An��lise de dez anos de utiliza����o de serviços de saúde por uma coorte de pacientes diagnosticados com hipertens��o arterial, no CSE - Botucatu, em 1995

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 cohort���s 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 sample���s integrants kept the same model already identified in the previous analysis... (Complete abstract click electronic access below)

A din��mica do setor de serviços de saúde na regi��o administrativa de Barretos

The dynamics of the health services sector can be seen in studies of geographical features as analysis on the quantity and quality of m��dical 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 S��o 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

A vis��o do usu��rio sobre o servi��o p��blico odontol��gico e a autopercep����o em saúde bucal

P��s-gradua����o em Odontologia Preventiva e Social - FOA

Err��ncias e itiner��ncias de uma pesquisa avaliativa em saúde: a constru����o de uma metodologia participativa

The study presents the construction process of research methodology "Training in SUS Humanization: effects evaluation of training processes from institutional supporters on health productionin Rio Grande do Sul, Santa Catarina and S��o Paulo territories." There was a search for developing an appropriate evaluative practice to the training processes, a methodology that instead of evaluating on something, assessed along with the supporters who attended the training-intervention, a participatory methodology.Therefore, the constitution of the Research Interest Group was an eminent tool. Trained supporters comprised the research team to expand participatory possibilities of a large and dispersed group, producing interferences in the investigative process conduction, described and analyzed in the study.At the same time, their experiences interfered in the understandings they had until then about the intervention-training experiences and effects on their daily lives, after almost four years.Thus, the methodological approach was intrinsically linked to the construction of a subjectivity differentiated plan and necessarily collective, which shifted the position of supporters involved from mere data suppliers to a lateralityposition in relation to other actors.The trial afforded by participatory strategies allowed researchers and supporters to interfere and compose the evaluation scenario with remarkable performances throughout the investigative process.The survey configuration was like a bet on a given methodological architecture that, in seeking to overcome evaluator-evaluated logic produced information for (retro) feedingthe intervention triggered by it. In the formative dimension, it also went through working processes analyzed by supporters rescuing the indissoluble characteristic that health activities mobilize among intervening, training and reviewing.

Vivendo com HIV/AIDS: estudos da ocorr��ncia de discrimi����o nos serviços de saúde

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.

A import��ncia da integra����o universidade e serviços de saúde

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 Ara��atuba Dental School of S��o 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 Ara��atuba���, ���Always Smiling ��� Health Promotion for Institutionalized Elderlies���, ���Santa Clara de Assis Nursery School Program of Dental Attention���, and "Promotion of oral health in Ara��atuba 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.

Auditoria em Saúde: justificativas de glosas no setor odontol��gico

Objective ��� To collecting data about the main explanations for glosses and demonstrating the percentage of production loss in the odontologic procedures. Methods ��� It is about an epidemiological study of historical series, retrospective and quantitative, based on the data collection of DATASUS information system and reports realized by the city of Aquidauana/MS audit system from 2001 to 2010. Results ��� The results show that in this period, 921.300 odontologic procedures were presented as production; being 223.226 (24,2%) individual procedures and 698.074 (75,8%) collective. There were 23.881 (2,6%) glosses, being 10.158 (42,5%) in the collective procedures and 13.723 (57,5%) in the individual ones. The main cause for glosses related to individual procedures was the repetition of procedures for the same patient and the same tooth (42,4%). In the collective activities, it was the non-accomplishment of the oral health collective program (68,9%). There was an increase of loss in the individual procedures going from less than 5% in the period of 2001 to 2007; to 5,8 % in 2008; 8,9% in 2009 and 14,1 % in 2010 and in the collective procedures the loss reached 4% in 2010. Conclusion ��� It was concluded that the most frequent cause of glosses explanation was the repetition of procedures for the same patient and the same tooth in the individual cases and the non-accomplishment of the oral health collective program in the collective activities. The importance of the audit system as a trust-worthy instrument for the managers in the planning and evaluation of health actions with the intention of guarantee the solution of the serv-ices provided.

Constru����o de um indicador qualitativo (status de saúde) para avaliação da qualidade de saúde animal de propriedades rurais

Aiming at developing a tool for assessing the magnitude of farm animal health, an indicator named herd ���animal health status��� was built. To illustrate the construction of the indicator, serum samples were taken from 923 goats on 17 goat farms in the state of Sao Paulo, Brazil, where three diseases were evaluated along with their impact percentages: caprine arthritis encephalitis, toxoplasmosis and neosporose ��� all of an infectious and transmissible nature and the cause of considerable economic losses. The mathematical rationale underlying the building of the ���animal health status��� indicator ranks properties on a 0 - 100% scale in terms of disease positivity in the herd, with the lowest indicator value indicating the highest cumulative disease frequency (0% = all animals tested positive for the three diseases, 100% = all animals tested negative for all diseases). Anti-T. gondii, anti-N. caninum and anti-CAEV antibodies were tested using indirect immunofluorescence reaction (IIFR ��� 16), Neospora agglutination test (NAT ��� 25) and agarose gel immunodiffusion (AGID positive or negative), respectively. The animal health status of the farms ranged from 32.38% to 96.40% according to disease positivity. The animal health status value will have a direct reflection on the production chain both on and off the farm, providing not only great market advantages, due to how the expression of animal health will add value to livestock farms, as well as on the consumer who can check the quality of animal health at the beginning of the production chain.

