56 resultados para Avaliação de serviços de saúde
Resumo:
This research evaluated the contribution of the Support Center for Family Health (SCFH) in relation to its effect on the Family Health Units through perception of the Family Health Strategy (FHS) and SCFH professionals, in addition to the satisfaction of users in relation to that role. Data were collected in the public health services of the city of Macaba-RN in 2012, through semi-structured questionnaire and non participant systematic observation and it counted as investigated subjects 272 individuals (60 FHS professionals, 12 SCFH professionals and 200 users representatives of 20 units). For analysis of the responses of the opened questions was used categorization process and, in relation to the observational method, that was based on checking the space organization, the characteristics of the participating subjects and the specific set of activities performed by SCFH teams through an observation guide. The results point to a good acceptance of the SCFH teams role by most FHS professionals who reported active participation in the health units routine, its integration activities to the FHS teams with resolving based health promotion actions. Regarding the SCFH professionals, they also reported positive contribution by participating actively in the units routine with integrated activities to the ESF teams and developing resolute actions. For users, the SCFH brought assurance services with better access to specialized, resolving and welcoming care. Systematic observation ratified data obtained by questionnaire. It was perceived the need to implement actions related to man`s health, to invest in expanding the number of the SCFH teams, the greater supply of medications, improving the regulatory process and planning together as a key strategy to promote a more effective integration between teams SCFH / FHS
Resumo:
This work discusses the evaluation of the satisfaction of the users on the women health care focusing on the quality of the primary care in the State of Rio Grande do Norte-BR. The main objective of this research is evaluate the satisfaction of the users about the actions applied to women health in the primary health care in Rio Grande do Norte, observing the information available through the Programa de Melhoria do Acesso e da Qualidade da Ateno Bsica (PMAQ-AB). The specific objectives are: the evaluation of aspects related to women health; the evaluation of the specific actions related to welcoming the pregnant and; the evaluation of the information related to the postpartum. This dissertation is characterized as an evaluative research made through a multicentric transversal study, using a quantitative approach, which is part of the External Evaluation of the PMAQ-AB in the State of Rio Grande do Norte, made by the Federal University of Rio Grande do Norte. Some secondary data of the interviews with the users who were in the Basic Health Units were used during the External Evaluation of the PMAQ-AB in Rio Grande do Norte. The sample was collected following these criteria: the users that were in the Basic Health Units to attend to any procedure; they must had used the services for at least one year; and they must had agreed to participate the research. The ones that were attending to the services for the first time and the ones that did not use the services for at least 12 months were excluded from the sample. To the data collection it was used a chart of variables/indicators with the following information to the analysis: Women Health Care, Specific Care of the Pregnant and Information about he postpartum. The descriptive analysis of the data were made through absolute and relative frequencies of the variables using the software Statistic Package for Social Sciences (SPSS) for Windows, version 22.0.0. The results show a positive picture of the satisfaction of the users about the actions of the primary healthcare in women health in the State of the Rio Grande do Norte. Another important analysis is the integration of the primary health care with other points of the Healthcare System aiming to reorient the Model of Healthcare as a starter of the access and quality of the services given to the users. Therefore, the evaluation of the satisfaction of the users in health care is essential among all the agents involved in the process of consolidation of the Unified Health System SUS. Also having the need of rethinking the professional practice, reorganizing the processes of work of the multiprofessional teams in health care, enabling financial resources, inputs and materials, planning and systematizing new actions of healthcare aiming to ensure a perfect health care to the people
Resumo:
O objetivo deste estudo foi avaliar a incorporao da saúde bucal no Programa Saúde da Famlia no Rio Grande do Norte, com base na anlise de fatores capazes de interferir no processo de mudana dos modelos assistenciais em saúde bucal. Esta avaliação tomou como referncia trs dimenses: o acesso, a organizao do trabalho e as estratgias de programao. Foram sorteados 19 municpios no estado. Os instrumentos de coleta foram a entrevista estruturada aplicada a gestores e dentistas, a observao estruturada e a pesquisa documental. Foi possvel identificar precariedade nas relaes de trabalho e dificuldades no referenciamento para mdia e alta complexidade, na intersetorialidade, no diagnstico epidemiolgico e na avaliação das aes. A maioria dos municpios apresentou pouco ou nenhum avano no modelo assistencial em saúde bucal. Os municpios que demonstraram avanos apresentaram alta expectativa de vida ao nascer, baixas taxas de mortalidade infantil, valores per capita entre os mais altos do Estado e altos valores de IDH-M. Concluiu-se que polticas pblicas que contemplam aspectos alm dos pertinentes ao setor saúde so decisivas para uma real mudana nos modelos assistenciais.
