scholarly journals Welcoming in primary health care in the perception of the multidisciplinary team / Acolhimento na atenção primária a saúde na percepção da equipe multiprofissional

Author(s):  
Ricardo Otávio Maia Gusmão ◽  
Flabiane Carvalho Cordeiro Casimiro ◽  
Joanara Rozane Da Fontoura Winters ◽  
Reginalda Maciel ◽  
Dayane Clock Luiz ◽  
...  

Objetivo: compreender o acolhimento na unidade básica de saúde na percepção da equipe multiprofissional. Métodos: estudo descritivo e qualitativo conduzido com uma equipe de Saúde da Família por meio da técnica de grupo focal. A análise dos dados foi realizada por meio Análise de Conteúdo na modalidade Análise Temática. Resultados: verificou-se que as ações concebidas pela equipe como acolhimento eram realizadas em turno e horário específicos, por uma categoria profissional, consideradas como triagem de queixas agudas que determinariam atendimento médico. Conclusão: a maioria dos profissionais possuíam pouco entendimento ou desconheciam as diretrizes da Política Nacional de Humanização e a concepção ampliada do acolhimento, gerando processos de trabalho incompatíveis com a política, resultando-se em vários desafios a serem enfrentados pela equipe.  

Author(s):  
Eveline Treméa Justino ◽  
Maristel Kasper ◽  
Karen da Silva Santos ◽  
Rita de Cassia Quaglio ◽  
Cinira Magali Fortuna

Objective: to map the available evidence on the main topics investigated in palliative care in primary health care. Method: scoping review type study carried out in five databases, including original articles, based on the descriptors palliative care, palliative care at the end of life, terminal care, terminal state, primary health care and their respective acronyms and synonyms, totaling 18 publications. The extraction of data from primary studies was performed using an instrument produced by the authors and which allowed the construction of the categories presented. Results: 18 publications were included in this review. Among the most studied themes are the difficulties of the teams regarding the continuity of care in the health network; the importance of in-service education by the multidisciplinary team; professional unpreparedness; bioethics; the validation and application of scales for prognosis and care for some pathologies such as cancer and diabetes; among others. Conclusion: it became evident that palliative care in primary health care has been gradually developed, but it is necessary to consider the organization of primary health care and the social policies that support or weaken it, being considered a complex challenge.


2019 ◽  
Vol 45 (6) ◽  
Author(s):  
Erikson Custódio Alcântara ◽  
Krislainy de Sousa Corrêa ◽  
José Roberto Jardim ◽  
Marcelo Fouad Rabahi

ABSTRACT Objective: To evaluate the use of video lessons on the topic of COPD as a training tool for a multidisciplinary team working in the primary health care sector. Methods: This was a quasi-experimental study involving a multidisciplinary team working at a primary health care clinic. The level of knowledge about COPD was measured by applying a specific, 16-item questionnaire - before, immediately after, and three months after the video lessons. In a set of six structured video lessons, the training focused on the prevention, case-finding, treatment, and monitoring of cases of COPD. The data were analyzed with the Friedman test, the Kruskal-Wallis test, Tukey’s post hoc test, Dunnett’s test, and the Bonferroni test. Results: There was a significant difference between the periods before and immediately after the training in terms of the scores on 15 of the 16 items on the questionnaire regarding the level of knowledge about COPD. The median total score of the participants increased significantly, from 60 points before the training to 77 points immediately thereafter and 3 months thereafter (p < 0.001 for both). Before the training, 23 (63.9%) and 13 (36.1%) of the members of the multidisciplinary team presented strong and very strong levels of agreement, respectively, among the 16 questionnaire items. After the training, 100% of the individuals presented a very strong degree of agreement. Conclusions: Multidisciplinary education through video lessons increased the knowledge of COPD on the part of a primary health care team, and the knowledge acquired was retained for at least three months after the intervention.


2021 ◽  
Vol 11 (1) ◽  
pp. 83-89
Author(s):  
Marina Tiemi Shio

Introduction: Pharmaceutical Care in Primary and Specialized Health Care was standardized by Ordinance No. 1,918 / 2016 approved by the Municipal Health Secretariat of São Paulo. The role of the pharmacist is important for expanding health care and improving adherence to drug treatment for patients. Objective: The research evaluate the perception of pharmaceutical professionals regarding Pharmaceutical Care after the implementation of the Ordinance in the Primary Health Care and Specialty Network. Methods: An online questionnaire was applied before and after the regulation of the Ordinance. Thirty-two pharmacists answered the questionnaires. The opinions of the pharmaceutical professionals regarding the types of interventions used, their ability to intervene, generate good results and the patients' trust for the pharmacist were similar before or after the regulation of the Pharmaceutical Care Ordinance. However, after the standardization of the ordinance, there was an increased participation of pharmaceutical professionals in the meetings of the multidisciplinary team. During the meeting, there was an increase of the feedback concerning the improvement of pharmacotherapy. Pharmaceutical professionals reported that they felt more inserted in the multidisciplinary team (81.25%) and it is necessary an improvement their professional skills (87.50%), as well as an academic updating (96.88%). The implementation of Pharmaceutical Care, according to Ordinance No. 1,918 / 2016, brought pharmacists closer to patients using the Unified Health System (SUS) and to the multidisciplinary team of their Health Unit, enabling a better monitoring of the patient with polypharmacotherapy.


Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.


2000 ◽  
Author(s):  
Judith Blakeley ◽  
Lan Gien ◽  
Purnima Sen ◽  
Maureen Laryea

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