Academic literature on the topic 'Primary health care attention'
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Journal articles on the topic "Primary health care attention"
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MCELMURRY, BEVERLY J. "Primary Health Care." Annual Review of Nursing Research 17, no. 1 (January 1999): 241–68. http://dx.doi.org/10.1891/0739-6686.17.1.241.
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Primary Health Care (PHC) has been promulgated for over two decades as a global strategy for ensuring basic health care for all people. PHC is characterized by equity, accessibility, availability of resources, social participation, intersectoral community action, and cultural sensitivity. While PHC can be discussed as philosophy or a process, it is critical that PHC be understood as a community focus in health care that differs from a primary care focus on individuals. Capturing PHC components in community-based interventions in order to advance the development of a rigorous research base requires a shift in thinking about what constitutes acceptable methods and evidence for evaluating changes in health care. To this end, the authors of this review discuss perspectives and available research that inform practice within multidisciplinary teams, highlight the importance of social discourse, and review participatory evaluation issues for achieving a working relationship with communities. Particular attention is focused on education for nurses’ roles in PHC activities within implementation models fostering community mobilization and development. An action plan is suggested as a means for situating discrete research activity within a PHC framework.
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Hajizamani, Abolghasem, Tayebeh Malek Mohammadi, Ebadollah Hajmohammadi, and Shahin Shafiee. "Integrating Oral Health Care into Primary Health Care System." ISRN Dentistry 2012 (February 29, 2012): 1–7. http://dx.doi.org/10.5402/2012/657068.
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Introduction. Systematic evaluation is an integral part of the organization and delivery of community oral health care programmes, ensuring the effectiveness of these community-based interventions. This study aimed to assess the knowledge and practice of primary health care (PHC) personnel regarding their duties toward oral health. Methods and Material. A cross-sectional study was carried out among three groups of PHC personnel in the city of Kerman (Iran). Volunteer personnel completed a piloted questionnaire which included demographic data, some question regarding their knowledge about oral health, their duties and also their practice regarding public oral health. All data were analyzed using chi-square and Pearson correlation test. Results. One hundred and fifty-seven out of 225 eligible personnel participated in the study. Sixty percent were auxiliary health workers (Behvarz). All personnel had a good level of knowledge regarding oral health. Despite significant differences among the knowledge of the personnel toward oral health, there was no significant difference between their knowledge related to their duties regarding oral health. The auxiliary health worker group had a higher rate (45.6%) for better public oral health practice. Conclusion. The study showed the personnel have good knowledge of their duties regarding oral health. However, their practice is not in line with their knowledge and needs more attention.
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Vidiawati, Dhanasari, Yuda Turana, and Tonny Sundjaya. "The Role of Primary Health Care Toward Healthy Aging." Amerta Nutrition 4, no. 1SP (February 5, 2021): 10. http://dx.doi.org/10.20473/amnt.v4i1sp.2020.10-14.
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Background: According to the World Health Organization, healthy aging is the process of developing and maintaining functional abilities that make the elderly happy. The increase in the elderly population requires more attention. In particular, health services at the primary health care level face problems related to the limited capacity of overall health services, especially in terms of health promotion and preventive health issues. It is necessary to improve the quality of health care services for the elderly to prevent greater health problems among the elderly population.Objectives: Understand the need to provide holistic health services for healthy aging and use their capabilities, and strengthen cooperation among health professionals in achieving healthy aging.Discusion: Primary health care is pointed out that primary health care should provide comprehensive services in a holistic manner to support a healthy aging process. Therefore, a well-structured, integrated, and cross-industry collaborative primary care system is needed. The system should include changes in professional behavior, coordination of care, and participation of patients' families and communities in comprehensive health care. This can be achieved through inter-professional education, continuous training and education of primary health care professionals, as well as primary health care services and cross-level health care technology innovation.Conclusions: Healthy aging is not just the absence of disease. Everyone in health and social care at all levels can play a role to help improve healthy aging. To make the elderly healthy, starting from the prevention of young health problems, it requires collaboration between health workers, primary health care and other health service levels, and health care that cooperates with patients, families, and communities.Keywords: healthy aging, primary care, preventive, health worker
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Wang, Wenhua, Leiyu Shi, Aitian Yin, Zongfu Mao, Elizabeth Maitland, Stephen Nicholas, and Xiaoyun Liu. "Primary Care Quality among Different Health Care Structures in Tibet, China." BioMed Research International 2015 (2015): 1–8. http://dx.doi.org/10.1155/2015/206709.
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Objective.To compare the primary care quality among different health care structures in Tibet, China.Methods.A self-administered questionnaire survey including Primary Care Assessment Tool-Tibetan version was used to obtain data from a total of 1386 patients aged over 18 years in the sampling sites in two prefectures in Tibet. Multivariate analysis was performed to assess the association between health care structures and primary care quality while controlling for sociodemographic and health care characteristics.Results.The services provided by township health centers were more often used by a poor, less educated, and healthy population. Compared with prefecture (77.42) and county hospitals (82.01), township health centers achieved highest total score of primary care quality (86.64). Factors that were positively and significantly associated with higher total assessment scores included not receiving inpatient service in the past year, less frequent health care visits, good self-rated health status, lower education level, and marital status.Conclusions.This study showed that township health centers patients reported better primary care quality than patients visiting prefecture and county hospitals. Government health reforms should pay more attention to THC capacity building in Tibet, especially in the area of human resource development.
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Kennedy, Lauren. "Establishing Optimal Mental Health Care for Common Mental Disorders in Primary Health Care." Journal of Student Research 6, no. 1 (June 12, 2017): 40–46. http://dx.doi.org/10.47611/jsr.v6i1.318.
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Various definitions of health and mental health exist, however there is a generally persistent inclusion and acknowledgement of the importance of holistic elements such as environment and relationships. Integration of the physical, social, and mental aspects of an individual, through the social determinants of health is an important component in establishing the effective delivery of optimal mental health care. With increasing numbers of collaborative care teams, and mental health promotion strategies, primary health care is increasingly building its capacity to help respond to these holistic mental health care needs, with increased and more purposeful attention to the social determinants of health. Despite these steps in the right direction, a gap continues to exist in the delivery of mental health care and many people continue to struggle in accessing adequate treatment. In order to determine how best to proceed, it is important to understand what mental health is, what mental health care in primary health care looks like, what the existing challenges to the delivery of mental health care in primary health care are, and what other models have been successful in integrating the social determinants of health and mental health into the primary health care system.
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Cunha, Ana Carolina, Josimari Telino de Lacerda, Mônica Teresa Ruocco Alcauza, and Sônia Natal. "Evaluation of prenatal care in Primary Health Care in Brazil." Revista Brasileira de Saúde Materno Infantil 19, no. 2 (June 2019): 447–58. http://dx.doi.org/10.1590/1806-93042019000200011.
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Abstract Objectives: to evaluate prenatal care in Primary Care by identifying the aspects that influence structural and operational adequacy. Methods: evaluation research with analysis of 4,059 municipalities that joined the 2nd cycle of the Program for Improving Access and Quality in Primary Care in 2013-2014. The evaluative model composed of 19 indicators grouped in structural aspects and operational aspects dimensions was validated in a consensus conference. Data analysis was descriptive, with the issuance of value judgment. Results: in structural aspects, 32.6% of the municipalities presented adequacy, whilst in operational ones, only 24.1%. In the general prenatal evaluation, less than a quarter (24.6%) of the municipalities was adequate, those with up to 10 thousand inhabitants had a higher percentage of adequacy (41.6%). The South region presented adequacy of 33.8%, considering all sizes. Conclusions: most municipalities presented low adequacy in prenatal care, with better performance of structural aspects. Smaller municipalities presented better results in all analyzed items. Structural aspects and general evaluation of prenatal care are highlighted in the South region. Adequate attention to prenatal care needs to be comprehensive and equitable, with the strengthening of regional networks geared towards social inclusion.
