999 resultados para Serviços de saúde
Resumo:
H poucos estudos sobre homens abordando violncia como evento no fatal. Contribuindo nessa direo, descrevem-se as prevalncias da violncia psicolgica, fsica e/ou sexual sofridas por homens, detalhando-se nestes tipos a perpetrada contra parceiras. Trata-se de estudo transversal realizado com 789 homens de 18 a 60 anos, dos quais 775 com alguma parceria ntima na vida, selecionados por ordem de chegada em dois serviços de ateno primria na cidade de So Paulo. Foram investigadas as caractersticas sociodemogrficas e as violncias mencionadas, examinadas ainda quanto a sobreposies e percepo de hav-las sofrido ou perpetrado. As prevalncias de violncias sofridas na vida foram de 79% para qualquer tipo e por qualquer agressor; 63,9%, 52,8% e 6,1% respectivamente para psicolgica, fsica e sexual. Para violncias perpetradas contra a parceira na vida, temos 52,1% qualquer tipo e 40%, 31,9% e 3,9%, respectivamente, para violncia psicolgica, fsica e sexual. Nas sofridas e nas perpetradas, a psicolgica a de maior taxa exclusiva, seguida da fsica. Quanto aos agressores, conhecidos o principal agressor, seguido de familiar, estranhos e parceira ntima. Na relao entre sofrer por suas parceiras e perpetrar, 14,2% dos casos so sobrepostos e 81,2% somente perpetraram. Conclui-se que, embora nas violncias relativas s parceiras ntimas os homens sofram muito menos do que perpetrem, os dados mostram que eles se envolvem em muitas situaes de violncia, de grandes magnitudes e sobreposies, quer como vitimas ou agressores, reiterando estudos sobre masculinidade. Este conjunto complexo de situaes tambm deve ser considerado nos serviços bsicos de saúde.
Resumo:
A partir de 2012, o Governo Estadual do Rio de Janeiro atravs da Secretaria de Estado de Saúde passou a adotar o modelo de gesto com base em Organizaes Sociais de Saúde (OSS), a fim de melhorar os serviços prestados pelas Unidades de Saúde sob sua responsabilidade, ou seja, ampliar a cobertura de atendimento, melhorar o desempenho e reduzir custos. Desde junho de 2014, 80% das Unidades Estaduais de Saúde j eram gerenciadas por Organizaes Sociais. O modelo de OSS foi criado com o intuito de publicizar serviços de relevncia pblica, at ento prestados pelo Estado, mas que passaram a ser considerados no exclusivos do mesmo, a fim de alcanar maior eficincia. Nesse contexto, a presente pesquisa tem o objetivo de analisar o desempenho dos serviços prestados atravs das OSS contratualizadas pelo Estado do Rio de Janeiro (ERJ). Para tanto foi realizada uma contextualizao sobre o processo de implementao e acompanhamento dos contratos de gesto na Secretaria de Estado de Saúde do Rio de Janeiro, bem como uma pesquisa documental com o levantamento dos indicadores quantitativos e qualitativos pactuados e os recursos de custeio utilizados, resultando na elaborao de ficha tcnica de todos os contratos de gesto. As anlises tiveram como foco a evoluo dos indicadores quantitativos dos contratos de gesto no ano de 2012 at o 1 semestre de 2015, bem como o desempenho medido pela correlao de resultados de produtividade obtidos com base em indicadores quantitativos. Os resultados encontrados mostram que 80 % dos contratos de gesto de Hospitais Emergncia, 75 % dos Hospitais Especializados e 92 % das Unidades de Pronto Atendimento atingem ou superam o grau de desempenho esperado pela SES quanto ao cumprimento do indicador Produo Hospitalar no ano de 2015, com ampliao da oferta de serviços especializados atravs das OS. J para o cumprimento do indicador Produo Serviços Auxiliares de Diagnose e Terapia os resultados so 60 % para Hospitais Emergncia e 25 % para Hospitais Especializados. Uma das concluses possveis e que cabe SES/RJ, aprimorar sua funo regulatria com a efetiva utilizao da serie histrica de informaes para a construo de indicadores compatveis com o perfil das suas Unidades. Como sugesto para futuros estudos, aponta-se a possibilidade de realizar a mensurao da eficincia dos contratos de gesto do ERJ atravs da tcnica envoltria de dados que correlaciona um nmero maior de indicadores qualitativos para verificao da eficincia.
