 ◽  
Author(s):  
Brigid McCoppin ◽  
Christine Birrell
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Policy ◽  
Care Policy ◽  
Community Health Centres ◽  
Primary Health ◽  
Health Centres ◽  
Common Response ◽  
Future Demands

Amalgamation of community health centres has become a fairly common response to Victorian government changes in primary health care policy (both Labor and Coalition). This is a study of one such amalgamation and of its effects. The amalgamation brought staff and management many difficulties of adjustment, but it has produced a larger organisation which, while it has some residual problems, appears well fitted to withstand the pressure of today's policy directions and to meet future demands.

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