scholarly journals Matrix support in mental health in Primary Health Care: Barriers and facilitating factors

2017 ◽  
Vol 34 (4) ◽  
pp. 499-511 ◽  
Author(s):  
Alice HIRDES ◽  
Maira Kelly Rosa da SILVA
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Rio Grande ◽  
Rio Grande Do Sul ◽  
Porto Alegre ◽  
Health Care Barriers ◽  
Facilitating Factors ◽  
Primary Health

Abstract O artigo discute as barreiras e os fatores facilitadores à descentralização em saúde mental por meio do apoio matricial. Trata-se de uma pesquisa qualitativa, realizada com apoiadores matriciais ‒ psicólogos e psiquiatras da região metropolitana de Porto Alegre, Rio Grande do Sul, Brasil. Os resultados evidenciam como obstáculos ao apoio matricial a não validação plena da gestão; a sobreposição das questões políticas em detrimento das técnicas; a incongruência entre os valores institucionais e os profissionais; as diferentes configurações da rede em Unidades de Saúde tradicionais e Unidades de Saúde da Família, que demandam arranjos organizacionais diferentes. Dentre os fatores facilitadores, evidenciam-se as relações personalizadas entre os apoiadores e os profissionais de referência, a disponibilidade, o comprometimento, a comunicação fluida, a corresponsabilização e a sistematicidade dos encontros. Conclui-se que, apesar dos diferentes obstáculos, a manutenção do apoio matricial decorre essencialmente da motivação dos apoiadores à descentralização em saúde mental.

scholarly journals Cohort study of ageing from Bagé (SIGa-Bagé), Brazil: profile and methodology

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elaine Thumé ◽  
Marciane Kessler ◽  
Karla P. Machado ◽  
Bruno P. Nunes ◽  
Pamela M. Volz ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Rio Grande ◽  
Cognitive Testing ◽  
Rio Grande Do Sul ◽  
Primary Health ◽  
The Impact

Abstract Background The Bagé Cohort Study of Ageing is a population-based cohort study that has recently completed the first follow-up of a representative sample of older adults from Bagé, a city with more than 100,000 inhabitants located in the state of Rio Grande do Sul, Brazil. This is one of the first longitudinal studies to assess the impact of primary health care coverage on health conditions and inequalities. Our aim is to investigate the prevalence, incidence and trends of risk factors, health behaviours, social relationships, non-communicable diseases, geriatric diseases and disorders, hospitalisation, self-perceived health, and all-cause and specific-cause mortality. In addition, we aim to evaluate socioeconomic and health inequalities and the impact of primary health care on the outcomes under study. Methods/design The study covers participants aged 60 or over, selected by probabilistic (representative) sampling of the urban area of the city of Bagé, which is covered by Primary Health Care Services. The baseline examination included 1593 older adults and was conducted from July 2008 to November 2008. After eight to nine years (2016/2017), the first follow-up was conducted from September 2016 to August 2017. All participants underwent an extensive core assessment programme including structured interviews, questionnaires, cognitive testing (baseline and follow-up), physical examinations and anthropometric measurements (follow-up). Results Of the original participants, 1395 (87.6%) were located for follow-up: 757 elderly individuals (47.5%) were re-interviewed, but losses in data transfer occurred for 22. The remaining 638 (40.1%) had died. In addition, we had 81 (5.1%) refusals and 117 (7.3%) losses. Among the 1373 older adults who were followed down, there was a higher proportion of female interviewees (p=0.042) and a higher proportion of male deaths (p=0.001) in 2016/2017. There were no differences in losses and refusals according to gender (p=0.102). There was a difference in average age between the interviewees (68.8 years; SD ±6.5) and non-interviewees (73.2 years; SD ±9.0) (p<0.001). Data are available at the Department of Social Medicine in Federal University of Pelotas, Rio Grande do Sul, Brazil, for any collaboration.

