scholarly journals Atuação dos profissionais de educação física na atenção primária à saúde

2017 ◽  
Vol 15 (2) ◽  
pp. 105-113
Author(s):  
Joel Carlos Valcanaia Ferreira ◽  
Joel Saraiva Ferreira

O objetivo do estudo foi analisar as características sociodemográficas e econômicas dos profissionais de Educação Física atuantes na Atenção Primária à Saúde no município de Campo Grande - MS. A distribuição dos profissionais na rede municipal de saúde foi fornecida pela Secretaria Municipal de Saúde. Para obter as informações junto aos profissionais, utilizou-se de questionário autoaplicável elaborado especificamente para o presente estudo. Os resultados indicaram que 61% dos profissionais de Educação Física com vínculo funcional com a Secretaria Municipal de Saúde Pública de Campo Grande - MS atuavam na Atenção Primária. Os profissionais são maioria do sexo masculino (54%), predominância de casados (82%), faixa etária de 30 a 39 anos (73%), renda mensal de até três salários mínimos (73%), formação em Educação Física (Licenciatura Plena) (54%), concluída há mais de 10 anos (82%), majoritariamente em instituições privadas de ensino superior (73%), concursados no serviço público (91%), com jornada de serviço semanal de 40 horas (91%), atuantes há mais de três anos da Atenção Primária à Saúde (82%). Concluiu-se que as características sociodemográficas e econômicas revelaram que os PEF detém estabilidade funcional, com experiência na área de atuação e formação condizente com o contexto de intervenção.ABSTRACT. The work of physical education professionals on primary health care. The goal of this study was to analyze the sociodemographic and economical characteristics of the physical education professionals working with Primary Health Care in the municipality of Campo Grande - MS. The data were initially collected with the management of municipal department of health, in order to identify the distribution of professionals in the municipal health network and, later, with the Primary Health Care professionals themselves. In order to obtain the information from the professionals, it was used a self-applicable questionnaire devised specifically for this study. The results showed that 61% of the physical education professionals functionally linked to the municipal department of public health of Campo Grande-MS worked with primary care, which represented a coverage of approximately 30% of supply of physical activities on that level of health care. The evaluated professionals presented a sociodemographic profile with a majority of males (54%), prevalently married (82%), in the age group between 30 and 39 years old (73%), with a monthly income of up to three minimum wages (73%), with a full licentiateship in Physical Education (54%), concluded over 10 years ago (82%), mostly in private higher education institutions (73%), with public service tender (91%), with a 40-hour workweek (91%), working with primary care for over three years (82%). It was concluded that the sociodemographic and economical characteristics showed that the Physical Education professionals have functional tenure, with experience in the area of work and training in line with the intervention context.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Gonçalves ◽  
H Pedroso ◽  
J Areosa

Abstract Background Worldwide, workers' health is still a Public Health concern, given the high number of hazardous occupational activities, as well as workers affected by work-related diseases. Among these diseases, occupational Noise-Induced Hearing Loss-NIHL is considered the second commonest occupational disease, and in Brazil, its reporting is compulsory. However, occupational diseases are usually underreported, hindering the knowledge of their actual magnitude, and the elaboration of prevention-oriented public policies. Objective To analyze the perception and knowledge of Primary Health Care professionals in Curitiba-Parana State, Brazil, on the compulsory NIHL reporting. Methods quantitative and qualitative approach conducted in three steps: analysis of a series of NIHL case histories reported in the official database between 2007 and 2018; application of a questionnaire to Primary Health Care Network professionals; collective interview with Primary Health Care Network nurses, speech therapists and doctors. Results NIHL reporting evidenced 82 cases, 67 (81.7%) among males, age ranging 50-64 years, 10 (12.2%) had complete high school level, 27 (32.9%) were formally employed, and 12 (14.6%) worked in the processing industry. Regarding the result of the applied questionnaire among the Primary Health Care professionals, 48 (68.7%) stated that they were prepared to identify workers' health problems, to 33 (68.7%) professionals, guidance to reassure users' comprehensive care is more important than the compulsory reporting, 21 (43.7%) claimed that they were qualified to identify NIHL cases, and 25 (52.1%) did not report the cases. Difficulties in reporting NIHL cases are: not understanding their flow, being afraid of the legal implications, which may generate difficulties in requesting audiometric testing, not having the management support, etc. Conclusions Most health care professionals are knowledgeable on NIHL, but they do not report the suspected cases due to lack of guidance. Key messages Primary care health professionals does not consider occupational health as part of the service to be provided. Primary care services are not prepared to establish the relationship between the injury and the job.


2021 ◽  
Vol 31 (4) ◽  
Author(s):  
Marcelo Pereira da Rocha ◽  
Ingrid Soares Viana ◽  
Iago Freitas Vieira

Abstract The adoption of safe practices by health services drives out health harms and preventable deaths at all levels of health care. This study aimed to understand how patient safety actions are organized in the conception of primary health care professionals in a municipality in the state of Bahia. exploratory research, with a qualitative approach, was performed through in person and online interviews with two Nurses and three Dental Surgeons, with broad knowledge of the researched matter and working in traditional primary care and Family Health teams. Data were analyzed through content analysis. It was perceived that knowledge of the researched topic was insufficient and that there was a need for the matter to become part of the teams’ discussion agenda. The reports point out that, in the interviewees’ view, actions related to patient safety are not yet implemented in the researched location. It was identified the need for structuring actions aimed at preventing adverse events and institutionalizing safety in health care.


