scholarly journals Matrix support work: difficulties in the scope of basic healthcare

2014 ◽  
Vol 35 (1) ◽  
pp. 140-147
Author(s):  
Amanda de Araújo ROMERA ◽  
Anne Jaquelyne Roque BARRÊTO ◽  
Lenilde Duarte de SÁ ◽  
Sandra Aparecida de ALMEIDA ◽  
Jordana de Almeida NOGUEIRA ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Primary Health Care ◽  
Data Collection ◽  
Family Health ◽  
Health Team ◽  
Basic Health ◽  
Primary Health ◽  
Support Work

Qualitative research under the analysis of contents, thematic modality, aimed to identify the difficulties lived by the matricial supporter in its practice in the Primary Health Care. The scenery of the study were six units of family health located in one of the five Sanitary Districts of João Pessoa-PB. The data collection was performed from August to September 2010, through semi directed interviews, in which ten professionals who worked as matricial supporters participated. According to the speeches the difficulties faced relate to the ignorance of some professionals of the health team toward the function of the matricial supporter in the Basic Health Attention; lack of autonomy and administrative overload. In this sense, it is suggested that a process of reflection about the work of the matricial supporter with the health team aiming to acknowledge which contribution of this professional in the reorganization of the work of the team of basic attention.

scholarly journals Professional education in curricular internships of occupational therapists in Primary Health Care

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A P N Fornereto ◽  
P G Furlan ◽  
S H Ferigato ◽  
A S Moura ◽  
C B Faria ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Occupational Therapy ◽  
Health System ◽  
Family Health ◽  
Occupational Therapists ◽  
Level Of Care ◽  
Health Unit ◽  
Basic Health ◽  
Primary Health

Abstract This study regards the experience of implementing a professional internship intended to students of Occupational Therapy in Primary Health Care in a Federal University located in São Paulo State, Brazil. Occupational therapist profession in Brazil was inserted in this level of care to offer specialised support to teams, mainly concerning qualification of care to vulnerable and invisible populations (community, family and cultural aspects), health promotion, encouragement of team work, humanisation in health. Such curricular internship occurs since 2017 to students of the 4th and 5th years of undergraduate course, completing 240 hours. How is the practice programme in Primary Health Care organised in the pedagogic project? Which are the strengths and fragilities of this field, as far as education is concerned? Among the practice scenarios, there are Basic Health Unit, Family Health Strategy teams, Family Health Support Centre, Street Clinic and University Basic Health Unit, with tutors who establish the collaboration. The interns follow individual and group cases, take part in team meetings and actions for team qualification and are also supervised weekly by a professor. Among their strengths, we can list a diversified education, based on the most recent public policies for the level of care that represents the stepping stone to the health system. As well as the access to the occupational therapy professional in this first contact, if the team identifies such necessity. Regarding challenges, there is unawareness about professional practice, difficulty to access work instruments and resources, as well as physical space. We hope this experience can help other educational institutions to implement their practice programmes in and for the health system. Egresses report that enables learning to work in a team in different scenarios. Such strategy aims to form a generalist professional, with criticality regarding challenges and potentialities of Brazilian public health. Key messages This study reports the experience of a professional internship of Occupational Therapy in Primary Health Care, understanding the health system as a scenario for practice, teaching and learning. Educating occupational therapists to this level of care is necessary, in agreement with the attributes of Primary Care.

scholarly journals EDUCAÇÃO PERMANENTE, INTERPROFISSIONALIDADE E PRÁTICAS COLABORATIVAS NA ATENÇÃO À SAÚDE

2021 ◽  
Vol 20 (2) ◽  
pp. 71-81
Author(s):  
Suelem Dias ◽  
Bruna Dourado ◽  
Clarissa Freire ◽  
Lara Ximenes ◽  
Lielma Da Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Center ◽  
Interprofessional Education ◽  
Family Health ◽  
Health Practice ◽  
Health Team ◽  
Health Care Networks ◽  
Primary Health ◽  
The Family

