scholarly journals Determinants of Adherence to Dental Treatment of Adolescents in Social Vulnerability in Primary Care

2020 ◽  
Author(s):  
Jaqueline Vilela Bulgareli ◽  
Karine Laura Cortellazzi Cortellazzi ◽  
Luciane Miranda Guerra ◽  
Gláucia Maria Bovi Ambrosano ◽  
Armando Koichiro Kaieda ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Vulnerability ◽  
Family Cohesion ◽  
Family Income ◽  
Dental Treatment ◽  
Family Health ◽  
Action Planning ◽  
Adherence Rate ◽  
Household Crowding ◽  
Oral Impacts

Abstract Background Different studies with adolescents refers to the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in social underprivileged adolescents in primary care.Methods A longitudinal analytical study was conducted in Piracicaba, São Paulo, Brazil, between 2014 and 2015.The sample consisted of 1179 adolescents whom were examined in family health units, these 474 were referred for treatment (40,2%) and these 325 (68,6%) teenagers were reevaluated after 18 months. Adherence to dental treatment was the dependent variable. Independent variables were: individual (clinical, socio demographic, access to the service, reporting pain, oral impacts on daily perfomance, family cohesion) and the contextual (percentage of families in the neighborhood with income of 0.5 to 1 minimum wage).Results Non-adherence rate to treatment was high in the studied sample (49.5%).Family income (p = 0.039) and household crowding (p = 0.003) were associated with non-adherence to dental treatment.Conclusions It is concluded that the condition of social vulnerability of adolescents resulted in competing situations with adherence, a fact that makes it difficult dental treatment and action planning health services.

Determinants Of Adherence To Dental Treatment Of Socially Vulnerable Adolescents In Primary Health Care: A Cohort Study

2020 ◽  
Author(s):  
Jaqueline Vilela Bulgareli ◽  
Karine Laura Cortellazzi Cortellazzi ◽  
Luciane Miranda Guerra ◽  
Gláucia Maria Bovi Ambrosano ◽  
Armando Koichiro Kaieda ◽  
...  
Keyword(s):  
Family Cohesion ◽  
Family Income ◽  
Dental Treatment ◽  
Family Health ◽  
Service Planning ◽  
High Rate ◽  
Adherence To Treatment ◽  
Health Service Planning ◽  
The Family ◽  
Number Of Individuals

Abstract Background: Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. Methods: A longitudinal analytical study was conducted in Piracicaba, São Paulo, Brazil, between 2014 and 2015. The sample consisted of 1179 adolescents examined in family health units; of these, 474 were referred to treatment (40.2%) and 325 (68.6%) were reevaluated after 18 months. Adherence to dental treatment was the dependent variable. Independent variables were: individual (clinical, sociodemographic, access to the service, reporting pain, oral impacts on daily performance, family cohesion) and contextual (percentage of families in the neighborhood with income of 0.5 to 1 minimum wage). Results: Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p=0.039) and number of individuals in the family (p=0.003) were associated with non-adherence to dental treatment. Conclusions: It is concluded that the adolescents’ social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.

scholarly journals Determinants of adherence to dental treatment of socially vulnerable adolescents: a cohort study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Jaqueline Vilela Bulgareli ◽  
Karine Laura Cortellazzi ◽  
Luciane Miranda Guerra ◽  
Gláucia Maria Bovi Ambrosano ◽  
Armando Koichiro Kaieda ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Vulnerability ◽  
Family Income ◽  
Dental Treatment ◽  
Service Planning ◽  
High Rate ◽  
Adherence To Treatment ◽  
Health Service Planning ◽  
The Family ◽  
Number Of Individuals

Abstract Objective Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. Results Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p = 0.039) and number of individuals in the family (p = 0.003) were associated with non-adherence to dental treatment. It is concluded that the adolescents’ social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.

scholarly journals Prevalence and factors associated with chronic wounds in older adults in primary care

2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Chrystiany Plácido de Brito Vieira ◽  
Telma Maria Evangelista de Araújo
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Primary Care ◽  
Chronic Wounds ◽  
Family Income ◽  
Family Health ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional ◽  
Diabetic Ulcer ◽  
Dietary Restrictions

