scholarly journals Estratégia saúde da família - a ótica dos cuidadores de crianças

2018 ◽  
Vol 12 (3) ◽  
pp. 607
Author(s):  
Adriano Trigolo Pahim ◽  
Maria Fernanda Pereira Gomes ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Sao Paulo ◽  
São Paulo ◽  
Primary Health ◽  
Health Strategy ◽  
Care Assessment ◽  
The Family ◽  
Family Health Strategy

RESUMOObjetivo: avaliar sob a ótica dos cuidadores de crianças menores de dois anos e usuários adultos se os atributos essenciais e derivados da atenção primária à saúde estavam presentes e como estavam sendo operacionalizados na Estratégia Saúde da Família. Método: estudo quantitativo, descritivo e transversal realizado em três municípios da região de Presidente Prudente, Estado de São Paulo, Brasil. Utilizou-se o instrumento de avaliação da atenção primária à saúde (PCATool) na versão criança e adulto, em que 176 cuidadores de crianças menores de dois anos e 181 adultos usuários participaram da pesquisa. Resultados: os atributos da atenção primária à saúde estavam presentes na Estratégia Saúde da Família da região; porém, alguns atributos como Coordenação – Integração de Cuidados, Acesso de Primeiro Contato – Acessibilidade e Orientação Familiar precisavam melhorar sua operacionalização. Conclusão: os atributos da atenção primária à saúde devem estar adequadamente incorporados à prática dos profissionais da saúde por meio da capacitação e valorização das ações que caracterizam a Estratégia Saúde da Família como modelo com foco na família. Descritores: Avaliação em Saúde; Estratégia Saúde da Família; Atenção Primária à Saúde; Saúde Pública; Saúde da Criança; Saúde do Adulto. ABSTRACT Objective: to assess whether the essential attributes and derivatives of primary health care were present and how they were being implemented in the Family Health Strategy from the point of view of caregivers of children under two years of age and adult users. Method: quantitative, descriptive and cross-sectional study conducted in three municipalities of the region of Presidente Prudente, State of São Paulo, Brazil. We used the child and adult versions of the Primary Care Assessment Tool (PCATool), and 176 caregivers of children under two years of age and 181 adult users participated in the research. Results: the attributes of primary health care were present in the Family Health Strategy in the region; however, some attributes, such as healthcare coordination-integration, access to initial contact–accessibility, and family guidance needed to have their implementation improved. Conclusion: the attributes of primary health care should be properly incorporated into the practice of health professionals through training and actions that characterize the Family Health Strategy as a model with a focus on the family. Descritoprs: Health Assessment; Family Health Strategy; Primary Health Care; Public Health; Child Health; Adult Health.                                                            RESUMEN Objetivo: evaluar bajo la óptica de los cuidadores de niños menores de dos años y adultos usuarios si los atributos esenciales y derivados de la atención primaria de salud estaban presentes y cómo estaban siendo puestos en marcha en la Estrategia Salud de la Familia. Método: estudio cuantitativo, descriptivo y transversal realizado en tres municipios de la región de Presidente Prudente, Estado de São Paulo, Brasil. Se usaron las versiones niño y adulto del Instrumento de Evaluación de la Atención Primaria (PCATool) y 176 cuidadores de niños menores de dos años y 181 adultos participaron en la investigación. Resultados: los atributos de la atención primaria de salud estaban presentes en la Estrategia Salud de la Familia en la región; sin embargo, algunos atributos tales como coordinación-integración de los cuidados, acceso a primer contacto–accesibilidad y asesoramiento familiar necesitaban mejorar su puesta en marcha. Conclusión: los atributos de la atención primaria de salud deben ser debidamente incorporados a la práctica de profesionales de la salud a través de capacitación y desarrollo de acciones que caracterizan la Estrategia Salud de la Familia como un modelo con enfoque en la familia. Descriptores: Evaluación De La Salud; Estrategia Salud de la Familia; Atención Primaria de Salud; Salud Pública; Salud Del Niño; Salud del Adulto.

scholarly journals Primary Health Care Evaluation: the view of clients and professionals about the Family Health Strategy