RESUMO O trabalho interprofissional e a prática colaborativa em saúde são estratégias para melhorar o funcionamento e organização do sistema de saúde na Atenção Primária à Saúde. Este trabalho tem como objetivo relatar a experiência das vivências de um grupo do PET-Saúde/Interprofissionalidade em um Centro de Saúde da Família, diante das ações interprofissionais. A princípio houve um momento de observação do serviço, a fim de conhecer sua dinâmica. Posteriormente, em momentos de conversas e  Educação Permanente com a equipe de saúde e, foram discutidos os conceitos de inter, multi e uniprofissionalidade, destacando os pontos positivos e negativos, além de sugerir os possíveis locais onde a interprofissionalidade poderia se inserir. Deste modo, construímos e pactuamos junto com a equipe de saúde um quadro de serviços interprofissionais a serem desenvolvidos no Centro de Saúde da Família. Todavia, há uma necessidade de maior adesão de gestores, profissionais e população para apoiar as estratégias da Educação Interprofissional, ferramenta potente para a transformação das redes de Atenção Primária à Saúde. Palavras-chave: Interprofissionalidade. Educação Interprofissional. Prática Colaborativa. Educação Permanente. ABSTRACT Interprofessional work and collaborative health practice are strategies to improve the operation and organization of the health system in Primary Health Care (PHC). This work aims to relate the experience of a group from PET-Saúde / Interprofissionalidade at the Family Health Center, in face of interprofessional actions. First, there was a moment of observation of the service, to learn about its operation. Subsequently, in moments of conversations and Permanent Educacion with the health team, the concepts of inter, multi and uniprofessionality were discussed, highlighting the positive and negative points, in addition to suggesting the possible places where interprofessionality could be used. This way, we built and agreed with the health team a framework of interprofessional services to be developed at the Family Health Center. However, there is a need for greater accession by managers, professionals and the population to support as strategies of Interprofessional Education, a potent tool for the transformation of Primary Health Care networks. Keywords: Interprofessionality. Interprofessional Education. Collaborative Practice. Permanent Education.

scholarly journals A qualitative study on the implementation of Family Health Team: the perspectives of providers and patients

2020 ◽  
Author(s):  
Ainul Nadziha Mohd Hanafiah ◽  
Mohammad Zabri Johari ◽  
Syafinas Azam
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Family Doctor ◽  
Family Health ◽  
Care Providers ◽  
Health Team ◽  
Primary Health ◽  
The Family ◽  
Family Health Team

Abstract Background: Malaysia has committed to the global call to achieve universal health coverage, and with the adoption of Sustainable Development Goals, is further strengthening the health system through the primary health care services, particularly the family doctor concept. The Enhanced Primary Health Care (EnPHC) initiative was implemented to address the worrying upward trend of non-communicable disease[I1] prevalence, and incorporates the Family Health Team (FHT) concept. The aim of this paper is to describe the implementation of the FHT as part of the EnPHC intervention.Methods: In-depth interviews and focus group discussions were conducted with the intervention design team, healthcare providers and patients in two rounds during the implementation period. A total of 121 individuals in the two rounds, split into different groups, where some of the participants of the FGD were also interviewed individually[I2] . Data were analysed using a thematic analysis, with codes being organised into larger themes.Results: Themes that emerged from the data were around the process of FHT implementation and the advantages of the FHT, which included continuity of health care and improved quality of care. Patients and health care providers were receptive to the FHT concept, and took the effort to adapt the concept in the local settings. Conclusions: The FHT concept implemented at 20 public primary health clinics has benefits appreciated by health care providers and patients. Addressing the viable shortcomings would better prepare the current primary healthcare system to scale up the FHT concept nationwide and enhance its feasibility and sustainability.Trial registration: The study is registered with the National Medical Research Register, Ministry of Health Malaysia (NMRR-17-295-34771).

scholarly journals Evaluation of at-risk infant care: comparison between models of primary health care

2019 ◽  
Vol 53 ◽  
pp. 98
Author(s):  
Alessandra Giannella Samelli ◽  
Gislene Andrade Tomazelli ◽  
Maria Helena Morgani de Almeida ◽  
Fátima Corrêa Oliver ◽  
Silmara Rondon-Melo ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Primary Health Care ◽  
Family Health ◽  
Western Region ◽  
Basic Health ◽  
Primary Health ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Basic Health Units

