scholarly journals The Idealized Brazilian Health System versus the real one: contributions from the nursing field

2014 ◽  
Vol 22 (6) ◽  
pp. 1026-1033 ◽  
Author(s):  
Dirce Stein Backes ◽  
Martha Helena Teixeira de Souza ◽  
Mara Teixeira Caino Marchiori ◽  
Juliana Silveira Colomé ◽  
Marli Terezinha Stein Backes ◽  
...  
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Health System ◽  
Linear Model ◽  
Descriptive Study ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
System Versus ◽  
Qualitative Nature ◽  
Brazilian Health System

OBJECTIVE: to identify the perceptions of professionals working in a facility connected with the Brazilian Unified Health System - SUS in regard to what they know, think and talk about public health policy.METHOD: this exploratory-descriptive study with a qualitative nature was conducted with 28 professionals working in a facility connected with the SUS. Data were collected through interviews with guiding questions and analyzed through the thematic content analysis technique.RESULTS: coded and interpreted data resulted in three thematic axes: The SUS - perfect web that does not work in practice; The recurrent habit of complaining about the SUS; The need to rethink the way of thinking about, acting in and managing the SUS.CONCLUSION: the professionals working for the SUS are aware of the principles and guidelines that govern the Brazilian health system, however, they reproduce a dichotomous and linear model of conception and practice strongly linked to the thinking of society in general.

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 Pharmaceutical assistance within the SUS: the experience of students in Rural Internship from a Pharmacy Course

2009 ◽  
Vol 45 (4) ◽  
pp. 819-827
Author(s):  
Luciana Tarbes Mattana Saturnino ◽  
Zélia Profeta Luz ◽  
Edson Perini ◽  
Celina Maria Modena
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Focus Groups ◽  
Health System ◽  
Public Health System ◽  
The Public ◽  
Unified Health System ◽  
Adequate Information ◽  
Perceptions Of Students ◽  
Before And After

The 2002 Brazilian Curricular Lines established a new curriculum for Pharmacy Programs, including amplified information about the Unified Health System (SUS). Following this, some Colleges have implemented a Rural Internship (RI) discipline, as a way to promote: a) adequate information on the SUS, and b) students' interaction with pharmaceutical assistance. In this study we analyzed the perceptions of students enrolled in the Rural Internship program of the undergraduate Pharmacy Program at the Federal University of Minas Gerais. Eight students participated in this study and their perceptions and ideas were obtained by focus groups, both before and after the RI. This information was analyzed by content analysis. The students had a fragmented, distorted view on assistance, before as well as after taking the RI. Nevertheless, the RI provided students with a view of the professional realities and difficulties routinely faced by pharmacists in the public health system. The RI course of the Pharmacy Programs was viewed as an opportunity to improve the professional work within the SUS.

scholarly journals Retrospective study of the distribution of doctors in municipalities of extreme poverty in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B L O Luizeti ◽  
E M M Massuda ◽  
L F G Garcia
Keyword(s):  
Public Health ◽  
Health System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Extreme Poverty ◽  
The Public ◽  
The North ◽  
Unified Health System ◽  
Shortage Of Doctors ◽  
Demographic Distribution

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.

scholarly journals Referral and counter-referral for the integrality of care in the Health Care Network

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Cleise Cristine Ribeiro Borges Oliveira ◽  
Elaine Andrade Leal Silva ◽  
Mariluce Karla Bomfim de Souza
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Health System ◽  
Family Health ◽  
Ethics Committee ◽  
The State ◽  
Healthcare Network ◽  
Unified Health System ◽  
Health Care Network

Abstract The objective was to analyze the functioning of the referral and counter-referral system for integral care in the Healthcare Network. Qualitative study performed through interviews with 66 participants - managers, workers and users of a town of the state of Bahia, Brazil, and upon approval by the Ethics Committee, opinion number nº 334.737. The material was analyzed using the Content Analysis proposed by Bardin, finished in 2014. Various conceptions of referral and counter-referral were identified, as follows: referral of users, user’s broader view; non-fragmented care; and integral care. For the users, the difficulties and facilities in the flows are concentrated in the Regulation and Scheduling Center and Family Health Units. It is concluded that, to enable the establishment of the network in an integral way, it is necessary to identify important strategies provided by the Unified Health System (SUS) and strengthen these strategies, as well as to identify any drawbacks to remedy them.

scholarly journals VER-SUS project: Influences on the training and performance of nurses

2018 ◽  
Vol 71 (6) ◽  
pp. 2922-2929
Author(s):  
Fernanda Almeida Fettermann ◽  
Elisabeta Albertina Nietsche ◽  
Marlene Gomes Terra ◽  
Cléton Salbego ◽  
Odete Messa Torres ◽  
...  
Keyword(s):  
Content Analysis ◽  
Health System ◽  
Rio Grande ◽  
Structured Interview ◽  
Rio Grande Do Sul ◽  
Interview Technique ◽  
Unified Health System ◽  
And Performance ◽  
Nursing Professionals ◽  
Nursing Training

ABSTRACT Objective: To analyze the influences of the Vivências e Estágios na Realidade do Sistema Único de Saúde (Brazilian Unified Health System), in the training and performance of nurses. Method: A qualitative study was carried out with 14 nurses who participated in the VER-SUS project in Rio Grande do Sul State. The data were collected through a semi-structured interview technique. The data were analyzed, interpreted and discussed, through the technique of Content Analysis. Results: The categories “VER-SUS Influences on Nursing Training for SUS” and “VER-SUS Contributions for Nurses Performance in the SUS” were highlighted. Final considerations: It was possible to identify the influences of the VER-SUS project in the training and performance of the nursing professionals, pointing out the revision of the Pedagogical Projects of Course and the preparation of the teachers, as a way to carry out the training with emphasis in the Brazilian Unified Health System.

