scholarly journals OVERVIEW OF THE UNIQUE HEALTH SYSTEM (SUS):

2021 ◽  
Vol 1 (06) ◽  
Author(s):  
Suellen Cristina Ribeiro Akamine
Keyword(s):  
Primary Care ◽  
Health System ◽  
Hospital Care ◽  
Hospital Admissions ◽  
Care Service ◽  
Family Health ◽  
Health Problems ◽  
Unified Health System ◽  
Family Health Strategy ◽  
Care Family

The Unified Health System has a network of teaching and research institutions such as universities, institutes and schools of public health that interact with state and municipal secretariats, the ministry of health, agencies and foundations. Primary Care is the main gateway to the SUS, starting with welcoming, listening and offering solutions to most health problems of the population, minimizing damage and suffering, aiming at the effectiveness of care, ensuring its completeness. SUS offers users the Hospital Care service of medium and high complexity. The objective of this study was to emphasize the importance of organizing the Unified Health System, highlighting Primary Care, Family Health Strategy and NASF, aiming at preventing health problems for the population. The results observed through bibliographic studies were the importance of adopting prevention strategies to minimize or avoid the individual's illness. It was concluded that the organization of the health system from Primary Care to Hospital Care is extremely important, emphasizing the need to seek preventive strategies adopted by the teams to prevent diseases, minimizing the need for hospital admissions, and providing quality of life to population.

scholarly journals Hospitalizations for cardiovascular diseases and the coverage by the family health strategy

2015 ◽  
Vol 23 (4) ◽  
pp. 611-619 ◽  
Author(s):  
Maicon Henrique Lentsck ◽  
Thais Aidar de Freitas Mathias
Keyword(s):  
Primary Care ◽  
Cardiovascular Diseases ◽  
Family Health ◽  
The State ◽  
Regional Health ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Spearman’S Correlation

AbstractObjective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011.Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearson's and Spearman's correlation coefficients.Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions.Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.

scholarly journals Oral Health in Primary Care through the Family Health Strategy

2019 ◽  
Vol 21 (2) ◽  
pp. 139
Author(s):  
Aline Claudia Ribeiro Medeiros Silva ◽  
Mário Molari
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Oral Health ◽  
Health System ◽  
Family Health ◽  
Health Indicators ◽  
Family Health Program ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

AbstractThe purpose of this article is to carry out a literature review on oral health team in primary care with their inclusion in the Family Health Strategy (FHS). The publications were consulted in national papers, official documents and other publications of Health Ministry (MS). In the literature it is observed that with the creation of the Unified Health System (SUS) a process of health restructuring services in Brazil began. The Primary Care National Policy (PNAB) is the result of several historical facts involved with the development and consolidation of SUS. The Family Health Program (PSF), now called the Family Health Strategy (ESF) was created in 1994 aimed at reorienting health care with new bases, centering family focus and attempting to achieve improvement in quality of life of Brazilians. In 2000, oral health teams were included in the PSF to extend access  of the Brazilian population to health promotion actions, prevention and recovery of oral health, improve health indicators and encourage the reorganization of dentistry in primary care. ESF is a unique strategy in the reorganization of the Brazilian health system and the inclusion of the ESB an important complement in primary care, aiming an integral dental practice. Keywords: Primary Health Care. Family Health Strategy. Oral Health. ResumoO presente artigo tem o objetivo de realizar uma revisão de literatura sobre a equipe de saúde bucal na atenção básica, através da sua inserção na Estratégia Saúde da Família (ESF). As publicações consultadas foram artigos científicos nacionais, documentos oficiais (leis e portarias) e outras publicações do Ministério da Saúde (MS).  Na literatura observa-se que com a criação do Sistema Único de Saúde (SUS) iniciou no Brasil um processo de reestruturação dos serviços de saúde. A Política Nacional de Atenção Básica (PNAB) é resultado da experiência acumulada de vários atores envolvidos historicamente com o desenvolvimento e a consolidação do SUS. O Programa Saúde da Família (PSF), atualmente denominado Estratégia Saúde da Família (ESF), foi implantado em 1994 visando a reorientação da prática da atenção à saúde sob novas bases, centrando o foco na família, na tentativa de alcançar uma melhoria na qualidade de vida dos brasileiros. Em 2000, as equipes de saúde bucal foram inseridas no PSF com o objetivo de ampliar o acesso da população brasileira às ações de promoção, prevenção e recuperação da saúde bucal, melhorar os indicadores de saúde, além de incentivar a reorganização da odontologia na atenção básica. A ESF consiste em uma estratégia ímpar na reorganização do sistema de saúde brasileiro e a inclusão da ESB um importante complemento na atenção básica, visando uma prática odontológica integral. Palavras-chave: Atenção Primária à Saúde. Estratégia Saúde da Família. Saúde Bucal.