ABSTRACT Objective: To analyze the prevalence of pressure injuries, diabetic and vasculogenic ulcers and associated factors in older adults attended in primary care. Method: A cross-sectional, analytical study with older adults attended in the Family Health Strategy in a Brazilian municipality. Data collection was performed from January to March 2016 using interviews and evaluations of injuries. The variables were submitted to the multivariate logistic regression model using the odds ratio, with their respective 95% confidence intervals and significance set at <0.05. Results: 339 older adults participated in the study. The mean age was 71.1 years, 67.3% were female, 44% were illiterate, 85% had low family income, 91.7% had underlying diseases, 37.2% had dietary restrictions, and 76.1% did not practice physical activity. The prevalence of pressure injury was 5.0%, diabetic ulcer 3.2%, and vasculogenic ulcer 2.9%. Not working and not regularly practicing physical activity increased the chances of presenting these injuries by 1.5 and 2.3 times, respectively. Being actively mobility and not having dietary restrictions were protective factors for not developing chronic wounds. Conclusion: The prevalence of injuries among older adults was high, and its occurrence is associated with socioeconomic and clinical characteristics.

scholarly journals Common mental disorders in Petrópolis-RJ: a challenge to integrate mental health into primary care strategies

2011 ◽  
Vol 33 (2) ◽  
pp. 150-156 ◽  
Author(s):  
Sandra Fortes ◽  
Claudia S. Lopes ◽  
Luiz A. B. Villano ◽  
Mônica R. Campos ◽  
Daniel A. Gonçalves ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Primary Care ◽  
Mental Disorders ◽  
Family Income ◽  
Common Mental Disorders ◽  
Family Health ◽  
Special Group ◽  
Health Strategy ◽  
Family Health Strategy

OBJECTIVE: Common mental disorders are present in more than 50% of patients attending primary care clinics. The main objectives of this study were to detect whether there is any special group of patients within the Family Health Strategy that should be considered to be in greater risk for common mental disorders and to recommend alternative interventions to aid these patients. METHOD: In 2002, a cross-sectional study on common mental disorders seen at Family Health Strategy centers was conducted in Petrópolis, State of Rio de Janeiro. RESULTS: Common mental disorders were associated with women (OR = 2.90; 95% CI 1.82-4.32), younger than 45 years of age (OR = 1.43; 95% CI 1.02-2.01), with a monthly per capita family income of less than US$40.00 (OR = 1.68; 95% CI 1.20-2.39), and without a partner (OR = 1.71; 95% CI 1.22-2.39). Illiteracy was associated with common mental disorders among patients who were not extremely poor. Social support networks such as going often to church (OR = 0.62; 95% CI 0.43-0.89); participating in artistic and sporting activities (OR = 0.42; 95% CI 0.26-0.70) and having at least four trusted relatives or friends (OR = 0.53; 95% CI 0.31-0.91) was inversely associated with common mental disorders. DISCUSSION: Poor women with little social support represent a special group at risk for common mental disorders in the primary care setting. Some countries have developed special interventions to treat patients with common mental disorders in primary care. CONCLUSION: Mental health care programs could include evidence-based psychosocial interventions to assist women in overcoming the vicious circle of poverty and dealing with their mental disorders.

scholarly journals NURSES' KNOWLEDGE IN CHILD HEALTH PRIMARY CARE PRIMARY

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Marina Sayuri Yakuwa ◽  
Raquel Dully Andrade ◽  
Monika Wernet ◽  
Luciana Mara Monti Fonseca ◽  
Maria Cândida de Carvalho Furtado ◽  
...  
Keyword(s):  
Primary Care ◽  
Child Health ◽  
Nursing Care ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Care Management ◽  
Family Health ◽  
Clinical Protocols ◽  
Institutional Organization ◽  
Child Evaluation

ABSTRACT The study aimed to characterize nurses' needs for scientific knowledge that supports nursing care in clinical practice of child health primary care. An exploratory and qualitative study was undertaken, grounded in health care and longitudinality of nursing care for children, based on interviews with 35 nurses from family health services with thematic analysis of the data. The results indicate the need to use child evaluation, family guidance, clinical protocols, care management and partnership among health professionals, which imply a range of knowledge, in order to trigger effective and problem-solving care actions. Practice based on professional knowledge and the subjects' needs can enhance care, with benefits for children, families and the institutional organization. It is vital for nurses to take responsibility for their own practice, continuously examining ways to deliver care for and remain up to date.