Resumo:
O objetivo deste estudo foi avaliar a incorporao da saúde bucal no Programa Saúde da Famlia no Rio Grande do Norte, com base na anlise de fatores capazes de interferir no processo de mudana dos modelos assistenciais em saúde bucal. Esta avaliação tomou como referncia trs dimenses: o acesso, a organizao do trabalho e as estratgias de programao. Foram sorteados 19 municpios no estado. Os instrumentos de coleta foram a entrevista estruturada aplicada a gestores e dentistas, a observao estruturada e a pesquisa documental. Foi possvel identificar precariedade nas relaes de trabalho e dificuldades no referenciamento para mdia e alta complexidade, na intersetorialidade, no diagnstico epidemiolgico e na avaliação das aes. A maioria dos municpios apresentou pouco ou nenhum avano no modelo assistencial em saúde bucal. Os municpios que demonstraram avanos apresentaram alta expectativa de vida ao nascer, baixas taxas de mortalidade infantil, valores per capita entre os mais altos do Estado e altos valores de IDH-M. Concluiu-se que polticas pblicas que contemplam aspectos alm dos pertinentes ao setor saúde so decisivas para uma real mudana nos modelos assistenciais.
Resumo:
RONCALLI, Angelo Giuseppe. A organizao da demanda em serviços pblicos de saúde bucal: universalidade, eqidade e integralidade em Saúde Bucal Coletiva. raatuba, 2000. 238p. Tese (Doutorado em Odontologia Preventiva e Social). Faculdade de Odontologia, Universidade Estadual Paulista Jlio de Mesquita Filho
Resumo:
Introduo/objetivos: A avaliação do estado de saúde de idosos institucionalizados considerada prtica essencial promoo e recuperao da sua saúde, a qual deve incluir a investigao de aspectos multidimensionais e multidisciplinares relacionados ao envelhecimento saudvel. O estudo objetivou avaliar as condies de saúde dos idosos residentes em instituies de longa permanncia (ILPI) do municpio de Natal RN. Mtodos: Trata-se de um estudo descritivo, longitudinal, envolvendo seis ILPI filantrpicas, com uma populao de 243 idosos. A coleta de dados se deu por meio de entrevistas com os idosos nas instituies mediante a aplicao de um questionrio com informaes scio demogrficas, saúde e institucionalizao, alm de vrias facetas multidisciplinares que envolvem a escala de avaliação cognitiva (Mini Exame do Estado Mental); o ndex de KATZ, para avaliação das atividades da vida diria e uma anlise do estado nutricional com questes antropomtricas (peso, estatura, circunferncia abdominal) e ndice de Massa Corprea. Participaram do estudo todos os idosos com idade igual ou superior a 60 anos, que aceitaram responder a entrevista e assinaram o Termo de Consentimento Livre e Esclarecido e/ou a impresso datiloscpica. O projeto foi aprovado pelo Comit de tica em Pesquisa da Universidade Federal do Rio Grande do Norte, sob parecer n 164/2011. Resultados: Os participantes do estudo incluem 243 idosos, sendo a maioria mulheres (172 = 70,7%), com mdia de idade de 79 9,44 anos. 124 idosos so solteiros (51,0%) e 66 vivos (27,0%). A prtica de atividades fsicas no rotina nas instituies, onde a maioria dos idosos (82,7%; n = 201) no realiza nenhum tipo de atividade. 78% dos idosos (n = 192) chegou a instituio sendo levados por familiares, enquanto que apenas 18% (n = 44 idosos) por vontade prpria e 4% (n = 7 idosos) no souberam responder. Quanto aos aspectos cognitivos, identificou-se que 64,2% dos idosos (n = 156) apresentaram alteraes significativas dentro da pontuao dos escores com restries em responder aos demais questionamentos durante a entrevista por apresentarem limitaes cognitivas e/ou dificuldades senso perceptivas.Concluso: O presente estudo evidenciou alteraes cognitivas na maioria dos idosos institucionalizados impossibilitando-os a continuidade da realizao da avaliação global da saúde. A identificao correta da perda cognitiva em idosos de suma importncia para a equipe de saúde a fim de promover a deteco precoce de alteraes cognitivas e a adoo de tratamento adequado, no sentido de contribuir para uma melhor qualidade de vida desta populao
Resumo:
Investigar os fatores relacionados percepo que os profissionais das equipes do Programa de Saúde da Famlia (PSF) possuem frente realidade da poltica de ateno saúde do idoso nas Unidades Bsicas de Saúde dos municpios litorneos do Estado da Paraba. Trata-se de um estudo observacional descritivo com uma amostra constituda por 120 profissionais de saúde de trs categorias distintas (enfermeiro, mdico e odontlogo), sendo 104 respondentes como profissionais e 16 respondentes como coordenadores de equipes. A coleta de dados foi realizada atravs de um questionrio auto-aplicvel de avaliação fechada e de questes de mltiplas escolhas. Os dados foram processados e armazenados no Programa Estatstico SPSS verso 15.0 e analisados luz da estatstica descritiva. Os resultados indicaram que os profissionais tiveram dificuldade em perceber a realidade da poltica integral e integrada de saúde do idoso junto aos serviços de saúde em que atuam. O estudo revelou ainda a necessidade de uma definio de estratgias para qualificao dos profissionais garantindo ateno integral saúde do idoso sob uma nova viso de atuao