scholarly journals Physical therapist insertion in the Family Health Strategy team: the users’ view

2015 ◽  
Vol 28 (3) ◽  
pp. 485-493 ◽  
Author(s):  
Fátima Ferretti ◽  
Rosane Paula Nierotka ◽  
Cássia Cristina Braghini ◽  
Carla Rosane Paz Arruda Teo ◽  
Lucimare Ferraz ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Family Health ◽  
Theory And Practice ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

AbstractIntroduction The Family Health Strategy program (FHS) was created with the aim to strengthen primary care through multidisciplinary practices, focused of health care to the family and community. In this sense, the incorporation of other professionals, other than provided in the minimum composition, such as the physical therapist, may contribute to enhance the comprehensiveness of health care.Objective To know how the user perceives the need of a physical therapist in the FHS.Methodology This is a qualitative research of 60 users of a Family Health Center in a city in western Santa Catarina. Data collection was performed at users’ homes by means of an interview. It contained questions about users’ knowledge on physiotherapy and the need to include this professional in the FHS team. Data were analyzed using thematic content analysis.Results Regarding the users’ knowledge about the physical therapist, we could observe that users perceive this professional as the one who works in rehabilitation. As for the need for the physical therapists insertion in the FHS staff, users highlighted that it is important to facilitate access to physical therapy services and to expand the comprehensiveness of health care to the user.Final considerations It is clear that users recognize the role of physiotherapy in primary care, realizing the need for its inclusion in the FHS. This fact emphasizes that it is necessary to (re)consider the training process of this professional, approaching theory and practice of the FHS guidelines and the principles of the Unified Health System.

scholarly journals A interface entre a atenção primária à saúde e práticas integrativas e complementares no sistema único de saúde: formas de promover as práticas na APS

2021 ◽  
Vol 3 (2) ◽  
pp. 102-109
Author(s):  
Lucas Gaspar Ribeiro ◽  
Daiane Marcondes
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Family Health ◽  
Unified Health System ◽  
Primary Health ◽  
Health Strategy ◽  
Politica Publica ◽  
Family Health Strategy ◽  
The Individual

Um marco para a saúde no Brasil foi a implantação do Programa Saúde da Família (PSF) em 1994, com a reorientação das práticas assistenciais pelos princípios doutrinários e organizacionais do Sistema Único de Saúde. Esse sistema também oferta as práticas integrativas e complementares, abordando o indivíduo na sua multidimensionalidade, estimulando os mecanismos naturais de cura. Elas foram inseridas como política pública em 2006, no mesmo ano que o PSF foi modificado para estratégia. Ambas possuem relevantes afinidades e pontos que fortalecem o cuidado. O objetivo desse artigo é apresentar essa aproximação teórico-prática através de uma revisão narrativa, encontrando diversas premissas e ferramentas de cuidado compartilhados pela abordagem da Atenção Primária à Saúde (APS) e pelas práticas integrativas e complementares, além das práticas contribuindo para a desmedicalização, acesso e resolutividade da APS com o trabalho interprofissional, individualmente e coletivamente.       Palavras-chave: atenção primária à saúde, práticas integrativas e complementares, estratégia saúde da família, políticas públicas em saúde, sistema único de saúde.   Abstract A milestone for health in Brazil was the implementation of the Programa Saúde da Família (PSF) in 1994, with the reorientation of care practices based on doctrinal and organizational principles of the Unified Health System. This system also offers integrative and complementary practices, addressing the individual in its multidimensionality, stimulating the natural healing mechanisms. They were inserted as public policy in 2006, at the same year that the PSF was changed to strategy. Both contain affinities and points that strengthen care. The objective of the article is to present this theoretical-practical approach of a narrative review, finding several premisse and tools of care shared by the approach of Primary Health Care (PHC) and by integrative and complementary practices, in addition to the practices contributing to demedicalization, access and resolution of PHC with interprofessional work, individually and collective Keywords: primary health care, integrative and complementary practices, family health strategy, public health policy, unified health system.

scholarly journals Acolhimento em saúde mental na atenção primária à saúde no contexto da pandemia da COVID-19

