scholarly journals AVALIAÇÃO DA ESTRATÉGIA SAÚDE DA FAMÍLIA EM SÃO SEBASTIÃO – DISTRITO FEDERAL

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Virgílio Luiz Marques De Macedo ◽  
Luciana Fontes Vieira ◽  
Rinaldo De Souza Neves ◽  
Suderlan Sabino Leandro
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Family Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Distrito Federal ◽  
First Contact

Objetivo: Avaliar a qualidade da assistência prestada por profissionais da Estratégia Saúde da Família em São Sebastião, Distrito Federal, na atenção a pacientes portadores de Hipertensão Arterial Sistêmica e Diabetes Mellitus. Metodologia: Trata-se de um estudo descritivo-exploratório transversal de cunho quantitativo com 107 usuários e 27 profissionais de saúde. Resultados: Foram avaliados como satisfatórios pelos usuários apenas os atributos acesso de primeiro contato – utilização e coordenação – sistema de informação. Para os profissionais, os atributos acesso de primeiro contato – acessibilidade e orientação comunitária foram considerados insatisfatórios, indicando que a qualidade da assistência por meio do acesso e informação é aceitável para os usuários e deficiente para os profissionais. Conclusão: Os dados apresentados evidenciam que a Atenção Primária a Saúde não está exercendo sua função de porta de entrada, de coordenadora e ordenadora da Rede de Atenção à Saúde.Descritores: Avaliação em Saúde; Atenção Primária à Saúde; Estratégia de Saúde da Família; Hipertensão; Diabetes Mellitus.EVALUATION OF THE FAMILY HEALTH STRATEGY IN SÃO SEBASTIÃO - FEDERAL DISTRICTObjective: To evaluate the quality of care provided by the health team of Primary Health Care of São Sebastião, Distrito Federal, in the attention to patients with Systemic Arterial Hypertension and Diabetes Mellitus. Method: This is a descriptive-exploratory cross-sectional quantitative study with 107 patients e 27 health profissionals. Results: Only the attributes of first contact access - utilization and coordination - information system were evaluated as satisfactory by the users. For professionals, the attributes of first contact access - accessibility and community orientation were considered unsatisfactory, indicating that the quality of care through access and information is acceptable for users and disabled for professionals. Conclusion: The data presented shows that Primary Health Care is not performing its function as gateway, as coordinator and ordinator of the Health Care Network.Descriptors: Health Evaluation; Primary Health Care; Hypertension; Diabetes Mellitus.EVALUACIÓN DE LA ESTRATEGIA SALUD DE LA FAMILIA EN SÃO SEBASTIÃO - DISTRITO FEDERALObjetivo: Evaluar la calidad de la asistencia prestada por profesionales de la Estrategia Salud de la Familia en São Sebastião, Distrito Federal, en la atención a pacientes portadores de Hipertensión Arterial Sistémica y Diabetes Mellitus. Método: Se trata de un estudio descriptivo-exploratorio transversal de cuño cuantitativo com 107 clientes e 27 profesionales de salud. Resultados: Se evaluaron como satisfactorios por los usuarios sólo los atributos acceso de primer contacto - utilización y coordinación - sistema de información. Para los profesionales, los atributos acceso de primer contacto - accesibilidad y orientación comunitaria se consideraron insatisfactorios, indicando que la calidad de la asistencia a través del acceso e información es aceptable para los usuarios y deficiente para los profesionales. Conclusión: Los datos presentados evidencian que la Atención Primaria a la Salud no está ejerciendo su función de puerta de entrada, de coordinadora y ordenadora de la Red de Atención a la Salud.Descriptores: Evaluación en Salud; Atención Primaria de Salud; Hipertensión; Diabetes Mellitus.

scholarly journals Knowledge and attitude of patients with diabetes mellitus in Primary Health Care

