scholarly journals Use of Health Services and Family Health Strategy Households Population Coverage in Brazil

2021 ◽  
Vol 26 (9) ◽  
pp. 3955-3964
Author(s):  
Otávio Pereira D’Avila ◽  
Luiz Alexandre Chisini ◽  
Francine dos Santos Costa ◽  
Mariana Gonzales Cademartori ◽  
Lucas Brum Cleff ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Skin Color ◽  
Health Care Services ◽  
Family Health ◽  
Public Health Services ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Use Of Health Services

Abstract The objective of this study is to describe the profile of use of primary health care services, estimated by the PNS, of the population living in households registered and not registered with the Famly Health Strategy - FHS, in the years 2013 and 2019. Cross-sectional study carried out using microdata from national health surveys 2013 and 2019. The sample originated from a master sample, consisting of a set of units from selected areas in a register..The variables sex, age, skin color, income, education, self-perceived health, home registered with the FHS, medical care in the last year, type of service you seek when you are ill were selected. The dependent variables were use of health services and use of public health services. The dependent and independent variables were described with the respective confidence interval and adjusted logistic regression was performed for each outcome analyzed. In public health services, lower income, have chronic diseases (arterial hypertension or high cholesterol), be pregnant, and having a bad self-perception of health were associated with used more health services in both periods. Living in registered households was associated with more used health services (public or private). The family health strategy is an important strategy for expanding access equally.

scholarly journals Percepções de médicos sobre a prevenção do câncer de mama

2019 ◽  
Vol 13 (2) ◽  
pp. 315
Author(s):  
Sílvia Amélia Prado Burgos Madeira Campos ◽  
Camila Aparecida Pinheiro Landim Almeida ◽  
Eliana Campêlo Lago ◽  
Frabício Ibiapina Tapety ◽  
Eucário Leite Monteiro Alves
Keyword(s):  
Public Health ◽  
Breast Cancer ◽  
Family Health ◽  
Diagnostic Methods ◽  
Cáncer De Mama ◽  
Cross Sectional ◽  
Basic Care ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

RESUMO Objetivo: avaliar o conhecimento de médicos da Estratégia de Saúde da Família sobre os métodos de diagnóstico por imagem para a detecção do câncer de mama. Método: trata-se de um estudo qualitativo, descritivo, transversal, fundamentado no Discurso do Sujeito Coletivo, com 19 médicos de equipes de Saúde da Família. Utilizou-se um roteiro semiestruturado para a entrevista e os resultados apresentam-se em quatro temas com suas respectivas ideias centrais e a frequência com que eram citadas, acompanhadas de seus discursos do sujeito coletivo. Resultados: apresentou-se, no estudo, como se configura o conhecimento de profissionais da Estratégia Saúde da Família entrevistados sobre os métodos de diagnóstico por imagem para o câncer de mama. Organizaram-se os resultados em quatro temas com as ideias centrais divididas em: importância para a saúde pública e atenção básica; idade e exames; cuidados; detecção e tipologias. Conclusão: demonstra-se, por meio da evidente capacitação dos profissionais e de suas preocupações salientes nos discursos, que os médicos da Estratégia Saúde da Família apresentam conhecimentos satisfatórios sobre a problemática abordada. Descritores: Mamografia; Diagnóstico; Neoplasias de Mama; Estratégia Saúde da Família; Saúde Pública; Médicos.ABSTRACT Objective: to evaluate the knowledge of physicians of the Family Health Strategy on the methods of diagnostic imaging for the detection of breast cancer. Method: this is a qualitative, descriptive, cross-sectional study, based on the Collective Subject Discourse, with 19 doctors from Family Health teams. A semi-structured script was used for the interview and the results are presented in four themes with their respective central ideas and the frequency with which they were cited, accompanied by their discourses of the collective subject. Results: the study presented how the knowledge of professionals of the Family Health Strategy interviewed about the diagnostic methods for imaging for breast cancer was presented. Results were organized into four themes with central ideas divided into: importance for public health and basic care; age and examinations; care; detection and typologies. Conclusion: it is demonstrated, through the evident qualification of the professionals and their salient concerns in the speeches, that the physicians of the Family Health Strategy present satisfactory knowledge about the problem addressed. Descriptors: Mammography; Diagnosis; Breast Neoplasms; Family Health Strategy; Public Health; Physicians.RESUMENObjetivo: evaluar el conocimiento de médicos de la Estrategia de Salud de la Familia sobre los métodos de diagnóstico por imagen para la detección del cáncer de mama. Método: se trata de un estudio cualitativo, descriptivo, transversal, fundamentado en el Discurso del Sujeto Colectivo, con 19 médicos de equipos de Salud de la Familia. Se utilizó un guion semiestructurado para la entrevista y los resultados se presentan en cuatro temas con sus respectivas ideas centrales y la frecuencia con que eran citadas, acompañadas de sus discursos del sujeto colectivo. Resultados: se presentó, en el estudio, cómo se configura el conocimiento de profesionales de la Estrategia Salud de la Familia entrevistados sobre los métodos de diagnóstico por imagen para el cáncer de mama. Se organizaron los resultados en cuatro temas con las ideas centrales divididas en: importancia para la salud pública y atención básica; edad y exámenes; cuidado; detección y tipologías. Conclusión: se demuestra, por medio de la evidente capacitación de los profesionales y de sus preocupaciones sobresalientes en los discursos, que los médicos de la Estrategia Salud de la Familia presentan conocimientos satisfactorios sobre la problemática abordada. Descriptores: Mamografía; Diagnóstico; Neoplasias de la Mama; Estrategia de Salud Familiar; Salud Pública; Médicos.