2013 ◽  
Vol 19 (3) ◽  
pp. 190 ◽  
Author(s):  
Lynn H. Cheong ◽  
Carol L. Armour ◽  
Sinthia Z. Bosnic-Anticevich

Managing chronic illness is highly complex and the pathways to access health care for the patient are unpredictable and often unknown. While multidisciplinary care (MDC) arrangements are promoted in the Australian primary health care system, there is a paucity of research on multidisciplinary collaboration from patients’ perspectives. This exploratory study is the first to gain an understanding of the experiences, perceptions, attitudes and potential role of people with chronic illness (asthma) on the delivery of MDC in the Australian primary health care setting. In-depth semi-structured interviews were conducted with asthma patients from Sydney, Australia. Qualitative analysis of data indicates that patients are significant players in MDC and their perceptions of their chronic condition, perceived roles of health care professionals, and expectations of health care delivery, influence their participation and attitudes towards multidisciplinary services. Our research shows the challenges presented by patients in the delivery and establishment of multidisciplinary health care teams, and highlights the need to consider patients’ perspectives in the development of MDC models in primary care.


1999 ◽  
Vol 58 (1) ◽  
pp. 94-104 ◽  
Author(s):  
Delamie Thompson ◽  
Ann Smith ◽  
Terry Hallom ◽  
E. Durrenberger

Talk of "partnerships" between communities and primary health care professionals is widely recognized as a valuable selling point of programs competing for grant dollars and community sites. How the partnership manifests itself varies. Funded by a grant from the U.S. Department of Health and Human Services to a school of nursing, one such program was presented to a Chicago community as having two equal goals: delivery of primary health care to the community; and the education of nursing students. Community Health Advocates were hired to work in the center with a registered nurse to facilitate access to the local neighborhood. This core group maintains the daily functions of the center and are the first three authors of this paper. Nursing students and faculty from the university provide services at the site on the university's schedule to meet the university's goals. In this paper the core staff reflects on the experience and discusses the clash of professional and community standards, objectives, and perspectives, which results in fragmented service


Author(s):  
Vandepaula Melo ◽  
Emmanuelly Lemos ◽  
Alany Marins ◽  
Bruno Silva ◽  
Amanda Albuquerque ◽  
...  

2017 ◽  
Author(s):  
Ilse Catharina Sophia Swinkels ◽  
Martine Wilhelmina Johanna Huygens ◽  
Tim M Schoenmakers ◽  
Wendy Oude Nijeweme-D'Hollosy ◽  
Lex van Velsen ◽  
...  

BACKGROUND Electronic health (eHealth) solutions are considered to relieve current and future pressure on the sustainability of primary health care systems. However, evidence of the effectiveness of eHealth in daily practice is missing. Furthermore, eHealth solutions are often not implemented structurally after a pilot phase, even if successful during this phase. Although many studies on barriers and facilitators were published in recent years, eHealth implementation still progresses only slowly. To further unravel the slow implementation process in primary health care and accelerate the implementation of eHealth, a 3-year Living Lab project was set up. In the Living Lab, called eLabEL, patients, health care professionals, small- and medium-sized enterprises (SMEs), and research institutes collaborated to select and integrate fully mature eHealth technologies for implementation in primary health care. Seven primary health care centers, 10 SMEs, and 4 research institutes participated. OBJECTIVE This viewpoint paper aims to show the process of adoption of eHealth in primary care from the perspective of different stakeholders in a qualitative way. We provide a real-world view on how such a process occurs, including successes and failures related to the different perspectives. METHODS Reflective and process-based notes from all meetings of the project partners, interview data, and data of focus groups were analyzed systematically using four theoretical models to study the adoption of eHealth in primary care. RESULTS The results showed that large-scale implementation of eHealth depends on the efforts of and interaction and collaboration among 4 groups of stakeholders: patients, health care professionals, SMEs, and those responsible for health care policy (health care insurers and policy makers). These stakeholders are all acting within their own contexts and with their own values and expectations. We experienced that patients reported expected benefits regarding the use of eHealth for self-management purposes, and health care professionals stressed the potential benefits of eHealth and were interested in using eHealth to distinguish themselves from other care organizations. In addition, eHealth entrepreneurs valued the collaboration among SMEs as they were not big enough to enter the health care market on their own and valued the collaboration with research institutes. Furthermore, health care insurers and policy makers shared the ambition and need for the development and implementation of an integrated eHealth infrastructure. CONCLUSIONS For optimal and sustainable use of eHealth, patients should be actively involved, primary health care professionals need to be reinforced in their management, entrepreneurs should work closely with health care professionals and patients, and the government needs to focus on new health care models stimulating innovations. Only when all these parties act together, starting in local communities with a small range of eHealth tools, the potential of eHealth will be enforced.


