scholarly journals Professional Safety in the daily life of primary health care: grounded theory

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Mariana Delfino Gontijo ◽  
Amanda Tainara Souza Freitas ◽  
Amanda Ferreira de Faria Maia ◽  
Virgínia Junqueira de Oliveira ◽  
Selma Maria da Fonseca Viegas
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Primary Health Care ◽  
Safety Culture ◽  
Health Professionals ◽  
Professional Training ◽  
Daily Life ◽  
Unified Health System ◽  
Grounded Theory Method ◽  
Primary Health

ABSTRACT Objective: to understand Professional Safety in daily life in Primary Health Care. Methods: this is a study on the Grounded Theory method and the Symbolic Interactionism theoretical framework with 82 health professionals. Results: it presents the category "Professional Safety in Daily Life in Primary Health Care: a Grounded Theory" and two subcategories determining and conditioning Professional Safety in PHC: professional training, infrastructure, support and technical responsibility; Professional Safety: physical protection, psychological support, distress and feelings reveal the (un)safe conditions. Professional Safety is mentioned in several dimensions that include professionals' knowledge, decision-making skills, the practice of the profession and what regulates it, the structure and organization of the Unified Health System and services, permanent education. It presents the context of primary care and the factors that impact an (unsafe) work. Final considerations: this study contributes to reflect on Professional Safety to strengthen safety culture in Primary Health Care.

scholarly journals Discurso do sujeito coletivo das concepções sobre educação permanente em saúde de gestores e cirurgiões-dentistas da atenção primária à saúde

2019 ◽  
Vol 7 (13) ◽  
pp. 117
Author(s):  
Jacques Antonio Cavalcante Maciel ◽  
Igor Iuco Castro-Silva ◽  
Mariana Ramalho de Farias ◽  
Maristela Inês Osawa Vasconcelos ◽  
Maria Socorro de Araújo Dias ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Education ◽  
Data Collection ◽  
Continuing Education ◽  
Health Professionals ◽  
Unified Health System ◽  
Primary Health ◽  
The Look ◽  
Determining Factor

Resumo: A Educação Permanente em Saúde (EPS) visa planejamento e execução de ações formativas de profissionais da saúde que atendam às necessidades da população e dos princípios do Sistema Único de Saúde (SUS). O presente estudo buscou caracterizar as concepções dos gestores e cirurgiões-dentistas da Atenção Primária à Saúde sobre EPS. A coleta se deu por entrevista com cirurgiões-dentistas da ESF e com profissionais representantes da gestão das ações de EPS. A análise ocorreu por meio do Discurso do Sujeito Coletivo (DSC) com a elaboração de discursos que representem os discursos dos cirurgiões-dentistas e da gestão. O DSC mais prevalente sobre a concepção de EPS para cirurgiões-dentistas mostrou conceitos que se aproximam da Educação Continuada, diferente da concepção dos gestores. A gestão do trabalho e da educação na saúde com ênfase na valorização profissional e fortalecimento dos vínculos constitui-se determinante para um entendimento e aderência a EPS.Palavras-chave: Educação na Saúde; Odontologia; Atenção Primária à Saúde. Discourse of the collective subject of the conceptions on permanent education in health of managers and dental surgeons of the primary health careAbstract: The Permanent Education in Health (EPS) aims to plan and execute training actions of health professionals that meet the needs of the population and the principles of the Unified Health System (SUS). The present study aimed to characterize the conceptions of dental managers and surgeons of Primary Health Care on EPS. The data collection was by interview with dental surgeons of the ESF and with professional representatives of the management of EPS actions. The analysis took place through the Discourse of the Collective Subject (DSC) with the elaboration of speeches that represent the look of dentists and management. The DSC most prevalent on the design of EPS for dental surgeons showed concepts that approach Continuing Education, different from the conception of the managers. The management of work and education in health with emphasis on professional valorization and strengthening of bonds is a determining factor for an understanding and adherence to the EPS.Keywords: Health Education; Dentistry; Primary Health Care. 

scholarly journals Management of pharmaceutical services in the Brazilian primary health care

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Letícia Farias Gerlack ◽  
Margô Gomes de Oliveira Karnikowski ◽  
Camila Alves Areda ◽  
Dayani Galato ◽  
Aline Gomes de Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Pharmaceutical Services ◽  
Limiting Factors ◽  
Health Board ◽  
Complex Samples ◽  
Financial Autonomy ◽  
Unified Health System ◽  
Primary Health