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Suelen Cordeiro Assunção ◽  
Alisson Pereira Fonseca ◽  
Marise Fagundes Silveira ◽  
Antônio Prates Caldeira ◽  
Lucinéia de Pinho
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Negative Attitude ◽  
Cross Sectional ◽  
Primary Health ◽  
Patients With Diabetes ◽  
Family Health Strategy ◽  
Knowledge And Attitude

Abstract Objective: To evaluate the knowledge and attitude of patients with diabetes mellitus in Primary Health Care and associated factors. Methods: Cross-sectional, quantitative and analytical study with 353 patients with type 2 diabetes mellitus in Family Health Strategy units. The Knowledge and Psychological Attitudes Questionnaires were used for data collection, as well as a script with sociodemographic, economic and clinical data. Results: The majority of the population was female (73.1%), aged more than 50 years (81.5%), diagnosed for more than five years (54.9%) and with a per capita income of up to half a minimum wage (59.3%). The scores of knowledge and attitude were low. Age (p = 0.001) and level of education (p = 0.002) were variables associated with knowledge about diabetes mellitus. Conclusion: Users had a low level of knowledge about diabetes, indicating an unsatisfactory result in self-care and mainly a negative attitude towards coping with this disease.

scholarly journals Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain

2021 ◽  
Vol 18 (2) ◽  
pp. 434
Author(s):  
Vicente Gea-Caballero ◽  
José Ramón Martínez-Riera ◽  
Pedro García-Martínez ◽  
Jorge Casaña-Mohedo ◽  
Isabel Antón-Solanas ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Outcomes ◽  
Work Environments ◽  
Head Nurse ◽  
Cross Sectional ◽  
Primary Health

Background: Nursing work environments are defined as the characteristics of the workplace that promote or hinder the provision of professional care by nurses. Positive work environments lead to better health outcomes. Our study aims to identify the strengths and weaknesses of primary health care settings in Spain. Methods: Cross-sectional study carried out from 2018 to 2019. We used the Practice Environment Scale of the Nursing Work Index and the TOP10 Questionnaire of Assessment of Environments in Primary Health Care for data collection. The associations between sociodemographic and professional variables were analyzed. Results: In total, 702 primary care nurses participated in the study. Responses were obtained from 14 out of the 17 Spanish Autonomous Communities. Nursing foundation for quality of care, management and leadership of head nurse and nurse–physician relationship were identified as strengths, whereas nurse participation in center affairs and adequate human resources to ensure quality of care were identified as weaknesses of the nursing work environment in primary health care. Older nurses and those educated to doctoral level were the most critical in the nursing work environments. Variables Age, Level of Education and Managerial Role showed a significant relation with global score in the questionnaire. Conclusion: Interventions by nurse managers in primary health care should focus on improving identified weaknesses to improve quality of care and health outcomes.

scholarly journals Assessment of primary health care: health professionals’ perspective

2014 ◽  
Vol 48 (spe) ◽  
pp. 122-128 ◽  
Author(s):  
Simone Albino da Silva ◽  
Denismar Alves Nogueira ◽  
Camila Maria da Silva Paraizo ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Family Health ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Family Health Program ◽  
Primary Health ◽  
Care Assessment ◽  
First Contact

Objective To assess primary health care attributes of access to a first contact, comprehensiveness, coordination, continuity, family guidance and community orientation. Method An evaluative, quantitative and cross-sectional study with 35 professional teams in the Family Health Program of the Alfenas region, Minas Gerais, Brazil. Data collection was done with the Primary Care Assessment Tool - Brazil, professional version. Results Results revealed a low percentage of medical experts among the participants who evaluated the attributes with high scores, with the exception of access to a first contact. Data analysis revealed needs for improvement: hours of service; forms of communication between clients and healthcare services and between clients and professionals; the mechanism of counter-referral. Conclusion It was concluded that there is a mismatch between the provision of services and the needs of the population, which compromises the quality of primary health care.