scholarly journals PANDEMIA DE COVID-19 E PROMOÇÃO DA SAÚDE DO IDOSO NA PERSPECTIVA DE TRABALHADORES DA SAÚDE

2021 ◽  
Vol 25 (1) ◽  
pp. 199
Author(s):  
Xavéle Braatz Petermann ◽  
Sheila Kocourek
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Emotional Health ◽  
Rio Grande ◽  
The Elderly ◽  
Support Network ◽  
Rio Grande Do Sul ◽  
Primary Health ◽  
The Impact

Este estudo teve como objetivo analisar a influência da pandemia de COVID-19 na promoção da saúde do idoso na perspectiva de trabalhadores da saúde da atenção primária. Trata de um estudo de caso, transversal e qualitativo desenvolvido em um município de pequeno porte do interior do Estado do Rio Grande do Sul. Participaram sete trabalhadores, sendo a amostra intencional, por conveniência e saturação. Os dados foram coletados mediante grupo focal e entrevistais individuais e analisados por meio da análise temática. As categorias que denotaram a influência da pandemia de COVID-19 na promoção da saúde do idoso compreenderam o distanciamento da rede de suporte social e a rede de apoio familiar. Os resultados encontrados retrataram o impacto da pandemia na vida dos idosos, em especial na saúde mental e emocional, sendo necessárias diretrizes de continuidade das ações de promoção da saúde.PANDEMIC OF COVID-19 AND HEALTH PROMOTION OF THE ELDERLY FROM THE HEALTH WORKERS PERSPECTIVEAbstractThis study aimed to analyze the influence of the COVID-19 pandemic on the promotion of elderly health from the perspective of primary health care workers. This is a case study, cross-sectional and qualitative developed in a small city in the interior of the state of Rio Grande do Sul. Seven workers participated, the sample being intentional, for convenience and saturation. Data were collected through a focus group and individual interviews and analyzed through thematic analysis. The categories that denoted the influence of the COVID-19 pandemic in promoting the health of the elderly included the distance from the social support network and the family support network. The results found portrayed the impact of the pandemic on the lives of the elderly, especially on mental and emotional health, requiring guidelines for the continuity of health promotion actions.Keywords: Health Promotion. Elderly. COVID-19. Health worker. Primary Health Care.

scholarly journals PERFIL DOS PROFISSIONAIS DA ATENÇÃO PRIMÁRIA À SAÚDE, VINCULADOS AO CURSO DE ESPECIALIZAÇÃO EM SAÚDE DA FAMÍLIA UNA-SUS NO RIO GRANDE DO SUL

2020 ◽  
Vol 1 ◽  
pp. 04
Author(s):  
Giovani Sturmer ◽  
Maria Eugênia Bresolin Pinto ◽  
Monica Maria Celestina de Oliveira ◽  
Alessandra Dahmer ◽  
Airton Tetelbom Stein ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Rio Grande ◽  
Cross Sectional Study ◽  
Physical Structure ◽  
Health Unit ◽  
Rio Grande Do Sul ◽  
Cross Sectional ◽  
Primary Health

