Vivências anímicas e percepção subjetiva de qualidade de vida: perspectiva de servidores públicos nos âmbitos da saúde e da educação

This study was qualitative in nature and aimed to investigate the possible interference of spiritual experiences with the subjective perception of quality of life. The perspectives of civil servants in education and health services were compared. The study was developed through bibliographic and exploratory research, and the instrument used for data collection for the exploratory research was the WHOQOL-bref, which was applied in two stages: before and after experiences with spiritual activities. The purposive sample used in this study was composed of civil servants working in health and education administrative sectors of the Brazilian Unified Health System and a State University, respectively, with the intention of broadening the understanding about the perception of quality of life in civil servants from different sectors. The exploratory research of the study was carried out in three stages. The first was a two-phase data collection, before and after experiences with spiritual activities offered to civil servants who worked in the health care field, as well as the analysis of the results of this step. The second stage was the collection of data before and after experiences with spiritual activities offered to civil servants who worked in the administrative sector of education in a public university, besides the analysis of the results of this step. The third stage consisted of a comparison of the results obtained in the preceding two steps. The data resulting from the use of the research instrument for both samples were analyzed via Thematic Content Analysis. A questionnaire containing 26 questions based on four main themes was used. The first two questions were related to perceived quality of life and health satisfaction and they were not part of the specific domains. The other 24 questions were divided between the four themes: physical domain, psychological domain, domain of social relations, and environmental domain. The results...

O princípio da integralidade no Sistema Único de Saúde (SUS): utopia?

The Brazilian Federal Constitution promulgated in 1988 created the concept of Social Welfare, which is based on the triad: Health, Social Security and Social Assistance. The Unified Health System (SUS) was then instituted. SUS is a conquest of a society that seeks social justice, integrality, equalitarian and universal access to health services. In the present essay, I succinctly discourse on the various meanings of integrality. I present the theoretical basis of complexity and transdisciplinarity by opposing to reductionism, aiming at showing that, by means of transdisciplinarity and intersectoriality, integrality can be achievable.

Acolhimento na percepção dos enfermeiros da atenção primária à Saúde

Objective: This paper is intended to explore how nurses working in primary health care perceive acceptance. Method: It is based on a qualitative study conducted through interviews with 21 nurses from eight municipalities in the State of São Paulo. A phenomenological approach was used in data analysis. Results: It was found that nurses' understanding of acceptance, at certain points in time, comes close to the principles and guidelines of the Unified Health System (SUS). Conclusions: Nursing professionals manifest difficulties with the structure, organization and management of health services and express actions and beliefs related to the traditional model of care. The various stakeholders need to join forces if acceptance is to be achieved.

Fatores de risco relacionados à perda de produtividade laboral e aumento dos custos ambulatoriais de pacientes atendidos por unidades básicas de saúde

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Produção de biomassa e teor de cumarina em folhas de guaco (Mikania laevigata Sch. Bip. ex Baker) em diferentes idades da planta

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Estudo da diversidade genética e química de Uncaria tomentosa Willd. ex Roem. & Schult. e Uncaria guianensis Gmell. de populações naturais localizadas na Amazônia

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Acessibilidade e resolutividade em assistência oftalmológica para o SUS

Pós-graduação em Bases Gerais da Cirurgia - FMB

Práticas integrativas e complementares no SUS: revisão integrativa

Pós-graduação em Saúde Coletiva - FMB

Produção de biomassa e teor de cumarina em folhas de guaco (Mikania laevigata Sch. Bip. ex Baker) em diferentes idades da planta

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Estudo da diversidade genética e química de Uncaria tomentosa Willd. ex Roem. & Schult. e Uncaria guianensis Gmell. de populações naturais localizadas na Amazônia

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Acessibilidade e resolutividade em assistência oftalmológica para o SUS

Pós-graduação em Bases Gerais da Cirurgia - FMB

Práticas integrativas e complementares no SUS: revisão integrativa

Pós-graduação em Saúde Coletiva - FMB

Prescription patterns for diabetes mellitus and therapeutic implications: a population-based analysis

Objective: To analyze drug prescriptions for insulin and oral antidiabetic drugs in type 1 and type 2 diabetes mellitus patients seen in the Brazilian Public Healthcare System (Unified Health System - SUS) in Ribeirao Preto, SP, Brazil. Subjects and methods: All the patients with diabetes seen in the SUS in the western district of Ribeirao Preto, SP, Brazil between March/2006 and February/2007 were included in the study. Results: A total of 3,982 patients were identified. Mean age of the patients was 60.6 years, and 61.0% were females. Sixty percent of the patients were treated with monotherapy. Doses of oral antidiabetic drugs were lower in monotherapy than in polytherapy. Ten patients received doses of glibenclamide or metformin above the recommended maximum doses, and in elderly patients there was no reduction in drug doses. Conclusion: Monotherapy with oral antidiabetic drugs was the predominant procedure, and the doses were not individualized according to age. Arq Bras Endocrinol Metab. 2012;56(2):120-7

Metodologia de construção de um painel de indicadores para o monitoramento e a avaliação da gestão do SUS

Este estudo teve como objetivo desenvolver uma metodologia de construção de um Painel de Monitoramento e Avaliação da Gestão do Sistema Único de Saúde (SUS). O processo participativo utilizado e a sistematização realizada permitiram identificar uma estratégia efetiva para a construção de instrumentos de gestão em parceria entre pesquisadores, instituições acadêmicas e gestores do SUS. A sistematização final do Painel selecionou indicadores da gestão do SUS em termos de Demandas, Insumos, Processos, Produtos e Resultados de forma a disponibilizar um instrumento simples, ágil e útil para a avaliação em qualquer instância de gestão e mais transparente e de mais fácil comunicação com todos os interessados na tomada de decisão. Tomar a gestão do SUS como objeto destes processos e práticas em seus aspectos normativos possibilitou o diálogo entre teorias sistêmicas e aquelas que consideram a centralidade do ator social no processo de tomada de decisão.

Regionalization and access to healthcare in Brazilian states: historical and political-institutional conditioning factors

This article examines the healthcare regionalization process in the Brazilian states in the period from 2007 to 2010, seeking to identify the conditions that favor or impede this process. Referential analysis of public policies and especially of historical institutionalism was used. Three dimensions sum up the conditioning factors of regionalization: context (historical-structural, political-institutional and conjunctural), directionality (ideology, object, actors, strategies and instruments) and regionalization features (institutionality and governance). The empirical research relied mainly on the analysis of official documents and interviews with key actors in 24 states. Distinct patterns of influence in the states were observed, with regionalization being marked by important gains in institutionality and governance in the period. Nevertheless, inherent difficulties of the contexts prejudice greater advances. There is a pressing need to broaden the territorial focus in government planning and to integrate sectorial policies for medium and long-term regional development in order to empower regionalization and to overcome obstacles to the access to healthcare services in Brazil.