scholarly journals Hospitalization due to conditions sensitive to primary care and expansion of the Family Health Program in Brazil: an ecological study

2014 ◽  
Vol 17 (4) ◽  
pp. 968-977 ◽  
Author(s):  
Roger Flores Ceccon ◽  
Stela Nazareth Meneghel ◽  
Paulo Ricardo Nazário Viecili
Keyword(s):  
Primary Care ◽  
Ecological Study ◽  
Pearson Correlation ◽  
Family Health ◽  
Population Coverage ◽  
Preventable Hospitalizations ◽  
Family Health Program ◽  
The Family ◽  
Pearson Correlation Test ◽  
Family Health Strategy

OBJECTIVE: To evaluate the relationship between hospitalization due to conditions that are sensitive to primary care and the population coverage by the Family Health Strategy (ESF) Units of the Brazilian Federation Units in the last decade. METHODS: This is an ecological study that investigated preventable hospitalizations and coverage of primary health care in Brazil in the historic series from 1998 to 2006. Statistical analysis was performed using the Pearson correlation test and simple linear regression. RESULTS: In the studied period, we found an association between population coverage and reduced ESF admissions for primary care sensitive conditions in Brazil (β = -28.78, p ≤ 0.01), which occurred in 38.4% of the Federation Units. CONCLUSION: There was a positive relationship between the expansion of ESF coverage and a decline in hospitalizations for ACSC in the country. The findings of this study help to evaluate the ESF and primary care in Brazil.

scholarly journals Analysis of the indicators of the Family Health Program in the Metropolitan Region of São Paulo

2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Paulo Augusto Monteclaro Cesar ◽  
Márcia Mello Costa De Liberal ◽  
Valdecir Marvulle ◽  
Paola Zucchi
Keyword(s):  
Primary Care ◽  
Health Program ◽  
Family Health ◽  
Health Indicators ◽  
Sao Paulo ◽  
Metropolitan Region ◽  
São Paulo ◽  
Family Health Program ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective To analyze the Family Health Program replaced by the Family Health Strategy in 2011, based on health indicators and diseases classified as primary care sensitive. Methods This was a descriptive, analytical and documental study carried out in the Metropolitan Region of São Paulo between 2002 and 2007. We analyzed data from Health observatory for the Metropolitan Region of São Paulo. Pearson’s correlation and the Statistical Package for the Social Sciences software version 17.0 were used to calculate data associations. Results We used 30 of the 31 health indicators of 24 from the 39 studied municipalities. A total of 720 (100%) health primary care sensitive indicators were analyzed in the Metropolitan Region of São Paulo. Conclusion Percentages of improvements and worsening were low. In addition, some data were not presented. The majority of indicators remained stable.

scholarly journals Oral Health in Primary Care through the Family Health Strategy

2019 ◽  
Vol 21 (2) ◽  
pp. 139
Author(s):  
Aline Claudia Ribeiro Medeiros Silva ◽  
Mário Molari
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Oral Health ◽  
Health System ◽  
Family Health ◽  
Health Indicators ◽  
Family Health Program ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