2021 ◽  
Vol 10 (7) ◽  
pp. e49610716848
Author(s):  
Thamires Pereira de Figueiredo ◽  
Milena Nunes Alves de Sousa ◽  
Hirisleide Bezerra Alves
Keyword(s):  
Mental Health ◽  
Health System ◽  
Health Personnel ◽  
Family Health ◽  
Unified Health System ◽  
Health Strategy ◽  
Family Health Strategy

Objetivo. Analisar o acolhimento em saúde mental na atenção primária à saúde no contexto da pandemia da COVID-19. Metodologia. Foram utilizados artigos na íntegra, disponíveis nas bases dados Medical Publications (PubMed) e Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS). Para a busca, utilizaram-se as palavras-chave: “Mental Health Assistance”, “Mental Health”, “Family Health Strategy”, “Unified Health System”, “Health Personnel”, “User Embracement” e “COVID-19”; obtidos de acordo com os Descritores de Ciências da Saúde (DeCS), tendo como operadores booleano “E/AND” e “OU/OR”. Posteriormente à aplicação dos critérios de inclusão definidos, 15 artigos foram selecionados para revisão. Resultados. Todos os artigos selecionados para esta revisão abordaram estratégias de atuação da Estratégia Saúde da Família no contexto da atenção à saúde mental, tanto antes quanto no período da pandemia. Além disso, muitos estudos trouxeram limitações como dificuldades de acesso, baixa resolutividade no âmbito da Atenção Básica, ausência de qualificação dos profissionais, além de falta de acesso à internet por parte dos usuários e baixa adesão às novas abordagens no contexto da pandemia. Conclusão. Há uma implementação de novas práticas que se adaptem ao novo cenário como, por exemplo, o teleatendimento, por meio de videochamadas e ligações. Apesar disso, essas práticas possuem limitações em decorrência do perfil dos usuários. Dessa forma, são necessárias novas estratégias para acolhimento que possam incluir todos os usuários do serviço.

scholarly journals Contraceptive use and the intention to become pregnant among women attending the Brazilian Unified Health System

2020 ◽  
Vol 28 ◽  
Author(s):  
Celia Regina Maganha e Melo ◽  
Ana Luiza Vilela Borges ◽  
Luciane Simões Duarte ◽  
Natália de Castro Nascimento
Keyword(s):  
Health System ◽  
Contraceptive Use ◽  
Family Health ◽  
Cross Sectional Study ◽  
Contraceptive Methods ◽  
Chi Square ◽  
Cross Sectional ◽  
Unified Health System ◽  
System Method ◽  
Family Health Strategy

Objective: to analyze the use of contraceptive methods and the intention to become pregnant among women attending the Brazilian Unified Health System. Method: a cross-sectional study conducted with 688 women aged 18-49 years old, attending the Family Health Strategy Facilities in the eastern part of the city of São Paulo, Brazil, who were awaiting medical or nursing consultation. Data were obtained through interviews with a structured instrument, allocated in tablets. The analysis was conducted with “strong desire to avoid pregnancy” as the dependent variable. Chi-square and multiple logistic regression were used, calculated in Stata 14.2. Results: 56.5% used some contraceptive method, covariates of the strong desire to avoid pregnancy were marital status (OR=0.49; CI95%=0.33-0.74), parity – two and more children (OR=15.9; IC95%=4.29-59.1); and pregnancy planning – planned (OR=0.69; IC95%=0.73-0.94) and ambivalent (OR=2.94; IC95%=1.30-3.83). There was no statistical difference between the strong desire to avoid pregnancy and the type of contraceptive used. Conclusion: women with a strong desire to avoid pregnancy used basically the same types of contraceptive methods as women in general, which shows that they have not been supported to achieve their reproductive preferences.

scholarly journals Family health nursing care: weaknesses and strengths in the Unified Health System

2015 ◽  
Vol 49 (4) ◽  
pp. 0603-0609 ◽  
Author(s):  
Simone Santana da Silva ◽  
Marluce Maria Araújo Assis
Keyword(s):  
Health System ◽  
Nursing Care ◽  
Family Health ◽  
Care Process ◽  
Structured Interviews ◽  
Unified Health System ◽  
Care Processes ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Health Nursing

OBJECTIVETo analyze the weaknesses and strengths of nursing care in the Family Health Strategy and its interfaces with the Unified Health System network.METHODA qualitative study performed by means of semi-structured interviews and systematic observations, with the participation of a nursing team of 15 people from October of 2012 to January of 2013.RESULTSStrengths that were emphasized: the nurse's versatility in conducting users within the unit and the health system, therefore directly acting upon access to these services. The nurse is the main subject that participates in the care processes for the person, family and social groups. Weaknesses that were highlighted: fragile embracement and low resolution of users' and families' problems.CONCLUSIONThe nursing care process in health units still lacks collective articulation, involvement of the team, and decentralization of the decisions.