Resumo:
The objective of analyze the shift of the working process of the ESF team in care of children with disabilities, from awareness-raising actions. It is a qualitative study, with the action-research method. Thirteen health professionals were involved from two teams of ESF unit area of the Unidade de Saúde da Famlia Dr. Chico Porto (UBSFCP) in Mossor, from March to August 2011. Data were analyzed following the direction of freirean s thematic analysis. In the situational diagnosis of the current reality of CwD assistance in that UBSFCP, through participant observation and application of semi-structured interviews with professionals, we realize that despite these actions carry some assistance to the CwD, in practice few are used for inclusion and accessibility. The monitoring of the CwD is done through individual consultations by each team professional, home visits when possible, both ruled on the complaints and problems, with little solving in the used actions. Since the need for a change in the treatment model and training requirements as pointed out by professionals in the interview, then we decided to build the proposed of training suggested by the multidisciplinary team and put together collectively the achievement of this moment in all its phases. In the step of implementation (action), aspects related to the current situation in Brazil and Mossor (Laws, policies and health care) for the CwD and CwD Assistance and their family in the ESF in the first two moments of the first training (action) were contemplate. On the second day we discussed the specialized care to CwD, contribution of the Handicapped Parents and Friends Association of Mossor and in a second moment a workshop was held in which awareness for inclusion of CwD and actions of ESF were discussed. All these moments were discussed and collectively constructed. In the evaluation, we found that implementation (action) allowed to the professional the comprehension of new understandings about people with disabilities, on ways to include, guiding, caring, watching, and mainly to have a new vision on health assistance of the CwD, expanding assistance beyond clinical aspects and recognizing the educational aspects of the rights and duties of citizens and the inclusion of these children in the social spaces area. As difficulties, we face the need for some professionals to be absent to attend another job, solve personal problems, and little or no participation. Thus, during this action-research, the subjects were able to realize the importance of carrying out their practice to the quality of life for him and to the one they care
Resumo:
The joint enters the teams of the Strategy Health of Family (ESF) and the Municipal Center of Infantile education (CMEI) blunts as a form to assure the monitoring and promotion to the health of the children of 2 the 5 years when entering the day-care center environment/daily pay-school. It was traced as objective: To analyze the actions developed for the team of the Strategy Health of the Family in the promotion the health of the child, taken care of in a CMEI. Description-exploratory is to a study, qualitative nature, the type research-action. Developed in a CMEI and the USF of the quarter of New City, Natal-RN. The population was constituted by the professionals of the team of the ESF and the CMEI and parents. During the stages of the research-action diverse techniques had been used as the individually interview and in group, focal group, comment participant, and daily of field. The analysis of the data occurred by means of the content analysis, in the thematic modality, proposal for Bardin (1977) and description of the stages of the research-action. In the stage of situational diagnosis that it investigates the reality lived deeply for the citizens of ESF and CMEI how much to the health of the child seven categories had emerged that they enclosed: the context of the attention child in the CMEI identifying the actions that already came being developed for the ESF in the CMEI; the functioning of the CMEI and its routine of activities; the paper of the CMEI in the care the child; the daily one of the ESF, how much to the care to the health of the child of 2 the 5 years involving