Childbirth care: contributing to the debate on human development

Com a finalidade de subsidiar gestores da ��rea de saúde da mulher, na formula����o de pol��ticas p��blicas, voltadas ao desenvolvimento humano, realizou-se esta investiga����o, cujo objetivo foi avaliar a estrutura e o processo da aten����o ao parto e ao neonato desenvolvido em regi��o do interior paulista. Estudo epidemiol��gico, voltado para avaliação dos serviços de saúde, baseou-se na observa����o da assist��ncia prestada pelo Sistema ��nico de Saúde em 12 maternidades e 134 partos, adotando-se padr��es estabelecidos pelo Minist��rio da Saúde ou Organiza����o Mundial de Saúde para compara����o. Os resultados apontam problemas relacionados �� estrutura em algumas maternidades, mostrando que pr��ticas ��teis ao parto normal ainda s��o pouco utilizadas, enquanto que outras prejudiciais ou ineficazes ainda s��o utilizadas rotineiramente. Reverter esse quadro ser�� essencial para oferecer atendimento de qualidade ��s mulheres, com conseq��ente redu����o nas taxas de mortalidade materna e neonatal, para que a regi��o atinja as metas estabelecidas para amplia����o do desenvolvimento humano no mil��nio.

Avaliação em saúde: reflex��es inscritas no paradigma sanit��rio contempor��neo

O presente estudo apresenta uma an��lise reflexiva dos m��todos de avaliação em saúde em uma perspectiva do cuidado pensado e praticado segundo as necessidades dos usu��rios. V��rias s��o as formas e abordagens dos processos avaliativos na busca de uma melhor apreens��o do objeto de avaliação; neste contexto, a satisfa����o do usu��rio surge como um indicador de qualidade dos serviços de saúde, ligada �� maior adequa����o e promo����o de reais mudan��as nas pr��ticas de saúde. Diante da inovadora proposta do Programa Saúde da Fam��lia (PSF), baseado nos princ��pios de integralidade, cuidado �� saúde e humaniza����o, a participa����o e a satisfa����o do usu��rio surgem como elementos-chave na formula����o de suas a����es, possibilitando mudan��as no modelo assistencial hegem��nico, a saber, positivista, assistencialista e curativista. A presen��a do usu��rio no processo avaliativo ir�� permitir uma peculiar atua����o, remodelando as pr��ticas de saúde - qui���� tornando-as mais humanas, acolhedoras e, conseq��entemente, mais resolutivas..

Avaliação do conhecimento popular e pr��ticas cotidianas em saúde bucal

OBJETIVO: Avaliar o conhecimento popular e as pr��ticas cotidianas em saúde bucal de usu��rios de serviços p��blicos de saúde. M��TODOS: A popula����o estudada foi selecionada a partir de uma amostra estratificada de usu��rios que procuraram atendimento nas unidades sanit��rias da zona urbana de Santa Maria, RS. Os dados foram coletados por meio de entrevista semi-estruturada e organizados em conjuntos de categorias descritivas, permitindo sua distribui����o em tabela de freq����ncia. RESULTADOS: Verificou-se que predominam usu��rios entre 21 e 40 anos de idade, do sexo feminino e com padr��o socioecon��mico baixo. A busca pela saúde e o controle das doen��as bucais s��o atribu��dos �� responsabilidade individual de realizar a higiene bucal e procurar tratamento dent��rio. A presen��a e os benef��cios do fl��or no creme dental e na ��gua de beber n��o foram reconhecidos pela popula����o estudada. CONCLUS��ES: Os programas de saúde devem considerar os aspectos relativos ao conhecimento e as pr��ticas em saúde bucal, para viabilizar o processo de capacita����o da popula����o e promover a responsabiliza����o coletiva da promo����o da saúde em todos os n��veis da sociedade.

Rela����o entre saúde bucal e saúde sist��mica: avaliação do conhecimento dos acad��micos de Odontologia

P��s-gradua����o em Odontologia Preventiva e Social - FOA

Avaliação dos ��bitos neonatais no Departamento Regional de Saúde VI - Bauru

Coordena����o de Aperfei��oamento de Pessoal de N��vel Superior (CAPES)

Avaliação da assist��ncia ao paciente e/ou diab��tico na Estrat��gia Saúde da Fam��lia

P��s-gradua����o em Enfermagem (mestrado profissional) - FMB

Avaliação do conhecimento e do grau de satisfa����o dos usu��rios em rela����o �� estrat��gia de saúde da fam��lia no munic��pio de Pedregulho-SP

P��s-gradua����o em Servi��o Social - FCHS