Politics and Professions: Interdisciplinary Team Models and Their Implications for Health Equity in Ontario

2017 ◽  
Vol 48 (2) ◽  
pp. 302-327
Author(s):  
Susan Marie Haydt
Keyword(s):  
Primary Care ◽  
Health Equity ◽  
Nurse Practitioner ◽  
Medical Profession ◽  
Family Health ◽  
Interdisciplinary Team ◽  
Provincial Government ◽  
Community Health Centres ◽  
Primary Care Teams ◽  
The Government

Ontario’s efforts to reform primary care through interdisciplinary primary care teams are unprecedented in Canada. Since 2004, the provincial government has focused its reform efforts on three models: Family Health Teams (FHTs), Community Health Centres (CHCs), and Nurse Practitioner-led Clinics (NPLCs). These models vary by team structure, funding, and governance. I examine the strong preference for the FHT model by the government and medical profession, and the implications of this preference on health equity. The opportunity for teams to increase health equity in Ontario may be limited due to the preference for physician-centered FHTs over more egalitarian team models.

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 Comparing Electronic Health Record Portals to Obtain Patient-Entered Family Health History in Primary Care

2013 ◽  
Vol 28 (12) ◽  
pp. 1558-1564 ◽  
Author(s):  
Michael F. Murray ◽  
Monica A. Giovanni ◽  
Elissa Klinger ◽  
Elise George ◽  
Lucas Marinacci ◽  
...  
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Family Health ◽  
Family Health History ◽  
Health Record ◽  
Health History ◽  
Electronic Health

scholarly journals Undergraduate dental sudents' perspectives about experiences in primary care for their education in the field of health

2015 ◽  
Vol 20 (4) ◽  
pp. 1255-1265 ◽  
Author(s):  
Pedro Augusto Thiene Leme ◽  
Antônio Carlos Pereira ◽  
Marcelo de Castro Meneghim ◽  
Fábio Luiz Mialhe
Keyword(s):  
Primary Care ◽  
Professional Education ◽  
Clinical Training ◽  
Family Health ◽  
Dental Students ◽  
Supervised Training ◽  
The Face ◽  
Learning Scenarios ◽  
Teaching Learning ◽  
Service Contact

Supervised training periods in primary care have been used as spaces for teaching and extension in the area of health, making it feasible to include undergraduates in concrete teaching-learning scenarios. The aim of this study was to analyze the perceptions of dental students about the importance of supervised training periods in Family Health Units to their professional education. The sample consisted of 185 students who answered the question: What is your opinion about the importance of this training period in SUS to your professional education? Comment on this experience and its positive and negative aspects The responses were analyzed by the quali-quantitative Collective Subject Discourse (CSD) technique. The students appreciated learning through practice in the service; contact with professionals from other areas; opportunity for technical-operative improvement and demonstrated sensitivity in the face of social reality, although they appeared to be concerned about being absent from the faculty, arguing that they were being prejudiced as regards their intramural clinical productivity, exhaustively demanded of them. It was concluded that students placed value on the extramural experience, however, it was perceived that there was still a predominant influence of focus on intramural clinical training.

scholarly journals Health-Care Waste: Knowledge of Primary Care nurses

2018 ◽  
Vol 71 (5) ◽  
pp. 2367-2375 ◽  
Author(s):  
Ana Paula Mhirdaui Sanches ◽  
Karen Sayuri Mekaro ◽  
Rosely Moralez de Figueiredo ◽  
Silvia Carla da Silva André
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Family Health ◽  
Chemical Waste ◽  
Know How ◽  
Paulo State ◽  
Care Services ◽  
Primary Care Services ◽  
Primary Care Nurses ◽  
Health Care Waste

ABSTRACT Objective: to describe the knowledge of nurses on Health-Care Waste Management (HCW) in Family Health Units (FHU) of São Carlos city, São Paulo State. Method: exploratory, descriptive and quantitative approach. The research was carried out with nurses of 16 FHU of the municipality of São Carlos-SP. Data were collected through an interview using a tool validated and analyzed using descriptive statistics. Results: it is noteworthy that 68.7% (11) of the nurses did not know how to describe how chemical waste was sorted. In addition, regarding the treatment of HCW, 50.0% (8) of the nurses did not know if the general waste were subjected to some type of treatment. Conclusion: the HCW management can be considered a challenge in the nurses' agenda inserted in the Primary Care services, which refers to the need to implement periodic training on the management of this waste.

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