scholarly journals Informação como apoio para tomada de decisão de gestores públicos de saúde

2021 ◽  
Vol 21 (82) ◽  
Author(s):  
Fábio Moschen Antunes ◽  
Josué Souza Gleriano ◽  
Bruna Moreno Dias ◽  
André Almeida Moura ◽  
Liz Vanessa Lupi Gasparini
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Health Management ◽  
Family Health ◽  
Local Health ◽  
Management Skills ◽  
Training Plan ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Health Managers

Para exercer a gestão em saúde os gestores precisam alinhar a tomada de decisão às habilidades da administração. O uso dos Sistemas de Informação em Saúde (SIS) é imprescindível nesse processo. Esse estudo teve por objetivo analisar, a partir do suporte de assessoria de informação, as demandas de gestores públicos de saúde para a tomada de decisão. Trata-se de uma pesquisa documental descritiva apoiada no método de estudo de caso múltiplo, por meio da base de dados de uma empresa de desenvolvimento de software e assessoria que atende secretarias municipais de saúde no território nacional. Os dados foram extraídos do sistema de informações da empresa considerando os chamados realizados pelos gestores de saúde. Os dados foram analisados a partir da análise temática com utilização do software Nvivo. Em relação às demandas dos gestores, predominaram solicitações de informações relacionadas às Unidades da Estratégia de Saúde da Família (ESF) e ao Pronto Atendimento (UPA), especialmente aquelas relacionadas à assistência ao usuário. Dentre as solicitações, destacaram-se aquelas pertinentes à produção de serviços e monitoramento do cuidado, oriundos das coordenações de atenção à saúde e da vigilância em saúde. A empresa emitiu relatórios como forma de resposta às demandas. Ressalta-se que a análise das demandas proporciona oportunidade de compreender o uso dos dados para a tomada de decisão e possibilidade de refletir as dificuldades técnicas dos gestores no uso dos SIS. Essa análise contribuiu para a empresa de assessoria identificar a necessidade de desenvolvimento de um plano de capacitação para os gestores.Palavras-chave: Gestão em Saúde; Sistemas de Informação em Saúde; Aplicações da Informática Médica; Administração Municipal; Sistemas Locais de Saúde. ABSTRACTInformation as support for decision making by public health managersTo exercise health management, managers need to align decision making with management skills. The use of Health Information Systems (HIS) is essential in this process. This study aimed to analyze, based on the support of information advisory services, the demands of public health managers for decision making. This is a descriptive documentary research supported by the multiple case study method, through the database of a software development and advisory company that serves municipal health secretariats in Brazil. The data were extracted from the company's information system considering the calls made by health managers. The data were analyzed using thematic analysis with the Nvivo software. In relation to the managers' demands, there was a predominance of requests for information related to the Family Health Strategy Units (ESF) and to the Emergency Room (UPA), especially those related to user assistance. Among the requests, the most important were those related to the production of services and monitoring of care, from the health care and health surveillance coordinations. The company issued reports as a form of response to the demands. It is noteworthy that the analysis of the demands provides an opportunity to understand the use of data for decision making and the possibility to reflect the technical difficulties of managers in using the HIS. This analysis helped the consulting firm to identify the need to develop a training plan for managers.Keywords: Health Management; Information Technology; Medical Informatics Applications; Municipal Management; Local Health Systems

scholarly journals Supervision of Community Health Agents in the Family Health Strategy: the perspective of nurses

2014 ◽  
Vol 48 (5) ◽  
pp. 899-906 ◽  
Author(s):  
Juliana Sterci da Silva ◽  
Cinira Magal Fortuna ◽  
Maria José Bistafa Pereira ◽  
Silvia Matumoto ◽  
Fabiana Ribeiro Santana ◽  
...  
Keyword(s):  
Community Health ◽  
Health Workers ◽  
Health Management ◽  
Family Health ◽  
Local Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Working Together ◽  
Educational Perspective

Objective Analyzing the conceptions of supervision of nurses in the Family Health Strategy (ESF - Estratégia Saúde da Família) in relation to community health workers (ACS – Agente Comunitário de Saúde), taking for reference the work process and the power relations. Method A qualitative study, in which 18 interviews were carried out with nurses from the ESF in the countryside of the state of Goiás. Following transcription, the data were subjected to thematic content analysis and the following categories were identified: Supervision with that sees it all and Supervision is participating and working together. Results Among the findings, it is clear the character of control and monitoring that is carried out primarily through printed instruments and home visits, which constitute vertical and impositive relations, and suffer influence of the local health management. Another finding is the supervision as acting together and with the educational perspective. Conclusion The supervision carried out does not provide the changes intended by the ESF.