the diverse difficulties faced for the ESF; difficulties faced in daily of the CMEI for the care the child of 2 the 5 years; paper of joint ESF and CMEI for the confrontation of the difficulties; e action of health to be developed that they had subsidized the stage of planning of the research-action. During the stages of planning and implementation of the actions the actions of education in health with professionals of the CMEI and parents had been materialize and the actions of direct attention the health of the child. In the stage of evaluation of the actions for the involved citizens one searched to ahead understand the perception of the actions developed and perspective of continuity of the actions, through 4 boarded subjects for the citizens. For all the passage of the research-action it can be inferred that joint ESF and CMEI is a necessary initiative ahead of the current situation of the services of health for the promotion of an integral attention the health of the child, but that the teams of the ESF not yet make use of material conditions and staff enough to develop actions that exceed the limits of the USF, being necessary for this the reinforcement of the joints mainly with the Federal University of the Rio Grande of the North.
Resumo:
A assistncia psiquitrica e as polticas de ateno saúde mental passaram por diversas transformaes, marcadas ora por avanos, ora por retrocessos centrados no estigma, desinteresse e preconceito que ainda permeiam a sociedade e o senso comum. Este estudo objetivou analisar o processo de reforma psiquitrica e a poltica de saúde mental do Municpio de Natal/RN a partir dos papis e funes dos profissionais de nvel superior dos serviços substitutivos em saúde mental. Trata-se de uma pesquisa analtica, transversal, com dados quantitativos e qualitativos, realizada nos sete serviços substitutivos de saúde mental de Natal, entre os meses de maro a agosto de 2013, aps aprovao do estudo pelo Comit de tica em Pesquisa da Universidade Federal do Rio Grande do Norte, Parecer n 217.808, CAAE: 10650612.8.1001.5537, em 01 de maro de 2013. A amostra por convenincia comps-se por 65 profissionais de nvel superior das equipes de saúde mental. Utilizou-se um questionrio com questes fechadas e semiabertas sobre o perfil socioeconmico, as polticas, as prticas e a formao em saúde mental. Tabularam-se e submeteram-se as respostas das questes fechadas do questionrio no programa estatstico SPSS verso 20.0, analisando-os por meio de estatstica descritiva, com a formulao de grficos e tabelas. Para verificar o nvel de significncia, adotando-se p-valor<0,05, optou-se pela aplicao dos testes qui-quadrado e exato de Fisher. Submeteram-se os dados das questes semiabertas ao software ALCESTE e luz da anlise de contedo de Bardin. O perfil dos participantes caracterizou-se por maioria do sexo feminino (79%), faixa etria de 36 a 55 anos (52%), mdia de 42 anos, carga horria de 40 horas semanais (62%), tempo de concluso da graduao de 6 a 15 anos (57%), trabalhavam na rea de saúde mental h menos de 10 anos (72%) e na instituio pesquisada h 5 anos ou menos (52%). Da amostra estudada, 86% atendiam grupos de usurios, 97% realizavam atendimento individual, 94% observavam o comportamento do paciente, 92% realizavam atendimento familiar, utilizando, principalmente, a abordagem cognitiva (28%). Os dados qualitativos originaram cinco categorias: Formao acadmica e atuao em saúde mental; Ausncia de capacitao e superviso em saúde mental; Dificuldades da prtica profissional nos serviços substitutivos de saúde mental; Trabalho em equipe: entre acertos e conflitos; Poltica Nacional de Saúde Mental: uma realidade ainda distante. Detectou-se adequabilidade dos papis e funes dos profissionais quanto ao tempo de trabalho na saúde mental e na instituio pesquisada; no atendimento e atividades individuais; na promoo de aes visando autonomia do paciente; no atendimento em grupo de pacientes; e, em parte, famlia/familiar dos portadores de transtorno mental, havendo inadequao quanto ao atendimento aos grupos de familiares (52.3%), formao especializada em saúde mental (69.2%; p=0,02) e s dificuldades de trabalho nos serviços (87.7%). Evidenciou-se adequao nos papis e nas funes d esenvolvidas pelos profissionais nos serviços substitutivos em saúde mental de Natal, embora convivendo em seu cotidiano com inmeras dificuldades encontradas no desenvolvimento de suas prticas profissiona is frente s condies de trabalho
Resumo:
Venous ulcers are lesions resulting from chronic venous insufficiency, venous valvular abnormalities and venous thrombosis. Its occurrence has been growing with the increase in life expectancy of the world population. Considered as fundamental aspects in the approach to the person with venous ulcer care with the interdisciplinary approach, adoption of protocol-specific knowledge, technical skill, coordination between levels of care complexity of the Health System and active participation of patients and their families, a holistic perspective. The construction of a clinical protocol for people with venous ulcers can help professionals of high complexity services in patient assessment and the establishment of quality care in a systematic way and focused on the factors that interfere with wound healing. Thus, this study aimed to analyze the evidence of validation of a clinical protocol for people with venous ulcers treated at high-complexity services. This is a methodological study with a quantitative approach, developed in three stages: literature review, evidence of content validity and evidence of validation in the clinical context. Approved by the Federal University of Rio Grande do Norte Research Ethics Committee (Opinion: 147.452 and CAAE: 07556312.0.0000.5537). The literature review was conducted in August and September 2012, becoming the basis for the construction of the protocol. Then the evidence of content validity, which included 53 judges (experts) selected by the Lattes platform to evaluate the protocol items was performed. The judges were contacted by e-mail and rated the protocol via Google Docs <docs.google.com>. After analyzing the ratios obtained in this step, which reported kappa between 0.75 and 0.96 and between 0.80 and 0.98 IVC, and the suggestions of the judges, the protocol was adjusted and subjected to empirical evidence to validate the clinical setting at the University Hospital Onofre Lopes in Natal / RN. Evidence of validation in the clinical setting involved 4 judges who acted in pairs (paired) evaluated 32 patients with venous ulcers in the clinical context of high complexity. In both stages, we used the Kappa Index and Content Validity Index to analyze the responses of the judges. The parameters set as acceptable for these indices were: Kappa ≥ 0.61 and Content Validity Index > 0.80. Any evidence of content validity, as evidence of validation in the clinical context, the protocol items that have not reached Kappa and Content Validity Index established indices were excluded and some items were modified or added after suggestions. The process of content validation evidence and evidence of validation in the clinical setting allowed the improvement of the protocol for the care of people with venous ulcers initially proposed. The initial version of the protocol, built from the literature, contained 15 categories and 108 items; after evidence of content validity, remained the reduction to 15 categories with 91 items; the final version, clinically validated, is composed of the same 15 categories, 76 items. The protocol was validated in its content and in the clinical aspect, so we accepted the alternative hypothesis in the study. This protocol may contribute to the care system, allowing tailor behaviors and promote greater resolution in the treatment of people with venous ulcers in health services of high complexity
Resumo:
The public dental services in Brazil were limited, practically, to the basic care, so that the specialized services acted, up to 2002, no more than 3,5% of the total of clinical procedures. That lower offer reveals the difficulty of continuity of the attention, that is, the comprehensiveness in the assistance, particulary, the reference and counter-reference system. Brasil Sorridente search to supply those needs when proposing Speciality Dental's Centers(CEOs Centros de Especialidades Odontolgicas, Brazil) to compose the services of average complexity. In 2005, Ministry of Health enabled the three CEOs of Natal, located in the North II, East and West Sanitary Districts. This investigation evaluated the implantation of these CEOs, as support of the family health care teams, in the perspective of organization of the services in assistencial nets in Natal/RN. It was a study of evaluation, with qualitative approach and some quantitative data as contribution. Dentists, users and managers were interviewed to identify and to understand their perceptions, relationships and experiences in the daily of the services. The conceptual base that orientated the investigation was the principle of comprehensiveness, in its operational sense of the hierarchization in health attention levels. The collection of data was done with documental research, direct observation and semi-structured interview. The analysis was accomplished by triangulation of the extracted content from the used techniques and sources of interviewed