scholarly journals PRÁTICAS AVANÇADAS EM ENFERMAGEM: REDISCUTINDO A VALORIZAÇÃO DO ENFERMEIRO NA ATENÇÃO PRIMÁRIA À SAÚDE

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Elisabete Pimenta Araújo Paz ◽  
Carlos Leonardo Figueiredo Cunha ◽  
Edson Alves De Menezes ◽  
Gilmara Lúcia Dos Santos ◽  
Nádia Mattos Ramalho ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
National Level ◽  
Complex Tasks ◽  
Unified Health System ◽  
Primary Health

Objetivo: Refletir sobre questões ligadas às práticas de enfermagem na Atenção Primária à Saúde no contexto do sistema único de saúde que hoje são realizadas em uma perspectiva que possa favorecer a ampliação das ações de enfermagem com vistas à melhoria da cobertura universal e ampliação do acesso aos serviços de saúde. Reflete-se sobre a necessidade de ampliar o escopo das práticas de enfermagem que já são realizadas na Atenção Primária, à luz do conceito de Práticas Avançadas de Enfermagem. A ampliação de competências e da liderança dos enfermeiros em funções complexas em âmbito nacional requer estudos sobre a realidade nacional, superação dos desafios regionais e apoio dos órgãos representativos da enfermagem.Descritores: Enfermagem; Atenção Primária; Práticas Avançadas de EnfermagemADVANCED PRACTICES IN NURSING: REDISCOVERING THE VALORIZATION OF NURSES IN PRIMARY HEALTH CAREObjective: To reflect on the potential of Nursing Practices in Primary Health Care in the context of the Brazilian Unified Health System, with an expansion of the work performed by nurses. The paper reflects on the need to expand the scope of nursing practices in Primary Care, according to the concept of Advanced Nursing Practices. The expansion of the nurses’ competences and leadership in complex tasks at a national level requires studies on the Brazilian reality, the overcoming of regional challenges, and support to nursing representative bodies.Descriptors: Nursing; Primary Health Care; Advanced Nursing Practices xPRÁCTICAS AVANZADAS EN ENFERMERÍA: REDISCUTIENDO LA VALORIZACIÓN DEL ENFERMERO EN LA ATENCIÓN PRIMARIA A LA SALUDReflexionar sobre las potencialidades de las Prácticas de Enfermería en la Atención Básica de la Salud en el contexto del Sistema Único de Salud brasileño, con ampliación de las acciones realizadas por enfermeros. Se reflexiona sobre la necesidad de ampliar la gama de las prácticas de enfermería en la Atención Básica, a la luz del concepto de las Prácticas Avanzadas de Enfermería. La ampliación de competencias y del liderazgo de los enfermeros en funciones complejas en el ámbito nacional requiere estudios sobre la realidad nacional, la superación de los desafios regionales y el apoyo de los órganos representativos de la enfermería.Descriptores: Enfermería; Atención Básica; Prácticas Avanzadas de Enfermería

scholarly journals Management of pharmaceutical services in the Brazilian primary health care

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Letícia Farias Gerlack ◽  
Margô Gomes de Oliveira Karnikowski ◽  
Camila Alves Areda ◽  
Dayani Galato ◽  
Aline Gomes de Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Pharmaceutical Services ◽  
Limiting Factors ◽  
Health Board ◽  
Complex Samples ◽  
Financial Autonomy ◽  
Unified Health System ◽  
Primary Health

OBJECTIVE: To identify limiting factors in the management of pharmaceutical services in the primary health care provided by the Brazilian Unified Health System (SUS). METHODS: This study was based on the data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), and it was conducted by interviews with professionals responsible for pharmaceutical services in Brazilian cities, in 2015. To identify the management limiting factors, we considered the organizational, operational, and sustainability indicators of the management. For the analyses, we included the weights and structure of analysis plan for complex samples. The results were expressed by frequencies and measures of central tendency with 95% confidence interval, considering the Brazilian geographic regions. RESULTS: We identified the following limiting factors: lack of pharmaceutical services in the Municipal Health Secretariat organization chart (24%) and in the health plan (18%); lack of participation of managers in the Health Board and the absence of reference to this topic in the agenda of meetings (58.4%); lack of financial autonomy (61.5%) and lack of knowledge on the available values (81.7%); lack of adoption of operational procedures (about 50%) for selection, scheduling, and acquisition; and the fact that most professionals evaluate the organization of pharmaceutical services as good and great (58.8%), despite the worrisome indicators. CONCLUSIONS: Pharmaceutical services management is currently supported by a legal and political framework that should guide and contribute to improve the pharmaceutical services in the Brazilian Unified Health System primary health care. However, there is a mismatch between the goals established by these guidelines and what is actually happening

scholarly journals Access to medicines by patients of the primary health care in the Brazilian Unified Health System

