scholarly journals Men’s Health Policy and assistance provided by professionals in Primary Health Care / Política de saúde do homem e assistência prestada pelos profissionais na atenção primária à saúde / Política de Salud del Hombre y atención prestada por profesionales..

2020 ◽  
Vol 9 ◽  
Author(s):  
Rodrigo Jácob Moreira de Freitas ◽  
Cymara Patrizia Costa de Souza ◽  
Francisca Wirlanda Dantas ◽  
Rúbia Mara Maia Feitosa ◽  
Jocasta Maria de Oliveira Morais ◽  
...  
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Primary Health Care ◽  
Men’S Health ◽  
Men's Health ◽  
Cáncer De Próstata ◽  
Primary Health

Objetivo: compreender a percepção dos profissionais da Estratégia Saúde da Família sobre a Política de Atenção Integral à Saúde do Homem (PNAISH). Metodologia: estudo com abordagem qualitativa. A pesquisa foi desenvolvida em três Unidades Básica de Saúde de um município do interior do nordeste brasileiro. Contou com 19 profissionais de saúde, que participaram de entrevistas durante os meses de março e abril de 2016. Os dados foram analisados de acordo com a técnica do Discurso do Sujeito Coletivo. Resultados: a análise permitiu construir quatro categorias: Conhecimento sobre a PNAISH e percepção sobre como ela se efetiva na prática; Problemas de saúde mais frequentes nos homens; Ações realizadas para a saúde do homem e; Necessidade de capacitações na área de saúde do homem. Os profissionais percebem a PNAISH de forma reducionista, limitando em ações voltadas ao câncer de próstata e à hipertensão durante o “Novembro Azul”. Conclusão: Evidencia-se que os profissionais de saúde têm dificuldades em conhecer e implementar a PNAISH. Sugere-se que os gestores fortaleçam a educação permanente junto dos profissionais de saúde para aprofundar a temática.Descritores: Saúde do Homem. Política de Saúde. Atenção Primária à Saúde.

scholarly journals Fragilidades e fortalezas da assistência à saúde do homem na atenção primária à saúde

2020 ◽  
Vol 10 (32) ◽  
pp. 53-61
Author(s):  
Angélica Cristina Silveira Marques ◽  
Adriani Izabel de Souza Moraes ◽  
Sílvia Carla da Silva André Uehara
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Men’S Health ◽  
Men's Health ◽  
Health It ◽  
Access To Health Services ◽  
Primary Health ◽  
Access To Health ◽  
Care Health ◽  
The City

O processo de adoecimento dos homens vem sendo determinado pelo seu comportamento na sociedade e como expressam suas crenças de masculinidade. O objetivo deste trabalho foi identificar as ações realizadas pelos enfermeiros da Atenção Primária à Saúde (APS) direcionadas à promoção da saúde do homem. Trata-se de uma pesquisa descritiva, exploratória e de abordagem quantitativa. A pesquisa foi realizada com 29 enfermeiros de serviços da APS do município de São Carlos-SP. Os dados foram coletados por meio de uma entrevista, utilizando um instrumento validado. Os dados foram analisados por meio da estatística descritiva. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa. Os resultados mostram que 65,5% (19) dos enfermeiros referiram não ter recebido capacitação sobre a saúde do homem. Quanto aos fatores facilitadores do acesso dos homens nos serviços de saúde, destacam-se que 19% (11) das respostas incluíram o vínculo estabelecido entre os profissionais e usuários; e, como agentes dificultadores, em 35,1% (19) das respostas foi ressaltada a cultura do homem. Para uma maior efetividade da assistência à saúde do homem, torna-se necessário a sensibilização de profissionais e gestores de saúde na busca de estratégias para facilitar o acesso da população masculina aos serviços de saúde.Descritores: Saúde do Homem, Atenção Primária à Saúde, Enfermagem. Fragilities and strengths of man's health care in primary health careAbstract: The illness process of men has been determined by their behavior in society and how they express their beliefs about masculinity. The objective of this study was to identify the actions performed by nurses of Primary Health Care (PHC) directed to the promotion of men's health. It is descriptive, exploratory, and quantitative approach research. The research was conducted with 29 nurses from the PHC services of the city of São Carlos-SP. Data were collected through an interview using an instrument validated. Data were analyzed using descriptive statistics. Still, data collection began after approval by the Research Ethics Committee. The results show that 65.5% (19) of the nurses reported not having received training on men's health. Regarding factors that facilitate men's access to health services, it is noteworthy that 19% (11) of the answers included the bond established between professionals and users; and, as hindering agents, 35.1% (19) of the answers highlighted men's culture. Thus, for greater effectiveness of men's health care, health professionals and managers need to be sensitized in the search for strategies to facilitate the male population's access to health services.Descriptors: Men's Health, Primary Health Care, Nursing. Fragilidades y fortalezas de la atención médica del hombre en la atención primaria de saludResumen: El proceso de enfermedad de los hombres ha sido determinado por su comportamiento en la sociedad y cómo expresan sus creencias sobre la masculinidad. El objetivo de este estudio fue identificar las acciones realizadas por las enfermeras de Atención Primaria de Salud (APS) dirigidas a la promoción de la salud de los hombres. Es una investigación de enfoque descriptivo, exploratorio y cuantitativo. La investigación se realizó con 29 enfermeras de los servicios de APS de la ciudad de São Carlos-SP. Los datos fueron recolectados a través de una entrevista utilizando un instrumento validado. Los datos se analizaron mediante estadística descriptiva. Aún así, la recopilación de datos comenzó después de la aprobación del Comité de Ética en Investigación. Los resultados muestran que el 65.5% (19) de las enfermeras informaron no haber recibido capacitación sobre la salud de los hombres. En cuanto a los factores que facilitan el acceso de los hombres a los servicios de salud, cabe destacar que el 19% (11) de las respuestas incluyeron el vínculo establecido entre profesionales y usuarios; y, como agentes obstaculizadores, el 35,1% (19) de las respuestas destacaron la cultura de los hombres. Por lo tanto, para una mayor efectividad de la atención médica de los hombres, los profesionales de la salud y los gerentes deben ser sensibilizados en la búsqueda de estrategias para facilitar El acceso de la población masculina a los servicios de salud.Descriptores: Salud del Hombre, Atención Primaria de Salud, Nursing.