OBJECTIVE: To identify limiting factors in the management of pharmaceutical services in the primary health care provided by the Brazilian Unified Health System (SUS). METHODS: This study was based on the data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), and it was conducted by interviews with professionals responsible for pharmaceutical services in Brazilian cities, in 2015. To identify the management limiting factors, we considered the organizational, operational, and sustainability indicators of the management. For the analyses, we included the weights and structure of analysis plan for complex samples. The results were expressed by frequencies and measures of central tendency with 95% confidence interval, considering the Brazilian geographic regions. RESULTS: We identified the following limiting factors: lack of pharmaceutical services in the Municipal Health Secretariat organization chart (24%) and in the health plan (18%); lack of participation of managers in the Health Board and the absence of reference to this topic in the agenda of meetings (58.4%); lack of financial autonomy (61.5%) and lack of knowledge on the available values (81.7%); lack of adoption of operational procedures (about 50%) for selection, scheduling, and acquisition; and the fact that most professionals evaluate the organization of pharmaceutical services as good and great (58.8%), despite the worrisome indicators. CONCLUSIONS: Pharmaceutical services management is currently supported by a legal and political framework that should guide and contribute to improve the pharmaceutical services in the Brazilian Unified Health System primary health care. However, there is a mismatch between the goals established by these guidelines and what is actually happening

scholarly journals Access to medicines by patients of the primary health care in the Brazilian Unified Health System

2017 ◽  
Vol 51 ◽  
pp. 20s ◽  
Author(s):  
Juliana Álvares ◽  
Augusto Afonso Guerra Junior ◽  
Vânia Eloisa de Araújo ◽  
Alessandra Maciel Almeida ◽  
Carolina Zampirolli Dias ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Developed Countries ◽  
Access To Medicines ◽  
Essential Medicines ◽  
Unified Health System ◽  
Primary Health ◽  
Significant Difference ◽  
Good For

OBJECTIVE: To evaluate the access to medicines in primary health care of the Brazilian Unified Health System (SUS), from the patients’ perspective. METHODS: This is a cross-sectional study that used data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Services, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), conducted by interviews with 8,591 patients in cities of the five regions of Brazil. Evaluation of access to medicines used concepts proposed by Penshansky and Thomas (1981), according to the dimensions: availability, accessibility, accommodation, acceptability, and affordability. Each dimension was evaluated by its own indicators. RESULTS: For the “availability” dimension, 59.8% of patients reported having full access to medicines, without significant difference between regions. For “accessibility,” 60% of patients declared that the basic health unit (UBS) was not far from their house, 83% said it was very easy/easy to get to the UBS, and most patients reported that they go walking (64.5%). For “accommodation,” UBS was evaluated as very good/good for the items “comfort” (74.2%) and “cleanliness” (90.9%), and 70.8% of patients reported that they do not wait to receive their medicines, although the average waiting time was 32.9 minutes. For “acceptability,” 93.1% of patients reported to be served with respect and courtesy by the staff of the dispensing units and 90.5% declared that the units’ service was very good/good. For “affordability,” 13% of patients reported not being able to buy something important to cover expenses with health problems, and 41.8% of participants pointed out the expense with medicines. CONCLUSIONS: Results show 70%–90% compliance, which is compatible with developed countries. However, access to medicines remains a challenge, because it is still heavily compromised by the low availability of essential medicines in public health units, showing that it does not occur universally, equally, and decisively to the population

scholarly journals Patient safety and safety culture in primary health care: a systematic review

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Muna Habib AL. Lawati ◽  
Sarah Dennis ◽  
Stephanie D. Short ◽  
Nadia Noor Abdulhadi
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Primary Health

scholarly journals Gestão do cuidado e matriciamento na atenção primária à saúde: um relato de experiência

2021 ◽  
Vol 3 (2) ◽  
pp. 95-101
Author(s):  
Minéia da Costa Figueiredo ◽  
Fabiana Lopes de Paula
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Management ◽  
Family Health ◽  
Patient Care Team ◽  
Unified Health System ◽  
Primary Health ◽  
Health Strategy ◽  
The Matrix ◽  
Family Health Strategy

Este artigo irá abordar a vivência em uma unidade de Estratégia Saúde da Família (ESF) no município de Canto do Buriti-PI sobre os aspectos relacionados ao processo de matriciamento e a gestão do cuidado. A descrição será feita a partir da análise da gestão do cuidado e articulações com o Núcleo de Apoio à Saúde da Família (NASF) e suas ações de apoio matricial desenvolvidas na unidade. O NASF tem fundamental importância na resolução de casos mais complexos e na efetivação de cuidado integral, bem como para a assistência humanizada aos usuários na Atenção Primária à Saúde. O relato traz como contribuição a análise do processo de trabalho entre eSF e NASF, com uma visão que traz subsídios para a reflexão; tendo a intenção de cooperar para o aperfeiçoamento, progresso das ações na APS e a concretização das políticas públicas. Palavras-chave: Atenção Primária à Saúde; Estratégia Saúde da Família; Equipe de Assistência ao Paciente; Integralidade em Saúde; Sistema Único de Saúde.   Abstract This article will address the experience in a Family Health Strategy (ESF) unit in the city of Canto do Buriti-PI on aspects related to the matrix support process and care management. The description will be made from the analysis of care management and articulations with the Family Health Support Center (NASF) and its matrix support actions developed in the unit. The NASF is of fundamental importance in solving more complex cases and in providing comprehensive care, as well as in providing humanized assistance to users in Primary Health Care. The report contributes to the analysis of the work process between eSF and NASF, with a a vision that supports reflection; with the intention of cooperating for the improvement, progress of actions in the PHC and the implementation of public policies. Keywords: Primary Health Care; Family Health Strategy; Patient Care Team; Integrality in Health; Unified Health System.