No Brasil, a Atenção Primária em Saúde (APS) é porta de entrada no serviço de saúde do Sistema Único de Saúde (SUS). A rede é constituída por unidades de saúde onde profissionais preparados para atuar na prevenção e manutenção da saúde da comunidade buscam atender às necessidades locais de forma equitativa, eficaz e precisa. O objetivo deste estudo é descrever o perfil dos profissionais da APS, vinculados a Especialização em Saúde da Família – UNA-SUS UFCSPA. Foi realizado um estudo transversal com profissionais da saúde não participantes do Programa Mais Médicos, que atuam na APS no Rio Grande do Sul vinculados ao curso, entre 2011 e 2013, para observar as características dos profissionais e o seu vínculo com o trabalho. Entre os 277 avaliados, a maioria são mulheres, enfermeiras, com média de 35 anos, formadas a menos de 10 anos, 88% trabalham em ESF, e 73,1% participam de equipes de saúde bucal. A pós-graduação concluída direcionada para APS foi observada em 30% dos profissionais; e 56,3% estavam no primeiro trabalho em APS, com media de 4,5 anos de atuação; 40,4% tinham outra atividade remunerada (77% médicos). Observou-se que 59% estavam satisfeitos com o tipo de vínculo, e entre a maioria foi observada a satisfação com as condições gerais de trabalho (58,1%), com a estrutura física e com os equipamentos das unidades (58,3%). Observaram-se profissionais com menor idade e pouca especialidade na área, entretanto, todos eles buscando aprimoramento através da Especialização para melhorar sua atuação na APS.Palavras-chave: Atenção Primária à Saúde. Saúde da Família. Profissionais da Saúde.ABSTRACTIn Brazil Primary Health Care (PHC) is the gateway to health service of the Unified Health System. The network consists of health unit where professionals seek to meet local needs fairly and effectively, and it must rely on trained professionals to work in community health prevention and maintenance. The aim of this study is to describe the profile of PHC professionals who are linked to UNA-SUS–UFCSPA’s Specialization Program in Family Health. A cross-sectional study with health professionals who work in PHC in Rio Grande do Sul and were linked to the program between 2011 and 2013 was conducted to observe the characteristics of professionals and their relationship with work. Among the participants (277), the majority are women, nurses with an average of 35 years, professionals for less than 10 years, 88% work in FHS, and 73.1% with oral health team. The completed a graduate degree focused on PHC was observed in 30% of the professionals; 56.3% were working their first job in PHC, with a median of 4.5 years of operation; and 40.4% engaged in another paid activity (77% physicians). It was observed that 59% were satisfied with their type of employment, and most participants showed to be satisfied with their general working conditions (58.1%) and the physical structure and equipment of the health unit (58.3%). Younger professionals and with little expertise in the area were observed, however all of them were seeking development through Specialization to improve their performance in PHC.Keywords: Primary Health Care. Family Health. Health Personnel.

scholarly journals DESAFIOS DA GESTÃO DO CUIDADO NA ATENÇÃO BÁSICA: PERSPECTIVA DA EQUIPE DE ENFERMAGEM

2018 ◽  
Vol 9 (3) ◽  
Author(s):  
Rafael Soder ◽  
Isabel Cristine Oliveira ◽  
Luiz Anildo Anacleto Da Silva ◽  
José Luís Guedes Santos ◽  
Caroline Cechinel Peiter ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Management ◽  
Care Management ◽  
Health Management ◽  
Family Health ◽  
Rio Grande ◽  
Rio Grande Do Sul ◽  
Management Actions ◽  
Primary Health

