127 resultados para Serviços de saúde
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The Health Care Wastes (HCW) present serious risks to health and to the environment, if incorrectly managed, because in addition to the presence of pathogenic agents, the may pollute the soil and the water. Thus, a study was performed aiming at diagnosing the HCW management in Araraquara (SP), identifying the difficulties of the agents (municipal gestors and managers of institutions which generate this wastes) in implanting the HCW management Plan (HCWMP) proposed by ANVISA, in order to subside the HCWMP implantation. The methodology was based on question applications in health centers selected to be the samples, and on quantitative data related to the phases of Treatment and Final Disposal, provided by DAAE. As a result, it was observed that a great part of the interviewed centers managed these wastes according to norm RDC no 306/ 2004 of ANVISA. However, only 24% of the interviewed centers knew about this norm, and only 22% of them had the HCWMP. The difficulties in managing the HCW concentrated in the correct segregation of theses wastes in the generation source. The large number of people involved in this phase suggests the causes of the difficulties.
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The present work aimed to quantify the generation of group B health care`s residuals in places such as drugstores and pharmacies, in the municipality of Uberaba, MG, Brazil, as well as to identify their final destination in those places during the months of July and September, 2010. In order to also verify the medicaments generated by the whole community, some delivery campaigns were arranged to capture out-of-date medicaments at 3 drugstores. In this sense, all people who effectively looked for a pharmacy/drugstore to deposit the medicaments were invited to respond some questions, containing information about the name of the medicament, the pharmaceutical composition, the color applicable to the medicament and the expiration date. At the end of the period of research, 76 interviews were performed and 90 medicaments were observed (1.18 products per interview, in average). Results obtained suggested that pharmacies/drugstores located downtown tend to generate more medicaments than others located in the districts and periphery zones. Moreover, manipulation drugstores tend to generate more products than their conventional counterparts. Regarding the therapeutic classes, the anti-hypertensive medicaments represented the most substantial percentage of the medicaments delivered, accounting for 21,11%. However, the worst scenario tends to show that people usually do not know exactly how to discard this sort of product about 65% of the people consulted discard chemical pharmaceutical residuals in the same place the domestic trash is thrown away what may represent a serious risk in terms of contamination of the environment, so that a strong campaign towards the proper usage and discharge of medicaments should be strongly encouraged
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Introduction: Physical inactivity is identified as the fourth greatest risk factor of mortality worldwide. Little is known about how physical inactivity alters the demand for use of primary health care services, and it is a subject which demands further investigation. Objective: This study aims to determine the influence that physical activity has on the demand for use of primary health care services. Methods: This is a retrospective and cross-sectional study. The Rio Claro Active Health Program (SARC), studied in this research, is a partnership between the Municipal Health Foundation and Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), represented by the Nucleus of Physical Activity, Sport and Health (NAFES) department of Physical Education and coordinated by Prof. Dr. Eduardo Kokubun. The study was carried out on residents of Rio Claro of both sexes seen at SARC. To assess the influence that physical activity had on the demand of the use of health services a questionnaire was given to participants who had attended the program since 2009. This questionnaire contains questions concerning the level of physical activity, health service use, number of both blood pressure and glucose measurement takings, number of spontaneous and scheduled medical visits, number of medications taken, number of illnesses and hospitalizations, comparing the data found in the previous year and the year after the program began. An informed term of consent was used for research participants. Descriptive analysis was carried out, using frequency, mean, maximum and minimum standard deviation. Results: Active participation in The Rio Claro Active Health program has positively influenced the following variables: perception of health, uncontrolled blood pressure, did not modify the number of diseases, number of medications in general, ...(Complete abstract click electronic access below)
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It is a systematic literature review, wich aimed to analyze documents, as is the inclusion of the family in Mental Health Services. To do so was based on a literature in the database of the Latin American and Caribbean Health Sciences (LILACS). And the documents were selected from the question which funded the research to evaluate the contribution of scientific research published in journals in the period 2000 to 2011. Data analysis reveals that the government's efforts in having the family as an ally, not a recent phenomenon. But this is a process that depends not only on government, also depends on the professionals involved and of their own families, and other factors. It is concluded that much remains to be done, both in terms of research for the topic, the actions in the reality of such a process
