HIVv: da atenção primária as terapias e antirretrovirais nos dias atuais, um estudo bibliográfico sobre a tarv e a adesão dos portadores. / HIV: from primary care to antiretroviral therapies in current days, a bibliographic study on art and patient adhesion.

ABSTRACTObjective: to analyze the management of basic units of health (BUHs) in Patos-PB city, Brazil. Method: this is about an exploratory, descriptive, explanatory and bibliographic study from quantitative approach The study included 27 interviewed answering a questionnaire previously validated. It is emphasized that the study was approved by the Ethics Committee in Research of the State University of Paraiba - CAEE 0530.0.133.000-10 and the data were analyzed using descriptive statistics. Results: administrators of the units are mostly young nurses. As for the management of the BUHs, all management functions are being developed, but the act of planning is the least practiced, may have relationship with the inability of managers. Conclusion: it was verified a deficit in the management of the BUHs, coming from an empirical practice. Therefore, it’s suggested training for the managers of primary care to manage properly through the administrative process. Descriptors: primary health to care; organization and administration; management.RESUMOObjetivo: analisar o gerenciamento das unidades básicas de saúde (UBSs) do município de Patos, Paraíba. Método: foi realizada pesquisa exploratória, descritiva, explicativa, bibliográfica, de campo, com abordagem quantitativa. Participaram do estudo 27 sujeitos, respondendo a um questionário previamente validado. Ressalta-se que a pesquisa foi autorizada pelo Comitê de Ética em Pesquisa da Universidade Estadual da Paraíba, por meio da CAEE 0530.0.133.000-10 e o material foi analisado por meio da estatística descritiva. Resultados: os administradores das unidades são, majoritariamente, enfermeiras jovens. Quanto ao gerenciamento das UBSs, todas as funções gerenciais estão sendo desenvolvidas, porém o ato de planejar é o menos praticado, podendo ter relação com a baixa capacitação dos gestores. Conclusão: verificou-se déficit no gerenciamento das UBSs, oriundo de uma conduta empírica. Portanto, sugerem-se treinamentos para que os gestores da atenção primária possam gerir adequadamente através do processo administrativo. Descritores: atenção primária à saúde; organização e administração; gerência.RESUMENObjectivo: analizar la gestión de las unidades básicas de salud (UBS) en la ciudad de Patos, Paraíba. Método: este estudio fue exploratorio, descriptivo, explicativo y bibliográfico de campo con un enfoque cuantitativo. En el estudio participaron 27 sujetos respondieron a un cuestionario previamente validado. Se hace hincapié en que el estudio fue aprobado por la Ética en la Investigación de la Universidad del Estado de Paraiba, a través de CAEE 0530.0.133.000-10 y el material fue analizada mediante estadística descriptiva. Resultados: los administradores de las unidades son las enfermeras en su mayoría jóvenes. En cuanto a la gestión de UBS, todas las funciones de gestión se están desarrollando, pero el acto de la planificación es la menos practicada, puede estar relacionado con la incapacidad de los administradores. Conclusión: hubo un déficit en la gestión de UBS, procedentes de una práctica empírica. Por lo tanto, sugieren que el entrenamiento para los administradores de la atención primaria para manejar adecuadamente a través del proceso administrativo. Descriptores: atención primaria de salud; organización y gestión; gerencia.

Download Full-text

Fool’s Gold: Psychologists Using Disingenuous Reasoning to Mislead Legislatures into Granting Psychologists Prescriptive Authority

American Journal of Law & Medicine ◽

10.1017/s0098858800002586 ◽

2003 ◽

Vol 29 (4) ◽

pp. 489-524

Author(s):

Brent Pollitt

Keyword(s):

Primary Care ◽

Mental Illness ◽

Nurse Practitioners ◽

Primary Care Physicians ◽

American Psychological Association ◽

The United States ◽

Psychotropic Medications ◽

American Psychological ◽

Training Requirements ◽

Prescriptive Authority

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.

Download Full-text