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Iliffe, Steve, and Penny Lenihan. "Integrating Primary Care and Public Health: Learning from the Community-Oriented Primary Care Model." International Journal of Health Services 33, no. 1 (January 2003): 85–98. http://dx.doi.org/10.2190/40hl-u1b9-f7k7-kk64.
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Community-oriented primary care (COPC), a 50-year-old widely applied innovative approach to primary care development, seems to be the same combination of public health and general practice perspectives currently sought in the formation of primary care trusts in Britain's NHS. The article reviews the experience of implementing COPC methods, the outcomes, and the applicability to and implications for primary care policy, taking the current British reforms as an example. The COPC model has been developed mainly in underserved populations to integrate public health objectives and primary care through interdisciplinary approaches, with active involvement of the target population. COPC methods are time consuming, can create problems with professional boundaries, and are vulnerable to socioeconomic changes. They can also deliver complex packages of care for target populations, particularly in poor areas underserved by traditional medical services. British primary care reforms may be seen as an unplanned, uncontrolled, nationwide experiment in applying COPC methods. They differ from COPC as applied elsewhere because change has been introduced from above rather than below, into a well-developed primary care system rather than underserved communities. International experience suggests the need for attention to factors promoting and impeding success and to reliable outcome measures. If this experiment succeeds, COPC methodology may facilitate similar changes in other health care systems.
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Schonwald, Alison. "Update: attention deficit/hyperactivity disorder in the primary care office." Current Opinion in Pediatrics 17, no. 2 (April 2005): 265–74. http://dx.doi.org/10.1097/01.mop.0000156983.71532.eb.
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Senitan, Mohammed, and James Gillespie. "Health-Care Reform in Saudi Arabia: Patient Experience at Primary Health-Care Centers." Journal of Patient Experience 7, no. 4 (September 3, 2019): 587–92. http://dx.doi.org/10.1177/2374373519872420.
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The aim of this study was to assess the relationship between patients’ demographics, the quality of physician–patient communication, care coordination, and the overall satisfaction rating in primary health-care centers (PHCs). A cross-sectional study was conducted using a patient experience tool. A convenience sample of 157 patients visiting PHCs were retrieved from 10 out of the 13 Saudi regions. A total of 81% of the overall ratings could be attributed to the predictors included in the model. The highest predictor of the overall rating in this model was physicians answering of patient questions, followed by time spent with the physician, type of PHC, and the abilities of the physician to listen carefully, explain things clearly, and show respect. The weakest predictors were follow-up by the health-care provider and physician’s knowledge of the patient’s medical history. Our findings suggest that to improve the overall patient experience and the quality of care at PHCs requires extra attention to physician–patient communication. To improve quality, safety, and efficiency, the Ministry of Health should ensure interpretation service for patients at PHCs either public or private. The Saudi Central Board for Accreditation of Healthcare Institutions should enhance the physician–patient communication as part of their standards for accrediting PHCs.
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Oliveira, Max Moura de, Donizete Vago Daher, Jorge Luiz Lima da Silva, and Silvânia Suely Caribé de Araújo Andrade. "Men's health in question: seeking assistance in primary health care." Ciência & Saúde Coletiva 20, no. 1 (January 2015): 273–78. http://dx.doi.org/10.1590/1413-81232014201.21732013.
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The scope of this study was to analyze the socio-demographic profile, morbidity and frequency of seeking of adult men enrolled in a Family Doctor Program for health care in Niterói in the State of Rio de Janeiro. It is a cross-sectional study using secondary data, files and records of the first care visit in November 2003 through August 2009. The frequencies of the variables studied and the prevalence rates among those who sought and those who did not seek attention were calculated. Among the 323 men registered, 56% sought attendance. The main reason given for the first visit was a routine appointment. It was observed that 43 men were overweight, 26 were obese and 44 had abnormal blood pressure. The profile of the men who sought and those who did not seek care presented statistically significant differences (p< 0.05) for: age, education level, social security and reference to morbidity at the time of registration. Older men with social security reporting some morbidity sought health services more often. It is necessary to broaden the studies to acquire more input for public health actions and policies that contemplate this population segment and its specificities.
Dissertations / Theses on the topic "Primary health care attention"
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McCarter, Kayla, Dannel Petgrave, Courtney Lilly, Natasha Gouge, and Jodi Polaha. "The Cost Effectiveness of Behavioral Health Consultant Utilization for Attention-Deficit Hyperactivity Disorder Cases in Rural Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6633.
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Attention Deficit Hyperactivity Disorder (ADHD) is the most commonly diagnosed behavior disorder in children. With the frequency of ADHD diagnoses, primary care providers (PCP) are challenged with managing this chronic and complex concern in an efficient yet effective way, both in terms of time and money. Research indicates behavioral diagnoses and management take approximately five minutes longer than medical-only concerns. This can result in a revenue loss for primary care practices. However, an on- site behavioral health consultant (BHC) can help PCPs provide a high standard of care for children presenting with behavioral concerns without compromising cost effectiveness. This study’s aim was to assess the cost per minute in a small rural primary care practice that utilizes an on-site BHC by comparing data between ADHD appointments when the BHC was utilized versus ADHD appointments when the BHC was not utilized. This study used extant data consisting of a sample of 53 children with ICD-9-CM codes 314.00 or 314.01, indicating an ADHD diagnosis. Of the 53 children with these codes, 40 (75.5%) were billed using E/M codes 99213 or 99214. The first of these indicates a regular office visit with an established patient not exceeding 15 minutes while the latter is used if the visit lasts longer than 25 minutes. Both codes were combined and evaluated together. The database was then recoded to indicate whether or not a BHC was utilized. Using descriptive statistics, it was found that children with ADHD spent a max of 69 minutes (20.19 minutes on average) with the PCP when a BHC was not utilized and a max of 22 minutes (13.67 minutes on average) when a BHC was utilized. Furthermore, an average of $82.79 in insurance reimbursement was received by the practice for these types of visits, regardless of up-coding for physician time spent. Using these statistics, it was determined that the practice makes $4.10 per minute when a BHC is not utilized versus $6.06 per minute when a BHC is utilized for ADHD appointments, due to the time savings ratio. The results indicate that utilization of a BHC increases revenue with respect to minutes spent with the child, while still providing behavioral health time and attention to the patient. These findings have practical implications for the treatment and management of ADHD and support the use of BHCs in pediatric primary care settings. Given the nature of pediatric primary care, it would be more cost effective for PCPs to utilize an on-site BHC with all ADHD visits.
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Clements, Andrea D., Jodi Polaha, Wallace E. Jr Dixon, and Jan Brownlee. "The Assessment and Treatment of Attention-Deficit Hyperactivity Disorder in Primary Care: A Comparison of Pediatricians and Family Practice Physicians." Digital Commons @ East Tennessee State University, 2008. https://doi.org/10.1037/h0095954.
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The adherence to published guidelines for diagnosis and treatment of Attention-Deficit Hyperactivity Disorder (ADHD) by primary care pediatricians (PDs) and family practice physicians (FPs), particularly those in rural areas, has not been well documented. This study examined survey responses from PDs and FPs who serve southern Appalachia (northeast Tennessee, southwest Virginia and Kentucky, and western North Carolina) regarding key practice parameters in line with the current American Academy of Pediatrics guidelines. Results showed that both PDs and FPs reported adhering to most of the diagnosis and treatment guidelines. PDs were more likely than FPs to report using both parent and teacher input in diagnosis and reported prescribing different medications for ADHD to some degree. Both practice areas reported ongoing access to continuing medical education, which is a means to enhancing care of ADHD patients. Implications for primary care are given with attention to the limited availability of PDs in rural areas and future areas of research in rural mental healthcare are suggested.