2017 ◽  
Vol 51 ◽  
pp. 20s ◽  
Author(s):  
Juliana Álvares ◽  
Augusto Afonso Guerra Junior ◽  
Vânia Eloisa de Araújo ◽  
Alessandra Maciel Almeida ◽  
Carolina Zampirolli Dias ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Developed Countries ◽  
Access To Medicines ◽  
Essential Medicines ◽  
Unified Health System ◽  
Primary Health ◽  
Significant Difference ◽  
Good For

OBJECTIVE: To evaluate the access to medicines in primary health care of the Brazilian Unified Health System (SUS), from the patients’ perspective. METHODS: This is a cross-sectional study that used data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Services, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), conducted by interviews with 8,591 patients in cities of the five regions of Brazil. Evaluation of access to medicines used concepts proposed by Penshansky and Thomas (1981), according to the dimensions: availability, accessibility, accommodation, acceptability, and affordability. Each dimension was evaluated by its own indicators. RESULTS: For the “availability” dimension, 59.8% of patients reported having full access to medicines, without significant difference between regions. For “accessibility,” 60% of patients declared that the basic health unit (UBS) was not far from their house, 83% said it was very easy/easy to get to the UBS, and most patients reported that they go walking (64.5%). For “accommodation,” UBS was evaluated as very good/good for the items “comfort” (74.2%) and “cleanliness” (90.9%), and 70.8% of patients reported that they do not wait to receive their medicines, although the average waiting time was 32.9 minutes. For “acceptability,” 93.1% of patients reported to be served with respect and courtesy by the staff of the dispensing units and 90.5% declared that the units’ service was very good/good. For “affordability,” 13% of patients reported not being able to buy something important to cover expenses with health problems, and 41.8% of participants pointed out the expense with medicines. CONCLUSIONS: Results show 70%–90% compliance, which is compatible with developed countries. However, access to medicines remains a challenge, because it is still heavily compromised by the low availability of essential medicines in public health units, showing that it does not occur universally, equally, and decisively to the population

Resolution And Continuity Of Primary Health Care: Reference And Counter-Reference In The Sus (Unified Health System)

2017 ◽  
Vol 04 (01) ◽  
Author(s):  
Maria Beatriz Rodrigues Criscuolo ◽  
Duane Ferreira Melo ◽  
Selma Maria da Fonseca Viegas
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Unified Health System ◽  
Primary Health

scholarly journals Availability of dental treatment is associated with satisfaction derived from Primary Health Care Services accessed by elderly

2016 ◽  
Vol 45 (6) ◽  
pp. 344-350 ◽  
Author(s):  
Aline Blaya MARTINS ◽  
Creta SEIBT ◽  
Matheus NEVES ◽  
Juliana Balbinot HILGERT ◽  
Fernando Neves HUGO
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care Services ◽  
Dental Treatment ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Unified Health System ◽  
Primary Health

Abstract Objective This research evaluated whether having dental treatment available in the primary health care centers of the Brazilian Unified Health System was associated with greater satisfaction with the services accessed. The offering of dental care within the health service that elders usually access may improve their satisfaction with the services as a whole. Material and method In this cross-sectional study, 401 elders living in the districts of Lomba do Pinheiro and Partenon in Porto Alegre, Brazil were interviewed. Elders were selected using a cluster sampling design process from census tract drawings. Result Poisson Regression revealed that age and dental treatment supply were associated with outcome, and age, number of teeth, and the presence of dental treatment were associated with a higher prevalence of satisfaction with health services. Conclusion These results provide new contributions for health system qualification because this study demonstrated the importance of having dental treatment available to improve the satisfaction of older people with the Primary Health Care (PHC) services accessed.

scholarly journals Pharmaceutical services in primary health care: interfederative agreement in the development of pharmaceutical policies in the Brazilian Unified Health System (SUS)

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Karen Sarmento Costa ◽  
Noêmia Urruth Leão Tavares ◽  
José Miguel Do Nascimento Júnior ◽  
Sotero Serrate Mengue ◽  
Juliana Álvares ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Pharmaceutical Services ◽  
Unified Health System ◽  
Pharmaceutical Policies ◽  
Primary Health

scholarly journals De Médico de Família a Preceptor de Estudantes no Sistema Único de Saúde: Relato de Experiência