scholarly journals A Scoping Review of Men's Health Situation in Primary Health Care

2021 ◽  
Vol 15 (1) ◽  
pp. 412-421
Author(s):  
Cléa Conceição Leal Borges ◽  
Anderson Reis de Sousa ◽  
Isabella Félix Meira Araújo ◽  
José Edward Ortiz Rodríguez ◽  
Oscar Javier Vergara Escobar ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Scoping Review ◽  
Men’S Health ◽  
Sociocultural Factors ◽  
Men's Health ◽  
Cultural Aspects ◽  
Primary Health ◽  
Health Situation ◽  
Health Services Needs

Introduction: There has been an increasing number of studies that have evidenced the profile of male morbidity and mortality, their causes and related consequences, and their association with the low demand and men's permanence in the services offered in Primary Health Care (PHC). Objective: The objective of the study was to map the literature on men's health situation in Primary Health Care. Methods: A scoping review, according to the Joanna Briggs Institute protocol, with the PCC acronym (P – men, C – health situation, C – in primary care), was conducted in the Medline/Pubmed, COCHRANE, Web of Science, SCOPUS, Science Direct, LILACS, BDENF, MEDCARIBE, and SciELO databases, using the descriptors “Men”, “Men's Health”, “Health Services Needs and Demand”, “Primary Health Care” in three information sources (EBSCO, PubMed and SciELO). Results: Men's health situation in Primary Health Care is defined by the influence of the social construction of the masculinities and cultural aspects in the adoption of health care behaviors and practices, in the way in which men present their health complaints, demands, and needs, and establish bonds with the health professionals and the services. Conclusion: There is a number of sociocultural factors inherent to masculinities, institutional factors of the services' organization, and relational factors of men with the health professional that intervene together with the health situation.

scholarly journals A Primary Health Care Approach to Men's Health in Community Health Settings: It's Just Better Practice

2006 ◽  
Vol 12 (1) ◽  
pp. 21 ◽  
Author(s):  
Michael Bentley
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Case Studies ◽  
Health Care Services ◽  
Men’S Health ◽  
Men's Health ◽  
Care Services ◽  
Primary Health ◽  
Care Approach

Promoting men's health in primary care settings such as general practice is now common, but what might primary health care for men's health look like in community health settings? This paper reports on case studies of diverse community-based health and wellbeing services for men in South Australia. The programs selected as case studies include Aboriginal men, gay men and homosexually active men, men from culturally and linguistically diverse backgrounds, older men, middle-aged men, fathers, young men, as well as services that focus on childhood sexual abuse and violence intervention. The case studies share the following main features - they have a social view of health, use a primary health care approach with an emphasis on prevention, address issues of access and equity, use social justice principles, and work across a number of sectors. These features were integrated into a socially just primary health care framework for men's health in community health settings. Socially just primary health care can address health inequities within men's health that are related to, among other things, class, race, ethnicity and sexuality. Socially just primary health care services can work collaboratively with women's health on common concerns such as violence intervention and childhood sexual abuse. Moreover, socially just primary health care services reflect local concerns, where health professionals work with men rather than acting as outside experts.