scholarly journals Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy

2014 ◽  
Vol 17 (suppl 2) ◽  
pp. 39-52 ◽  
Author(s):  
Adriana Xavier de Santiago ◽  
Ivana Cristina de Holanda Cunha Barreto ◽  
Ana Cecília Silveira Lins Sucupira ◽  
José Wellington de Oliveira Lima ◽  
Luiz Odorico Monteiro de Andrade
Keyword(s):  
Health Services ◽  
Health System ◽  
Family Health ◽  
Northeastern Brazil ◽  
Local Health ◽  
Access To Health Services ◽  
Care Services ◽  
Health Strategy ◽  
Access To Health ◽  
Family Health Strategy

INTRODUCTION: The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services. OBJECTIVE: To identify factors associated with the use of health service by children aged 5 to 9 years in the city of Sobral, Ceará, northeastern Brazil. RESULTS: Only 558 (17.0%) children used health care services in the 30 days preceding this survey. Children with any health condition (OR = 3.90) who were frequent attenders of primary care strategy of organization (the Family Health Strategy, FHS) (OR = 1.81) and living in the city's urban area (OR = 1.51) were more likely to use health services. Almost 80% of children used FHS as their referral care service. Children from poorer families and with easier access to services were more likely to be FHS users. CONCLUSION: The study showed that access to health services has been relatively equitable through the FHS, a point of entry to the local health system.

scholarly journals Conjugal violence in the perspective of "Family Health Strategy" professionals: a public health problem and the need to provide care for the women

2014 ◽  
Vol 22 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Nadirlene Pereira Gomes ◽  
Alacoque Lorenzini Erdmann
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Family Health ◽  
Public Health Problem ◽  
Ethics Committee ◽  
Conjugal Violence ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Care Practices

OBJECTIVE: to construct a theoretical matrix based on the meanings of the interactions and actions experienced by the professionals regarding the nursing care practices and the health of women in situations of conjugal violence in the ambit of the Family Health Strategy. METHODS: research based in Grounded Theory. Following approval by the Research Ethics Committee, 52 professionals were interviewed in Santa Catarina, Brazil. The analysis was based on open, axial and selective codifications. RESULTS: the theoretical model was delimited based on the phenomenon "Recognizing conjugal violence as a public health problem, and the need for management of the care for the woman", which reflects the experience of the professionals in relation to care for the woman, as well as the meanings attributed to this care. CONCLUSIONS: the phenomenon allows one to understand the movement of action and interaction regarding the care for the woman in a situation of conjugal violence.

scholarly journals Essential management competencies of nurses: actions and interactions in the context of the Family Health Strategy

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Hellen Emília Peruzzo ◽  
Sonia Silva Marcon ◽  
Ítalo Rodolfo Silva ◽  
Laura Misue Matsuda ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
...  
Keyword(s):  
Family Health ◽  
Methodological Framework ◽  
Southern Brazil ◽  
Management Skills ◽  
Management Competencies ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to understand the meanings attributed by the Family Health Strategy (FHS) nurses to the management competencies essential to the performance of their actions. Method: explanatory, qualitative study, whose methodological framework was based on Grounded Theory. A total of 12 Family Health Strategy nurses from a municipality in southern Brazil participated through semi-structured interviews, between December 2018 and February 2019. Results: the experience was understood by the phenomenon “Lapidating management competencies daily to play the role of a nurse in the context of the Family Health Strategy”. As action/interaction strategies, the following categories emerged: “Evidencing the management skills of Family Health Strategy nurses” and “Recognizing the need for strategies to work on specificities in the context of the Family Health Strategy”. Final considerations: according to the meanings attributed by nurses, there are several essential management skills for the work in the Family Health Strategy, but they are still little worked and developed in this context, mainly because it is a complex health care scenario.

scholarly journals Job satisfaction and dissatisfaction among family health strategy professionals in a small city of Southern Brazil

Revista CEFAC ◽  
2018 ◽  
Vol 20 (1) ◽  
pp. 69-78
Author(s):  
Jacks Soratto ◽  
Silvana Cunha Fernandes ◽  
Cyntia Fontanella Martins ◽  
Cristiane Damiani Tomasi ◽  
Maria Teresa Brasil Zanini ◽  
...  
Keyword(s):  
Health Management ◽  
Family Health ◽  
Work Conditions ◽  
Work Relationships ◽  
Structural Work ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Relationship ◽  
The City