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Health Care Waste (HCW) represents 1%, and it has presently gained a lot of importance. Adequate management is one of the great challenges to be faced by health care centers. It has gained distinction and been widely discussed by members of the sectors involved with sanitation, public health and environmental issues due to waste physical, chemical biological characteristics, which pose potential risk to the environment and public health. The present study aims at evaluating HCW internal management by following all its phases, determining indicators, classifying and quantifying, establishing production rates (kg /patient/day) for the sector and designing materials to disseminate appropriate HCW disposal in the Emergency Room of the UNESP University Hospital in the city of Botucatu according to the guidelines presently in force. : From June to October 2011, the waste flow was observed from its production to final disposal. Four weight measurements were performed on four consecutive days in the month of August by using a properly calibrated (in grams) digital scale at the times scheduled for collection of the produced waste. Hence, the daily and monthly amounts were estimated according to their classification. All the waste packaged in the bags in garbage cans in the Emergency Room for a 24-hour period was considered to be a sample. Separation was not adequately performed in that sector, and waste from Group A was mixed with that from Group D. The amount of infectious waste produced in the sector corresponded to 87.80 %, common waste to 10.93 % and recyclable waste to 1.27%. The mean daily HCW production was of 123.300 kg/day, and the total monthly production was of 3,822 kg/month, which was distributed as follows: Group A 3,355,750 kg/month; Group D 417,570 kg/month and recyclables 48,670 kg/month. The production rate corresponded to 0.47 kg/patient/day, thus showing... (Complete abstract click electronic access below)
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The arterial hypertension is a chronic disease, which can be controlled by changing the way of life, as well as by drug treatment, which demand specific Health Care sequence. The lack of adherence to sequence/treatment is one of the main obstacles the disease control. Characterize and analyze the profile of Health Care usage by a 192 patient cohort diagnosed with arterial hypertension in 1995, between the period of 2001 2005 and 2006 2010. It is a longitudinal study, retrospective and descriptive developed on School Health Center(SHC) which belongs to School of Medicine Botucatu UNESP, in continuity of the previous research which has analyzed the sequence of the referred sample between the period of 1995 1999. The database was obtained from the patients records by using structured adapted forms appointed in the previous study phase. In the case there were transfers to other Health Care facilities, the database was obtained by the records either, while the patients attended the CSE. The database was analyzed by means of descriptive statistics. Predominated the patients in the age from 50 69 (47,9%), whites (93,2%), female (56,7%) with low level of education (72,7%). In the period of 2001 - 2005, 76 (39,5%) of the patients remained under sequence, and that 44 (22,9%) belonged to adherence group (GAD), 17 belonged to abandonment/adherent group (GAB/GAD) and 15 to the abandonment group (GAB), groups which were already identified by the study which has analyzed the period of 1995 1999. At the end of the third period of the sample sequence (2006 2010), 60 (31,2%) of the patients kept under medical sequence. The cohorts mortality rate in the period reached 15,1% and 21,9% were transferred to other Municipal Health Care facilities. We conclude that the Health Care service usage by the 192 samples integrants kept the same model already identified in the previous analysis... (Complete abstract click electronic access below)
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The dynamics of the health services sector can be seen in studies of geographical features as analysis on the quantity and quality of mdical and hospital services provided and the demand or need sensed by the population, whether the public sector, whether private sector within a defined portion of space, in analysis in this study, the Administrative Region of Barretos, State of So Paulo. This study seeks to better understand the dynamics of the health services sector (Public and Private) in the production of urban space of the Administrative Region of Barretos, for it will be reviewed, in particular, the Cities Health Centers, Bebedouro and Barretos. Also proposes through this, try to clarify the central regional Barretos and Bebedouro in the context of health services
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Introduction: The discrimination experienced by people with HIV / AIDS, not only by society but also by health professionals is one of the major problems observed relative the epidemic. Objective: To verify and to analyze the occurrence of discriminatory attitudes in the assistance to the health of people living with HIV/AIDS. Methods: It was a quantitative research was carried out with the participation of sixty-eight HIV-positive individuals from four Brazilian cities. The participants answered auto-administrate questionnaires that contained open and closed questions including the considered subject. Results: 41.2% of the total participants, HIV + people, said they had been discriminated against by health professionals. Among the discriminatory situations experienced by HIV patients, 34.2% nursing professionals were involved, in 34.2% dentists and in 31.6% doctors were involved. Those who have suffered discrimination, 78.6% said they had been discriminated against in public health service. Conclusion: The occurrence of discrimination in the assistance to the health of HIV-positive patients was high. The majority of discrimination situations occurred in the public health service. It is necessary the institution of strategies aiming at human attendance to these patients.