OBJECTIVES: To analyze the health care network for at-risk infants in the western region of the city of São Paulo, with the primary health care as coordinator, and to compare the presence and extension of attributes of primary health care in the services provided, according to the service management model (Family Health Strategy and traditional basic health units). METHODS: A survey was conducted with all at-risk infants born in the western region of São Paulo between 2013 and 2014. The children were then actively searched for a later application of the PCATool – child version. The total of 233 children were located in the territory; 113 guardians agreed to participate, and 81 composed the final sample. RESULTS: Regarding the results of PCATool for overall and essential scores, the units with Family Health Strategy were better evaluated by users, when compared with traditional basic health units, showing a statistically significant difference. However, these scores were low for both management models. Regarding attributes, the Family Health Strategy presented better performance compared with traditional basic health units for most of them, except for coordination of information systems. Of ten assessed attributes, seven reached values ≥6.6 for Family Health Strategy and two for the traditional basic health unit. CONCLUSIONS: Regardless of the type of management model, low overall and essential scores were found, indicating that guardians of at-risk infants rated some attributes as unsatisfactory, with emphasis on accessibility, integrality and family guidance. Such a performance may have negative consequences for the quality and integrality of these infants’ health care.

scholarly journals A qualitative study on the implementation of Family Health Team: the perspectives of providers and patients

2020 ◽  
Author(s):  
Ainul Nadziha Mohd Hanafiah ◽  
Mohammad Zabri Johari ◽  
Syafinas Azam
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Family Doctor ◽  
Family Health ◽  
Care Providers ◽  
Health Team ◽  
Primary Health ◽  
The Family ◽  
Family Health Team

Abstract Background: Malaysia has committed to the global call to achieve universal health coverage, and with the adoption of Sustainable Development Goals, is further strengthening the health system through the primary health care services, particularly the family doctor concept (FDC). The Enhanced Primary Health Care (EnPHC) initiative was implemented to address the worrying upward trend of NCD prevalence, and incorporates the Family Health Team (FHT) concept. The aim of this paper is to describe the implementation of the FHT as part of the EnPHC intervention. Methods: In-depth interviews and focus group discussions were conducted with the intervention design team, healthcare providers and patients in two rounds during the implementation period. We explored their views on the design and plans for the intervention, the process, acceptance, adoption, feasibility and sustainability of the intervention, as well as patients’ awareness and understanding of the FHT implementation. Results: Themes that emerged from the data were around the process of FHT implementation and the advantages of the FHT, which included continuity of health care and improved quality of care. Patients and health care providers were receptive to the FHT concept, and took the effort to adapt the concept in the local settings. Conclusions: The FHT concept implemented at 20 public primary health clinics has benefits appreciated by HCPs and patients. Addressing the viable shortcomings would better prepare the current primary healthcare system to scale up the FHT concept nationwide and enhance its feasibility and sustainability. Trial registration: The study is registered with the National Medical Research Register, Ministry of Health Malaysia (NMRR-17-295-34771).

Brazilian National Household Health Survey and PCAT: the case of Mato Grosso do Sul, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L F Pinto ◽  
D Soranz ◽  
L J Santos ◽  
M S Paranhos ◽  
L S Malta ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Data Collection ◽  
Health Survey ◽  
Household Surveys ◽  
Mato Grosso ◽  
Primary Health ◽  
The World ◽  
Mato Grosso Do Sul

Abstract Brazil is divided into five administrative regions, 27 federation units and 5,570 municipalities. Mato Grosso do Sul is one of the states located in the Midwest region and has 1.6 million km2 and a resident population of 2.8 million inhabitants, that is, it has an even lower demographic density than its region - only 7.8 inhabitants/km2. Mato Grosso do Sul has part of the Pantanal, a biome considered the largest continuous floodplain in the world, rich in biodiversity. For this reason, displacements for data collection in household surveys combine roads and rivers. In 2019, the Brazilian National Institute of Geography and Statistics (Istituto Nazionale di Statistica del Brasile) in partnership with the Ministry of Health launched the world's largest household sample survey, the National Health Survey (PNS-2019), in which part of its questions included the use of Primary Care Assessment Tool (PCAT, adult version), created by professors Barbara Starfield and Leiyu Shi in the 2000s. IBGE interviewers visited more than 100,000 households across the country. In Mato Grosso do Sul, more than 3,000 households were surveyed. In this work, we present the data collection instrument used by IBGE and its multiple analysis possibilities in the scope of primary health care, crossing the variables from other questionnaire modules in order to compare the results from Brazil with the state of Mato Grosso do Sul and its capital, Campo Grande. Developing a baseline and measuring the attributes of primary health care in each of the Brazilian states is another step towards giving health policy accountability, towards strong primary care. IBGE's experience in household surveys and innovation in data collection in primary care is an example for the world that yes, it is possible to develop statistically representative national sample surveys and make them perennial in their regular household surveys, by the time World Health Organization (WHO) discusses universal health coverage. Key messages Evaluation of primary care using an internationally validated instrument is possible on national bases with random household sample surveys. A questionnaire elaborated academically can be used as an instrument of public policy to evaluate nationwide health services.