scholarly journals COORDENAÇÃO DO CUIDADO EM UMA REGIÃO ADMINISTRATIVA DO DISTRITO FEDERAL: UMA PESQUISA AVALIATIVA

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Lucas Agustinho Fernandes ◽  
Rinaldo De Souza Neves ◽  
Suderlan Sabino Leandro ◽  
Pedro Sadi Monteiro
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Assessment ◽  
Family Health ◽  
Federal District ◽  
Cross Sectional ◽  
Administrative Region ◽  
Primary Health ◽  
El Sistema ◽  
Distrito Federal

Objetivo: Avaliar a coordenação do cuidado na Atenção Primária à Saúde na Região Administrativa do Recanto das Emas. Metodologia: pesquisa avaliativa, de abordagem quantitativa com delineamento transversal, realizada com quarenta e dois profissionais lotados nas unidades básicas de saúde da região administrativa. Resultados: os resultados da pesquisa indicam uma fragilidade no sistema de referência e contrarreferência aos serviços especializados. Conclusão: foram identificadas fragilidades na comunicação entre os serviços, podendo ser um empecilho para assistência, bem como a inversão do fluxo de encaminhamento, o que leva a crer que este fato esteja impedindo a resolubilidade da Atenção Primária à Saúde.Descritores: Atenção Primária à Saúde, Avaliação em Saúde, Estratégia Saúde da Família.COORDINATION OF CARE IN AN ADMINISTRATIVE REGION OF THE FEDERAL DISTRICT: AN EVALUATING RESEARCHObjective: This research aims to evaluate the coordination of care in Primary Health Care in the Recanto das Emas Administrative Region. Methodology: This is an evaluative research, with a quantitative approach with a cross-sectional design, carried out with forty-two professionals in the basic health units of the administrative region. Results: The results indicate a fragility in the referral system and counter-referral to specialized services. Conclusion: We have identified weaknesses in communication between services, which may be an obstacle to assistance, as well as the inversion of the referral flow, which leads us to believe that this fact is preventing the resoluteness of Primary Health Care.Keywords: Primary Health Care, Health Assessment, Family Health Strategy.COORDINACIÓN DEL CUIDADO EN UNA REGIÓN ADMINISTRATIVA DEL DISTRITO FEDERAL: UNA INVESTIGACIÓN EVALUTIVAObjetivo: Esta investigación objetiva evaluar la coordinación del cuidado en la Atención Primaria a la Salud en la Región Administrativa del Recanto de las Emas. Metodología: Se trata de una encuesta evaluativa, de abordaje cuantitativo con delineamiento transversal, realizada con cuarenta y dos profesionales abarrotados en las unidades básicas de salud de la región administrativa. Resultados: Los resultados de la investigación indican una fragilidad en el sistema de referencia y contrarreferencia a los servicios especializados. Conclusión: Se identificaron fragilidades en la comunicación entre los servicios, pudiendo ser un obstáculo para asistencia, así como la inversión del flujo de encaminamiento, que lleva a creer que este hecho está impidiendo la resistividad de la Atención Primaria a la Salud.Palabras clave: Atención Primaria a la Salud, Evaluación en Salud, Estrategia Salud de la Familia.

Quality of life and adherence to mediterranean diet among type 2 diabetes mellitus patients of a primary health care clinic in Hebron city, Palestine

2021 ◽  
pp. 1-10
Author(s):  
Manal Badrasawi ◽  
May Hamdan ◽  
Mohammad Al Tamimi
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Mediterranean Diet ◽  
Well Being ◽  
Care Clinic ◽  
Primary Health Care Clinic ◽  
Primary Health