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Brazilian Curricular Directrix demand changes on teaching dental surgeon, proposing new scenes of learning and study other than the classroom. So, pedagogic projects should search for integral and adequate education by relating teaching, research and extension/assistance. This paper discusses the importance of university extension activities on teaching Odontology students and relates the experience of Araatuba Dental School of So Paulo State University. This school develops some university extension activities since the 60s by Dental Service Beyond School (SEMO, in portuguese). Among the activities included by SEMO there are several projects, such as: Program of Dental Attention for Pregnant Women, Program of Dental Attention to Juvenile Foundation at Araatuba, Always Smiling Health Promotion for Institutionalized Elderlies, Santa Clara de Assis Nursery School Program of Dental Attention, and "Promotion of oral health in Araatuba public kindergarten schools. These programs give the student knowledge of structure dimensions of public health services; chance to participate on attendance for the population, comprehension of oral health politics, and the role of dental surgeon in social context, where these students will work in the future. The positive impact obtained with these services is perceived by students return. Most of them feel satisfied about the experience lived there.
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OBJECTIVE: to compare expenditure on primary health care services for men and women in Bauru-SP, Brazil. METHODS: cross-sectional study with a sample composed of randomly selected health service users' aged 50 years. Healthcare expenditure over the last 12 months was analyzed and stratified into: medical consultations, exams, medication and overall expenditure. RESULTS: 707 women and 256 men were assessed. Women had higher overall expenditures than men (median: R$128.1 versus R$108.6; p-value=0.027). Comparing females and males, being female was associated with higher medical consultation expenditure (27.6% versus 18.4%, respectively p-value=0.005) and exams (27.1% versus 19.5%, respectively p-value=0.022). After statistical adjustments (smoking, socioeconomic status, physical activity and overweight), being female was still associated with higher exam-related expenditure (Odds Ratio= 1.47; 95% confidence interval: 1.01-2.14). CONCLUSION: women have higher expenditure related to exams than men. Female obesity was associated with medical consultation higher expenditure.
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Ps-graduao em Enfermagem (mestrado profissional) - FMB
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Este estudo objetivou identificar as representaes sociais de agentes comunitrios de uma unidade de Programa Saúde da Famlia sobre o transtorno mental. Optamos pela pesquisa qualitativa, utilizando o estudo de caso. Para a coleta de dados, recorremos entrevista semi-estruturada, enriquecida pelo uso de Tcnica Projetiva, e anlise temtica para analisar o material obtido. Os resultados evidenciam representaes sociais ancoradas no paradigma psiquitrico tradicional. Esse considera a pessoa acometida pelo transtorno mental passiva, sem condies de protagonizar os prprios caminhos que, por sua vez, so marcados pelo preconceito. Desse modo, denota-se a grande necessidade de investimento na capacitao em saúde mental, junto aos atores do cenrio da assistncia do Programa de Saúde da Famlia. de acordo com o estudo, tal investimento contribuir para a efetivao de prticas e construo de novos saberes, contribuindo para a melhoria da assistncia em saúde.
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O objetivo deste trabalho foi estratificar 305 idosos com 65 anos ou mais, atendidos em um Centro de Saúde Escola (Botucatu, So Paulo, Brasil), quanto probabilidade de admisso hospitalar repetida. Os dados foram coletados por meio de um instrumento de avaliao do risco de admisso hospitalar repetida, constitudo por oito indicadores de saúde: autopercepo da saúde, hospitalizao, consultas mdicas, diabetes, doena cardiovascular, sexo, apoio social e idade. Verificou-se que 56,4% dos entrevistados apresentaram baixa probabilidade de admisso hospitalar repetida; 26,9%, mdia; 10,5%, mdia-alta; e 6,2%, alta. Na associao dos indicadores de saúde com a probabilidade de admisso hospitalar repetida, observou-se que, para idosos classificados como sendo de riscos mdio, mdio-alto e alto, em relao queles com baixo, os riscos relativos foram significativos: saúde mdia ou ruim (2,31); hospitalizao (2,38); mais de trs consultas mdicas (1,75); diabetes (2,10); doena cardiovascular (2,76); homens (1,68); e 75 anos ou mais (1,62). Constatou-se que o instrumento utilizado possibilitou a estratificao dos idosos quanto ao risco de serem hospitalizados repetidas vezes, o que pode contribuir para propostas de reorganizao dos serviços de saúde.