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Santana, Taís Fernanda Maimoni Contieri. "Cartografia do cuidado em um território das Redes de Atenção Psicossocial." Universidade Estadual Paulista (UNESP), 2018. http://hdl.handle.net/11449/153562.
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Desde as últimas décadas, o sistema de saúde brasileiro tem passado por transformações essenciais, imprimindo um percurso caracterizado por enfrentamentos, desafios e avanços. Com a criação e implantação do SUS, mudanças significativas e necessárias vêm acontecendo, principalmente no campo da Saúde Mental. Dentre elas, a reversão do modelo manicomial para políticas de base territorial, como o cuidado integral nas Redes de Atenção Psicossocial (RAPS). Com o olhar voltado para essa questão, a presente pesquisa cartografou o cotidiano do cuidado em saúde mental dos profissionais atuantes numa Unidade Básica de Saúde articulada a um Centro de Atenção Psicossocial I (CAPSI). Para tanto, empregamos o método qualitativo e cartográfico. Utilizamos ferramentas, tais como a observação sistemática, diário de campo, fluxograma e entrevista audiogravável com onze profissionais que atuam nas unidades mencionadas acima, de um município do interior paulista. Três autores foram base referencial para análise: Emerson Merhy, autor que subsidiou a temática do cuidado; Benedetto Saraceno, autor que sustentou a discussão pertinente à Reabilitação Psicossocial e Eugênio Vilaça Mendes, autor que discutiu o trabalho em Redes, com enfoque na Rede de Atenção Psicossocial (RAPS). Como resultado, foi constatado que apesar do acolhimento e acesso ofertados, os encontros e narrativas no território das redes conectivas da RAPS revelaram a fragilidade dos profissionais entrevistados frente aos cuidados em saúde mental na Atenção Primária, visto a percepção deturpada de que o cuidado é hegemônico e medicalizante, tendo o CAPS I como seu ordenador na maioria das vezes. Foi detectada, em algumas situações, uma mobilidade dos trabalhadores na rede, circulando entre os equipamentos de saúde. Isso favoreceu as conexões e fluxos entre equipes na construção das linhas de cuidado, sendo possível sentir as nuances das práticas em rede, dos novos serviços sob essa lógica que podem ser denominados espaços de produção de sujeitos sociais, de produção de subjetividades. A partir da cartografia, percebemos que a atenção em saúde mental no território pesquisado requer políticas intersetoriais, integradas, ampliando possibilidades, oportunidades e redimensionando a noção de direito e cidadania, bem como considerando o usuário como integrante da elaboração de projetos terapêuticos, fortalecendo o trabalho multiprofissional e qualificando os profissionais para as ações dirigidas ao cuidado. Destarte, a articulação de profissionais no campo da saúde mental em rede deve promover a constituição de um conjunto vivo e concreto de referências capazes de acolher a pessoa em sofrimento, sendo que esta rede, no entanto, não deve limitar-se aos serviços especializados.
Since the last decades, the Brazilian health system has gone through essential changes, establishing a path characterized by confrontations, challenges, and improvements. With the creation and implementation of the Unified Health System (SUS), necessary and substantial changes have been happening, mainly in the area of mental health. Among them, the reversal of the asylum model for territorial basis policies, such as the full care in the Psychosocial Care Networks (RAPS). Focusing on this issue, this research charted the mental health care of professionals from a Health Center linked to a Center for Psychosocial Attention I (CAPS). For this purpose we used the cartographic and qualitative method. We used tools, such as systematic observation, a field diary, a flowchart and a recordable interview with eleven professionals who work in the above-mentioned health centers of an inner city in the State of São Paulo. Three authors supported the analysis: Emerson Merhy, who subsidized the care topic; Benedetto Saraceno, who supported the discussion about Psychosocial Rehabilitation and Eugênio Vilaça Mendes, who discussed the work in Networks, focusing on the Psychosocial Care Network (RAPS). As a result, it was stated that despite the offered access and reception, the encounters and narratives in the area of connective network from RAPS revealed the fragility of the interviewed professionals facing mental health care in the Primary Health Care, considering the distorted perception that care is hegemonic and medicalized, often using the CAPSI I as its authorizing officer. It was detected, in some cases, a mobility of the workers in the network, transiting between health equipment. This fact promoted the connections and flows between teams in the construction of care lines, making it possible to feel the nuances of network practices in new services under this logic, which can be called production spaces of social individuals, of production and subjectivity. From this cartography, we noticed that the attention to mental health in the studied area requires integrated intersectoral policies, widening possibilities, opportunities and resizing the idea of human rights and citizenship, as well as considering the user as a member in the elaboration of therapeutic projects, reinforcing the multi-professional work and qualifying professionals to care related actions. Therefore, the articulation of mental health network professionals should promote the formation of a real and solid group of references capable of receiving the individual in pain, however, this network, should not limit itself to specialized services.
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Siqueira, Luciana Gomes. "Atenção básica: reflexões a partir da prática de trabalhadores de uma unidade básica de saúde." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/47/47134/tde-07082015-151749/.
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Buscamos neste trabalho, refletir a partir da experiência de profissionais, sobre a relação entre as práticas da Atenção Básica desenvolvidas em uma UBS e as diretrizes políticas do SUS a que elas se referemr. Realizamos uma breve retomada histórica das práticas de atenção em saúde, uma contextualização da Atenção Básica e de sua situação atual no Brasil, de modo a problematizar como esse contexto atravessa a prática diária. A partir da fala dos trabalhadores e de observações realizadas na UBS, identificamos um distanciamento, que nomeamos como lacunas, entre o trabalho que se prescreve a partir de diretrizes políticas e o trabalho efetivamente realizado. Na análise, identificamos contradições referentes a essas diretrizes e programas derivados para a Atenção Básica: poucos recursos e investimentos em um trabalho que demanda estudo de alta complexidade técnica e profundo conhecimento empírico da realidade para lidar com demandas da população. A complexidade desse setor se expressa entre os trabalhadores através de sentimentos ambíguos e contraditórios em relação à própria atuação profissional e à relação estabelecida com os usuários do sistema de saúde. As ressonâncias na subjetividade desses profissionais são diversas e temas como medo, carência e sentimento de impotência ganham destaque frente à dificuldade de compreensão das próprias práticas e das lacunas entre o que se prescreve e o que se implanta e implementaWe´vesought in this work, based on the health professionals´ experiences, to reflect on primary care practices developed in a UBS (Basic Health Unit) located in the state of São Paulo referred to SUS (Unified Heath System) policy guidelines. We conducted a brief historical research on health care practices, a contextualization of primary care and its current situation in Brazil, in order to discuss how that context goes through daily practice. Based on the spoken comments of workers and observations made in UBS, we identified a kind of distance, which we named as gaps between the work that is prescribed by policy guidelines and the work that is actually performed. In the analysis, we identified contradictions regarding these guidelines and related programs for primary care: few resources and investments in a job that requires studies of high technical complexity, as well as deep empirical knowledge of the reality to deal with demands of the population. The complexity of this sector is expressed by workers through ambiguous and contradictory feelings about their own professional performance, as well as in relationships established among them and the users of the health system. Resonances in the subjectivity of these professionals are several and themes, such as fear, lack of affection and a sense of powerlessness, gethighlighted by the difficult understanding of the practices themselves and the gaps between what is prescribed and what is implanted and implemented
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Zuffi, Fernanda Bonato. "A atenção dispensada aos usuários com úlcera venosa: percepção dos usuários cadastrados nas equipes de saúde da família." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-18082009-130549/.