Resumo:
The Chronic Venous insufficiency is characterized as a set of physical changes including how most serious complication of venous ulcers, characterized by irregular and progressive loss of continuity of the skin. The occurrence of venous ulcers in people with chronic venous insufficiency generates dependence on them with health services, with long-term treatments that cause limitations and high-impact changes, affecting their quality of life, affecting the physical, psychological, social, cultural and spiritual as an important public health problem. This study aimed to describe the experience of having a venous ulcer, in the scenario of primary health care services to Health, which includes Primary Care Units and Family Health Strategy in the city of Natal / RN, based on the life histories of users. This is a qualitative study, exploratory and descriptive, with the Oral History of Life as a methodological framework. From the ponto zero was the recruitment of participants who formed the network, totaling six employees, of both sexes and aged between 57 and 79 years. After approval by the Research Ethics Committee - UFRN under the Protocol 653 788/2014 and CAAE 30408014.0.0000.5537 was held data collection, between the months of July and August, through interviews, using identification and characterization of the instrument employees and open questions. Interviews were recorded, transcribed, transcriadas and returned to employees for a conference. The narratives were subjected to Content thematic analysis technique, according to Bardin, allowing the construction of three themes that encompass categories, namely: Axis I - Perspectives on the changes: the impact wound in social relations (changes with ulcer venous, venous ulcer and social and family relationships); Axis II - Brands in body and soul: the story of being hurt (conceptions of the body injured; therapeutic itinerary in primary care services); and Axis III - Reconstruction of being hurt: coping mechanisms (redefinition of the wounded body, resilience to chronic wound). The impact of having a chronic venous ulcer generates impact of physical, psychological and social order. As aspects related to changes after the appearance of venous ulcers, survey participants reported the presence of pain, physical limitations, psychological distress, social and emotional isolation, incapacity, aesthetic discomfort and dependency on health services; the family was the aspect thatshowed no significant change after the occurrence of wound for most participants, an ally in the therapeutic process as a support network. The redefinition of the body and the wound are the main coping mechanism of chronic condition. The services in the Primary Care Network play a fundamental role in the rehabilitation of patients with venous ulcers, although there are difficulties in accessing appropriate treatment and need for expanded services, with permanent professional training of health teams and providing the resources managers to strengthen the comprehensive care of people with venous ulcers in Health Primary Care.
Resumo:
The Physical Rehabilitation services (PR) are of fundamental importance in combating the global epidemic of Traffic Accidents (TA). Considering the numerous physical and social consequences of the survivors, quality problems in access to PR are a hazard to recovery of victims. It is necessary to improve the management of quality of services, assessing priority dimensions and intervening in their causes, to ensure rehabilitation available in time and suitable conditions. This study aimed to identify barriers to access to rehabilitation considering the perception of TA victims and professionals. The aim is also to estimate the access to rehabilitation and their associated factors. This is a qualitative and quantitative study of exploratory nature developed in Natal / RN with semi-structured interviews with 19 health professionals and telephone survey to 155 victims of traffic accidents. To explore barriers to access the speeches were transcribed and analyzed using the Alceste software (version 4.9). During the interviews used the following guiding question: What barriers hinder or prevent access to physical rehabilitation for victims of traffic accidents?. The names of classes and axes resulting from Alceste was performed by ad hoc query to three external researchers with subsequent consensus of the most representative name of analysis. We conducted multivariate analysis of the influence of the variables of the accident, sociodemographic, clinical and assistance on access to rehabilitation. Associations with p <0.20 in the bivariate analysis were submitted to logistic regression, step by step, with p <0.05 and confidence interval (CI) of 95%. The main barriers identified were: Bureaucratic regulation, Long time to start rehabilitation, No post-surgery referral and inefficiency of public services. These barriers were divided into a theoretical model built from the cause-effect diagram, in which we observed that insufficient access to rehabilitation is the product of causes related to organizational structure, work processes, professional and patients. Was constructed two logistic regression models: General access to rehabilitation and Access to rehabilitation to public service. 51.6% of patients had access to rehabilitation, and 32.9% in public and 17.9% in the private sector. The regression model General access to rehabilitation included the variables Income (OR:3.7), Informal Employment (OR:0.11), Unemployment (OR:0.15), Perceived Need for PR (OR:10) and Referral (OR: 27.5). The model Access to rehabilitation in the public service was represented by the Referral to Public Service (OR: 23.0) and Private Health Plan (OR: 0.07). Despite the known influence of social determinants on access to health services, a situation difficult to control by the public administration, this study found that the organizational and bureaucratic procedures established in health care greatly determine access to rehabilitation. Access difficulties show the seriousness of the problem and the factors suggest the need for improvements in comprehensive care for TA survivors and avoid unnecessary prolongation of the suffering of the victims of this epidemic.