AbstractThe purpose of this article is to carry out a literature review on oral health team in primary care with their inclusion in the Family Health Strategy (FHS). The publications were consulted in national papers, official documents and other publications of Health Ministry (MS). In the literature it is observed that with the creation of the Unified Health System (SUS) a process of health restructuring services in Brazil began. The Primary Care National Policy (PNAB) is the result of several historical facts involved with the development and consolidation of SUS. The Family Health Program (PSF), now called the Family Health Strategy (ESF) was created in 1994 aimed at reorienting health care with new bases, centering family focus and attempting to achieve improvement in quality of life of Brazilians. In 2000, oral health teams were included in the PSF to extend access  of the Brazilian population to health promotion actions, prevention and recovery of oral health, improve health indicators and encourage the reorganization of dentistry in primary care. ESF is a unique strategy in the reorganization of the Brazilian health system and the inclusion of the ESB an important complement in primary care, aiming an integral dental practice. Keywords: Primary Health Care. Family Health Strategy. Oral Health. ResumoO presente artigo tem o objetivo de realizar uma revisão de literatura sobre a equipe de saúde bucal na atenção básica, através da sua inserção na Estratégia Saúde da Família (ESF). As publicações consultadas foram artigos científicos nacionais, documentos oficiais (leis e portarias) e outras publicações do Ministério da Saúde (MS).  Na literatura observa-se que com a criação do Sistema Único de Saúde (SUS) iniciou no Brasil um processo de reestruturação dos serviços de saúde. A Política Nacional de Atenção Básica (PNAB) é resultado da experiência acumulada de vários atores envolvidos historicamente com o desenvolvimento e a consolidação do SUS. O Programa Saúde da Família (PSF), atualmente denominado Estratégia Saúde da Família (ESF), foi implantado em 1994 visando a reorientação da prática da atenção à saúde sob novas bases, centrando o foco na família, na tentativa de alcançar uma melhoria na qualidade de vida dos brasileiros. Em 2000, as equipes de saúde bucal foram inseridas no PSF com o objetivo de ampliar o acesso da população brasileira às ações de promoção, prevenção e recuperação da saúde bucal, melhorar os indicadores de saúde, além de incentivar a reorganização da odontologia na atenção básica. A ESF consiste em uma estratégia ímpar na reorganização do sistema de saúde brasileiro e a inclusão da ESB um importante complemento na atenção básica, visando uma prática odontológica integral. Palavras-chave: Atenção Primária à Saúde. Estratégia Saúde da Família. Saúde Bucal.

scholarly journals Analysis of Structure, Process and Result Indicators in the Family Health Strategy in Mato Grosso: A Comparative Study

2021 ◽  
Vol 9 (6) ◽  
pp. 95
Author(s):  
Juliane Ferreira Andrade da Fonseca ◽  
Márcia Mello Costa De Liberal ◽  
Patrícia Siqueira Varela ◽  
Paola Zucchi
Keyword(s):  
Primary Care ◽  
Home Visit ◽  
Descriptive Analysis ◽  
Family Health ◽  
Clinical Pathology ◽  
Population Coverage ◽  
Mato Grosso ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This research aimed to correlate the indicators of Primary Health Care in their structural components with those of the process and with the results in the municipalities of Mato Grosso, Brazil, from 2008 to 2015. This is an evaluative, quantitative, retrospective research with the use of secondary data from information systems. A matrix is composed of components of the structure (potential population coverage) the process (medical consultation, home visit of doctor and nurse, referral to the specialist, and request of clinical pathology exams), and the result (hospitalization rate due to sensitive causes). It was constructed when primary care, the proportion of live births of mothers with seven or more prenatal consultations, and the infant mortality coefficient) and the descriptive analysis and Spearman correlation coefficient (rho) were performed. The study found that population coverage remained high above 83% and the process indicators suggest an improvement in family health strategy, with a reduction of 63.13% in the average referral to a specialist and 49.71% in the request for clinical pathology exams. However, there was a 7.13% reduction in the average home visit during the study period. There is a correlation between the structure and process component and between structure and result. It has been found that with the evolution of the Family Health Strategy, there were changes in some indicators of primary care, but it is not possible to state that there was a change in the care model.

scholarly journals Hospitalizations due to primary care sensitive conditions

2019 ◽  
Vol 53 ◽  
pp. 2
Author(s):  
Ludmila Grego Maia ◽  
Luiz Almeida Da Silva ◽  
Rafael Alves Guimarães ◽  
Bruno Bordin Pelazza ◽  
Ana Cláudia Souza Pereira ◽  
...  
Keyword(s):  
Primary Care ◽  
Regression Coefficient ◽  
Pearson Correlation ◽  
Family Health ◽  
The State ◽  
Linear Regression Method ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Sensitive Conditions