BACKGROUND: Diabetes mellitus (DM) is a lifelong metabolic disease with a high rate of mortality and morbidity. Uncontrolled and untreated diabetes results in serious complications that subsequently cause patients’ quality of life (QoL) to deteriorate. Adherence to Mediterranean diet (MD) may relieve the complications of diabetes, thereby improving the quality of life for these patients. OBJECTIVE: The aim of this study was to assess the QoL of DM patients who adhered to MD. METHODS: In this cross-sectional study, we examined the QoL and MD data of 106 DM II patients being treated at a primary health care clinic in Hebron. We used the SF-36 questionnaire to measure the patients’ QoL and the MEDAS tool to assess their MD adherence. We also recorded their anthropometric measurements, abdominal obesity, lifestyle habits and blood biochemical results. RESULTS: The sample comprised male and female DM II patients between the ages of 35 and 72, with their mean age being 55.8±10.24. Patients’ QoL scores showed a significant relationship with three BMI categories, i.e., total QoL score, physical function, and pain domains (p <  0.05). In terms of diet, high adherence to MD had a positive impact on all domains and on patients’ total QoL with significant differences in physical functioning, emotional well-being, social functioning and pain domains. CONCLUSION: Patients’ QoL domains were relatively low and highly affected by DM II. Patients with greater MD adherence reported higher scores in all QoL domains. Significantly higher scores were noted for the physical, social and pain domains. Hence, MD is a recommended dietary pattern for DM II patients to achieve a better QoL.

scholarly journals Risco cardiovascular em usuários hipertensos da atenção primária à saúde

2018 ◽  
Vol 12 (5) ◽  
pp. 1303 ◽  
Author(s):  
Ludmilla Borges Santos ◽  
Wellington Luiz Lima ◽  
Josiane Maria Oliveira Souza ◽  
Marcia Cristina Da Silva Magro ◽  
Tayse Tâmara Paixão Duarte
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Diseases ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Increased Risk ◽  
Diuretic Drugs ◽  
Insuficiencia Cardiaca