scholarly journals Satisfaction of clients with disabilities with services offered at primary health care centres in Ndola, Zambia

2012 ◽  
Vol 68 (2) ◽  
Author(s):  
N. Mlenzana ◽  
R. Mwansa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Care Services ◽  
Waiting Times ◽  
Care Providers ◽  
Persons With Disabilities ◽  
Care Services ◽  
Primary Health

To establish satisfaction level of persons with disabilitiesregarding health services at primary health care centres in Ndola, Zambia.Key stakeholders views on satisfaction of services is an important componentof service rendering thus obtaining information is important in assistingwith the evaluation of health care service delivery. This will assist in improvingeffectiveness and availability of health care services to persons with physicaldisabilities.All persons with disabilities attending both rehabilitation centres andprimary health care centres in Ndola, Zambia, were targeted for this study. Willing participants were convenientlyselected to take part in the study.A cross sectional, descriptive study design using quantitative methods of data collection was used. The GeneralPractice Assessment Questionnaire was adjusted, piloted for Ndola population and used in this study to establishsatisfaction of participants. The study was ethically cleared at the University of the Western Cape and Zambia.Information and consent forms were signed by participants.Quantitative data was analysed descriptively and was reported in percentages.In the current study there were 191 participants of whom 56% were male and 44% were female with age rangefrom 18-65 years. Fifty-two percent of the participants presented with learning disabilities and 38% of persons withphysical disabilities. Majority of clients (54%) were dissatisfied with availability of services and health care servicesat the health care centres. Areas that clients were dissatisfied with were accessibility, consultation with health professionals,waiting times and opening hours of the health care centres.Clients with disabilities who accessed health care services from selected health centres in Ndola were dissatisfiedwith aspects of health services. Accessibility, consultation with health professionals, waiting times and opening hoursof the health care centres were the origin of client dissatisfaction. Other clients were satisfied with thoroughness ofhealth care providers regarding symptoms, feelings, reception and treatment received at the primary health care centre.Understanding the views of the clients is essential in improving health delivery services and could impact on thecompliance of people attending primary health care services.

scholarly journals Mental health in primary health care: professionals’ perceptions and patients’ levels of depression, anxiety and stress

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Tatiana Varela Madureira ◽  
Maria Cristina Quintas Antunes
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Mental Health Care ◽  
Health Professionals ◽  
Mental Health Problems ◽  
Anxiety And Depression ◽  
Self Administration ◽  
Primary Health

Background: The integration of mental health in primary health care, throughout its various functional units and with effective articulation between primary health care and mental health services, has been considered an essential objective of the legislative documents produced in the last three decades in Portugal, among them the National Health Plan 2011-2016.Goals: This study aimed to inquire health professionals’ perceptions about mental health care provided by public primary health care units, namely their perceptions about the mental health of their patients. It also intended to explore the difficulties perceived by the health professionals in their daily activity about the mental health problems of their patients and about the need of clinical psychologists’ activity in the public primary health care.Methods: This is an observational cross-sectional study with two non-probabilistic samples: health professionals (doctors, nurses and psychologists) and patients from two public health care units. Health professionals were interviewed (individual structured face-to-face interviews) about their perceptions of needs for improving their capacity to provide mental healthcare and about patients’ mental health conditions. Patients responded (by self-administration) to the Depression, Anxiety and Stress Scale (DASS-21), providing a characterization of patients’ stress, anxiety and symptoms of depression.Results: Health professionals in their daily practice often identify in their patients symptoms of stress, anxiety and depression (most particularly in adults),. Several issues were identified as problematic, such as: poor access of the referral system for psychiatric and clinical psychological specialized care, insufficient number of health professionals, particularly of psychologists, and lack of appropriate mental health care specialization. The results also revealed relevant levels of stress, anxiety and depression in primary health care patients (both genders), which seem to increase with age. Discussion: Difficulties identified by health professionals may relate to the centralisation of resources, resistance to change from human resources management, lack of consensus among the various decision groups linked to mental health and, at institutional level, insufficient and inadequate funding. These factors may contribute to a failure in early diagnosis of symptoms of depression, anxiety and stress. It is expected that articulation between primary health services and differentiated health services will improve, with improvement in teamwork among professionals and increase of the quality of life of users, satisfaction with work, from health professionals,  and reduction of health costs.

Resolution And Continuity Of Primary Health Care: Reference And Counter-Reference In The Sus (Unified Health System)

2017 ◽  
Vol 04 (01) ◽  
Author(s):  
Maria Beatriz Rodrigues Criscuolo ◽  
Duane Ferreira Melo ◽  
Selma Maria da Fonseca Viegas
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Unified Health System ◽  
Primary Health
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