OBJECTIVE: To evaluate the trend of hospitalizations due to primary care sensitive conditions and its relationship with the Family Health Strategy coverage. METHODS: Ecological study of time series using the records from the Hospital Information System, from 2005 to 2015, with data for the state of Goiás, Brazil. Trend analyses were performed by the generalized linear regression method of Prais-Winsten with robust variance, which allowed to verify if the trend of hospitalizations due to primary care sensitive conditions was stationary (p > 0.05), declining (p < 0.05 and negative regression coefficient), or ascending (p < 0.05 and positive regression coefficient) in each region of Goiás and for each diagnosis group, stratified by sex. Pearson correlation was used to verify the degree of association between the Family Health Strategy coverage and the rate of hospitalizations due to primary care sensitive conditions. RESULTS: Hospitalizations due to primary care sensitive conditions accounted for 1,092,070 (30.0%) of hospitalizations in Goiás. The average hospitalizations rate due to primary care sensitive conditions was statically less than the rate for other conditions in the analyzed period (167.6% against 386.2%; t = -13.18; p < 0.001). There has been a downward trend in hospitalizations trend due to primary care sensitive conditions in Goiás and in most health regions. The trends varied between sexes in the groups of causes. We observed a negative correlation between the Family Health Strategy coverage and the hospitalizations trend due to primary care sensitive conditions in the state and also in most health regions. CONCLUSIONS: Hospitalizations due to primary care sensitive conditions had a significant reduction trend over the analyzed period. Despite this progressive decrease, this rate remains high and the reduction trend was not linear for all causes. These results allow for directing public policies, while drawing a general overview of hospitalizations due to primary care sensitive conditions by sex and region in the state.

scholarly journals Hospitalizations for cardiovascular diseases and the coverage by the family health strategy

2015 ◽  
Vol 23 (4) ◽  
pp. 611-619 ◽  
Author(s):  
Maicon Henrique Lentsck ◽  
Thais Aidar de Freitas Mathias
Keyword(s):  
Primary Care ◽  
Cardiovascular Diseases ◽  
Family Health ◽  
The State ◽  
Regional Health ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Spearman’S Correlation

AbstractObjective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011.Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearson's and Spearman's correlation coefficients.Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions.Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.

scholarly journals Family risk as adjunct for organizing the demand for oral health service in the Family Health Strategy

2015 ◽  
Vol 44 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Henri Menezes Kobayashi ◽  
Antonio Carlos Pereira ◽  
Marcelo de Castro Meneghim ◽  
Rívea Inês Ferreira ◽  
Glaucia Maria Bovi Ambrosano
Keyword(s):  
Primary Care ◽  
Oral Health ◽  
Multinomial Logistic Regression ◽  
Family Health ◽  
Health Conditions ◽  
Family Risk ◽  
Treatment Needs ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Introduction One of the main problems of the public health services, in which the family oral health team is included, is access by users to dental treatment in primary care, with particular reference to caries disease. Objective The aim of this study was to evaluate the relationship between family risk, for prioritization of home visits and oral health conditions, with a view to providing evidence about the first indicator for organizing the demand for oral health in the Family Health Strategy (FHS). Method The application of family health is based on Form A of the primary care information database SIAB ("Sistema de Informação de Atenção Básica"), used for registering families with the FHS. Eleven dentists examined the oral health conditions of 1165 persons (608 from 12 to 19 years; and 557 from 35 to 44 years of age), classifying them into six codes from A to F. Multinomial logistic regression was used (α=0.05) to analyze the association between family risk variables and oral health situation. Result There was significant association between family risk and presence of caries disease with treatment needs (OR: 2.08, p<0.0001). Conclusion Persons who have family risk would have twice as much chance of presenting caries disease in comparison with those without risk, corroborating the relevance of this element in organizing the demand for oral health.

The home visit as a strategy of health intervention in primary care: the reality of Caicó-RN

2010 ◽  
Vol 4 (2) ◽  
pp. 923
Author(s):  
Roberta Kaliny De Souza Costa ◽  
Cristyanne Samara Miranda de Holanda ◽  
Dulcian Medeiros de Azevedo ◽  
Luana Fabrícia Gomes
Keyword(s):  
Home Visit ◽  
Professional Training ◽  
Family Health ◽  
Structured Interview ◽  
Human Beings ◽  
Microsoft Excel ◽  
Family Health Program ◽  
The Family ◽  
Family Health Strategy ◽  
Health Nursing