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As Úlceras Venosas (UV) desenvolvem-se devido à Insuficiência Venosa Crônica, caracterizada como uma condição crônica que afeta o estado de saúde das pessoas acometidas. Têm maior incidência em mulheres, 80% dos casos, com índice de prevalência de 70% em pessoas acima de sessenta anos. Seu tratamento gera elevados custos. A pessoa com UV necessita de acompanhamento e monitoramento, com terapia tópica envolvendo uso de produtos e recomendações baseadas em estudos com evidência científica. Na Atenção Básica, particularmente na Estratégia de Saúde da Família, há possibilidade de se ter acesso e aproximar-se destes usuários, como também de se estabelecer vínculo, atributos essenciais no cuidado ao usuário. Este trabalho teve como objetivos: identificar, a partir do usuário e/ou cuidador, o acesso do usuário com Úlcera Venosa que necessita de acompanhamento, em três equipes de saúde da família do Distrito Sanitário I de Uberaba-MG; descrever as dificuldades, facilidades e sentimentos dos usuários e/ou cuidadores de usuários com UV sobre os cuidados realizados para o tratamento da Úlcera Venosa no espaço domiciliar, pelas três equipes de saúde da família do Distrito Sanitário I de Uberaba-MG; descrever, a partir do usuário e/ou cuidador, como ocorre a atenção recebida no serviço de saúde. Trata-se de uma pesquisa descritiva com abordagem qualitativa. O estudo foi realizado no município de Uberaba, sendo sujeitos os usuários com diagnóstico de UV em um dos membros inferiores ou em ambos, atendidos em uma das três equipes de Saúde da Família até o mês de julho do ano de 2007, do Distrito Sanitário I. Ao total, foram cinco indivíduos que participaram da pesquisa, sendo quatro usuários de duas equipes participantes do estudo e um cuidador. Na terceira equipe não foi identificado nenhum portador de UV. Para obtenção dos dados, recorremos à entrevista semiestruturada, destinada aos usuários com UV e cuidadores, e, também à observação sistemática. Para análise e interpretação utilizamos a análise temática, sendo 8 identificado o acesso como unidade temática central, com os seguintes subtemas: determinados procedimentos, consulta médica, consulta médica no domicílio, realização do curativo no domicílio, orientação, tratamento adequado da ferida, medicamentos de uso sistêmico, especialista, horário de funcionamento, tempo de espera, tempo de consulta. Já com o cuidador, foi identificado como unidade temática o acesso com subtemas: socialização, outros níveis de atenção, conhecimento, materiais, recursos de diferentes naturezas. Em nosso estudo, foi possível identificar diferentes e diversas dimensões do acesso do usuário com Úlcera Venosa nos serviços de saúde. Os discursos apresentados no estudo revelam que o acesso e a acessibilidade apresentam restrições que comprometem a atenção dispensada. O melhor aspecto encontrado, relativo ao aceso, foi o tempo de consulta e o acesso ao agente comunitário de saúde, no domicilio. A rede se apresenta desarticulada entre os diferentes níveis, com falta de continuidade do tratamento da pessoa com ferida. O usuário é referenciado a um serviço de maior complexidade, sem o retorno ao serviço de atenção básica de forma sistematizada. O panorama aponta para investimentos, entre eles a adoção de um protocolo de atenção à pessoa portadora de UV.Venous ulcers (VU) develop themselves due to the chronic venous insufficiency, characterized as a chronic condition which affects peoples health status. They have a higher incidence in women, 80% of the cases, with a prevalence index of 70% in people over sixty years old. Its treatment generates high costs. Person with VU needs following and monitoring with topic therapy involving the use of products and recommendations based on studies with scientific evidence. At primary care, particularly at Family Health Strategy, there is the possibility of having Access and getting closer to these users, as well as establishing attachments, attributes necessary to the users care. This work had as a goal to identifying, through the user and/or caregiver, the access of the user with venous ulcer who needs follow-up, in three teams of Family Health of the Sanitary District I, from Uberaba-MG; describing, through the user and/or caregiver, how the attention received in the Health Service occurs. This work is based on a descriptive research, with a qualitative approach. Study was performed in the city of Uberaba, being subjects the users with VU diagnosis in one of the lower limbs or in both of them, seen in one of the three teams of Family Health up to July, 2007, from the Sanitary District I. At the total, there were five subjects who participated in the research, being four users from two teams participating in the study and a caregiver. In the third team, no VU sufferers were identified. For obtaining data we relied on the semistructured interview for the VU sufferers and caregivers, and also on the systematic observation. For analysis and interpretation we used the thematic analysis, being the access identified as the central thematic unit, with the following sub-themes: some procedures, medical attendance, home medical attendance, home dressings, orientation, suitable treatment of the wound, systemic usage drugs, specialist, time of work, waiting time, and attendance time. With the caregiver it was identified the access with sub-themes as the thematic unit: socialization, other levels of attention, 12 knowledge, materials, resources from different natures. In our study it was possible to identifying different and several dimensions of the access of the user with VU in the Health Services. Speeches presented in the study showed that the access and the accessibility present restrictions which compromise the attention given. Related to the access, the best aspect found was the time of attendance and the access to the Community Healthcare Agent at home. The Net presents itself disarticulated among the different levels, with lack of continuity of the treatment of the sufferer. User is referred to a service of higher complexity, without going back to the service of primary care in a systematic way. Panorama points to investments, among them the adoption of a protocol of attention to the VU sufferer.
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Ribeiro, Sérgio Luiz. "O dispositivo equipe em Saúde Mental na Atenção Básica à Saude: um fazer entre profissões." Pontifícia Universidade Católica de São Paulo, 2016. https://tede2.pucsp.br/handle/handle/18836.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
It is a study of the team apparatus in the primary health care services in their mental health activities and the work a between professions, understood as fundamental mechanisms for Psychiatric Reform from the perspective of Psychosocial Attention. The specific objectives were: 1) systemize the debate on the process of working as a team in the field of Psychiatric Reform; 2) identify and analyze the operation and dimensions of groupality and between professions in accompanied health team. The work was organized in two parts. The first dealt about the historical emergence of the team apparatus from the contributions of Psychiatric Reform in Europe around the work process. In this part we also present the concepts produced by brazilians professionals and researchers on the team work in the health field: Field and Core Competence and Responsibility, Common Clinic and the Between-professions, that were combined with the concept device, our analysis tools. The second part of this work was the realization of an intervention-research in a view to French Institutional Analysis, in a Basic Health Unit - the Mental Health Center, wat do the mental health care in a small town in the São Paulo State. This consisted in the accompaniment the activities of this service and realization four thematic meetings with the team about their work process. This service work it as a hybrid, performing, at the same time, practice as Basic Health Unit and how Mental Health Ambulatory and others who approach the work of a Psychosocial Care Center. Such hybrid arrangement suggests that there is this experience powers to forge under a small municipality the singularity of mental health care. In their work process this team operates professional borders and tensions in building one between-common, with the understanding that the multiplicity is an engine of this production, and at the same time, which is fundamental respect for differences of opinions and practices in daily. Is important that the health services, in addition to organizational activities, create possibilities for joint performances and encounters of professionals that weave the reflection of between-professions and do the common in team. The professionals of Mental Health Center have been challenged to exercise the protagonist in building a care mental health network in the city. But have faced doubt take on this role, the difficulties of short supply of services, equipment and programs, preconception and a medicalized view of psychic suffering present in this territory. In this context, we consider it necessary to discuss other financing possibilities and types of mental health services, which can take effect in small cities, the most in Brazil, according to your needs and possibilities
