scholarly journals Child with special health needs at one hospital of the brazilian unified health system Criança com necessidades de saúde especiais de um hospital do sistema único de saúde

2021 ◽  
Vol 13 ◽  
pp. 1296-1302
Author(s):  
Catarina Cosmo de Oliveira Carvalho ◽  
Thais Guilherme Pereira Pimentel ◽  
Ivone Evangelista Cabral
Keyword(s):  
Health System ◽  
Rio De Janeiro ◽  
Health Needs ◽  
Unified Health System ◽  
Healthcare Needs ◽  
Special Health

Objetivos: determinar e analisar necessidades de saúde especiais entre crianças hospitalizadas em hospital de alta complexidade, no Rio de Janeiro. Método: estudo transversal e descritivo desenvolvido com 21 familiares de crianças hospitalizadas em unidade intensiva e enfermarias de cuidados agudos, na rede de atenção de alta complexidade. Em 2019, aplicou-se o children with special healthcare needs Screener  (CS Screener®) -  versão brasileira na entrevista com 21 familiares. Resultados: as crianças hospitalizadas (21/36) apresentaram necessidades e demandas de serviços de saúde relacionadas à doenças e transtornos comportamentais correspondendo a 76,19%. O cuidado da criança dependia do Sistema Único de Saúde e de Assistência social. Quatro possuíam dispositivos tecnológicos implantados; oito eram acompanhadas por especialistas na atenção psicossocial e educação especial. Conclusão: essas crianças se reinternavam frequentemente, ocupando a maioria dos leitos hospitalares do Sistema Único de Saúde, principal referência para a continuidade dos cuidados de enfermagem e uso contínuo de medicamentos.  

scholarly journals The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis

2016 ◽  
Vol 47 (3) ◽  
pp. 477-488 ◽  
Author(s):  
Noa Krawczyk ◽  
Deanna Kerrigan ◽  
Francisco Inácio Bastos
Keyword(s):  
Health Services ◽  
Health System ◽  
Economic Crisis ◽  
Rio De Janeiro ◽  
Crack Cocaine ◽  
Access To Health Services ◽  
Government Programs ◽  
Substance Users ◽  
Unified Health System ◽  
Harsh Criticism

Calls to address crack-cocaine use in Brazil among homeless and street-frequenting populations who are in urgent need of health services have questioned the capacity of the Brazilian Unified Health System to attend to the nation’s most marginalized citizens. In recent years, Brazil has launched several actions to escalate care for substance users, yet many obstacles hindering accessibility and effectiveness of services remain. Paradoxically, these actions have been implemented in the context of a growing economic crisis, and expanding services for a population of poor and stigmatized substance users while cutting other government programs tends to elicit harsh criticism from citizens. In consequence of such prospects, this commentary aims to discuss barriers marginalized substance users face in accessing health services that are at risk of worsening with government cutbacks. Using Rio de Janeiro as an example, we explore two primary issues: the resource-strained, under-staffed and decentralized nature of the Brazilian Unified Health System and the pervading stigma that bars vulnerable citizens from official structures and services. Abandoning initiated government efforts to increase access to health services would risk maintaining vulnerable citizens at the margins of public structures, inhibiting the opportunity to offer this population humane and urgently needed treatment and care.

scholarly journals Access to and utilization of prenatal care services in the Unified Health System of the city of Rio de Janeiro, Brazil

2013 ◽  
Vol 16 (4) ◽  
pp. 953-965 ◽  
Author(s):  
Rosa Maria Soares Madeira Domingues ◽  
Maria do Carmo Leal ◽  
Zulmira Maria de Araújo Hartz ◽  
Marcos Augusto Bastos Dias ◽  
Marcelo Vianna Vettore
Keyword(s):  
Black Women ◽  
Prenatal Care ◽  
Health System ◽  
Pregnant Women ◽  
Rio De Janeiro ◽  
Cross Sectional ◽  
Care Services ◽  
Unified Health System ◽  
Late Start ◽  
The City