2020 ◽  
Vol 44 (4) ◽  
Author(s):  
Daniel Almeida de Oliveira ◽  
Eder Viana de Souza
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Population Level ◽  
Health Unit ◽  
Typical Structure ◽  
Clinical Method ◽  
Basic Health ◽  
Unified Health System ◽  
Primary Health

Abstract: Introduction: This article reports the experience of a physician, specialist in Family and Community Medicine, who works in a Basic Health Unit in the southern region of the city of São Paulo, in the Primary Health Care of the Unified Health System, when he became a Preceptor of Medical students at Universidade São Caetano do Sul. Method: The students learned about the typical structure of a Basic Health Unit. They learned how to acquire the medical history during anamnesis, under supervision, and the physical examination, as they acquired the necessary skills. They also learned how to request complementary examinations. With this training, they learned how to apply the clinical method during practice. The students also learned the competence to apply the clinical method in uncontrolled environments through the home visit, which also made it possible to know the reality of the patient in loco. The follow-up of families and the index cases for a few years gave the students the opportunity to experience the different care cycles of the Family Health Strategy, including the question of death, which started in the socio-family context. They also participated and carried out assistance and knowledge transmission groups for the community, in which students were able to train communication and adaptation at the population level. They met and participated in the team meetings, which allowed showing the weekly planning of activities, the interdisciplinary discussion of more complex cases and the created strategies. Results: The promising results of the Active Methodologies based on student autonomy, in relation to the learning process, are applied to the teaching of Medicine in clinical practice environments, since the contact with reality improves learning, challenges the students to research and reflect with autonomy to think about what they must do with the established learning goals and teaches them to use previous experiences to interrelate new knowledge with previous information through Evidence-Based Medicine and reflect on medical practice. Conclusion: Comments are also made on the National Curricular Guidelines, which request the inclusion of the medical student within the scope of the Unified Health System, aimed mainly at Primary Health Care learning.

scholarly journals Teledentistry and the Unified Health System: An Important Tool for the Resumption of Primary Health Care in the Context of the COVID-19 Pandemic

2020 ◽  
Vol 20 (suppl 1) ◽  
Author(s):  
Fernanda Campos de Almeida Carrer ◽  
Bruno Fernandes Matuck ◽  
Edson Hilan Gomes de Lucena ◽  
Fábio Carneiro Martins ◽  
Gilberto Alfredo Pucca Junior ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Unified Health System ◽  
Primary Health

scholarly journals A GDPR-compliant information system to improve community primary care in a middle income country

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V A Oliveira ◽  
R B David ◽  
L G Mota ◽  
M Barral-Netto ◽  
R P Carreiro ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Information System ◽  
Primary Health Care ◽  
Health System ◽  
Community Health ◽  
Digital Health ◽  
Family Health ◽  
Health Interventions ◽  
Primary Health

Abstract Background A strong primary health care (PHC) is associated to better overall health system results. Brazil has good results in PHC in the last decades, integrating 260,000 community health workers (CHW) in 43,000 family health teams (FHT), assisting 90 million people and delivering 500 million health activities yearly, such as home visits, consultations, colposcopy, etc. We address the challenges of incorporating CHA-produced data to official electronic health records, automate its analysis and promote information use by FHT to plan activities & prioritize individuals considering social determinants of health, clinical data and treatment plans. Our study developed a general data protection regulation (GDPR) compliant information system to improve community health agents and family health teams coordination of care in order to address this challenge. Methods The intervention was developed using UX techniques and combines Apps and Web dashboards, issuing digital alerts to the FHT and municipal health manager, regarding individual health status and pending care for each covered individual. The research used the “Monitoring and Evaluating Digital Health Interventions” toolbox by World Health Organization (WHO), and GDPR compliance was attained by terms of use acceptance, pseudonymisation and anonymization procedures. Results Stage 1 and Stage 2 Maturity tests with doctors, nurses and CHA showed good feasibility, usability and user satisfaction of the solution. UX and Qualitative Assessment are reported separately. Conclusions Results so far point that the solution is viable and acknowledged as useful by health professionals. Stage 3 (Pilot) will run in September 2020 in two different cities to test efficacy and health system adherence in real world setting. Digital health interventions are powerful tool to improve health care system performance, particularly in Primary Health Care. Key messages Digital Health Intervention are viable in Primary Care as long as they reduce health profesisonal burden and increase service quality. Brazil is a promising environment for Digital Health. Careful planning, development and deployment are essential in the process.