Trata-se de um estudo sobre o dispositivo equipe nos serviços da Atenção Básica à Saúde em suas ações de saúde mental e o trabalho entre profissões, entendidos como mecanismos fundamentais para a Reforma Psiquiátrica na perspectiva da Atenção Psicossocial. Os objetivos específicos foram: 1) sistematizar o debate sobre o processo de trabalho em equipe no campo da Reforma Psiquiátrica; 2) identificar e analisar o funcionamento e as dimensões de grupalidade e entre profissões da equipe de saúde acompanhada. O trabalho foi organizado em duas partes. A primeira tratou da emergência histórica do dispositivo equipe a partir das contribuições da Reforma Psiquiátrica na Europa em torno do processo de trabalho. Nesta parte também apresentamos os conceitos produzidos por profissionais e pesquisadores brasileiros sobre o trabalho em equipe no campo da saúde: Campo e Núcleo de Competência e Responsabilidade, Clínica Comum e o Entre-profissões, que foram, ao lado do conceito de dispositivo, nossas ferramentas de análise. A segunda parte deste trabalho foi a realização de uma pesquisa-intervenção, na perspectiva da análise institucional francesa, junto a uma Unidade Básica de Saúde – o Centro de Saúde Mental – que realiza o atendimento em saúde mental em um pequeno município do interior do Estado de São Paulo. Esta consistiu no acompanhamento das atividades deste serviço e na realização de quatro encontros temáticos com a equipe em torno do seu processo de trabalho. Este serviço funciona como um híbrido, realizando ao mesmo tempo práticas como Unidade Básica de Saúde e como Ambulatório de Saúde Mental e outras que se aproximam do trabalho de um Centro de Atenção psicossocial. Tal disposição híbrida sugere que há nesta experiência potências para forjar no âmbito de um município pequeno a singularidade da atenção em saúde mental. No seu processo de trabalho esta equipe opera as fronteiras profissionais e as tensões na construção de um entre-comum, com o entendimento que a multiplicidade é um motor desta produção, e ao mesmo tempo, que é fundamental o respeito às diferenças de opiniões e práticas no dia a dia. Deste modo, evidencia-se que é importante que os serviços de saúde, além das atividades organizativas, criem possibilidades de atuações conjuntas e de encontro dos profissionais que favoreçam a tessitura e reflexão do entre-profissional e o fazer do comum da equipe. Os profissionais do serviço acompanhado têm sido desafiados a exercer o protagonismo da construção de uma rede de cuidado em saúde mental no município. Mas têm enfrentado dúvidas de assumir este protagonismo e as dificuldades da pouca oferta de serviços, equipamentos e programas, o preconceito e uma visão medicalizante do sofrimento psíquico presentes neste território. Neste contexto, consideramos necessária a discussão de outras possibilidades de financiamento e de tipos de serviços de saúde mental, que possam ser efetivadas nos pequenos municípios, a maioria dos existentes no país, de acordo com as necessidades e possibilidades que apresentam
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Wallmark, Svante. "Life after Subarachnoid Hemorrhage." Doctoral thesis, Uppsala universitet, Neurokirurgi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-307949.
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Aneurysmal subarachnoid hemorrhage (SAH) is a devastating disease with mean age of 59 years. SAH accounts for 5% of all stroke and more than one quarter of potential life years lost through stroke. With the advanced neurosurgical methods of today two thirds of the patients survive. We know, however, that various cognitive, psychiatric and physical impairments are common that affect quality of life, social life, and the ability to work in the aftermath of SAH. The overall aim constituting this PhD dissertation is to better understand some of the challenges often faced by those surviving SAH. Two SAH patient cohorts have been studied. The first followed 96 consecutively included patients during the first year after ictus. Spasticity and cognitive impairment was assessed after 6 months and the Swedish stroke register follow-up form was used to investigate family support and the use of medical and social services. Return to work was assessed at 12 months. The second cohort assessed attention deficits using the test of variables of attention (T.O.V.A.) at 7 months after ictus in 19 patients with moderate to good recovery. Spasticity was just as common in our SAH patients as after other stroke, though it was rarely treated pharmacologically. By assessing cognitive impairment at 6 months after ictus using the Montreal cognitive assessment, 68% of the patients could be correctly predicted as having returned/not returned to work at 12 months. Seventeen percent of the patients had not had a follow-up appointment 6 months after ictus. These patients were older, more often living alone, had a lower quality of life, more depressive symptoms and more cognitive impairment compared to those having had a follow-up appointment. Twenty percent had had a follow-up in primary care. Seventy-eight percent of those with moderate to severe disability were living in their own accommodations. Fifty-eight percent of the patients had attention deficits. Challenges after SAH were common and often dealt with in the home environment of the patients. The results of this thesis highlight the importance of assisting the patients and their relatives in their struggle back to life after SAH.
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Bellmunt, i. Bardas Josep Maria. "Cribratge de tuberculosi en immigrants al barri de la Barceloneta. Ciutat Vella." Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/399510.
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OBJECTIUS
Conèixer l’efectivitat d’un programa de detecció de Tuberculosi (TB) des d’un Centre d’Atenció Primària (CAP) adreçat a immigrants provinents de països amb taxes d’alta prevalença de la malaltia, majoritàriament en el moment que venen a donar-se d’alta al centre. Comprovar l’adherència al programa, la detecció de TB, de la infecció tuberculosa latent (ITL), i valorar el grau de relació entre la prova de la tuberculina (PT) i les tècniques in vitro d’interferó Gamma Release Assays (IGRA) per a detectar la ITL.
PACIENTS I MÈTODES
El programa es va dur a terme a l’Àrea Bàsica de Salut (ABS) de la Barceloneta. Es va designar referents a tots els serveis que hi havien d’intervenir (Medicina, Infermeria i Unitat d’Atenció a l’Usuari (UAU) de l’ABS, Servei de Radiologia de l’Hospital del Mar i Laboratori de referència), i es van elaborar algoritmes de treball de cada una de les etapes del cribratge. Es varen incloure de forma majoritària immigrants que venien de països amb alta prevalença de la malaltia (>100/100.000 habitants) que consultaven per donar-se d’alta al CAP, i alguns que feia menys de 5 anys que residien al país. La metodologia incloïa, després del consentiment informat, una enquesta d’arribada, una PT i una radiografia (Rx) de tòrax (amb les excepcions d’embaràs o sospita i de menors de 18 anys). Una de les accions que es van valorar com a molt importants, per aconseguir que les persones finalitzessin el programa va ser realitzar les primeres proves (PT i Rx) en el moment mateix de l’arribada. A aquells que presentaven una Rx alterada o una PT positiva se’ls hi practicava la tècnica tècnica de detecció d’IGRA, i una anàlisi amb serologia d’hepatitis crònica i VIH.
Els que presentaven alguna alteració eren derivats a visita amb el metge referent.
RESULTATS
Un total de 129 persones van entrar finalment al programa, d’aquestes 86 van realitzar totes les proves que se’ls va demanar, completant absolutament l’estudi. A un 64,3 % (83 persones) es va realitzar i llegir la PT. Un total de 32 persones van presentar una PT positiva (un 38,5% de les realitzades i llegides). Es van demanar proves d’IGRA a 34 pacients (32 amb PT + i a 2 amb Rx patològica), i se’n van realitzar 30. De les 30 persones estudiades amb IGRA, en 13 persones (43,3%) la prova va ser positiva. Un 73,9% (91 persones) es van realitzar la Rx de tòrax quan s’havia indicat. Es van trobar tres lesions compatibles amb TB, 7 lesions fibròtiques antigues, i en altres 7 persones es van observar altres alteracions radiològiques.
Finalment, es van diagnosticar 3 casos de TB, que van iniciar tractament amb 4 fàrmacs, i que el varen completar, i 7 persones es van considerar candidates a tractament de la ITL (TITL) i totes van acabar la teràpia. En el decurs del programa van detectar-se 2 casos d’Hepatitis C (VHC) un cas de Hipertensió Arterial (HTA) i una miocardiopatia.