Prenatal care consists of practices considered to be effective for the reduction of adverse perinatal outcomes. However, studies have demonstrated inequities in pregnant women's access to prenatal care, with worse outcomes among those with lower socioeconomic status. The objective of this study is to evaluate access to and utilization of prenatal services in the Sistema Único de Saúde (SUS - Unified Health System) in the city of Rio de Janeiro and to verify its association with the characteristics of pregnant women and health services. A cross-sectional study was conducted in 2007-2008, using interviews and the analysis of prenatal care cards of 2.353 pregnant women attending low risk prenatal care services of the SUS. A descriptive analysis of the reasons mentioned by women for the late start of prenatal care and hierarchical logistic regression for the identification of the factors associated with prenatal care use were performed. The absence of a diagnosis of pregnancy and poor access to services were the reasons most often reported for the late start of prenatal care. Earlier access was found among white pregnant women, who had a higher level of education, were primiparous and lived with a partner. The late start of prenatal care was the factor most associated with the inadequate number of consultations, also observed in pregnant adolescents. Black women had a lower level of adequacy of tests performed as well as a lower overall adequacy of prenatal care, considering the Programa de Humanização do Pré-Natal e Nascimento (PHPN - Prenatal and Delivery Humanization Program) recommendations. Strategies for the identification of pregnant women at a higher reproductive risk, reduction in organizational barriers to services and increase in access to family planning and early diagnosis of pregnancy should be prioritized.

scholarly journals Complications of Covid-19: developments for the Unified Health System

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Fernando Genovez de Avelar ◽  
Isabel Cristina Martins Emmerick ◽  
Jessica Muzy ◽  
Mônica Rodrigues Campos
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Severe Acute Respiratory Syndrome ◽  
Health System ◽  
Scientific Literature ◽  
Health Resources ◽  
Health Needs ◽  
Transmission Control ◽  
Unified Health System ◽  
Primary Health

Resumo Covid-19 is an infectious severe acute respiratory syndrome, caused by Coronavirus, which quickly reached pandemic levels. In July/2020, Brazil was the second country most affected by the disease, exceeding two million cases. Despite the increasing scientific literature on Covid-19, its containment is still compromised by the lack of understanding about its determinants and complications. This article presents a discussion on aspects related to Covid-19 complications and its effects on Unified Health System (SUS), aiming at planning new coping strategies. Additionally, it is pointed out that the overload of the health system does not result only from aspects associated with the assistance to Covid-19, but adds to the pre-existing health needs, whose care strategies were postponed and/or changed due to the actions transmission control. It is evident, then, the need to reinforce the action of Primary Health Care as the ordering of care in SUS, acting in the management of the reorganization of flows and in the improvement of the physical structures of the units. To this end, the end of measures to limit health resources is essential, since not only does the success of coping with Covid-19 depend on this, but also the future of SUS and Brazilian’s health.

scholarly journals Pelo avesso: dialogando sobre a Teoria Fundamentada nos Dados [By avenue: dialoging about Grounded Theory] [Al revés: dialogando sobre la Grounded Theory]

2018 ◽  
Vol 26 ◽  
pp. e28047
Author(s):  
Lorrainy Cruz Solano ◽  
Francisco Arnoldo Nunes de Miranda ◽  
Bertha Cruz Enders ◽  
Francisca Georgina Macedo de Sousa
Keyword(s):  
Qualitative Research ◽  
Grounded Theory ◽  
Problem Solving ◽  
Health System ◽  
Health Needs ◽  
Theory Method ◽  
Unified Health System ◽  
Grounded Theory Method ◽  
Problem Solving Strategies ◽  
Investigación Cualitativa

Objetivo: refletir sobre a Teoria Fundamenta nos Dados (TFD) ou Grounded Theory, como recurso metodológico para pesquisas qualitativas em enfermagem. Conteúdo: utilizou-se como base para a discussão o diálogo entre autores convergentes com os pressupostos da TFD que caminham pelo avesso do roteiro metodológico clássico da pesquisa qualitativa. Duas linhas argumentativas foram desenhadas para que a reflexão acontecesse: a primeira a partir do método TFD propriamente dito e a segunda sobre os saberes na pesquisa em enfermagem. Conclusão: a atual conjuntura impõe o compromisso do pesquisador de enfermagem com as necessidades de saúde da população e com o Sistema Único de Saúde, requerendo estratégias de enfrentamento dos problemas viáveis, eficazes, eficiente e resolutivas. A TFD é uma delas, instigando o conhecimento do conhecimento em enfermagem.ABSTRACT Objective: to think about Grounded Theory as a methodological resource for qualitative research in nursing. Content: the discussion was based on dialogue among authors who converge with the assumptions of Grounded Theory, which run counter to the classic methodological script of qualitative research. Two lines of argument were traced for the thinking to take place: the first based on the Grounded Theory method as such, and the second on knowledge in nursing research. Conclusion: the current situation demands that nursing researchers commit to the population’s health needs and the Unified Health System, and requires feasible, effective, efficient problem-solving strategies, of which Grounded Theory is one, instigating knowledge of knowledge in nursing.RESUMENObjetivo: reflexionar sobre la Grounded Theory como recurso metodológico para investigaciones cualitativas en enfermería. Contenido: se utilizó como base para la discusión o el diálogo entre autores convergentes con los supuestos de la Grounded Theory que caminan al revés del guion metodológico clásico de la investigación cualitativa. Se dibujaron dos líneas argumentativas para que la reflexión ocurriera: la primera desde el método Grounded Theory propiamente dicho y la segunda sobre los saberes en la investigación en enfermería. Conclusión: la actual coyuntura impone el compromiso del investigador de enfermería respecto a las necesidades de salud de la población y al Sistema Único de Salud, y requiere estrategias de afrontamiento de problemas factibles, eficaces, eficientes y resolutivos. La Grounded Theory es una de ellas e instiga el conocimiento de los saberes de enfermería.