ABSTRACT Objective: to identify aspects that generate satisfaction and dissatisfaction among Family Health Strategy professionals working in the city of Cocal do Sul, SC. Methods: a qualitative study, conducted with 15 health professionals of three Family Health Strategy agencies. Data analysis was performed based on content analysis, supported by Atlas.ti software. Results: the results were structured from two macro categories, composed of five subcategories, which added 194 excerpts from 23 codes. The aspects related to satisfaction of the Family Health Strategy professionals were grouped into three subcategories, namely: satisfaction in the identification with the staff and work; satisfaction based on relationships with patients; and, structural work conditions and satisfaction. Within health professional dissatisfaction, two subcategories were created: dissatisfaction related to aspects of health management and the relationship between staff and patients, as promoters of dissatisfaction. Conclusion: the factors contributing to satisfaction and dissatisfaction are associated with working conditions and the work relationships established in professional practice.

scholarly journals Use of Health Services and Family Health Strategy Households Population Coverage in Brazil

2021 ◽  
Vol 26 (9) ◽  
pp. 3955-3964
Author(s):  
Otávio Pereira D’Avila ◽  
Luiz Alexandre Chisini ◽  
Francine dos Santos Costa ◽  
Mariana Gonzales Cademartori ◽  
Lucas Brum Cleff ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Skin Color ◽  
Health Care Services ◽  
Family Health ◽  
Public Health Services ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Use Of Health Services

Abstract The objective of this study is to describe the profile of use of primary health care services, estimated by the PNS, of the population living in households registered and not registered with the Famly Health Strategy - FHS, in the years 2013 and 2019. Cross-sectional study carried out using microdata from national health surveys 2013 and 2019. The sample originated from a master sample, consisting of a set of units from selected areas in a register..The variables sex, age, skin color, income, education, self-perceived health, home registered with the FHS, medical care in the last year, type of service you seek when you are ill were selected. The dependent variables were use of health services and use of public health services. The dependent and independent variables were described with the respective confidence interval and adjusted logistic regression was performed for each outcome analyzed. In public health services, lower income, have chronic diseases (arterial hypertension or high cholesterol), be pregnant, and having a bad self-perception of health were associated with used more health services in both periods. Living in registered households was associated with more used health services (public or private). The family health strategy is an important strategy for expanding access equally.

scholarly journals INDICATORS AND INFORMATION IN LOCAL HEALTH PLANNING: THE PERSPECTIVE OF THE FAMILY HEALTH STRATEGY NURSES

2015 ◽  
Vol 24 (4) ◽  
pp. 950-958 ◽  
Author(s):  
Monique Haenscke Senna ◽  
Selma Regina de Andrade
Keyword(s):  
Information System ◽  
Health Planning ◽  
Family Health ◽  
Health Indicators ◽  
Local Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Health Action ◽  
Care Information

ABSTRACT This study aimed to analyze the use of health indicators from the Primary Care Information System by Family Health Strategy nurses in the planning of local health action. It is a multiple case study, whose data were collected by documentary research, nonparticipant observation and semistructured interviews held with eight nurses from the teams selected, analyzed using the technique of combined thematic summary. The results evidenced the health indicators used, the health information, and criticisms made of the computerized information system. The nurses use the health indicators in planning activities related to the Family Health Strategy, but use other sources of data in order to complement the information. For them, the instrument is restricted and limited, as it is necessary to broaden the information referent to the health indicators and regionalize the instrument in order to better attend the community.

Significado da consulta de enfermagem às crianças menores de dois anos na percepção das mães