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OBJETIVO: Analisar diferenas quanto a caractersticas sociodemogrficas e relacionadas saúde entre indivduos com e sem linha telefnica residencial. MTODOS: Foram analisados os dados do Inqurito de Saúde (ISA-Capital) 2003, um estudo transversal realizado em So Paulo, SP, no mesmo ano. Os moradores que possuam linha telefnica residencial foram comparados com os que disseram no possuir linha telefnica, segundo as variveis sociodemogrficas, de estilo de vida, estado de saúde e utilizao de serviços de saúde. Foram estimados os vcios associados no-cobertura por parte da populao sem telefone, verificando-se sua diminuio aps a utilizao de ajustes de ps-estratificao. RESULTADOS: Dos 1.878 entrevistados acima de 18 anos, 80,1% possua linha telefnica residencial. Na comparao entre os grupos, as principais diferenas sociodemogrficas entre indivduos que no possuam linha residencial foram: menor idade, maior proporo de indivduos de raa/cor negra e parda, menor proporo de entrevistados casada, maior proporo de desempregados e com menor escolaridade. Os moradores sem linha telefnica residencial realizavam menos exames de saúde, fumavam e bebiam mais. Ainda, esse grupo consumiu menos medicamentos, auto-avaliou-se em piores condies de saúde e usou mais o Sistema nico de Saúde. Ao se excluir da anlise a populao sem telefone, as estimativas de consultas odontolgicas, alcoolismo, consumo de medicamentos e utilizao do SUS para realizao de Papanicolaou foram as que tiveram maior vcio. Aps o ajuste de ps-estratificao, houve diminuio do vcio das estimativas para as variveis associadas posse de linha telefnica residencial. CONCLUSES: A excluso dos moradores sem linha telefnica uma das principais limitaes das pesquisas realizadas por esse meio. No entanto, a utilizao de tcnicas estatsticas de ajustes de ps-estratificao permite a diminuio dos vcios de no-cobertura.
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OBJETIVO: Avaliar os serviços do Sistema nico de Saúde brasileiro de assistncia ambulatorial a adultos vivendo com aids em 2007 e comparar com a avaliao de 2001. MTODOS: Os 636 serviços cadastrados no Ministrio da Saúde em 2007 foram convidados a responder a um questionrio previamente validado (Questionrio Qualiaids) com 107 questes de mltipla escolha sobre a organizao da assistncia prestada. Analisaram-se as frequncias das respostas de 2007 comparando-as com as obtidas em 2001 na forma de variao percentual (VP). RESULTADOS: Responderam o questionrio 504 (79,2%) serviços. Cerca de 100,0% dos respondentes relataram ter pelo menos um mdico, suprimento sem falhas de antirretrovirais e de exames CD4 e carga viral. Vrios aspectos mostraram melhor desempenho em 2007 comparados a 2001: registro de nmero de faltas consulta mdica (de 18,3 para 27,0%, VP: 47,5%), agendamento de consulta em menos de 15 dias no incio da terapia antirretroviral (de 55,3 para 66,2%, VP: 19,7%) e participao organizada do usurio (de 5,9 para 16,7%, VP: 183,1%). Houve manuteno de dificuldades: pequena variao na disponibilidade de exames especializados em at 15 dias, como endoscopia (31,9 para 34,5%, VP: 8,1%), e a piora de indicadores como tempo ideal de acesso a consultas especializadas (55,9 para 34,5% em cardiologia, VP negativa de 38,3%). O tempo mdio despendido nas consultas mdicas de seguimento manteve-se baixo: 15 minutos ou menos (52,5 para 49,5%, VP negativa de 5,8%). CONCLUSES: A avaliao de 2007 mostrou que os serviços contam com os recursos essenciais para a assistncia ambulatorial. Houve melhoras em muitos aspectos em relao a 2001, mas persistem desafios. Pouco tempo dedicado consulta mdica pode estar vinculado ao nmero insuficiente de mdicos e/ou baixa capacidade de escuta e dilogo. A acessibilidade prejudicada a consultas especializadas mostra a dificuldade das infraestruturas locais do Sistema nico de Saúde.