Resumo:
Despite numerous government projects aimed at reorganizing and qualifying obstetric and neonatal care in Brazil, it remains problematic, with repercussions for maternal and newborn mortality and humanized care of both the mother and child. The objective of this study was to analyze the care provided to women during the pregnancy-puerperium cycle, based on reports of public health service users regarding their pregnancy and delivery experiences, using comprehensiveness and humanization as reference. The study applied a qualitative approach and the methodological strategy consisted of listening to the women, in order to identify, based on the meanings of their discourse concerning their experiences with health services, continuities and discontinuities of care during the pregnancy-puerperium cycle. Study participants were women who gave birth at a municipal public maternity, residents of Natal, Brazil, who at the time of the interviews, were between 10 and 42 days postpartum. Seven women reported their pregnancy and delivery experiences at public services. As interviews and observation took place, the material produced was also analyzed, in order to achieve simultaneous production and data analysis. Using systematization, a dialogue was established between the womens discourses and production in the field of Collective Health, with respect to concepts and discussion about obstetric and neonatal care as well as the Comprehensiveness and Humanization of such care. Participant discourses underscored aspects related to prenatal care starting at pregnancy and its repercussions as well as prenatal monitoring by health services; aspects associated with care during labor and delivery, as well as those involved in postpartum in the maternity, both with respect to newborn and maternal care and lastly, puerperium care after discharge from the maternity. Analysis of results sought to identify lines of continuity and discontinuity in the comprehensiveness and humanization of care. Based on these lines and as final contributions of the study, the following paths were proposed to achieve comprehensive and humanized production of health care for women during the pregnancy-puerperium cycle: Path 1- Reassess care in the maternal and newborn health network, aimed at comprehensiveness in terms of guaranteeing access to the various services and technological resources available to enhance health and life. Path 2- Reorganize work processes in order to attain comprehensive and humanized care for women in the pregnancy-puerperium cycle. Path 3 Qualify the professional-user relationship in care management during the pregnancy-puerperium cycle. Path 4 Invest in the qualification of communication processes in the different dimensions of care during the pregnancy-puerperium cycle.
Resumo:
Despite numerous government projects aimed at reorganizing and qualifying obstetric and neonatal care in Brazil, it remains problematic, with repercussions for maternal and newborn mortality and humanized care of both the mother and child. The objective of this study was to analyze the care provided to women during the pregnancy-puerperium cycle, based on reports of public health service users regarding their pregnancy and delivery experiences, using comprehensiveness and humanization as reference. The study applied a qualitative approach and the methodological strategy consisted of listening to the women, in order to identify, based on the meanings of their discourse concerning their experiences with health services, continuities and discontinuities of care during the pregnancy-puerperium cycle. Study participants were women who gave birth at a municipal public maternity, residents of Natal, Brazil, who at the time of the interviews, were between 10 and 42 days postpartum. Seven women reported their pregnancy and delivery experiences at public services. As interviews and observation took place, the material produced was also analyzed, in order to achieve simultaneous production and data analysis. Using systematization, a dialogue was established between the womens discourses and production in the field of Collective Health, with respect to concepts and discussion about obstetric and neonatal care as well as the Comprehensiveness and Humanization of such care. Participant discourses underscored aspects related to prenatal care starting at pregnancy and its repercussions as well as prenatal monitoring by health services; aspects associated with care during labor and delivery, as well as those involved in postpartum in the maternity, both with respect to newborn and maternal care and lastly, puerperium care after discharge from the maternity. Analysis of results sought to identify lines of continuity and discontinuity in the comprehensiveness and humanization of care. Based on these lines and as final contributions of the study, the following paths were proposed to achieve comprehensive and humanized production of health care for women during the pregnancy-puerperium cycle: Path 1- Reassess care in the maternal and newborn health network, aimed at comprehensiveness in terms of guaranteeing access to the various services and technological resources available to enhance health and life. Path 2- Reorganize work processes in order to attain comprehensive and humanized care for women in the pregnancy-puerperium cycle. Path 3 Qualify the professional-user relationship in care management during the pregnancy-puerperium cycle. Path 4 Invest in the qualification of communication processes in the different dimensions of care during the pregnancy-puerperium cycle.