2014 ◽  
Vol 27 (5) ◽  
pp. 609 ◽  
Author(s):  
Inês Campos-Matos ◽  
André Peralta-Santos ◽  
Bernardo Gomes ◽  
Gustavo Borges ◽  
Pedro Aguiar

<p><strong>Introduction:</strong> Obesity is an important public health problem because it is a risk factor for numerous diseases and is associated with a higher death risk. Evidence concerning the prevalence of excess weight in health professionals is scarce and this group is often overlooked in weight interventions programs. This paper aims to estimate the prevalence of obesity and overweight among Portuguese primary health care professionals and to describe differences between occupational groups.<br /><strong>Material and Methods:</strong> This was a cross sectional study based on a primary care setting in Portugal in 2011. We collected data on occupation, age, sex and height of professionals from four primary care centers. We did a descriptive analysis of the main variables and an analysis of covariance to compare mean Body Mass Index.<br /><strong>Results:</strong> Our sample represented 52.8% of the total population of the four primary care centers, and 38.6% were overweight and 16.9% were obese. When adjusted for age and gender, health service personnel had the highest average Body Mass Index, followed by nurses, physicians, and superior technicians, in that order.<br /><strong>Discussion:</strong> Although we can’t ensure the generalisation of the results and cannot exclude the possibility of sampling bias, these results suggest high prevalence obesity and overweight in workers of primary health care in Portugal.<br /><strong>Conclusion:</strong> In this primary care setting more than half of the health care professionals were overweight or obese. Tailored interventions might be needed to tackle this issue.</p><p><br /><strong>Keywords:</strong> Body Mass Index; Health Personnel; Obesity; Portugal; Primary Health Care; Prevalence.</p>


2021 ◽  
Vol 11 (6) ◽  
pp. 459
Author(s):  
Valle Coronado-Vázquez ◽  
Maria del Valle Ramírez-Durán ◽  
Juan Gómez-Salgado ◽  
María Silvia Dorado-Rabaneda ◽  
Elena Benito-Alonso ◽  
...  

Diagnosis and home follow-up of patients affected by COVID-19 is being approached by primary health care professionals through telephone consultations. This modality of teleconsultation allows one to follow the evolution of patients and attend early to possible complications of the disease. The purpose of the study was to analyze the evolution of a cohort of patients with suspected SARS-CoV-2 disease followed by primary care professionals and to determine the factors that are associated with hospital admission. A prospective cohort study was carried out on 166 patients selected by consecutive sampling that showed symptoms compatible with COVID-19. The follow-up was approached via telephone for 14 days analyzing hospitalization and comorbidities of the patients. There were 75% of the hospitalized patients that were male (p = 0.002), and 70.8% presented comorbidities (p < 0.001). In patients with diabetes, the risk of hospitalization was 4.6-times larger, in hypertension patients it was 3.3-times, those suffering from renal insufficiency 3.8-times, and immunosuppressed patients 4.8-times (IC 95%: 1.9–11.7). In 86.7% of the cases, clinical deterioration was diagnosed in the first seven days of the infection, and 72% of healing was reached from day seven to fourteen. Monitoring from primary care of patients with COVID-19 allows early diagnosis of clinical deterioration and detection of comorbidities associated with the risk of poor evolution and hospital admission.


Author(s):  
Indiara Sartori Dalmolin ◽  
Ivonete Teresinha Schülter Buss Heidemann

Objective: to understand the use of integrative and complementary practices as a health promotion action. Method: qualitative study, action-participant type, with the application of Paulo Freire’s Research Itinerary, in which 30 Primary Health Care professionals participated. Thematic research was developed with two Primary Care Units, one that used integrative and complementary practices in daily life and another that focused more on allopathic concepts of assistance. To carry out the three stages of the method used, seven Culture Yarning Circles took place. The critical unveiling took place concurrently with the participation of those surveyed. Results: integrative and complementary practices constitute a form of health care, with the purpose of understanding the human being in the health-disease process, making it possible to work with the different aspects that involve them. In this way, they reduce damages resulting from the excessive use of medications, stimulate comprehensiveness and promote health. Conclusion: integrative and complementary practices are resources for health promotion, through comprehensive care and reducing the use of medications.


2018 ◽  
Vol 43 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Priscila Reyes ◽  
Fabia Puelle ◽  
René Mauricio Barría

We explored outpatient’s perceptions on the quality of physiotherapy care provided in three urban primary care centers of Valdivia, Chile, through a descriptive phenomenological study. We collected data from 21 participants through semistructured interviews which were analyzed using the Colaizzi approach. Two main themes emerged: quality related to the professional and structure of the care system. Perceptions about the care received from the physiotherapist are influenced by factors such as communication, the way they treat the patient, and the trust established between patient and professional. In addition, structural aspects such as allocation of spaces, technical equipment and rehabilitation devices, access to centers, and the availability of the physiotherapist affect satisfaction and the perception of the quality of the service received. As it occurs in other health services provided by different health-care professionals, the quality of physiotherapy care is related to subjective (relational) and objective (structural) perceptions.


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