CONCLUSIONS
La realització d’un programa de detecció de TB i ITL dirigit a població immigrant de risc des d’un CAP és possible sense alterar la dinàmica de treball del centre. Les persones referents en cada etapa del cribratge i la rapidesa en realitzar les proves que es demanen són importants per explicar l’adherència al programa, comparada amb altres experiències similars. Els resultats orienten que el programa és efectiu per detectar TB i ITL. La combinació de PPD i IGRA pot ser un bon mètode per decidir a qui realitzar el TITL.AIM The aim of this project is to, firstly detect the cases of tuberculosis (TB) in patients from countries of high TB prevalence, mainly at the time of first registration to their reference general practitioner (GP). Secondly, to monitor the adherence to the program and the detection of latent tuberculosis infection (LTBI) and, thirdly, to assess the potential correlation between the tuberculin skin test (TST) and the Interferon-Gamma Release Assays (IGRAs) to detect LTBI. PATIENTS AND METHODS The program was set up at the public primary health care center of the district area of Barceloneta. First of all, referents were designated in all the health services involved - Medicine, Nursery, Radiology, Reception, and Clinical Laboratory – and clinical algorithms were designed for all screening stages. We included patients from countries of high TB prevalence (>100/100.000), mainly when enrolling to their reference general practitioner (GP), except for a few who had been living in Spanish state for up to 5 years. The working methodology, involved signing an informed consent, filling in an initial questionnaire, and having a TST and a chest radiograph, except for pregnant women or people under 18 years of age. One of the main factors to ensure that the patients completed the program was the performance of both the TST and the chest radiograph at the time of recruitment in the center. In those with an abnormal chest radiograph and/or TST, IGRAs test was performed and were also tested for hepatitis virus C and HIV. The subjects with any abnormal tests were appointed with the reference GP. RESULTS We included a total of 129 patients in our program and 86 completed the protocol. The TST was performed and read in the 64.3% (83 individuals) of cases, obtaining 38.5% (32) positive results. The IGRAs test was proposed to 34 patients, 32 having a positive TST and 2 having a pathologic chest radiograph, obtaining a total of 30 IGRAs results. Of these, in 13 (43.3%) the test was positive. The chest radiograph was performed to the 73.9% (91) of the patients who had been ordered to do this test. We detected 3 patients with lesions compatible with TB, 7 fibrotic lesions, which could indicate previous TB, and 7 other types of radiological abnormalities. We finally diagnosed 3 TB cases, which followed and finished treatment with 4 drugs. Treatment for LTBI was indicated to 7 individuals. We also newly identified two cases co-infected with hepatitis C, one patient having hypertension, and a cardiomyopathy. CONCLUSIONS This study demonstrates that it is feasible to establish an early TB and LTBI detection program in a primary health care center, directed to those at risk, without interfering with the daily work in the center. Professional referees in every stage of the program and the shortness between the entry and the test performance of the tests, are key points to ensure adherence to the program compared to other studies. Our results suggest that this program is effective to detect both TB and LTBI. The combination between TST and IGRAs could be useful to decide to whom indicate prophylaxis.
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Souza, Carolina Rogel de. "Construção social da demanda em saúde." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/23/23148/tde-13042013-093405/.
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A saúde no Brasil se dá por meio de um sistema único, com base jurídica e apoio na Constituição Federal. A saúde é colocada como Direito de todo o cidadão, e para que tais Direitos sejam garantidos, organizam-se modelos visando à operacionalização dos serviços. O primeiro nível no Brasil é denominado Atenção Básica (AB), com sua base conceitual vinda da Atenção Primária à Saúde (APS). Ela é colocada como a porta de entrada preferencial do sistema, como coordenadora do cuidado, com um território delimitado e exercida nas Unidades Básicas de Saúde (UBS) e/ou Unidades de Saúde da Família (USF). Seguindo a diretriz da descentralização, é gerida pelo município e com isso espera-se que as ações sejam mais qualificadas e resolutivas, uma vez que o município tem maior proximidade e conhecimento das necessidades de saúde de sua população. O objetivo do trabalho é conhecer e analisar como está organizada a produção teórica da Saúde Coletiva no Brasil acerca da construção social da demanda por serviços de saúde na Atenção Básica, criando-se assim uma referência a fim de trazer o assunto à discussão. A pesquisa foi feita utilizando-se os termos relacionados ao problema inicial: demanda em saúde, atenção básica e modelos tecno-assistenciais em saúde. Os conceitos serão apresentados de forma mais aprofundada por meio da revisão bibliográfica necessária para que aqueles que escrevem, produzem e vivem os termos que são aqui utilizados possam ganhar voz. Além da revisão, serão apresentados dados de documentos, levantados por meio de pesquisas em bancos de dados oficiais. Para a análise optou-se pela hermenêutica dialética, a qual tem na hermenêutica a arte da compreensão, ocupando-se do compreender através não só da interpretação do que o autor quis dizer em seu texto, mas além, dizendo que o pesquisador deve também buscar o que ficou subentendido, no inconsciente. A dialética busca compreender a realidade, por meio da transformação e da estranheza que ocorrem no interior dos processos, trabalhando com a quantidade e a qualidade como noções intrínsecas a qualquer objeto. Espera-se do serviço de saúde que este reconheça e resolva, na medida do possível, os problemas de saúde da população. E da AB esperamos que seja a captadora de boa parte das condições que afetam a saúde das pessoas. Temos no Brasil, a proposição da Política Nacional de Atenção Básica (PNAB) a qual enuncia o acesso universal e a atenção às necessidades de saúde como parte dos fundamentos e diretrizes da AB. Espera-se que esta seja uma construção conjunta trabalhador e usuário de modo a produzir saúde dentro das instituições e pelo território que os circunda.Health in Brazil is set asa unified system,which is run under a legal basis and is protected by the Federal Constitution. It is placed as a Right to every citizen, and hence, models are defined so thatservices can be providedto assure that Right. The first level in Brazil is called AtençãoBásica (AB) (Basic Attention), with its basic concept coming from AtençãoPrimária à Saúde (APS) (Primary Attention to Health). It is said to be the system main front door, working as a care coordinator with a delimited territory and practiced in the UnidadesBásicas de Saúde (UBS) (Basic Health Units) and/ or in the Unidades de Saúde da Família (USF) (Family Health Units). Following the decentralization guideline, it is managed by the city and, thus, actions are expected to be quality and effective, once the city has greater proximity with and knowledge of the health needs of its population. The objective of the paper is to get to know and analyze how the Brazilian Collective Healths theoretical production aboutthe social construction of the demand of health services in the AtençãoBásica is organized, building, thus,a reference in order to bring the subject to light. The research was carried out by making use of the terms related to the initial problem: health demand, basic attention and techno assistance models in health. The concepts are going to be presented more deeply through the necessary bibliographical review,so that those who write, produce and live the terms used here can have a say. Besides the review, document data, collected through research in official databases, are going to be presented. To the analysis, the dialectical hermeneutics was chosen. By analyzing both fields,we have the hermeneutics as the art of comprehension, having it minding the understanding, not only by interpreting what the author meant in the text, but also by going beyond it and saying that the researcher must also investigate what was implicit, in the subconscious. The dialectics minds understanding the realitythrough transformation and strangeness that happen within the processes, working with quantity and quality as intrinsic notions to any object.It is expected from the health service that it recognizes and solves the health problems of the population to an attainable extent. And from AB we expect it to assist a great part of the conditions that affect peoples health. We have in Brazil the proposition of the PolíticaNacional de AtençãoBásica (PNAB) (Basic Attention National Policy), which enunciates the universal access and the attention to the health needs as part of the fundamentals and guidelines of the AB. It is expected it to be a mutual construction worker and user in a way of producing health within the institutions and throughout the territory surrounding them.
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Machado, Luiza Oliveira 1975. "Saúde mental na atenção básica : compreendendo uma história." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312475.