scholarly journals AVALIAÇÃO DOS SERVIÇOS DE SAÚDE NA ÓTICA DOS USUÁRIOS

2014 ◽  
Vol 17 (2) ◽  
pp. 414
Author(s):  
Lucimare Ferraz ◽  
Maria Elizabeth Kleba ◽  
Fátima Ferratti ◽  
Natacha Luana Pezzuol Frank
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Center ◽  
User Satisfaction ◽  
Family Health ◽  
Descriptive Study ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Quantitative Descriptive

A avaliação é uma importante ferramenta da atenção básica, devendo subsidiar a organização e orientação dos serviços de saúde, a partir de lógicas mais centradas no usuário. Esteartigo tem por objetivo apresentar a ótica dos usuários sobre os serviços de saúde inseridos no território de um núcleo de apoio à saúde da família. Os dados provêm de um estudo quantitativo-descritivo desenvolvido com 1023 famílias, cadastradas pela Estratégia Saúde da Família. Os resultados revelaram que 89,3% das famílias utilizam serviços do centro de saúde, tendo como principal motivo a busca por assistência em situação de doença ou dor (76,3%). Já no que tange a resolutividade, somente 9,1% relataram que quase nunca têm seu problema resolvido e 51,1% consideram bom o atendimento no centro de saúde. O artigo destaca, ainda, a satisfação do usuário como dimensão relevante na avaliação da atenção à saúde para o aprimoramento dos serviçose das políticas públicas em saúde.Palavras-chave: Avaliação de Serviços de Saúde; Atenção Primária à Saúde; Satisfação do PacienteEVALUATION OF HEALTH SERVICES IN THE USERS’ VIEWAbstract: The evaluation is an important tool of the primary care that should subsidize the organization and orientation of health services, from logics more centered in the user. This article aims to present the users’ perspective about health services included in the territory of a core of support for family health. The data comes from a quantitative-descriptive study developed with 1023 families registered by the Family Health Strategy. The results revealed that 89,3% of families use services from the health center, having as it’s main reason the searching for assistance in situations of illness or pain (76,3%). Regarding the resolution, only 9,1% reported that they almost never have their problem solved and 51,1% considered good the care at the health center. The article still highlights the user satisfaction as a relevant dimension in the evaluation of health care for the improvement of services and public health policies.Keywords: Evaluation of Health Services, Primary Attention to Health, Patient Satisfacti

scholarly journals Screening and Brief Intervention for the use of alcohol and other drugs

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2258-2263 ◽  
Author(s):  
Ângela Maria Mendes Abreu ◽  
Rafael Tavares Jomar ◽  
Gunnar Glauco de Cunto Taets ◽  
Maria Helena do Nascimento Souza ◽  
Daiane Belisário Fernandes
Keyword(s):  
Brief Intervention ◽  
Family Health ◽  
Cross Sectional Study ◽  
Screening And Brief Intervention ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Substance Involvement ◽  
Alcohol And Other Drugs

ABSTRACT Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.

scholarly journals Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy

2014 ◽  
Vol 17 (suppl 2) ◽  
pp. 39-52 ◽  
Author(s):  
Adriana Xavier de Santiago ◽  
Ivana Cristina de Holanda Cunha Barreto ◽  
Ana Cecília Silveira Lins Sucupira ◽  
José Wellington de Oliveira Lima ◽  
Luiz Odorico Monteiro de Andrade
Keyword(s):  
Health Services ◽  
Health System ◽  
Family Health ◽  
Northeastern Brazil ◽  
Local Health ◽  
Access To Health Services ◽  
Care Services ◽  
Health Strategy ◽  
Access To Health ◽  
Family Health Strategy

INTRODUCTION: The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services. OBJECTIVE: To identify factors associated with the use of health service by children aged 5 to 9 years in the city of Sobral, Ceará, northeastern Brazil. RESULTS: Only 558 (17.0%) children used health care services in the 30 days preceding this survey. Children with any health condition (OR = 3.90) who were frequent attenders of primary care strategy of organization (the Family Health Strategy, FHS) (OR = 1.81) and living in the city's urban area (OR = 1.51) were more likely to use health services. Almost 80% of children used FHS as their referral care service. Children from poorer families and with easier access to services were more likely to be FHS users. CONCLUSION: The study showed that access to health services has been relatively equitable through the FHS, a point of entry to the local health system.

scholarly journals Factors related to negative self-care adherence in individuals with diabetes mellitus