A taxonomy of primary health care practices: an avenue for informing management and policy implementation

2013 ◽  
Vol 19 (3) ◽  
pp. 236
Author(s):  
John Rodwell ◽  
Andre Gulyas
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Primary Health Care ◽  
Geographic Location ◽  
Policy And Practice ◽  
Policy Interventions ◽  
Primary Health ◽  
Health Care Practices ◽  
Multiple Dimensions ◽  
Care Practices

Health policy and practice managers often treat primary practices as being homogenous, despite evidence that these organisations vary along multiple dimensions. This treatment can be a barrier to the development of a strong health care system. Therefore, a more sophisticated taxonomy of organisations could inform management and policy to better cater to the diversity of practice contexts, needs and capabilities. The purpose of this study was to categorise primary practices using practice features and characteristics associated with the job satisfaction of GPs. The current study uses data from 3906 GPs from the 2008 wave of the MABEL survey. Seven configurations of primary health care practices emerged from multivariate cluster analyses. The configurations incorporate, yet move beyond, simplistic categorisations such as geographic location and highlight the complexity facing managers and health policy interventions. The multidimensional configurations in the taxonomy are a mechanism for informing health care management and policy. The process of deriving configurations can be applied in a variety of countries and contexts.

scholarly journals PRIMARY HEALTHCARE MANAGEMENT: WHAT IS DISCUSSED IN THE LITERATURE

2019 ◽  
Vol 28 ◽  
Author(s):  
Denise Elvira Pires de Pires ◽  
Lara Vandresen ◽  
Francele Machado ◽  
Rosani Ramos Machado ◽  
Felipa Rafaela Amadigi
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Primary Health Care ◽  
Financial Management ◽  
Care Management ◽  
Research Question ◽  
Health Care Management ◽  
Healthcare Management ◽  
Resources Management ◽  
Primary Health

ABSTRACT Objective: to identify what is discussed in studies published in Brazilian and international literature in the last ten years on Primary Health Care management. Method: an integrative review with a search carried out from 2006 to 2016, in the SciELO®, LILACS®, Scopus®, PubMed® and CINAHL® databases in the Portuguese, English and Spanish languages. The review followed the steps: formulation of the research question, definition of the inclusion and exclusion criteria, identification and selection of the studies, and summary of the subjects found in the studies. Resources from The Atlas.ti® software was used for data organization and analysis. Results: the corpus include 90 studies which predominantly originated from LILACS® and were performed in Brazil. The themes covered in the publications were: health policy and management in Primary Health Care, material resources management, human resources management, financial management, quality management, planning, characterization of managers, management role/ activities, challenges/difficulties in management, potentialities/facilities in management. There was a prevalence of studies that dealt with Primary Health Care management in the context of reflections on health policies and those dealing with the challenges/difficulties faced in Primary Health Care management. These findings demonstrate that the Primary Health Care model is complex and challenging, both for policymakers and for those managing it. Conclusion: the number of studies on Primary Health Care management is significant in the current literature and the predominance of health policy and difficulties in performing management issues reinforce the recognition of the centrality of the management for effective Primary Health Care.

Comprehensive Versus Selective Primary Health Care: Lessons For Global Health Policy

2004 ◽  
Vol 23 (3) ◽  
pp. 167-176 ◽  
Author(s):  
Lesley Magnussen ◽  
John Ehiri ◽  
Pauline Jolly
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Primary Health Care ◽  
Global Health ◽  
Primary Health ◽  
Global Health Policy

Introducing critical Tiriti policy analysis through a retrospective review of the New Zealand Primary Health Care Strategy

Ethnicities ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 434-456 ◽  
Author(s):  
Heather Came ◽  
D O’Sullivan ◽  
T McCreanor
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Primary Health Care ◽  
New Zealand ◽  
Policy Analysis ◽  
Policy Development ◽  
Policy Makers ◽  
Aotearoa New Zealand ◽  
Primary Health ◽  
Maori Health

Background Te Tiriti o Waitangi was negotiated between the British Crown and Indigenous Māori leaders of Aotearoa New Zealand in 1840. Māori understood the agreement as an affirmation of political authority and a guarantee of British protection of their lands and resources. The Crown understood it as a cession of sovereignty. The tension remains, though legal and political developments in the last 35 years, have established that the agreement places a mandatory obligation on the Crown to protect and promote Māori health. It also requires that Māori may exercise rangatiratanga, or responsibility and authority, in relation to health policy development and implementation. Methods Te Tiriti is, then, an instrument against which health policy is justly and efficaciously evaluated. This paper introduces critical Tiriti analysis as such an evaluative method. Critical Tiriti analysis involves reviewing policy documents against the Preamble and the Articles of te Tiriti o Waitangi. The review process has five defined phases: (i) orientation; (ii) close reading; (iii) determination; (iv) strengthening practice and (v) Māori final word. Results We present a working example of critical Tiriti analysis using the New Zealand Government’s Primary Health Care Strategy published in 2001. This policy analysis found poor alignment with te Tiriti overall and the indicators of its implementation that we propose. Conclusion This paper provides direction to policy makers wanting to improve Māori health outcomes and ensure Māori engagement, leadership and substantive authority in the policy process. It offers an approach to analysing policy that is simple to use and, inherently, a tool for advancing social justice.

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