scholarly journals AB0833 HOSPITAL ADMISSIONS FOR RHEUMATOID ARTHRITIS AND OTHER INFLAMMATORY POLYARTHROPATHIES IN THE BRAZILIAN PUBLIC HEALTH SYSTEM

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1440.3-1441
Author(s):  
A. Dal Pra Wendt ◽  
F. Milene Cardozo
Keyword(s):  
Public Health ◽  
Rheumatoid Arthritis ◽  
Health System ◽  
Rio De Janeiro ◽  
Hospital Admissions ◽  
Public Health System ◽  
National Level ◽  
Mato Grosso ◽  
Unified Health System ◽  
Southeastern Region

Background:Rheumatoid arthritis is an idiopathic autoimmune disease that is characterized by symmetrical peripheral polyarthritis. The disease leads to the destruction of joints due to erosion of both bone and cartilage. The other inflammatory polyarthropathies are a group composed of 61 diseases, according to the International Classification of Diseases (ICD-10). Drug treatment is carried out through outpatient follow-up, with no need for hospitalization in mild and / or controlled cases. When surgical treatment is recommended or there are complications from rheumatoid arthritis or other inflammatory polyarthropathies, hospitalization is indicated. In addition, Brazil has a broad public health system, called the Unified Health System (UHS), responsible for most health procedures carried out at the national level, especially with regard to the socioeconomically vulnerable population.Objectives:To investigate the number of hospital admissions for rheumatoid arthritis and other inflammatory polyarthropathies in UHS during the past three years.Methods:This is a quantitative and retrospective survey based on the data available on the website of the Department of Informatics of the Brazilian Unified Health System. The data are freely accessible and public domain. Information was collected about the period between December 2017 and November 2020, referring to the number of hospitalizations for rheumatoid arthritis and other inflammatory polyarthropathies in all five regions that make up Brazil.Results:The number of hospitalizations for rheumatoid arthritis and other inflammatory polyarthropathies fluctuated, between December 2017 and November 2020, from 1083 to 1311 per month, with an average of 1184 and a total of 38228 hospitalizations over the three years analyzed. Throughout the national territory, the region with the least monthly admissions was the central-west (which comprises the states of Mato Grosso, Mato Grosso do Sul, Distrito Federal and Goiás), with 2562 total admissions and an average of 71.1 monthly admissions. In contrast, the region with the highest number of cases was the southeastern region (where the states of Espírito Santo, Minas Gerais, São Paulo and Rio de Janeiro are located), with a total of 13173 hospitalizations and a monthly average of 365.9, representing 34,4% of hospitalizations in the country. Such data is in line with the Brazilian demography, since the central-west region is the second least inhabited (with 16.09 million inhabitants) and the southeastern region is the most densely inhabited (with 80.35 million inhabitants). The number of monthly hospitalizations, which remained above 1000 from the first month analyzed (December 2017) until February 2020, dropped to 990 in March of the same year and 651 in April, maintaining an average of 678.2 in next seven months.Conclusion:It is concluded that the number of hospitalizations for rheumatoid arthritis and other inflammatory polyarthropathies in Brazil dropped significantly between March and April 2020, a period that coincides with the beginning of the COVID-19 pandemic in the country, possibly as a result both of the changes in the Brazilian medical care model (in relation to the requirements for hospitalization) and as a result of the lower demand by individuals for hospitals due to fear of contamination by the new coronavirus.References:[1]BATES, B. Propedêutica Médica. 12ª ed. Rio de Janeiro: Guanabara Koogan, 2018.Disclosure of Interests:None declared

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