scholarly journals Pharmaceutical care in Brazil’s primary health care

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Patricia Sodré Araújo ◽  
Ediná Alves Costa ◽  
Augusto Afonso Guerra Junior ◽  
Francisco de Assis Acurcio ◽  
Ione Aquemi Guibu ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Pharmaceutical Care ◽  
Health Care Services ◽  
Cross Sectional ◽  
Educational Activities ◽  
Health Team ◽  
Care Services ◽  
Primary Health

OBJECTIVE: To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional and exploratory study, of evaluative nature, consisting of a survey of information in a representative sample of cities, stratified by the Brazilian regions that constitute domains of study, and a subsample of primary health care services. The interviewed pharmacists (n=285) were responsible for the delivery of medicines and were interviewed in person with the use of a script. The characterization of the activities of clinical nature was based on information from pharmacists who declared to perform them, and on participation in educational activities aiming at health promotion, according to information from all pharmacists. The results are presented in frequency and their 95% confidence intervals. RESULTS: From the interviewed subjects, 21.3% said they perform activities of clinical nature. Of these, more than 80% considered them very important; the majority does not dispose of specific places to perform them, which hinders privacy and confidentiality in these activities. The main denominations were “pharmaceutical guidance” and “pharmaceutical care.” The registration of activities is mainly made in the users’ medical records, computerized system, and in a specific document filed at the pharmacy, impairing the circulation of information among professionals. Most pharmacists performed these activities mainly along with physicians and nurses; 24.7% rarely participated in meetings with the health team, and 19.7% have never participated. CONCLUSIONS: Activities of clinical nature performed by pharmacists in Brazil are still incipient. The difficulties found point out to the professionals’ improvisation and effort. The small participation in educational activities of health promotion indicates little integration of pharmacists with the health team and of pharmaceutical services with other health actions

scholarly journals Melhores práticas de enfermagem na saúde da pessoa idosa

2020 ◽  
Vol 14 ◽  
Author(s):  
Maria Alice De Freitas ◽  
Angela Maria Alvarez
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Best Practices ◽  
Methodological Approach ◽  
Family Health ◽  
The Elderly ◽  
Structured Interview ◽  
Primary Health ◽  
La Red ◽  
The Impact