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Orientador: Ana Luiza FerrerDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Ao longo das últimas décadas, tanto a Atenção Básica quanto a Saúde Mental vem buscando traçar seu percurso e amadurecer através de experiências nas práticas cotidianas e das diretrizes e questões legais. A Saúde Mental passou por diversas transformações que culminaram na Reforma Psiquiátrica brasileira. Nos últimos anos vem avançando, principalmente no que diz respeito à atenção aos transtornos mentais graves, no âmbito da atenção especializada. Por outro lado, no contexto da Atenção Básica, ainda é frágil, suscita dúvidas e angústias nos profissionais envolvidos. Este estudo visou conhecer os dilemas atuais apontados por artigos científicos entre os anos de 2011 e 2013. A partir do destaque desses desafios, buscou compreender as propostas ministeriais relativas à inserção da Saúde Mental na Atenção Básica do ponto de vista histórico. Trata-se de uma pesquisa qualitativa, que se utilizou da revisão narrativa da literatura e da análise documental como técnicas de coleta de dados; e que se baseou na hermenêutica como referencial teórico. A partir da leitura dos artigos foram identificadas cinco categorias de análise: Rede de Saúde Mental, Ações de Saúde Mental desenvolvidas por profissionais da Atenção Básica, Apoio Matricial, Atenção em Saúde Mental e Outros. Em seguida, procedeu-se o destaque das propostas ministeriais em relação à inserção da Saúde Mental na Atenção Básica, de acordo com as categorias mencionadas. Estas duas fontes de informação foram postas em diálogo para melhor compreender as possíveis relações entre as propostas ministeriais ao longo dos últimos treze anos e os dilemas atuais destacados. Conclui-se que ao longo desse período houve diversas propostas, mas nem todas tiveram um tempo de implantação e avaliação suficientes. As propostas não foram sustentadas do ponto de vista financeiro e em termos de Recursos Humanos necessários. A ausência de um equipamento para se responder às necessidades de tratamento especializado para pacientes neuróticos leves e moderados aumentam a demanda por tratamento na Atenção Básica, que não tem tecnologia para atendê-la. As propostas do Departamento de Atenção Básica nem sempre são consonantes com as da Coordenação Geral de Saúde Mental e vice-versa, demonstrando uma falta e/ou pouco potente articulação institucional. Por último, as propostas contra hegemônicas necessitariam de políticas de pré-implantação que lhes tornassem mais sólidas e lhes possibilitassem uma maior aceitação no momento da implantação
Abstract: Over the past few decades, both Primary Care Attention and Mental Health have been tracing its routes and developing through experiences in daily practices, guidelines and legal issues. Mental Health has been through several transformations that ended up in Brazilian Psychiatric Reform. In recent years it has been advancing, mainly regards to the concern about serious mental disorders within the specialized attention. On the other hand, in the context of Primary Care Attention, it is still fragile and raises doubts and anxieties in the involved professionals. This study aimed to know the current dilemmas pointed by scientific articles between 2011 and 2013. From the prominence of these challenges, it was sought to understand the Ministerial proposals concerning the integration of Mental Health in Primary Care from a historical point of view. It is a qualitative research, which used the narrative review of literature and documental analysis as data-collection techniques; and based on hermeneutics as a theoretical framework. From the reading of the articles five analysis categories were identified: Mental Health Network, Mental Health actions developed by professionals in the Primary Care Attention, Matrix Support, Mental Health Attention and Others. Then there was the highlight of the Ministerial proposals in relation to the integration of Mental Health in Primary Care, according to the categories mentioned. These two sources of information were put into dialogue to better understand the possible relationship between the Ministerial proposals over the past thirteen years and current dilemmas. The results indicate that during this period there have been several proposals, but not all had a sufficient evaluation and implementation time. The proposals have not been supported in terms of required financial and human resources. The gap of device to meet the needs of specialized treatment for mild and moderate neurotic patients increase the demand for treatment in Primary Care Attention, which has no technology to meet it. The proposals of Primary Care Department are not always in line with the General Coordination of Mental Health and vice versa, demonstrating a lack of an institutional articulation or/and an underpowered one. Lastly, the counter-hegemonic proposals would need pre implantation policies to turn them more solid, this would make possible a greater acceptance at the implantation time
Mestrado
Política, Planejamento e Gestão em Saúde
Mestra em Saúde Coletiva
Books on the topic "Primary health care attention"
1
Social Democratic Party. Working Party on Health and Personal Social Services. Primary health care. London: SDP, 1986.
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2
Bergerhoff, Petra, Dieter Lehmann, and Peter Novak, eds. Primary Health Care. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-83240-6.
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3
Greenhalgh, Trisha, ed. Primary Health Care. Oxford, UK: Blackwell Publishing Ltd, 2007. http://dx.doi.org/10.1002/9780470691779.
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4
Great Britain. Parliament. House of Commons. Social Services Committee. Primary health care. London: H.M.S.O., 1986.
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Save the Children (U.S.), ed. Sustaining primary health care. New York: St. Martin's Press, 1995.
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7
Cohen, Alan. Primary care mental health. Edited by Hill Alison. London: Emap Public Sector Management, 2000.
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Tanzania. Primary health care strategy. [Dar es Salaam]: Govt. of the United Republic of Tanzania, Ministry of Health, 1992.
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Health information for primary health care. Nairobi, Kenya: African Medical and Research Foundation, 1991.
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Essential primary care. Chichester, West Sussex, UK: John Wiley & Sons, Inc., 2016.
Find full textBook chapters on the topic "Primary health care attention"
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Baharanyi, Hasani. "Attention-Deficit/Hyperactivity Disorder." In Pediatric Mental Health for Primary Care Providers, 145–59. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-90350-7_12.
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Ciotti, Emanuele, Daniele Irmici, and Marco Menchetti. "Primary Care." In Health and Gender, 269–75. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-15038-9_28.
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Baggott, Rob. "Primary Health Care." In Health and Health Care in Britain, 245–74. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-137-11638-3_10.
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Baggott, Rob. "Primary Health Care." In Health and Health Care in Britain, 210–27. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-14492-1_9.
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Rogers, Anne, and David Pilgrim. "Primary Care." In Mental Health Policy in Britain, 143–56. London: Macmillan Education UK, 2001. http://dx.doi.org/10.1007/978-1-137-03963-7_8.
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Knowles, Ann-Marie, Vaithehy Shanmugam, and Ross Lorimer. "Primary Health Care." In Social Psychology in Sport and Exercise, 169–90. London: Macmillan Education UK, 2015. http://dx.doi.org/10.1007/978-1-137-30629-6_9.
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Laverack, Glenn. "Primary Health Care." In A–Z of Health Promotion, 163–64. London: Macmillan Education UK, 2014. http://dx.doi.org/10.1007/978-1-137-35049-7_62.
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Jefferys, Margot. "Primary health care." In Interprofessional issues in community and primary health care, 185–201. London: Macmillan Education UK, 1995. http://dx.doi.org/10.1007/978-1-349-13236-2_10.
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Salter, Brian. "Primary Health Care." In The Politics of Change in the Health Service, 75–97. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-26224-3_5.
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Purves, Geoffrey. "Primary Health Care." In Metric Handbook, 603–21. Sixth edition. | New York: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315230726-33.
Full textConference papers on the topic "Primary health care attention"
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Aliza, Ana Dyah, and Farida Kartini. "Student Perception of the Preceptorship Model in Midwifery Care: A Scoping Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.43.