2015 ◽  
Vol 23 (5) ◽  
pp. 979-987 ◽  
Author(s):  
Simone Albino da Silva ◽  
Tamara Cristina Baitelo ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Family Counseling ◽  
Primary Health ◽  
Health Strategy ◽  
Care Assessment ◽  
The Family ◽  
Community Counseling ◽  
Family Health Strategy

Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process.Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1.Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services.Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.

scholarly journals Family and community guidance in adolescence: assessment in the family health strategy

2021 ◽  
Vol 29 ◽  
Author(s):  
Rosimara Oliveira Queiroz ◽  
Márcia Moroskoski ◽  
Bianca Machado Cruz Shibukawa ◽  
Roberta Tognollo Borotta Uema ◽  
Rosana Rosseto de Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Communication Process ◽  
Care Practice ◽  
Primary Health ◽  
Health Strategy ◽  
Care Assessment ◽  
The Family ◽  
Family Health Strategy

Objective: to evaluate family and community guidance in adolescence, within the scope of Primary Health Care. Method: an evaluative and descriptive study with a quantitative approach, developed through the application of the Primary Care Assessment Instrument (PCATool), with 70 professionals from the Family Health Strategy and 140 adolescents from the widerange areas. Data collection took place in Basic Health Units and in the adolescents’ homes in a municipality of southern Brazil, from May to September 2019. The data were analyzed using descriptive and inferential statistics using ANOVA and Tukey’s test, performed using the R Studio software. Results: there was divergence in the assessment of the attributes of family and community guidance between users and responsible professionals, showing weaknesses in the communication process and in the formation of the care bond in this reality, with impacts on quality of care. Conclusion: there was a need for continued assessment of the care practice in primary health care, as well as for permanent education with a focus on increasing qualification of care for adolescents.

scholarly journals Longitudinality in Primary Health Care: a comparison between care models

2018 ◽  
Vol 71 (3) ◽  
pp. 1063-1071 ◽  
Author(s):  
Marciane Kessler ◽  
Suzinara Beatriz Soares de Lima ◽  
Teresinha Heck Weiller ◽  
Luís Felipe Dias Lopes ◽  
Lucimare Ferraz ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Primary Health ◽  
Regional Health Care ◽  
Health Strategy ◽  
Care Assessment ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to evaluate the attribute longitudinality in different models of assistance in Primary Health Care and observe its association with demographic, socioeconomic and health care characteristics. Method: a cross-sectional study, carried out in 2015 with 1076 adult users of primary care services in the 32 cities of the 4th Regional Health Care Core of Rio Grande do Sul State. The Primary Care Assessment Tool was used with definition of low (<6.6) or high (≥6.6) score for longitudinality. The association with independent variables was observed through the Poisson regression. Results: the attribute was better assessed in the Family Health Strategy and associate with age, housing health region and care model. Conclusion: the study points out the Family Health Strategy as a promoter of longitudinal care, and so, it suggests the expansion of this assistance model coverage for quality improvement in health care.

scholarly journals Evaluation of Primary Health Care attributes of Fortaleza city, Ceará State, Brazil

2019 ◽  
Vol 72 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Leonardo Barbosa Rolim ◽  
Janássia Gondim Monteiro ◽  
Anya Pimentel Gomes Fernandes Vieira Meyer ◽  
Sharmênia de Araújo Soares Nuto ◽  
Márcio Flávio Moura de Araújo ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Family Health ◽  
A Value ◽  
Primary Health ◽  
Health Strategy ◽  
Care Assessment ◽  
Family Health Strategy

ABSTRACT Objective: To evaluate the Primary Health Care attributes of Fortaleza city, Ceará State. Method: Evaluative study carried out at 97 Primary Health Care Units, from August 2015 to June 2016. 451 professionals from the Family Health Strategy participated in the study. We used the Primary Care Assessment Tool - Brazil, which evaluates the attributes, assigning scores on a scale of zero to ten. We adopted as a cut-off point, to consider high Primary Care score, attributes with a value of 6.60 or higher. Results: Among the eight attributes evaluated the First Contact Access and the Coordination - Information System were the ones that obtained the lowest and highest scores, (2.98) and (7.82), respectively. The Overall Score, calculated by means of a mean of the attributes, was 6.34. Conclusion: The Primary Care evaluated had a low score, showing the need to discuss mechanisms to boost the attributes that obtained low scores.