RESUMOObjetivo: identificar os fatores associados ao risco de doenças cardiovasculares em usuários da atenção primária à saúde (APS) hipertensos. Método: estudo quantitativo e transversal realizado com 115 usuários hipertensos cadastrados em uma unidade básica de saúde (UBS). Os dados foram registrados em questionáriosemiestruturado. Realizou-se análise descritiva e inferencial (teste t de Student e regressão logística multivariada). Valores p < 0,05 foram considerados significativos. Resultados: houve predomínio do sexo feminino (67,8%), idosos (> 60 anos) (66,1%), em uso contínuo de diuréticos (65,2%). Ao estratificar os usuários da APS de acordo com o risco para doenças cardiovasculares, observou-se que a maioria apresentou risco elevado (59,1%), risco médio (26,1%) e baixo risco (14,8%). Estão associados ao maior risco de eventos cardiovasculares os hipertensos com diabetes mellitus (DM) (p = 0,000), infarto agudo do miocárdio (IAM) (p = 0,000), insuficiência cardíaca congestiva (ICC) (p = 0,000) e aqueles em uso de diuréticos (p = 0,001). Conclusão: usuários da APS hipertensos com DM, IAM, ICC e em uso de diuréticos evoluíram com maior risco de evento cardiovascular. Nesse contexto, faz-se necessário proporcionar uma assistência integrada e pautada na prevenção não apenas para minimizar a ocorrência de complicações, mas principalmente para prolongar qualitativamente a vida dos usuários da APS hipertensos. Descritores: Hipertensão; Doenças Cardiovasculares; Atenção Primária à Saúde; Fatores de Risco; Consulta de Enfermagem; Assistência à Saúde.ABSTRACTObjective: to identify the factors associated with risk for cardiovascular diseases in hypertensive primary health care (PHC) users. Method: quantitative and cross-sectional study conducted with 115 hypertensive users enrolled in a Brazilian primary health center (UBS). Data were recorded in a semi-structured questionnaire. A descriptive and inferential analysis was performed (Student’s t-test and multivariate logistic regression). P values < 0.05 were regarded as significant. Results: there was predominance of women (67.8%), the elderly (> 60 years) (66.1%), continuous users of diuretic drugs (65.2%). By stratifying PHC users according to the risk for cardiovascular diseases, we observed that the majority showed high risk (59.1%), medium risk (26.1%), and low risk (14.8%). Hypertensive patients with diabetes mellitus (DM) (p = 0.000), acute myocardial infarction (AMI) (p = 0.000), congestive heart failure (CHF) (p = 0.000), and those using diuretic drugs (p = 0,001) are associated with an increased risk for cardiovascular events. Conclusion: hypertensive patients with DM, AMI, CHF, and those using diuretic drugs evolved with a greater risk for a cardiovascular event. In this context, there is a need for providing an integrated and preventive care based on prevention not only to minimize the occurrence of complications, but mainly to extend the life of hypertensive PHC users on a qualitative basis. Descriptors: Hypertension; Cardiovascular Diseases; Primary Health Care; Risk Factors; Office Nursing; Delivery of Health Care.                                                       RESUMENObjetivo: identificar los factores asociados con el riesgo de enfermedades cardiovasculares en usuarios de la atención primaria de salud (APS) hipertensos. Método: estudio cuantitativo y transversal realizado con 115 usuarios hipertensos inscritos en un centro de salud primaria (UBS) brasileño. Los datos se registraron en un cuestionario semi-estructurado. Se realizó un análisis descriptivo e inferencial (prueba t de Student y regresión logística multivariable). Los valores p < 0,05 se consideraron significativos. Resultados: hubo predominio de mujeres (67,8%), ancianos (> 60 años) (66,1%), usuarios continuos de diuréticos (65,2%). Al estratificar a usuarios de la APS de acuerdo con el riesgo de enfermedades cardiovasculares, observamos que la mayoría mostraba alto riesgo (59,1%), medio riesgo (26,1%) y bajo riesgo (14,8%). Los pacientes hipertensos con diabetes mellitus (DM) (p = 0,000), infarto agudo de miocardio (IAM) (p = 0,000), insuficiencia cardíaca congestiva (ICC) (p = 0,000) y aquellos que usan diuréticos (p = 0,001) están asociados con un mayor riesgo de eventos cardiovasculares. Conclusión: pacientes hipertensos con DM, IAM, ICC y aquellos que usan diuréticos evolucionaron con un mayor riesgo de evento cardiovascular. En este contexto, existe la necesidad de proporcionar una atención integrada y preventiva basada en la prevención no solo para minimizar la aparición de complicaciones, sino principalmente para extender la vida de los usuarios de la APS hipertensos sobre una base cualitativa. Descriptores: Hipertensión; Enfermedades Cardiovasculares; Atención Primaria de Salud; Factores de Riesgo; Enfermería de Consulta; Prestación de Atención de Salud.

scholarly journals Quality of primary health care: an analysis of avoidable hospitalizations in a Minas Gerais county, Brazil

2015 ◽  
Vol 20 (4) ◽  
pp. 1285-1293 ◽  
Author(s):  
Carolina Costa Valcanti Avelino ◽  
Sueli Leiko Takamatsu Goyatá ◽  
Denismar Alves Nogueira ◽  
Ludmila Barbosa Bandeira Rodrigues ◽  
Sarah Maria Souza Siqueira
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Circulatory System ◽  
Minas Gerais ◽  
Average Hospital ◽  
Medical Diagnoses ◽  
Avoidable Hospitalizations ◽  
Primary Health

The aim of the study was to evaluate the quality of primary health care based on avoidable hospitalizations of men and women of all ages, from 2008 to 2012 in Alfenas County in the south of Minas Gerais state. This was an ecological study based on data from the Hospital Information System (HIS). The medical diagnoses selected for the study were pneumonia, diabetes mellitus and diseases of the circulatory system. There was a predominance of elderly males diagnosed with pneumonia, with an average hospital stay of five days. Admission rates for diseases of the circulatory system and diabetes mellitus tended to remain stable during the study period. While for pneumonia there was a tendency of growth that reached a plateau in early March 2009, bringing the average rate up from 2.01 to 3.51. The data suggest that primary health care is poorly organized to meet these diagnoses, particularly for pneumonia.

Sign in / Sign up

Export Citation Format

Share Document