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70902
Author(s):  
Álef Lucas Dantas de Araújo Silva ◽  
Cayane Maria da Silva Santos ◽  
Maria Verônica Gomes de Oliveira ◽  
Waleska de Brito Nunes ◽  
Matheus Figueiredo Nogueira ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Family Health ◽  
Prevalence Ratio ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Health Strategy ◽  
Care Assessment ◽  
Family Health Strategy

Objective: to detect factors related to negative adherence to self-care in individuals with diabetes mellitus. Methods: observational, cross-sectional, analytical, and exploratory study, conducted with individuals diagnosed with type 2 diabetes mellitus and followed-up by the Family Health Strategy. The sample consisted of 250 participants. The Summary of Diabetes Self-Care Activities Questionnaire was used for self-care assessment. Association tests, prevalence ratio and Poisson regression with robust variance were performed in the analysis. Results: negative attitudes related to self-care increased by 21% for single/divorced/widowed, 20% for retired, 54% for those who did not diet, 28% for those who did not practice physical activity, 24% for hypertensive, 30% for those with dyslipidemia, and 44% for those with retinopathy. Conclusion: socioeconomic factors, behavioral factors, presence of comorbidities and complications related to diabetes mellitus were related to negative adherence to self-care.

scholarly journals The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study

2021 ◽  
Author(s):  
Kristina W. Kintziger ◽  
Kahler W. Stone ◽  
Meredith Jagger ◽  
Jennifer A. Horney
Keyword(s):  
Public Health ◽  
Health Services ◽  
Cross Sectional Study ◽  
Health Departments ◽  
Public Health Services ◽  
Cross Sectional ◽  
Career Plans ◽  
Public Health Departments ◽  
Essential Public Health Services ◽  
The U.S

Abstract Background Funding and staff formerly dedicated to routine public health tasks (e.g., responding to communicable and non-communicable diseases, investigating foodborne outbreaks, conducting routine surveillance) and services (e.g., environmental health, substance abuse, maternal-child health) may no longer be available in many public health departments due to the COVID-19 response. The objective of this study was to assess the extent to which staffing for essential public health services has been redirected to the COVID-19 response. Methods This is a cross-sectional study using a survey distributed through the Qualtrics platform. Individuals (N = 298) working in public health across governmental and academic public health departments in the U.S. during the ongoing COVID-19 pandemic response were surveyed. Survey items measured multiple domains including professional experience (i.e., training, years of experience, content expertise, job functions), mental and physical health status (i.e., generalized anxiety, depression, burnout), and career plans (i.e., pre-pandemic vs. current career plans). Results The total number of content expertise areas and programmatic functions covered by individual public health workers increased between January and September of 2020, with 26% (73 of 282) of respondents reporting an increase in both. The total number of respondents working in infectious disease and preparedness remained constant, while declines were reported in program evaluation (-36%) and health education (-27%) and increases were reported in disease investigation (+ 35%). Conclusions The provision of many essential public health functions and tasks have been limited or eliminated while the U.S. public health workforce responds to the COVID-19 pandemic. These findings highlight opportunities for funding and professional development of public health systems, both during and after the COVID-19 response, to help ensure the continuity of essential public health services, staffing sustainability, and preparedness for future public health emergencies in the U.S. Trial registration: Not applicable.

scholarly journals Perceived risks and barriers to care for international migrants in transit through Mexico

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Larrea ◽  
R Leyva-Flores ◽  
N Guarneros-Soto ◽  
C Infante-Xibille
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Personnel ◽  
Health Care Services ◽  
Barriers To Care ◽  
Human Security ◽  
Public Health Services ◽  
Care Services ◽  
In Transit

Abstract Background Mexico has implemented policies seeking to reduce barriers to care for migrants in transit; however, it is estimated that only 3% of migrants use public health services when needed. The main purpose of this study was to identify the barriers to access public health services faced by migrants in transit through Mexico. Methods Under the human security perspective, in 2018, a qualitative study was carried out in Mexican communities with high migrant mobility. 34 semi-structured interviews were conducted with migrants in transit, and personnel from public health services and migrant shelters (NGOs). Values and meanings related to risks, health problems, barriers to care, experiences of health services utilization, and opinions on facilitating elements to diminish these barriers were identified. Results Migrants in transit through Mexico face risks that affect all dimensions of human security. Perceived anti-migratory and discriminative attitudes during the journey were constantly mentioned in the interviews. Barriers to care were found in the four stages of health care access, classified according to the Tanahashi framework, with the majority related to accessibility and acceptability. The following facilitating elements were also identified: political willingness of local government, knowledge and talent management of health personnel, and strategies implemented for adapting local health care services to migrants. Conclusions Social and political conditions in Mexico disrupt any effort to reduce social risks and barriers to care for migrants in transit. Non-governmental actors are key players for facilitating interactions between migrants and local governmental health care institutions. However, the general anti-migratory context negatively affects access to health care and influence the perspectives of migrants, NGOs, and health personnel. Key messages The predominant perceived barriers to care are in counterpoint to local governmental pro-migrant rights perspectives. NGOs are key actors to promote access to public health care services.

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