scholarly journals Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy

2017 ◽  
Vol 20 (4) ◽  
pp. 714-726 ◽  
Author(s):  
Cristina Rabelo Flôr ◽  
Cláudia Di Lorenzo Oliveira ◽  
Clareci Silva Cardoso ◽  
Cleonice Ferreira Rabelo ◽  
Bernardo Luis Gontijo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Family Health ◽  
Traditional Model ◽  
Care Model ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units.

scholarly journals Home visits of the nurse and its relationship with hospitalization by diseases sensitive to primary health care

2019 ◽  
Vol 23 (2) ◽  
Author(s):  
Mayra Romélia Leite Garcia ◽  
Daniel Souza Sacramento ◽  
Hadelândia Milon de Oliveira ◽  
Maria Jacirema Ferreira Gonçalves
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Home Visits ◽  
Population Coverage ◽  
High Coverage ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Abstract Objective: To identify if nurses' home visits recorded by the family health strategy are proportional to the registered population and the population covered by the family health team, and its relationship with the rate of hospitalization for conditions sensitive to primary health care. Method: Secondary data were gathered from the Information Systems of Primary Care and Hospitalization regarding potential population coverage, number of visits done, hospitalizations for diseases sensitive to primary health care. An exploratory analysis was performed with data grouping for triennium (2010-2012 and 2013-2015) and assignment of scores for each variable, creating the classification strata in: low, medium and high. Results: It was identified that the number of registered home visits does not meet the estimated population coverage as well as does not impact on the admissions sensitive to primary health care. Conclusion and implications for practice: Even with high coverage of the family health strategy, home visits are not the main focus of nurses yet. Home visits should be used as a tool for disease prevention and health promotion, which may explain the non-reduction of hospitalizations sensitive to primary health care.

scholarly journals Humanization of Care from the Perspective of the Family Health Strategy Teams in a City in the Interior of São Paulo, Brazil

2010 ◽  
Vol 18 (4) ◽  
pp. 763-769 ◽  
Author(s):  
Maria José Sanches Marin ◽  
Luana Vergian Storniolo ◽  
Maria Yvette Moravcik
Keyword(s):  
Data Analysis ◽  
Family Health ◽  
Sao Paulo ◽  
Service Organization ◽  
São Paulo ◽  
Analysis Method ◽  
Qualitative Survey ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This study analyzes the understanding of professionals composing teams of the Family Health Strategy concerning humanization of care. This qualitative survey was carried out in a city in the interior of São Paulo through interviews with 20 professionals. The data analysis method used was Interpretation of Meanings based on the hermeneutic-dialectic perspective. The meaning of humanization according to the interviewed professionals includes an enlarged view, respect for ethical principles and facilitated access. The difficulties refer to the lack of prepared professionals, excessive demand and deficiencies in service organization. The professionals propose to educate and qualify professionals, make activities adequate given the professionals' roles and improve the organization of services. The professionals demonstrate understanding of the meaning of humanization and acknowledge the need to cope with difficulties.

scholarly journals Gestão do cuidado e matriciamento na atenção primária à saúde: um relato de experiência

2021 ◽  
Vol 3 (2) ◽  
pp. 95-101
Author(s):  
Minéia da Costa Figueiredo ◽  
Fabiana Lopes de Paula
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Management ◽  
Family Health ◽  
Patient Care Team ◽  
Unified Health System ◽  
Primary Health ◽  
Health Strategy ◽  
The Matrix ◽  
Family Health Strategy