ABSTRACTObjective: to investigate the enforcement and implementation of home visits by the staff of the Family Health Strategy (FHS), in Caicó-RN city. Methodology: this is about an exploratory and descriptive study, from quantitative non-experimental approach, performed with 13 staff nurses who carry out and coordinate activities in teams in the urban area and the data will be obtained through a structured interview, divided into three parts (characterization of occupation, professional training and interview guide). The interviews will be conducted in compliance with the ethical principles of research with human beings. The data will be analyzed and discussed by Microsoft Excel software, using descriptive statistics (absolute and percentage) with figures and tables. Expected results: the intention is to instigate discussion and reflection on the practice of FHS health professionals in the home visit, indicating ways to overcome and improve the health services to the population. Descriptors: home visit; primary health care; the family health program; single health system; family health; community health nursing; health evaluation.RESUMOObjetivo: investigar a execução e implementação da visita domiciliária por parte das equipes da Estratégia Saúde da Família-ESF na cidade de Caicó-RN. Metodologia: trata-se de um estudo de natureza exploratória e descritiva, com abordagem quantitativa não experimental, que será realizado com os 13 gerentes das equipes das ESF da Caicó-RN, enfermeiros que realizam e coordenam as atividades de saúde da zona urbana e os dados serão obtidos por meio de entrevista estruturada, cujo formulário está dividido em três partes (caracterização do profissional, formação do profissional e roteiro de entrevista), respeitando os princípios éticos da pesquisa com seres humanos. Os dados serão analisados pelo Software Microsoft Excel e pela estatística descritiva (absoluta e percentual) com gráficos e tabelas. Resultados esperados: intenta-se instigar discussões e reflexões sobre a prática dos profissionais de saúde da ESF na visita domiciliária, indicando caminhos de superação e melhoria no atendimento dos serviços de saúde à população. Descritores: visita domiciliar; atenção primária à saúde; programa saúde da família; sistema único de saúde; saúde da família; enfermagem em saúde comunitária; avaliação em saúde.RESUMENObjetivo: Investigar la ejecución y aplicación de las visitas domiciliarias por el personal de la Estrategia de Salud de la Família-ESF, en la ciudad de Caicó-RN. Metodología: la investigación es un estudio exploratorio y descriptivo, con un enfoque cuantitativo no experimental, que se celebrará con el personal de la ESF de la ciudad de Caicó-RN. Los sujetos de la investigación son 13 enfermeras que realizan y coordinan las actividades de salud en los equipos de salud de la familia en el área urbana y los datos obtenidos a través de una entrevista estructurada, dividida en tres partes (la caracterización de la ocupación, la formación profesional y la guía de entrevista ). Las entrevistas se llevarán a cabo en cumplimiento de los principios éticos de la investigación con seres humanos. Los datos serán analizados con la ayuda del software Microsoft Excel, utilizando la estadística descriptiva (absoluta y porcentual), con gráficos y tablas. Resultados esperados: la intención es incitar la discusión y reflexión sobre la práctica de los profesionales de la salud de la ESF en la visita domiciliaria, indicando las maneras de superación y mejoría en el tratamiento de los servicios de salud a la población. Descriptores: visita domiciliaria; atención primaria de salud; programa de salud famíliar; sistema único de salud; salud de la família; enfermería em salud comunitária; evaluación em salud. 

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 Articulated Actions of the Family Health Strategy Teams and their Centres of Support in the State of Piauí, Brazil

10.3823/2275 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Izaias Almeida Belas ◽  
Jorge Henrique Alves da Rocha ◽  
Filipe Melo da Silva ◽  
João Victor Batista Lustosa ◽  
Wendell Soares Carneiro ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Care ◽  
Family Health ◽  
The State ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
The Matrix ◽  
Family Health Strategy ◽  
Care Support

Objective: From the perspective of professionals acting in the Family Health Strategy (FHS) in the state of Piauí, Brazil, the aim of this study was to asses the articulated actions of technical-pedagogical and clinical-care support offered by the Family Health Support Centres (FHSC) to the FHS’s professionals. Methodology: This is an analytical census retrospective study, with a cross sectional design developed in a quantitative approach with a descriptive and exploratory nature. The research data was collected through the Program of Improvement in Quality of Access in Primary Care (PIAQ-PC) in Brazil, on its second cycle in 2013, and were analysed by using descriptive statistics. Results: The actions of clinical-care support has been further developed by FHSC, all with frequency greater than 85%. In Piauí, the fields where FHSC has showed to be the nutritional care, rehabilitation and maternal and child care and also non-communicative diseases NCD that showed frequency higher than 85%. Conclusion: The FHSC initiative contributes significantly with their services to the FHS to achieve its goals. However, to make the work of these teams more effective there must be ownership of Primary Care Services by its user and appreciation of it by the managers. The developed actions are being supported and agreed on among the matrix support teams.  Keywords: Primary Health Care; Health  Promotion; Family Health.