Objetivo: Analisar os desafios da gestão do cuidado na atenção básica a partir da perspectiva da equipe de enfermagem. Método: Estudo descritivo-exploratório de abordagem qualitativa. Os dados foram coletados por meio de entrevistas com 20 profissionais de enfermagem da Estratégia Saúde da Família de municípios do interior do Rio Grande do Sul e analisados mediante técnica de análise de conteúdo. Resultados: Apresentam-se três categorias: Morosidade da gestão pública; Sobrecarga de trabalho; e, Fragmentação e descontinuidade da assistência. Conclusão: Os desafios apresentados podem ser propulsores de mudanças, por meio de ações de gestão planejada desenvolvidas coletivamente, conforme a realidade de cada cenário.Descritores: Organização e Administração; Gestão em Saúde; Atenção Primária à Saúde; Enfermagem de Atenção Primária; Estratégia Saúde da Família.CHALLENGES FOR THE CARE MANAGEMENT IN PRIMARY HEALT H CARE: PERSPECTIVE OF THE NURSING TEAMObjective: To analyze the challenges for the care management in primary health care from the perspective of the nursing team.Method: Descriptive-exploratory study of a qualitative approach. Data were collected through interviews with 20 nursing professionals from the Family Health Strategy of municipalities in the interior of Rio Grande do Sul and analyzed using a content analysis technique.Results: Three categories are presented: Morosity of public management; Work overload; and, Fragmentation and discontinuance of assistance. Conclusion: The challenges presented can be drivers of change, through planned management actions developed collectively, according to the reality of each scenario.Descriptors: Organization and Administration; Health Management; Primary Health Care; Primary Care Nursing; Family Health Strategy.DESAFÍOS DE LA GESTI ÓN DEL CUIDADO EN LA ATEN CIÓN BÁSICA: PERSPECTIVA DEL EQUIPO DE ENFERMERÍAObjetivo: Analizar los desafíos de la gestión del cuidado en la atención básica desde la perspectiva del equipo de enfermería. Metodologia: Estudio descriptivo-exploratorio de abordaje cualitativo. Los datos fueron recolectados por medio de entrevistas con 20 profesionales de enfermería de la Estrategia Salud de la Familia de municipios del interior de Rio Grande do Sul y analizados mediante técnica de análisis de contenido.Resultados: Se presentan tres categorías: Morosidad de la gestión pública; Sobrecarga de trabajo; y, Fragmentación y discontinuidad de la asistencia.Conclusión: Los desafíos presentados pueden ser propulsores de cambios, a través de acciones de gestión planificada desarrolladas colectivamente, conforme a la realidad de cada escenario.Descriptores: Organización y Administración; Gestión en Salud; Atención Primaria de Salud; Enfermería de Atención Primaria; Estrategia de Salud Familiar.

scholarly journals Moral sensitivity in Primary Health Care nurses

2017 ◽  
Vol 70 (2) ◽  
pp. 308-316 ◽  
Author(s):  
Carlise Rigon Dalla Nora ◽  
Elma Lourdes Campos Pavone Zoboli ◽  
Margarida M Vieira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rio Grande ◽  
Descriptive Study ◽  
Rio Grande Do Sul ◽  
Moral Sensitivity ◽  
Primary Health ◽  
Interpersonal Orientation ◽  
Primary Health Care Nurses ◽  
Descriptive Statistical Analysis

ABSTRACT Objective: to characterize the profile and describe the moral sensitivity of primary health care nurses. Method: this is a quantitative, transversal, exploratory, descriptive study. The data were collected through the Moral Sensitivity Questionnaire translated and adapted to Brazil. 100 primary health care nurses participated, from Rio Grande do Sul, Brazil. The data collection took place during the months of March and July 2016, in an online form. The analysis of the data occurred through descriptive statistical analysis. Results: the nurses had an average moral sensitivity of 4.5 (out of 7). The dimensions with the greatest moral sensitivity were: interpersonal orientation, professional knowledge, moral conflict and moral meaning. Conclusion: the nurses of Rio Grande do Sul have a moderate moral sensitivity, which may contribute to a lower quality in Primary Health Care.

scholarly journals Brazilian multicentre study of common mental disorders in primary care: rates and related social and demographic factors

2014 ◽  
Vol 30 (3) ◽  
pp. 623-632 ◽  
Author(s):  
Daniel Almeida Gonçalves ◽  
Jair de Jesus Mari ◽  
Peter Bower ◽  
Linda Gask ◽  
Christopher Dowrick ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Rio De Janeiro ◽  
Common Mental Disorders ◽  
Anxiety And Depression ◽  
Porto Alegre ◽  
Primary Health

Mental health problems are common in primary health care, particularly anxiety and depression. This study aims to estimate the prevalence of common mental disorders and their associations with socio-demographic characteristics in primary care in Brazil (Family Health Strategy). It involved a multicenter cross-sectional study with patients from Rio de Janeiro, São Paulo, Fortaleza (Ceará State) and Porto Alegre (Rio Grande do Sul State), assessed using the General Health Questionnaire (GHQ-12) and the Hospital Anxiety and Depression Scale (HAD). The rate of mental disorders in patients from Rio de Janeiro, São Paulo, Fortaleza and Porto Alegre were found to be, respectively, 51.9%, 53.3%, 64.3% and 57.7% with significant differences between Porto Alegre and Fortaleza compared to Rio de Janeiro after adjusting for confounders. Prevalence proportions of mental problems were especially common for females, the unemployed, those with less education and those with lower incomes. In the context of the Brazilian government's moves towards developing primary health care and reorganizing mental health policies it is relevant to consider common mental disorders as a priority alongside other chronic health conditions.