Resumo:
This study aims to examine the Brazilian legal model for the non-contractual liability of the state in providing public health services, from the perspective of threedimensional theory of law. Up based on bibliographical and documentary research, with emphasis on legislation, doctrine and Brazilian jurisprudence, the following conclusions were reached. The right to health is typified in the Constitution as a social fundamental right, and understands the pretension to obtain from the State, the supply of goods or the provision of services that reduce the risk of disease and other health problems; or promote, protect and recover the physical and mental well-being. Once violated the fundamental right to health, provides the managed, among other fundamental guarantees, the non-contractual liability of the state. The provision of public services by the state can be made directly through the Direct or Indirect Public Administration, or by recourse to private entities. In any case, the provision of public health services is entirely subordinate to the principles of administrative law and should be fully funded by tax revenues. As the provision of public health services is part of the administrative activity of the State, there is no way to exclude the application of the guarantee of non-contractual liability of the state in the face of the damage suffered by administered as users of these services. Therefore, it applies the theory of administrative risk, even in the event of harmful and illegal state failure.
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:
PEREIRA, C. R. S. et al. Impacto da estratgia saúde da famlia com equipe de saúde bucal sobre a utilizao de serviços odontolgicos. Cad. Saúde Pblica, v. 25, n. 5, p.985-996. Maio, 2009. ISSN 0102-311X.
Resumo:
PEREIRA, Carmen Regina dos Santos et al. Impacto da Estratgia Saúde da Famlia com equipe de saúde bucal sobre a utilizao de serviços odontolgicos. Cadernos de Saúde Pblica, Rio de Janeiro, v. 25, n. 5, p. 985-996, maio 2009.
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:
PEREIRA, C. R. S. et al. Impacto da estratgia saúde da famlia com equipe de saúde bucal sobre a utilizao de serviços odontolgicos. Cad. Saúde Pblica, v. 25, n. 5, p.985-996. Maio, 2009. ISSN 0102-311X.
Resumo:
PEREIRA, Carmen Regina dos Santos et al. Impacto da Estratgia Saúde da Famlia com equipe de saúde bucal sobre a utilizao de serviços odontolgicos. Cadernos de Saúde Pblica, Rio de Janeiro, v. 25, n. 5, p. 985-996, maio 2009.
Resumo:
Trata da porcentagem da verba municipal que deve ser investida em serviços de saúde pblica. Alm disso, apresenta breve base de clculo para esta porcentagem. Material produzido para utilizao no curso "Responsabilidades gestoras no ltimo ano de mandato" fornecido pela Universidade Aberta do SUS (UNA-SUS).
Resumo:
A saúde requer do enfermeiro uma ateno voltada aos objetivos que atendam ao setor e reparem a dificuldade nas condies das redes de serviços de saúde. As redes bsicas de saúde so o primeiro nvel de ateno que o usurio recebe, onde h uma equipe multidisciplinar responsvel pelo cuidado da comunidade, facilitando seu acesso e acolhendo em suas necessidades. No exerccio da funo gerencial o enfermeiro deve ser capaz de compreender e participar de decises mais complexas estimulando a participao social, poltica e econmica, ao invs de apenas manter condutas organizadas segundo rotinas preestabelecidas da instituio de saúde. Este estudo tem como objetivo elaborar um Projeto de Interveno com a finalidade de buscar estratgias gerncias para melhoria do trabalho do enfermeiro na UBS So Lucas no municpio de Santo Antnio do Monte, Minas Gerais. Portanto, acredita-se que atravs da gesto possam-se propiciar condies para superar as questes que dificultam o desenvolvimento das competncias almejadas.