The nurse in the management of health education of the family health strategy

2010 ◽  
Vol 4 (2) ◽  
pp. 596
Author(s):  
Geilsa Soraia Cavalcanti Valente ◽  
Virginia Correia Almeida ◽  
Fernanda Da Silva Chagas ◽  
Rosane Abreu Tórnio ◽  
Maíra Muniz Assis ◽  
...  
Keyword(s):  
Health Education ◽  
Rio De Janeiro ◽  
Family Health ◽  
Family Health Program ◽  
Calidad De Vida ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACTObjectives: to describe the role of nurses in the Family Health Strategy (FHE) and identify the facilities and difficulties in developing work-oriented health education. Methodology: this is about an exploratory study, from qualitative approach, performed with eight nurses working of the FHE in Cachoeiras de Macacu city, Rio de Janeiro, Brazil. Research meets the recommended by Resolution 196/96 and was approved by the Ethics Committee of the School of Nursing Anna Nery/UFRJ with protocol number 52/2008. To collect data, we used the structured interview, consisting of closed questions, being employed thematic content analysis to analyze the data. Result: the role of nurses in the PSF is the manager and educator, working for change in behavior of the community, to improve their quality of life. Conclusion: we emphasize the role of manager and educator that is exercised by the nurse. Despite encountering some difficulties in implementing actions to improve the quality of living, nurses use various resources according to their creativity, in view of autonomy that is inherent in the FHE. Descriptors: health education; community health nursing; family health program; management; nursing care; strategies; professional autonomy.RESUMOObjetivos: descrever o papel dos enfermeiros da Estratégia Saúde da Família e identificar as facilidades e dificuldades encontradas ao desenvolverem trabalhos voltados para educação em saúde. Metodologia: estudo exploratório, de abordagem qualitativa, tendo como sujeitos oito enfermeiros que atuam na ESF do Município de Cachoeiras de Macacu. A pesquisa atende ao preconizado pela Res. 196/96 e foi aprovada pelo Comitê de Ética da Escola de Enfermagem Anna Nery/UFRJ registrado sob número de protocolo 52/2008.  Para a coleta de dados, foi utilizada a entrevista estruturada, composta por questões fechadas, sendo empregada a análise temática de conteúdos para análise dos dados. Resultado: o papel do enfermeiro no PSF é o de gerente e educador, trabalhando para a mudança de comportamento da comunidade, no sentido de melhorar sua qualidade de vida. Conclusão: destacou-se o papel de gerente e educador que é exercido pelo enfermeiro. Apesar de deparar-se com algumas dificuldades na implementação das ações para melhorar a qualidade de vida da população, os enfermeiros utilizam diversos recursos de acordo com sua criatividade, tendo em vista a autonomia que é inerente no PSF. Descritores: educação em saúde; enfermagem em saúde comunitária; programa saúde da família; gerência; cuidados de enfermagem; estratégias; autonomia profissional.RESÚMEN              Objetivos: describir el papel de las enfermeras en la Estrategia de Salud de la Familia/ESF e identificar las facilidades y dificultades en el desarrollo de trabajo de educación sanitaria. Metodología: un estudio exploratorio, cualitativo, teniendo como participantes ocho enfermeras que trabajan en la ESF de La ciudad de Cachoeiras de Macacu en Rio de Janeiro, Brasil. La investigación corresponde a las recomendaciones de la Res. 196/96 y fue aprobado por el Comité de Ética de la Escuela de Enfermería Anna Nery/UFRJ con número de protocolo 52/2008. Para recopilar los datos, se utilizó la entrevista estructurada, con preguntas cerradas, se emplean análisis de contenido temático para analizar los datos. Resultado: el papel de las enfermeras en el ESF es el director y educador, trabajar por el cambio en el comportamiento de la comunidad, para mejorar su calidad de vida. Conclusión: fue destacado el papel de gestor y educador que es ejercido por la enfermera. A pesar de encontrarse con algunas dificultades en la aplicación de medidas para mejorar la calidad de vida, las enfermeras utilizan diversos recursos de acuerdo a su creatividad, a la vista de la autonomía que es inherente en el PSF. Descriptores: educación en salud; enfermería en salud comunitaria; programa de salud familiar; gerencia; atención de enfermería; estrategias; autonomía profesional.  

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