2013 ◽  
Vol 4 (2) ◽  
pp. 123
Author(s):  
Clara Cássia Versian ◽  
Marcela Guimarães Fonseca ◽  
Tereza Cristina Silva Bretas ◽  
Frederico Marques Andrade ◽  
Antônio Lincoln Freitas Rocha
Keyword(s):  
Public Health ◽  
Child Care ◽  
Child Health ◽  
Growth And Development ◽  
Family Health ◽  
Child Growth ◽  
Qualitative Approach ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Resumo: Este estudo objetivou conhecer o significado da consulta de enfermagem às crianças menores de dois anos na percepção das mães na Estratégia de Saúde da Família de Nova Esperança. Trata-se de um estudo exploratório descritivo, de abordagem qualitativa, realizado na Estratégia de Saúde da Família de Nova Esperança, no período de outubro a novembro de 2011. Os sujeitos do estudo foram mãe de crianças menores de dois anos. Os resultados evidenciaram percepções diversificadas acerca da consulta de enfermagem. Pode-se constatar que as entrevistadas enfatizaram a importância do acompanhamento periódico do crescimento e desenvolvimento da criança, como forma de prevenção.Palavras-chave: Cuidado da Criança; Saúde da Criança; Programa Saúde da Família.The Meaning of Nursing Consultation to Children Under Two Years in a Mothers PerceptionAbstract: This study investigated the significance of nursing consultation to children under two years in the perception of mothers in the Family Health Strategy in New Hope. This is an exploratoryand descriptive, qualitative approach, was conducted at the Family Health Strategy in New Hope, in the period from October to November 2011. The study subjects were mothers of children under two years. The results showed diverse perceptions about nursing consultation. It is evident that the interviewees emphasized the importance ofregular monitoring of child growth and development a means of prevention.Keywords: Child Care; Child Health (Public Health); Family Health Program.El Significado de La Consulta de Enfermería a los Niños Menores de Dos Años em una Percepcíon de lãs MadresResumen: Este estudio investigó la importancia de la consulta de enfermería a niños menores de dos años en la percepción de las madres de la Estrategia de Salud Familiar en New Hope. Se trata de un enfoque cualitativo, exploratorio y descriptivo, se llevó a cabo en la Estrategia de Salud Familiar en New Hope, en el período de octubre a noviembre de 2011. Los sujetos del estudio eran madres de niños menores de dos años. Los resultados mostraron diferentes percepciones acerca de la consulta de enfermería. Es evidente que los entrevistadoshicieron hincapié en la importancia de un seguimiento periódico del crecimiento y desarrollo del niño como medio de prevención.Palabras clave: Cuidado del Niño; Salud del Niño; Programa de Salud Familiar.

scholarly journals FAMILY HEALTH STRATEGY PROFESSIONAL SATISFACTION IN BRAZIL: A QUALITATIVE STUDY

2020 ◽  
Vol 29 ◽  
Author(s):  
Jacks Soratto ◽  
Denise Elvira Pires de Pires ◽  
Magda Duarte dos Anjos Scherer ◽  
Regina Rigatto Witt ◽  
Luciane Bisognin Ceretta ◽  
...  
Keyword(s):  
Health Management ◽  
Family Health ◽  
Strong Relationship ◽  
Team Work ◽  
Professional Satisfaction ◽  
Structured Interviews ◽  
Health Strategy ◽  
Geographical Regions ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: To identify work aspects that generate satisfaction for the professionals who work in the Family Health Strategy. Method: This was a qualitative, descriptive study that involved five geographical regions of Brazil, and 27 Family Health Teams from six municipalities. The data were collected from 76 health professionals using semi-structured interviews, and were analyzed articulating the three phases of content analysis using Atlas.ti software resources. Results: The findings showed 129 statement excerpts, with 14 codes, grouped into three categories related to satisfaction. The category, Job Identification and Family Health Strategy Principles, represented 40.3%, with the codes: team work, job affinity, health model, completeness of care, and longitudinality of care. The category, Relationship with Family Health Strategy patients, represented 32.6%, with the following codes: bonding with patient, resoluteness of care, patient satisfaction, and patient care. Finally, the category, Professional and Working Aspects related to the Family Health Strategy, represented 27.1%, with the following codes: relationship with professionals, work recognition, enjoying the profession, team organization, and employment relationship. Conclusion: Professional satisfaction is associated with the work principles of the Family Health Strategy, and with the relationships that are established between patients, professionals and health management. It also has a subjective dimension, with a strong relationship with characteristics of the work process, how it is organized, and under what conditions and relationships this work occurs.

scholarly journals A case study on determining and responding to health managers' priorities for research to assist health service decision making

2006 ◽  
Vol 30 (4) ◽  
pp. 435 ◽  
Author(s):  
Rosemary Aldrich ◽  
Billie Bonevski ◽  
Amanda Wilson
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Health Service ◽  
Service Management ◽  
Research Evidence ◽  
Public Health Research ◽  
Local Health ◽  
Research Information ◽  
Health Decision ◽  
Health Managers

The Newcastle Institute of Public Health (NIPH) is a collaboration of health service and public health research groups in the Hunter Region of New South Wales, Australia which aims to promote the use of evidence in decision making. However, use of research evidence in decision making is a complex process, with many barriers and enablers described in the literature. Informed by strategies described in the literature around developing priority-driven research, NIPH researchers undertook to determine whether asking local health decision-makers about their needs for research information might lead to greater use of the resulting research evidence to inform health service management decisions. This paper describes a process used by NIPH to determine the research needs of 11 local senior health managers, our response to specific research questions, the communication of this research information, and the outcome.

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