scholarly journals Speech, Language and Hearing services in Primary Health Care in Brazil: an analysis of provision and an estimate of shortage, 2005-2015

Revista CEFAC ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 353-362 ◽  
Author(s):  
Larissa Hellen Teixeira Viégas ◽  
Tatiane Costa Meira ◽  
Brenda Sousa Santos ◽  
Yukari Figueroa Mise ◽  
Vladimir Andrei Rodrigues Arce ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ecological Study ◽  
Descriptive Analysis ◽  
National Registry ◽  
Health Care Information ◽  
System A ◽  
Primary Health ◽  
Care Information ◽  
Using Data

ABSTRACT Objective: to investigate the evolution and estimate the shortage of Speech, Language and Hearing professionals in Primary Health Care between 2005 and 2015. Methods: a mixed ecological study using data from the National Registry of Health Facilities and the Primary Health Care Information System. A descriptive analysis regarding the evolution of the number of professionals working in Primary Health Care over this period, in Brazilian states and regions, was conducted. The ratio of professionals per 100,000 inhabitants for the years 2005, 2010 and 2015, and the shortages in 2015, were estimated. Results: in 2005, there were 1,717 professionals working in Primary Health Care, that is, one per 100,000 inhabitants. In 2015, there were 4,124, increasing to 2.1/100,000. In 2015, the shortage in supply was 55.1%, varying widely across the states. Conclusion: the shortage in supply is equivalent to an absence of Speech, Language and Hearing service coverage within Primary Health Care for more than half of the Brazilian population. It is worth noting that a conservative parameter was adopted to conduct this estimate. The results suggest a process of consolidation for the inclusion of Speech, Language and Hearing professionals within Primary Health Care, however, still characterized by insufficient and unequal supply across the nation.

scholarly journals The impact of data inputting in the primary health care information systems related to the individuals and community care / Impacto das ações de alimentação dos sistemas de informação da atenção primária sobre a atenção aos indivíduos e comunidade

2019 ◽  
Vol 11 (4) ◽  
pp. 862
Author(s):  
Flávia Emília Cavalcante Valença Fernandes ◽  
Mayra Cavalcante do Nascimento ◽  
Palloma Lopes de Arruda ◽  
Rosana Alves de Melo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Information Systems ◽  
Community Care ◽  
Health Care Information ◽  
Primary Health ◽  
Health Care Information Systems ◽  
Care Information ◽  
The Impact

Objetivo: Avaliar a influência das ações de alimentação dos Sistemas de Informação utilizados na Atenção Primária a Saúde (APS) sobre os cuidados de enfermagem ao indivíduo ou comunidade. Método: Pesquisa quantitativa, com enfermeiros da Atenção Primária. Utilizaram-se os testes ANOVA one-way, Kruskal-Wallis e correlação de Spearman com significância de 5% e confiança de 95%. Resultados: A maioria dos enfermeiros era mulher (94,5%), 34,4 anos de idade, 8,8 anos de formação, sendo 7,6 anos atuando na atenção primária, especialista e concursada. Observou-se associação negativa (p-valor = 0,008) entre tempo destinado às atividades de alimentação dos sistemas e o tempo de atenção aos pacientes. Conclusão: O estudo aponta a influência das ações gerenciais voltadas aos sistemas de informação sobre a atenção prestada aos indivíduos/comunidade. 

scholarly journals Association Between Student’s Profile and Academic Achievement in an e-learning Primary Health Care Specialization Course

EAD em FOCO ◽  
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Fernando Freitas Portella ◽  
Rodrigo Alves Tubelo ◽  
Maria Eugênia Bresolin Pinto ◽  
Alessandra Dahmer ◽  
Márcia Rosa da Costa ◽  
...  
Keyword(s):  
Health Care ◽  
Academic Achievement ◽  
Primary Health Care ◽  
Descriptive Analysis ◽  
Family Health ◽  
Professional Activity ◽  
Final Grade ◽  
Logistic Regression Models ◽  
Primary Health ◽  
Using Data

 The aim of the present study was to analyze the relationship between the student’s profile and academic achievement, using data of the Family Health Specialization course at the UNA-SUS/UFCSPA (FHS). A total of 4,438 students enrolled in the course until 2018, and all that completed the activities (n = 4219) were considered in the analysis. The characterization of academic performance, the student’ status at the end of the course were considered, and the students were classified as: approved, reproved, evaded or unsubscribed; also the student's final grade was considered to characterize their academic achievement. A descriptive analysis and logistic regression models were constructed to verify an association between the student profiles and academic achievements. Most students were female (63.7%), Brazilian (63.9%), unmarried (66.9%), part of the Mais Médicos Program (54.5%),  have less than one year formed (32.0%), had never performed distance education activities (72.5%), had internet access at home (94.9%) and at work (64.5%), and used the computer at least six days a week (53.4%). Among the students, 2,643 (52.6%) approved and 1,576 (47,4%) reproved or did not finish the cours. Gender, course entry form, undergraduate course, age at the beginning of the course and region of professional activity were associated with the achievement in the course and grade in complex cases essay. Keywords: Academic achievement. Distance learning. e-larning. Primary health care.