scholarly journals A interface entre a atenção primária à saúde e práticas integrativas e complementares no sistema único de saúde: formas de promover as práticas na APS

2021 ◽  
Vol 3 (2) ◽  
pp. 102-109
Author(s):  
Lucas Gaspar Ribeiro ◽  
Daiane Marcondes
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Family Health ◽  
Unified Health System ◽  
Primary Health ◽  
Health Strategy ◽  
Politica Publica ◽  
Family Health Strategy ◽  
The Individual

Um marco para a saúde no Brasil foi a implantação do Programa Saúde da Família (PSF) em 1994, com a reorientação das práticas assistenciais pelos princípios doutrinários e organizacionais do Sistema Único de Saúde. Esse sistema também oferta as práticas integrativas e complementares, abordando o indivíduo na sua multidimensionalidade, estimulando os mecanismos naturais de cura. Elas foram inseridas como política pública em 2006, no mesmo ano que o PSF foi modificado para estratégia. Ambas possuem relevantes afinidades e pontos que fortalecem o cuidado. O objetivo desse artigo é apresentar essa aproximação teórico-prática através de uma revisão narrativa, encontrando diversas premissas e ferramentas de cuidado compartilhados pela abordagem da Atenção Primária à Saúde (APS) e pelas práticas integrativas e complementares, além das práticas contribuindo para a desmedicalização, acesso e resolutividade da APS com o trabalho interprofissional, individualmente e coletivamente.       Palavras-chave: atenção primária à saúde, práticas integrativas e complementares, estratégia saúde da família, políticas públicas em saúde, sistema único de saúde.   Abstract A milestone for health in Brazil was the implementation of the Programa Saúde da Família (PSF) in 1994, with the reorientation of care practices based on doctrinal and organizational principles of the Unified Health System. This system also offers integrative and complementary practices, addressing the individual in its multidimensionality, stimulating the natural healing mechanisms. They were inserted as public policy in 2006, at the same year that the PSF was changed to strategy. Both contain affinities and points that strengthen care. The objective of the article is to present this theoretical-practical approach of a narrative review, finding several premisse and tools of care shared by the approach of Primary Health Care (PHC) and by integrative and complementary practices, in addition to the practices contributing to demedicalization, access and resolution of PHC with interprofessional work, individually and collective Keywords: primary health care, integrative and complementary practices, family health strategy, public health policy, unified health system.

scholarly journals Use of medicines by patients of the primary health care of the Brazilian Unified Health System

2017 ◽  
Vol 51 ◽  
pp. 18s ◽  
Author(s):  
Clarisse Melo Franco Neves Costa ◽  
Micheline Rosa Silveira ◽  
Francisco de Assis Acurcio ◽  
Augusto Afonso Guerra Junior ◽  
Ione Aquemi Guibu ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Anatomical Therapeutic Chemical ◽  
Age Groups ◽  
Continuous Variables ◽  
Self Medication ◽  
Unified Health System ◽  
Primary Health

OBJECTIVE: To characterize the use of medicines by patients of the primary health care of the Brazilian Unified Health System (SUS). METHODS: This is a cross-sectional, exploratory, and descriptive study, 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). Interviews were carried out with patients present in the services by semi-structured questionnaires. Sociodemographic, clinical, and use of medicines variables were assessed and the use of medicines in the 30 days prior to the interview was also verified. The population was stratified into three age groups: 18 to 44, 45 to 64, and 65 years or more. The differences between the age groups were verified using the Student’s t-test for continuous variables and chi-square test for the categorical ones. The complex samples analysis plan was employed. The medicines were classified according to the Anatomical Therapeutic Chemical Classification System. RESULTS: Of the 8,803 patients interviewed, 6,511 (76.2%) reported to have used medicines in the 30 days prior to the interview. On average, each patient used 2.32 medicines, without difference between the sexes. Among medicine users, 18.2% were aged 65 years or more. Compared to the other age groups, older adults presented more comorbidities, used more medicines, and self-reported worse health conditions. They were also less educated, reported worse economic situation, and lived alone. The medicines that were mostly used were “other analgesics and antipyretics” (3rd ATC level) and Losartan (5th ATC level). CONCLUSIONS: Most medicine users had lower education level and presented comorbidities. The most used medicines were the antihypertensive ones. Self-medication was higher among young people. Most patients reported to use generic medicines. The average number of medicines and the prevalence of use increased with age. Due to the characteristics observed and the difficulties in the use of medicines, older adults are in a situation of greater vulnerability

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