groups depositions, looking for theoretical-conceptual support in specific bibliography. The results pointed aspects that go away from the comprehensiveness like: low resolution of problems in the basic net; little valorization of the space in the health units; traditional models of access to health services, insufficient offer for some specialties, compromising the reference and counter-reference system; practices centered in procedures in the CEO; bureaucratic directions from basic care to the specialized service; disintegrated and disjointed system among levels of attention; disrespect to the municipal protocol. On the other hand, there is an approach of compreensiveness in situations like: increase of the access and covering in the Family Health Strategy (ESF Estratgia Saúde da Famlia, Brazil); larger approach between professional and user; tendency to the quantitative and qualitative growth of specialized actions; punctual initiatives of relationships among levels; existence of protocol to guide professionals
Resumo:
Introduction: This work intents to characterize behavioral indicators of tack to the hemodialysis treatment in a sample of carrying patients of chronic kidney failure (CKF) in the great Natal/RN. The therapeutical adherence represents the agreement degree between the patient behavior and the health team lapsings. The CKF is the gradual and irreversible loss of the renal function, being the hemodialysis treatment an important alternative to assist or to substitute the kidneys. Method: The sample consisted in 80 chronic kidney patients in hemodialysis treatment in two located clinical centers in the region of the great Natal, RN. It was used as instruments (a) a protocol of clinical data collection, (b) the Millon Index of Personality Styles (MIPS) and (c) a script of halfstructuralized interview. Results: The results show a balance between the genders (51% of female and 48.8% of the male sex), average age and equal average time of dialysis respectively to the 43,4 years (13,25 years) and 22,04 years (4,24 years). The marital status of half of the sample is married, predominating basic education (43.6%) and a familiar income until a minimum wage (43.8%). It had been defined six physicianlaboratorial indicators to evaluate the therapeutical adherence, further the use of the evaluation of the health team and the patient themselves. Thus, there was an average adherence around 55.97% of the sample 18.37%). However only between selfassessment of the patients about the adherence and the assessment made by blood pressure post-dialysis indicated a significant association (p=0,029, qui-square test). On the other hand, there was a significant association (p <0.05, chi-square test) among the criteria for treatment adherence and issues investigated in the interview - the perception on the quality of the health services provided to patients, the difficulties following the prescribed diet, the characterization of the days between dialysis sessions and the perception of patients about the dialysis sessions. It was also noted a significant association (p <0.05, Levene test) between adherence to therapy and scales that constitute the MIPS. The health team characterized the patients more adherent behavior as an attitude of acceptance of the treatment, looking actively for their implementation, for more information and knowledge, and establishing a positive communication with the team and with other patients. Similar results were confirmed by the MIPS evaluation. According to that assessment the more compliant patients adopt a more optimistic attitude, trying to act or adapt themselves to their environment, processing cognitively both concrete and objective information, such as more speculative and symbolic information. In addition they establish a gregarious, cooperative, submissive and flexibly pattern of interpersonal relationships to social demands. These characteristics managed to explain 55.7% of the adherence variation according the health team and 23.3% of the variation according the CaxP laboratory indicator. Conclusions: The MIPS shown to be able to identify the most and least adherent to therapy patients. The use of different adherence indicators is important for an evaluation covering the different facets of this process. The adhesion levels are observed within registered by the relevant literature. There is need for further studies with a larger sample to deepen the data findings in this work
Resumo:
O presente estudo tem por objetivo avaliar a satisfao dos usurios em relao qualidade da Ateno Primria Saúde no Rio Grande do Norte. Trata-se de Pesquisa Avaliativa observacional transversal, com abordagem quantitativa, a qual faz parte da Avaliação Externa do Programa de Melhoria do Acesso e da Qualidade da Ateno Bsica (PMAQ), da Universidade Federal do Rio Grande do Norte. Foram utilizados dados secundrios de todas as entrevistas com usurios das equipes que participaram da Avaliação Externa do PMAQ no Estado do RN. A pesquisa foi realizada em 167 municpios do Estado do Rio Grande do Norte, na qual a populao foi composta por 1.650 usurios. A amostra se deu por convenincia a partir dos seguintes critrios: usurios que estavam presentes na Unidade Bsica de Saúde (UBS) para realizar qualquer tipo de procedimento e que consentisse em participar da avaliação. Foram excludos os que tinham ido pela primeira vez na unidade e aqueles que no frequentaram h mais de 12 meses. A coleta dos dados foi realizada no perodo de setembro a novembro de 2013. Para tanto, foi elaborado um protocolo de pesquisa contendo as seguintes dimenses: organizacional, interpessoal e estrutural. Em relao dimenso organizacional os resultados mostram que a marcao de consultas tem se configurado em empecilho ao acesso do usurio ao servio de saúde, uma vez que se faz necessrio para o atendimento, enfrentar filas, antes da abertura da unidade para pegar fichas. No tocante ao funcionamento da unidade, se destaca o fato dos usurios referirem que o horrio de funcionamento da unidade atende suas necessidades, apesar de funcionar 5 (cinco) dias por semana, a maioria das unidades permanece fechada no horrio de almoo. Outro dado importante refere-se coordenao do cuidado, cujos resultados apresentam diferenas maiores entre os usurios da regio metropolitana e do interior do Estado em relao Capital. Essa diferena se expressa principalmente em relao de marcao de consulta com outros profissionais especialistas. A dimenso interpessoal, no que diz respeito categorias interao usurio-servio-equipe e vnculo, demonstraram alguns avanos, contudo os melhores resultados foram observados em relao a satisfao com o cuidado, onde mais de 50% dos usurios se mostraram satisfeitos com o cuidado recebido nas unidades. Em contrapartida, o estudo mostrou que, na opinio de 56% dos usurios da capital, a falta de materiais e equipamentos influencia negativamente no cuidado. Por fim, o estudo contribuiu para reforar a ideia de que a avaliação da satisfao dos usurios dos serviços de saúde pode ser uma ferramenta importante para subsidiar o processo de deciso compartilhada, de forma a se repensar as prticas profissionais, reorganizar o processo de trabalho desenvolvido, realocar recursos, readequar aes e redefinir objetivos que estejam coerentes com o projeto de saúde estabelecido
Resumo:
A mortalidade infantil tida como um indicador sensvel para descrever as condies de vida e de saúde de uma populao, sendo, portanto, interpretada como a estimativa do risco de um nascido vivo morrer antes de completar o primeiro ano de vida. Esse indicador considerado elevado quando atinge patamares superiores a 50/1.000 nascidos vivos, mdios quando se encontra entre 20 e 49/1.000 e mais baixos quando est at 20/1.000. No Brasil, a Mortalidade Infantil tem evidenciado variaes ao longo dos anos, e nas duas ltimas dcadas esse indicador tem sofrido um acentuado decrscimo, provavelmente devido melhoria no acesso aos serviços de saúde, ao saneamento bsico, reduo da taxa de fecundidade, melhoria das condies de vida e implementao de tecnologias na ateno saúde. O objetivo principal do estudo foi avaliar a tendncia na mortalidade infantil no municpio de Garanhuns no perodo de 2003 a 2012, segundo reas cobertas e no cobertas pela estratgia saúde da famlia. Foi realizado um estudo de srie temporal, e para isso foram coletados os dados referentes aos nascidos vivos e bitos de menores de 01 (um) ano atravs do Sistema de Informaes de Ateno Bsica SIAB, nas reas cobertas e no cobertas pela estratgia, a fim de estabelecer relao de possvel causalidade entre a interveno e o indicador. Os resultados foram apresentados em grficos, com a curva da Mortalidade Infantil no municpio de Garanhuns entre os anos de 2003 e 2012 segmentado atravs das reas cobertas e no cobertas pela estratgia saúde da famlia ao longo do mesmo perodo. Aps a anlise dos resultados, observou-se uma tendncia de queda no coeficiente de mortalidade infantil tanto nas reas cobertas pela estratgia saúde da famlia quanto nas reas cobertas pelo PACS, e que no foi possvel estabelecer isoladamente uma maior reduo da mortalidade infantil em reas cobertas pela estratgia. No entanto, os resultados das aes desenvolvidas pela estratgia saúde da famlia so consistentes e plausveis de causar impacto no declnio da mortalidade infantil, sobretudo as aes voltadas para a saúde da mulher e da criana