Este artigo irá abordar a vivência em uma unidade de Estratégia Saúde da Família (ESF) no município de Canto do Buriti-PI sobre os aspectos relacionados ao processo de matriciamento e a gestão do cuidado. A descrição será feita a partir da análise da gestão do cuidado e articulações com o Núcleo de Apoio à Saúde da Família (NASF) e suas ações de apoio matricial desenvolvidas na unidade. O NASF tem fundamental importância na resolução de casos mais complexos e na efetivação de cuidado integral, bem como para a assistência humanizada aos usuários na Atenção Primária à Saúde. O relato traz como contribuição a análise do processo de trabalho entre eSF e NASF, com uma visão que traz subsídios para a reflexão; tendo a intenção de cooperar para o aperfeiçoamento, progresso das ações na APS e a concretização das políticas públicas. Palavras-chave: Atenção Primária à Saúde; Estratégia Saúde da Família; Equipe de Assistência ao Paciente; Integralidade em Saúde; Sistema Único de Saúde.   Abstract This article will address the experience in a Family Health Strategy (ESF) unit in the city of Canto do Buriti-PI on aspects related to the matrix support process and care management. The description will be made from the analysis of care management and articulations with the Family Health Support Center (NASF) and its matrix support actions developed in the unit. The NASF is of fundamental importance in solving more complex cases and in providing comprehensive care, as well as in providing humanized assistance to users in Primary Health Care. The report contributes to the analysis of the work process between eSF and NASF, with a a vision that supports reflection; with the intention of cooperating for the improvement, progress of actions in the PHC and the implementation of public policies. Keywords: Primary Health Care; Family Health Strategy; Patient Care Team; Integrality in Health; Unified Health System.

scholarly journals Ambulatory care sensitive hospitalizations after implementation of the master plan in Minas Gerais

2018 ◽  
Vol 52 ◽  
pp. 78
Author(s):  
Luciano José Arantes ◽  
Helena Eri Shimizu ◽  
Edgar Merchán-Hamann
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Family Health ◽  
Master Plan ◽  
Primary Health ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Ambulatory Care Sensitive Hospitalizations ◽  
Ambulatory Care Sensitive

OBJECTIVE: To describe the rate of ambulatory care sensitive hospitalizations in groups of cities according to population size and to analyze its association with the coverage of the Family Health Strategy after the implementation of the Master Plan for Primary Health Care in Minas Gerais, Brazil. METHODS: This is an ecological study with 452 cities grouped according to population size, with data from 2004 to 2007 and 2010 to 2013. We used the Kolmogorov-Smirnov test to verify the distribution of the data in the groups. We used the Wilcoxon test for paired data or the paired Student’s t-test to compare the rate of ambulatory care sensitive hospitalizations before and after the Master Plan for Primary Health Care. We used the simple linear regression test to analyze the association between variables. We performed statistical analyses using the Statistical Package for the Social Sciences, with a significance level of 5%. RESULTS: The rate of ambulatory care sensitive hospitalizations decreased significantly after the Master Plan for Primary Health Care in the large and mid-sized groups (p < 0.05). There were positive correlations between coverage with Family Health Strategy and the rate of ambulatory care sensitive hospitalizations in the mid-sized and large groups (p < 0.05). CONCLUSIONS: Actions were carried out to implement the Master Plan for Primary Health Care. However, more investments are needed to improve the effectiveness of the Primary Health Care, with permanent confrontation of complex issues that affect the quality of services, which can lead to a significant reduction of the rates of ambulatory care sensitive hospitalizations.

scholarly journals Avaliação dos atributos essenciais da atenção primária em Montes Claros –MG

Bionorte ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 134-142
Author(s):  
Ludmila Cotrim Fagundes ◽  
Caio Fagundes Quadros Lima ◽  
Luciana Cristine Dias ◽  
Maria Alice Miranda Fortes ◽  
André Augusto Dias Silveira ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Descriptive Study ◽  
Primary Health ◽  
Level Of Satisfaction ◽  
Health Strategy ◽  
Family Health Strategy ◽  
The City

Objective:to evaluate the essential attributes of primary care in a Family Health Strategy in the city of Montes Claros -MG from the perspective of the assisted population. Materials and Methods:this is a quantitative and descriptive study, with a sample of 130 patients. The Sociodemographic Questionnaire and the Questionnaire for the Evaluation of the Attributes of Primary Care were applied between the months of September and October 2018. The results were tabulated in an Excel spreadsheet. Results:the four Essential Attributes of Primary Care were mostly answered with a reasonable level of satisfaction or above. Overall average satisfaction was 6.8 points. Conclusion:the reduction of waiting time for appointments with general practitioners and the absence of specialists in the FHS were the main demands. However, in the eyes of users, it was evident that the four Essential Attributes of Primary Health Care, in general, are well exerted.

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