scholarly journals A model for drug dispensing service based on the care process in the Brazilian health system

2013 ◽  
Vol 49 (1) ◽  
pp. 107-116 ◽  
Author(s):  
Luciano Soares ◽  
Eliana Elisabeth Diehl ◽  
Silvana Nair Leite ◽  
Mareni Rocha Farias
Keyword(s):  
Theoretical Model ◽  
Health System ◽  
Care Process ◽  
Rational Use ◽  
Drug Dispensing ◽  
Unified Health System ◽  
Proposed Model ◽  
Analytical Research ◽  
Accountability Management ◽  
Brazilian Health System

Access to medication emphasizes the availability of the product at the expense of providing a service. The goal of this paper is to propose a theoretical model for a drug dispensing service, beginning with a reflection on the current realities of the Unified Health System and drug dispensation in Brazil. A conceptual analytical research made by a methodological course called disciplined imagination was mainly the approach applied to develop the model. The drug dispensing service is part of the care process, which considers access as an attribute; reception, connection and accountability, management, and clinical pharmaceutical aspects as components; and the rational use of drugs as the purpose. The proposed model addresses access to the dispensing service and demands a reorientation of routines, instruments, and practices.

scholarly journals Discourses and polarities concerning health promotion in the Brazilian health system

2013 ◽  
Vol 55 (4) ◽  
pp. 427
Author(s):  
Luciana Kind ◽  
João Leite Ferreira-Neto
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Health System ◽  
Knowledge Production ◽  
International Health ◽  
Constant Attention ◽  
International Debate ◽  
New Challenges ◽  
Brazilian Health System ◽  
Significant Effort

This paper presents theoretical reflections on health promotion in the Brazilian public health context. Some characteristics and problems of the international debate are highlighted, but our focus is the position of health promotion as it is discussed in the Brazilian health system. We follow the foucauldian perspective of biopower and resistence to discuss the selected texts and documents related to health promotion that were considered relevant for the purpose of this investigation. Health promotion is discussed as a field of discourses, practices, knowledge production and power. We concentrate our analysis on the debate proposed by collective health researchers on the repercussions of the Lalonde Report in the international Health Promotion Charts, and on the connexion between health promotion and the Brazilian health system. The discussion demonstrates that health promotion work requires constant attention and significant effort from managers, technicians, and health system users, and that each step forward reveals new challenges and calls for new actions.

Key Drivers of State Preemption of Food, Nutrition, and Agriculture Policy: A Thematic Content Analysis of Public Testimony

2019 ◽  
Vol 33 (6) ◽  
pp. 894-902 ◽  
Author(s):  
Jennifer L. Pomeranz ◽  
Mark Pertschuk
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Multinational Corporations ◽  
Local Control ◽  
Local Governments ◽  
Food Policy ◽  
State Legislature ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
Food Nutrition

Purpose: Local communities are often active public health policy makers, so state preemption—when the state withdraws authority from local governments—can hinder public health progress. Kansas enacted the most sweeping law in the nation preempting food, nutrition, and agricultural policy. Design: Qualitative thematic content analysis was used on public comments to identify and evaluate common and key arguments. A codebook was developed using an iterative process. Open coding was applied to all comments. Setting: All testimony and comments submitted by individuals and organizations to the Kansas State Legislature on the preemptive bill. Participants: Eight types of commentators submitted 34 written and 12 oral comments. Measures: The data were evaluated on a latent level to examine underlying drivers of preemption. Results: Comments addressed 18 themes, referenced 366 times; 68% in opposition. Common themes included local control, food labeling, public health, need for statewide standards, and debate over food regulation. Key themes included the need for state and federal uniformity to support businesses and consumers, debate over topics not in the bill, the value of local control, confusion over bill coverage, and outside influences. Conclusion: Confusion about bill language and coverage, the combination of food and agricultural issues, and backing by multinational corporations helped propel preemption forward in Kansas. Food policy stakeholders nationally can anticipate similar arguments and strategies in their state.

scholarly journals (Dis) connections between health councils and audit: advancements and challenges in the democratization of public health management

2019 ◽  
Vol 27 (1) ◽  
pp. 39-44
Author(s):  
José Reginaldo Pinto ◽  
Kamyla de Arruda Pedrosa ◽  
Pollyanna Martins ◽  
Antonio Rodrigues Ferreira Júnior ◽  
Bruna Dayane Rocha Maranhão
Keyword(s):  
Public Health ◽  
Health Management ◽  
Analysis Data ◽  
Qualitative Approach ◽  
Technical Cooperation ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
Health Council ◽  
Self Administered Questionnaire ◽  
Municipal Health

Abstract Background Aware of the importance of consolidating social control in the qualification of the Brazilian government’s Unified Health System (SUS) management, it is important to highlight that the audit must implement technical cooperation actions with the municipal, state and national health councils and with the three management spheres. Objective Analyze the interaction between the Municipal Health Councils and the SUS audit service. Method The research, with a qualitative approach, had the participation of 20 municipal health counselors, who worked in the largest health region of Ceará, Brazil, composed of 24 municipalities. The thematic content analysis data were collected using self-administered questionnaire. Results We observed a weak interaction between the Municipal Health Council and the SUS audit sector in the municipalities. Conclusion Counselors are unaware of their competencies and the functions of the municipal audit sector.

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