Objetivo: compreender, dentro das melhores práticas, as experiências de busca por conhecimento e utilização da experiência profissional dos enfermeiros no cuidado da pessoa idosa na Atenção Primária à Saúde. Método: trata-se de um estudo qualitativo, descritivo e exploratório, com 30 enfermeiros atuantes nas Estratégias Saúde da Família. Utilizou-se um instrumento de entrevista semiestruturado. Analisaram-se os dados pela técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: revelaram-se a busca por conhecimento com outros profissionais e o acesso à rede de internet como fontes de conhecimento. Evidenciou-se a necessidade do estabelecimento de uma rotina de estudos sistematizada e agenda de educação permanente sob a temática do envelhecimento. Conclusão: conclui-se que o estudo confirma que os enfermeiros realizam ações que carecem de notoriedade e que estão preocupados com o impacto de suas ações para o usuário idoso, mas, para que as melhores práticas sejam completamente estabelecidas,  se faz necessária a imersão científica e metodológica dos profissionais e da gestão, além da busca por conhecimento e valorização da experiência, que já coexistem. Descritores: Idoso; Enfermagem; Conhecimento, Atenção Primária à Saúde; Saúde da Pessoa Idosa; Dinâmica Populacional.AbstractObjective: to understand, within the best practices, the experiences of searching for knowledge and using nurses' professional experience in the care of the elderly in Primary Health Care. Method: this is a qualitative, descriptive and exploratory study, with 30 nurses working in the Family Health Strategies. A semi-structured interview instrument was used. Data was analyzed using the Content Analysis technique in the Thematic Analysis modality. Results: the search for knowledge with other professionals and access to the internet network as sources of knowledge were revealed. The need to establish a systematic study routine and a permanent education agenda under the theme of aging became evident. Conclusion: it is concluded that the study confirms that nurses perform actions that lack notoriety and that they are concerned with the impact of their actions for the elderly user, but, for the best practices to be completely established, scientific immersion is necessary and methodological approach of professionals and management, in addition to the search for knowledge and appreciation of experience, which already coexist. Descriptors: Elderly; Nursing; Knowledge; Primary Health Care; Elderly health; Population Dynamics.ResumenObjetivo: comprender, dentro de las mejores prácticas, las experiencias de búsqueda de conocimiento y el uso de la experiencia profesional de los enfermeros en el cuidado de ancianos en Atención Primaria de Salud. Método: estudio cualitativo, descriptivo y exploratorio con 30 enfermeros activos en las Estrategias de Salud Familiar. Se utilizó un instrumento de entrevista semiestructurada. Los datos se analizaron utilizando la técnica de Análisis de Contenido en la modalidad de Análisis Temático. Resultados: se reveló la búsqueda de conocimiento con otros profesionales y el acceso a la red de Internet como fuentes de conocimiento. La necesidad de establecer una rutina de estudio sistemática y una agenda de educación permanente bajo el tema del envejecimiento se hizo evidente. Conclusión: se concluye que el estudio confirma que los enfermeros realizan acciones que carecen de notoriedad y que están preocupados por el impacto de sus acciones para el usuario mayor, pero, para que las mejores prácticas se establezcan por completo, es necesaria la inmersión científica y enfoque metodológico de profesionales y directivos, además de la búsqueda de conocimiento y valoración de la experiencia, que ya coexisten. Descriptores: Anciano; Enfermería; Conocimiento; Atencíon Primária de la Salud; Saúde do Idoso; Dinámica Poblacional.

scholarly journals Gestão do cuidado e matriciamento na atenção primária à saúde: um relato de experiência

2021 ◽  
Vol 3 (2) ◽  
pp. 95-101
Author(s):  
Minéia da Costa Figueiredo ◽  
Fabiana Lopes de Paula
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Management ◽  
Family Health ◽  
Patient Care Team ◽  
Unified Health System ◽  
Primary Health ◽  
Health Strategy ◽  
The Matrix ◽  
Family Health Strategy

Este artigo irá abordar a vivência em uma unidade de Estratégia Saúde da Família (ESF) no município de Canto do Buriti-PI sobre os aspectos relacionados ao processo de matriciamento e a gestão do cuidado. A descrição será feita a partir da análise da gestão do cuidado e articulações com o Núcleo de Apoio à Saúde da Família (NASF) e suas ações de apoio matricial desenvolvidas na unidade. O NASF tem fundamental importância na resolução de casos mais complexos e na efetivação de cuidado integral, bem como para a assistência humanizada aos usuários na Atenção Primária à Saúde. O relato traz como contribuição a análise do processo de trabalho entre eSF e NASF, com uma visão que traz subsídios para a reflexão; tendo a intenção de cooperar para o aperfeiçoamento, progresso das ações na APS e a concretização das políticas públicas. Palavras-chave: Atenção Primária à Saúde; Estratégia Saúde da Família; Equipe de Assistência ao Paciente; Integralidade em Saúde; Sistema Único de Saúde.   Abstract This article will address the experience in a Family Health Strategy (ESF) unit in the city of Canto do Buriti-PI on aspects related to the matrix support process and care management. The description will be made from the analysis of care management and articulations with the Family Health Support Center (NASF) and its matrix support actions developed in the unit. The NASF is of fundamental importance in solving more complex cases and in providing comprehensive care, as well as in providing humanized assistance to users in Primary Health Care. The report contributes to the analysis of the work process between eSF and NASF, with a a vision that supports reflection; with the intention of cooperating for the improvement, progress of actions in the PHC and the implementation of public policies. Keywords: Primary Health Care; Family Health Strategy; Patient Care Team; Integrality in Health; Unified Health System.

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