Some results of the implementation of the priority project «creating a new model of a medical organization that provides primary health care»: problems and prospects

2020 ◽  
pp. 35-43
Author(s):  
Alexey Smyshlyaev ◽  
Maria Sadovskaya
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Quality Management System ◽  
Primary Health Care System ◽  
Medical Organization ◽  
New Model ◽  
System A ◽  
Primary Health ◽  
The Creation ◽  
Care Problems

Optimization of the activities of medical organizations providing primary health care requires the development of new organizational and functional models. The introduction of new approaches to organizing the activities of medical organizations is primarily a step towards patients. The new model is a patient-oriented medical organization, the management of which is based on the use of a process-oriented approach and «lean» technologies. Since 2019, within the framework of the federal project «Development of a primary health care system,» a project has been launched to introduce the «New Model of a Medical Organization Providing Primary Health Care». The implementation of the project is scheduled for 2019-2024 inclusive. The creation and replication of the «new model» is planned for the participation of all subjects of the Russian Federation. The introduction of lean technology methods in the work of medical organizations has reduced the waiting time for doctors, optimized the burden on doctors, reduced the time for obtaining research results, streamlining the process of moving a patient within a medical organization. The creation of an effective quality management system in medical organizations is achieved through the phased implementation of lean-technology.

Variation in primary health care services after implementation of quality improvement policy in Brazil

2019 ◽  
Author(s):  
Anya P G F Vieira-Meyer ◽  
Maria de Fatima A S Machado ◽  
Fabiane A Gubert ◽  
Ana Patricia P Morais ◽  
Yana Paula Sampaio ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Health Care Services ◽  
City Size ◽  
Work Process ◽  
Process Improvements ◽  
Primary Health ◽  
Using Data ◽  
Additional Support

Abstract Background Brazil is the most populous country with a public, universal and free health care system. The National Program for Access and Quality Improvement in Primary Care (PMAQ) was created to improve the quality of primary health care (PHC). Objective To evaluated whether progress generally has been made within Brazil’s PHC since PMAQ implementation, and if changes occurred uniformly in the country, while also identifying municipal characteristics that may have influenced the improvement. Methods This is an observational study using data from PMAQ external evaluation (2012 and 2014), a 1200-item survey used to evaluate Brazilian PHC quality. After confirming the groupings of items using factor analysis, we created 23 composed indexes (CIs) related to infrastructure and work process. Results On average, the large majority of CIs showed improvements between 2012 and 2014. Region and city size moderated changes in the PHC indices differently. Overall, there were better improvements in infrastructure in the Northeast compared with other country regions, and in smaller cities (10 000–20 000 people). Infrastructure indices appear to have improved equitably across the country. Work process improvements varied with city size and region. Conclusion Despite similar support of PMAQ across the country, improvements are not predictable nor homogeneous. Non-uniform improvements were seen in Brazil’s PHC. Though we do not directly evaluate the effectiveness of the PMAQ (financial reward) method, these initial findings suggest that it is a potentially useful tool to improve health systems, but additional support may be needed in regions that lag behind in quality improvements.

Comparing ICD-9-CM and ICD-10 Classification Systems in a Primary Health Care Setting: Some Initial Observations

1995 ◽  
Vol 25 (3) ◽  
pp. 83-86 ◽  
Author(s):  
Sue Walker ◽  
Maryann Wood ◽  
Jeffrey Wilks ◽  
Jennifer Nicol
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Setting ◽  
Classification Systems ◽  
Empirical Testing ◽  
Primary Health Care Setting ◽  
Health Clinics ◽  
Primary Health ◽  
Icd 10 ◽  
Using Data

The ICD-10 is due to be introduced into Australia during the late 1990s, superseding the current and widely used ICD-9-CM. Improvements in areas such as number of codes, an expanded external cause framework, and more context to injuries are expected to make the ICD-10 a more streamlined system for practitioners. The present study examined both classification formats using data from 1183 presentations to primary health clinics at island tourist resorts. Some initial observations are made about differences in the two systems, highlighting the greater coding detail provided by the ICD-10, particularly in the area of injuries. It is recommended that further empirical testing be undertaken using the ICD-10 in a variety of settings so as to identify benefits in the coding of both medical conditions and injuries.

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