Disaster Management in Rural and Remote Primary Health Care: A Scoping Review

2021 ◽  
Vol 36 (3) ◽  
pp. 362-369
Author(s):  
Katie A. Willson ◽  
Gerard J. FitzGerald ◽  
David Lim
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Disaster Management ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Disaster Preparedness ◽  
Rural And Remote ◽  
Primary Health

AbstractObjective:This scoping review aims to map the roles of rural and remote primary health care professionals (PHCPs) during disasters.Introduction:Disasters can have catastrophic impacts on society and are broadly classified into natural events, man-made incidents, or a mixture of both. The PHCPs working in rural and remote communities face additional challenges when dealing with disasters and have significant roles during the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management.Methods:A Johanna Briggs Institute (JBI) scoping review methodology was utilized, and the search was conducted over seven electronic databases according to a priori protocol.Results:Forty-one papers were included and sixty-one roles were identified across the four stages of disaster management. The majority of disasters described within the literature were natural events and pandemics. Before a disaster occurs, PHCPs can build individual resilience through education. As recognized and respected leaders within their community, PHCPs are invaluable in assisting with disaster preparedness through being involved in organizations’ planning policies and contributing to natural disaster and pandemic surveillance. Key roles during the response stage include accommodating patient surge, triage, maintaining the health of the remaining population, instituting infection control, and ensuring a team-based approach to mental health care during the disaster. In the aftermath and recovery stage, rural and remote PHCPs provide long-term follow up, assisting patients in accessing post-disaster support including delivery of mental health care.Conclusion:Rural and remote PHCPs play significant roles within their community throughout the continuum of disaster management. As a consequence of their flexible scope of practice, PHCPs are well-placed to be involved during all stages of disaster, from building of community resilience and contributing to early alert of pandemics, to participating in the direct response when a disaster occurs and leading the way to recovery.

scholarly journals Perceptions of Ghanaian traditional health practitioners, primary health care workers, service users and caregivers regarding collaboration for mental health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Solomon Nyame ◽  
Edward Adiibokah ◽  
Yasmin Mohammed ◽  
Victor C. Doku ◽  
Caleb Othieno ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Primary Health Care ◽  
Service Users ◽  
Traditional Health ◽  
Healthcare Needs ◽  
Primary Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners

Abstract Background In low- and middle-income countries, the paucity of conventional health services means that many people with mental health problems rely on traditional health practitioners (THPs). This paper examines the possibility of forging partnerships at the Primary Health Care (PHC) level in two geopolitical regions of Ghana, to maximize the benefits to both health systems. Methods The study was a qualitative cross-sectional survey. Eight (8) focus group discussions (FGDs) were conducted between February and April 2014. The views of THPs, PHC providers, service users (i.e. patients) and their caregivers, on the perceived benefits, barriers and facilitators of forging partnerships were examined. A thematic framework approach was employed for analysis. Results The study revealed that underlying the widespread approval of forging partnerships, there were mutual undertones of suspicion. While PHC providers were mainly concerned that THPs may incur harms to service users (e.g., through delays in care pathways and human rights abuses), service users and their caregivers highlighted the failure of conventional medical care to meet their healthcare needs. There are practical challenges to these collaborations, including the lack of options to adequately deal with human rights issues such as some patients being chained and exposed to the vagaries of the weather at THPs. There is also the issue of the frequent shortage of psychotropic medication at PHCs. Conclusion Addressing these barriers could enhance partnerships. There is also a need to educate all providers, which should include sessions clarifying the potential value of such partnerships.

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