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ABSTRACT Background: Preceptorship is a time-limited, education-focused model for teaching and learning within a clinical environment that uses a clinical staff as role models. Its primary goal is to assist new staff and students in adapting to their roles, develop clinical skills and socialize the novice to a department or institution. This difference has caused various opinions from related parties. This study aimed to determine the implementation of a tutorial system from different levels of student education to the entire midwifery health care system. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included PubMed, Wiley, Google Scholar, dan Sciendirect. The inclusion criteria were English-language and full-text articles published between 2000 and 2019. The data were selected by the PRISMA flow chart. Results: Ten articles from total of 803 articles found. It was divided into two categories: Elements in the preceptorship model and application of preceptorship. Preceptorship can help preceptors to improve teaching effectiveness and create an effective learning environment so that preceptors can perform clinical skills to improve the quality of education. The problem that arises in preceptorship in many student reports is the difficulty students experience in finding their clinical practice area. Professional organizations provide several solutions to the issues that occur in a preceptorship, one of which is paying attention to student attendance and facilitating students to give input and ideas. Conclusion: The application of the principles in the practice of midwifery clinics varies because the guideline instruments are not standardized. Keywords: Perspectives, Preceporship, Students, Midwifery Correspondence: Ana Dyah Aliza, Universitas ‘Aisyiyah Yogyakarta. Jalan Ringroad Barat No.63, Mlangi, Nogotirto, Gamping Sleman, Yogyakarta, Email: anadyahaliza@gmail.com Mobile: 085600072744. DOI: https://doi.org/10.26911/the7thicph.03.43
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Amarova, Asemgul T. "Organization of early screening and early psychological and pedagogical support for children and their families in the Republic of Kazakhstan." In Особый ребенок: Обучение, воспитание, развитие. Yaroslavl state pedagogical university named after К. D. Ushinsky, 2021. http://dx.doi.org/10.20323/978-5-00089-474-3-2021-46-54.
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The author of the article pays attention to the provision of early comprehensive care, focused on the family. This is a system of specially organized activities of health, education and social protection agencies: early screening, determining the level of child development and designing individual early education programs, providing primary assistance in implementing developmental programs in a specially organized pedagogical environment, training and counseling families, psychological and legal support for families, early planned and emergency medical correction; coordination of all social institutions and services.
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Wang, Na, and Jinguo Wang. "How to Improve Primary Health Care and the Meaning of Primary Health Care." In 2016 International Conference on Education, Management Science and Economics. Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/icemse-16.2016.70.
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Garcia, Saulo Jose Argenta, Rubia Alves da Luz Santos, Priscila Sousa de Avelar, Renato Zaniboni, and Renato Garcia. "Health care technology management applied to public primary care health." In 2011 Pan American Health Care Exchanges (PAHCE 2011). IEEE, 2011. http://dx.doi.org/10.1109/pahce.2011.5871898.
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Manning, Garth, Frank van Dijk, and Peter Buijs. "1701 Scaling up workers’ health coverage through primary health care." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.1186.
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Iluyemi, A., and R. E. Croucher. "E-health as an appropriate technology in primary health care." In 4th IET Seminar on Appropriate Healthcare Technologies for Developing Countries. IET, 2006. http://dx.doi.org/10.1049/ic.2006.0665.
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Yuan, Quan, Jun Chen, Chao Lu, and Haifeng Huang. "The Graph-based Mutual Attentive Network for Automatic Diagnosis." In Twenty-Ninth International Joint Conference on Artificial Intelligence and Seventeenth Pacific Rim International Conference on Artificial Intelligence {IJCAI-PRICAI-20}. California: International Joint Conferences on Artificial Intelligence Organization, 2020. http://dx.doi.org/10.24963/ijcai.2020/469.
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The automatic diagnosis has been suffering from the problem of inadequate reliable corpus to train a trustworthy predictive model. Besides, most of the previous deep learning based diagnosis models adopt the sequence learning techniques (CNN or RNN), which is difficult to extract the complex structural information, e.g. graph structure, between the critical medical entities. In this paper, we propose to build the diagnosis model based on the high-standard EMR documents from real hospitals to improve the accuracy and the credibility of the resulting model. Meanwhile, we introduce the Graph Convolutional Network into the model that alleviates the sparse feature problem and facilitates the extraction of structural information for diagnosis. Moreover, we propose the mutual attentive network to enhance the representation of inputs towards the better model performance. The evaluation conducted on the real EMR documents demonstrates that the proposed model is more accurate compared to the previous sequence learning based diagnosis models. The proposed model has been integrated into the information systems in over hundreds of primary health care facilities in China to assist physicians in the diagnostic process.
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Azzam, Nawras. "54 Primary health care education and antibiotics overuse." In Preventing Overdiagnosis, Abstracts, August 2018, Copenhagen. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/bmjebm-2018-111070.54.
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Intolo, S., and W. Sritanyarat. "DEVELOPMENT OF STROKE PREVENTIVE CARE MODEL FOR OLDER PERSONS IN A PRIMARY CARE CONTEXT." In International Conference on Public Health. The International Institute of Knowledge Management (TIIKM), 2017. http://dx.doi.org/10.17501/icoph.2017.3112.
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"Health Policy Reform Poor Rural Primary Health Care Delivery in Australia." In 2018 International Conference on Education, Psychology, and Management Science. Francis Academic Press, 2018. http://dx.doi.org/10.25236/icepms.2018.175.
Full textReports on the topic "Primary health care attention"
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Baker, Timothy. Oregon Primary Care Physicians' Support for Health Care Reform. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.6635.
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Baker, Robin. Primary Care and Mental Health Integration in Coordinated Care Organizations. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.5508.
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Basinga, Paulin, Paul Gertler, Agnes Binagwaho, Agnes Soucat, Jennifer Sturdy, and Christel Vermeersch. Paying Primary Health Care Centers for Performance in Rwanda. Unknown, 2010. http://dx.doi.org/10.35648/20.500.12413/11781/ii202.
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Thieschafer, Cheryl L. Definition of Roles and Responsibilities of Health Care Team Members in a Population-Based Model of Primary Health Care Delivery. Fort Belvoir, VA: Defense Technical Information Center, June 1997. http://dx.doi.org/10.21236/ada372084.
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Bradley, Cathy, David Neumark, and Lauryn Saxe Walker. The Effect of Primary Care Visits on Health Care Utilization: Findings from a Randomized Controlled Trial. Cambridge, MA: National Bureau of Economic Research, December 2017. http://dx.doi.org/10.3386/w24100.
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Abrams, Melinda Abrams, Mollyann Brodie Brodie, Jamie Ryan Ryan, Michelle Doty Doty, Liz Hamel Hamel, and Mira Norton Norton. Primary Care Providers' Views of Recent Trends in Health Care Delivery and Payment:Findings from the Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. New York, NY United States: Commonwealth Fund, August 2015. http://dx.doi.org/10.15868/socialsector.25044.
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Jigjidsuren, Altantuya, Bayar Oyun, and Najibullah Habib. Supporting Primary Health Care in Mongolia: Experiences, Lessons Learned, and Future Directions. Asian Development Bank, January 2021. http://dx.doi.org/10.22617/wps210020-2.
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ince the early 1990s, the Asian Development Bank (ADB) has broadly supported health sector reforms in Mongolia. This paper describes primary health care (PHC) in Mongolia and ADB support in its reform. It highlights results achieved and the lessons drawn that could be useful for future programs in Mongolia and other countries. PHC reform in Mongolia aimed at facilitating a shift from hospital-based curative services toward preventive approaches. It included introducing new management models based on public–private partnerships, increasing the range of services, applying more effective financing methods, building human resources, and creating better infrastructure. The paper outlines remaining challenges and future directions for ADB support to PHC reform in the country.
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Kelley, Susan D., Leonard Bickman, and Stephanie Boyd. Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions. Fort Belvoir, VA: Defense Technical Information Center, October 2013. http://dx.doi.org/10.21236/ada612362.
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Kelley, Susan D., Leonard Bickman, Stephanie Boyd, Ryan Hargraves, and Melanie Leslie. Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions. Fort Belvoir, VA: Defense Technical Information Center, October 2010. http://dx.doi.org/10.21236/ada612979.
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Childress, Cynthia Y. Bennett Health Clinic: Increasing Continuity With Primary Care Managers Through Modified Advanced Access. Fort Belvoir, VA: Defense Technical Information Center, May 2002. http://dx.doi.org/10.21236/ada420876.
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