scholarly journals The Team Of The Family Health Strategy And The Doctrinal Principles Of The Unified Health System: Perceptions And Applicability

10.3823/2389 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Woneska Rodrigues Pinheiro ◽  
Thais De Lima Felix Da Silva ◽  
Isaac De Sousa Araújo ◽  
Kátia Monaisa de Sousa Figueiredo ◽  
Lorena Pereira Bernardo ◽  
...  
Keyword(s):  
Health System ◽  
Family Health ◽  
Structured Interview ◽  
Consolidation Process ◽  
Basic Health ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Right

Introduction: The SUS, which was guaranteed by the Brazilian Constitution of 1988 and regulated by organic laws of health, offers a system governed of doctrinal principles (universality, fairness and completeness) concerning the philosophy of the system and extend the concept of health and the right to it. On the promotion of these principles, the municipalization of health is referred to as a policy of decentralization which incorporates basic health attention, permeated by the principles of the SUS, where inserts in this context the basic health units (UBS) that are entrance doors of the population to the system. When considering that the proposals brought by the family health strategy (FHS) are great potential to restructure the welfare model and the Organization of health services, and these proposals based on the principles governing the SUS, becomes essential, inter alia, that the worker member of this team have involvement and knowledge of the project, as well as on its goals and principles governing it. Objective: Check the knowledge and promotion of doctrinal principles of the SUS by active team of FHS in the town of Juazeiro do Norte in the State of Ceará (CE), Brazil.  Method: This work deals with a transversal nature study exploratory, qualitative approach. The survey was conducted in the family health strategy of the city of Juazeiro do Norte-CE, with top level professionals (physician, nurses and dentists) who work on units during the collection period. The collection was performed through a semi structured interview and the data analyzed by means of the collective subject discourse. This study was submitted to the Ethics Committee of the College Lion Sa, having the opinion of approved (nº: 1.067.638).  Results: the results showed that the professionals have demonstrated no knowledge of, nor promote some doctrinal principles of the SUS coherently. The knowledge that they have are fragmented and incipient, and Praxis (theory combined with practice) is still far from being achieved.  Conclusion: The findings of this research show gaps as the promotion of the principles of the SUS by professionals who act. The ineffective knowledge on how SUS is organized and on what basis rests, leads to improper practices, making deployment and consolidation process.   Keywords: Doctrinal Principles of the SUS. Unified health system. The family health strategy.

scholarly journals Reducing unscheduled hospital care for adults with diabetes following a hypoglycaemic event: which community-based interventions are most effective? A systematic review

2021 ◽  
Author(s):  
Aoife Watson ◽  
Donna McConnell ◽  
Vivien Coates
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Integrated Care ◽  
Hospital Care ◽  
Hospital Admissions ◽  
Community Based Interventions ◽  
Community Based ◽  
Integrated Care Pathways ◽  
Effective Community ◽  
Balance Of Care

Abstract Aim To determine which community-based interventions are most effective at reducing unscheduled hospital care for hypoglycaemic events in adults with diabetes. Methods Medline Ovid, CINAHL Plus and ProQuest Health and Medical Collection were searched using both key search terms and medical subject heading terms (MeSH) to identify potentially relevant studies. Eligible studies were those that involved a community-based intervention to reduce unscheduled admissions in adults with diabetes. Papers were initially screened by the primary researcher and then a secondary reviewer. Relevant data were then extracted from papers that met the inclusion criteria. Results The search produced 2226 results, with 1360 duplicates. Of the remaining 866 papers, 198 were deemed appropriate based on titles, 90 were excluded following abstract review. A total of 108 full papers were screened with 19 full papers included in the review. The sample size of the 19 papers ranged from n = 25 to n = 104,000. The average ages within the studies ranged from 41 to 74 years with females comprising 57% of the participants. The following community-based interventions were identified that explored reducing unscheduled hospital care in people with diabetes; telemedicine, education, integrated care pathways, enhanced primary care and care management teams. Conclusions This systematic review shows that a range of community-based interventions, requiring different levels of infrastructure, are effective in reducing unscheduled hospital care for hypoglycaemia in people with diabetes. Investment in effective community-based interventions such as integrated care and patient education must be a priority to shift the balance of care from secondary to primary care, thereby reducing hospital admissions.

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