Implications of primary health care models in workloads of health professionals

This study discusses the influence of two health care models on the workloads of health professionals. This qualitative study was conducted with Family Health teams and traditional teams working in southern Brazil. Focus groups, interviews, and documentary study were used to obtain data, which were analyzed combining Thematic Content Analysis with the features of the AtlasTi software. In both models, it was evident that the problems in the organization and management of health care, excessive demand and innefective problem-solving are the main sources of increased workloads while affinity with the health care model and teamwork were mentioned as sources of workloads reduction. We conclude that the increase in workloads in Family Health model was affected by gaps between what was prescribed and performed, while in the traditional model this was due to fact that the health care model is based on biomedicine.

Download Full-text

Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy

Revista Brasileira de Epidemiologia ◽

10.1590/1980-5497201700040013 ◽

2017 ◽

Vol 20 (4) ◽

pp. 714-726 ◽

Cited By ~ 4

Author(s):

Cristina Rabelo Flôr ◽

Cláudia Di Lorenzo Oliveira ◽

Clareci Silva Cardoso ◽

Cleonice Ferreira Rabelo ◽

Bernardo Luis Gontijo ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Professionals ◽

Family Health ◽

Traditional Model ◽

Care Model ◽

Primary Health ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units.

Download Full-text

Hospitalization in older adults: association with multimorbidity, primary health care and private health plan

Revista de Saúde Pública ◽

10.1590/s1518-8787.2017051006646 ◽

2017 ◽

Vol 51 (0) ◽

Cited By ~ 4

Author(s):

Bruno Pereira Nunes ◽

Mariangela Uhlmann Soares ◽

Louriele Soares Wachs ◽

Pâmela Moraes Volz ◽

Mirelle de Oliveira Saes ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Primary Health Care ◽

Health Plan ◽

Family Health ◽

Care Model ◽

Primary Health ◽

Health Strategy ◽

Family Health Strategy ◽

Health Care Model

ABSTRACT OBJECTIVE Evaluate the association of multimorbidity, primary health care model and possession of a private health plan with hospitalization. METHODS A population-based cross-sectional study with 1,593 elderly individuals (60 years old or older) living in the urban area of the city of Bagé, State of Rio Grande do Sul, Brazil. The outcome was hospitalization in the year preceding the interview. The multimorbidity was evaluated through two cut-off points (≥ 2 and ≥ 3). The primary health care model was defined by residence in areas covered by traditional care or by Family Health Strategy. The older adults mentioned the possession of a private health plan. We performed a gross and adjusted analysis by Poisson regression using a hierarchical model. The adjustment included demographic, socioeconomic, functional capacity disability and health services variables. RESULTS The occurrence of overall and non-surgical hospitalization was 17.7% (95%CI 15.8–19.6) and 10.6% (95%CI 9.1–12.1), respectively. Older adults with multimorbidity were admitted to hospitals more often when to older adults without multimorbidity, regardless of the exhibition’ form of operation. Having a private health plan increased the hospitalization by 1.71 (95%CI 1.09–2.69) times among residents in the areas of the Family Health Strategy when compared to elderly residents in traditional areas without a private health plan. CONCLUSIONS The multimorbidity increased the occurrence of hospitalizations, especially non-surgical ones. Hospitalization was more frequent in older adults with private health plan and those living in Family Health Strategy areas, regardless of the presence of multiple diseases.

Download Full-text

Model of Health and Mouth Health Care Services among Stroke Patients

International Journal of Nursing and Health Services (IJNHS) ◽

10.35654/ijnhs.v3i4.274 ◽

2020 ◽

Vol 3 (4) ◽

pp. 525-532

Author(s):

Wanda Nur Aida ◽

Supriyana Supriyana ◽

Rasipin Rasipin ◽

Bedjo Santoso ◽

Peni Yuliawati

Keyword(s):

Health Care ◽

Oral Health ◽

Oral Health Care ◽

Control Group ◽

Care Model ◽

Stroke Patients ◽

Product Model ◽

Health Care Models ◽

Care Models ◽

Health Care Model

Stroke is the main trigger that can cause disability in adults. Stroke patients are known to be vulnerable to oral health problems, such as periodontal disease, due to limitations in their daily activities so that dental and oral hygiene management is neglected. These dental and oral health problems can become worse when patients are treated in a stroke unit. For this reason, dental and oral health care needs to be taken in stroke patients. The study aimed to develop a model of dental and oral health care among stroke patients. Research and Development (R&D), on five research stages, namely: information gathering, product/model design, expert validation and revision, product/model trials (using quasi-experiments with pretest and posttest with control group design). The sample was divided into two groups, the dental and oral health care model in stroke patients in the intervention group and the oral health care model No.284 year 2006 in the control group. Data were tested using normality, paired t-test, post hoc LSD, Mann Whitney, and linear regression. The model of dental and oral health care in stroke patients was relevant as dental and oral health care was shown to be p <0.001. The application of dental and oral health care models in stroke patients effectively improves the skills of gargling in moderate stroke patients p <0.001, increasing the ability to brush teeth in moderate stroke patients p <0.001. The application of dental and oral health care models in stroke patients is useful as an increase in the skills to rinse and brush teeth in moderate stroke patients

Download Full-text

Primary Health Care Models Addressing Health Equity for Immigrants: A Systematic Scoping Review

Journal of Immigrant and Minority Health ◽

10.1007/s10903-016-0531-y ◽

2016 ◽

Vol 20 (1) ◽

pp. 214-230 ◽

Cited By ~ 7

Author(s):

Ricardo Batista ◽

Kevin Pottie ◽

Louise Bouchard ◽

Edward Ng ◽

Peter Tanuseputro ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Equity ◽

Scoping Review ◽

Primary Health ◽

Health Care Models ◽

Care Models

Download Full-text

Authors’ Commentary: Domestic Violence Against Women, Public Policies and Community Health Workers in Brazilian Primary Health Care

International Quarterly of Community Health Education ◽

10.1177/0272684x19865145 ◽

2019 ◽

Vol 40 (3) ◽

pp. 237-239

Author(s):

Marcos Signorelli ◽

Angela Taft ◽

Pedro Paulo Gomes Pereira

Keyword(s):

Health Care ◽

Domestic Violence ◽

Primary Health Care ◽

Community Health ◽

Community Health Workers ◽

Health Professionals ◽

Health Workers ◽

Family Health ◽

Further Education ◽

Primary Health

In this commentary paper, we highlight the key role that community health workers and family health professionals can perform for the identification and care for women experiencing domestic violence in communities. These workers are part of the primary health-care strategy in the Brazilian public health system, who are available in every municipalities and neighborhoods of the country. Based on our ethnographic research, we argue that identification and care of abused women by these workers and professionals follow a pattern which we described and named “the Chinese whispers model.” We also point gaps in training these workers to deal with complex issues, such as domestic violence, arguing for the need of formal qualification for both community health workers and family health professionals by, for example, incorporating such themes into curricula, further education, and continuing professional development.

Download Full-text