1000 resultados para Programa Saúde da Família
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O Programa de Saúde da Família (PSF) tem por inteno - e mrito - mudar o foco da ateno saúde centrada no mdico e na cura das doenas, para uma ateno centrada na promoo da saúde e preveno de doenas por meio de uma equipe multidisciplinar. Para atingir esse objetivo, tem na prtica de trabalho da visita domiciliar um dos instrumentos fundamentais para o entendimento da totalidade dos condicionantes que afetam a vida do cidado. Neste artigo, discutem-se os conceitos de visita domiciliar com que operam as trs principais categorias de trabalhadores do PSF - mdicos, enfermeiros e agentes comunitrios - , assim como sua relao com a formao no curso bsico. A metodologia se baseia na tcnica do discurso do sujeito coletivo a partir das entrevistas aplicadas. Conclumos que a falta de uniformidade sobre o conceito de visita domiciliar pode interferir na proposta de mudana do modelo de ateno saúde. O artigo tece ainda consideraes sobre as distintas concepes de visita domiciliar e sua relao com a organizao do trabalho no interior das equipes.
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Introduction: Falls among older adults is a public health problem, therefore it is necessary preventive actions, however the adherence is the major problem faced by practitioners and researchers working on falls prevention programs. Objective: To evaluate the variables related to the adherence to falls prevention programs among the elderly enrolled in a Basic Health Unit (BHU). Methods: Was performed an observational cross-sectional analytical study. All elderly registered in a BHU and able to ambulate independently were invited to participate in a falls prevent program. The Elderly who Adhered to the Program (EAP) were evaluated at BHU; and the Elderly Not Adhered to the Program (ENAP) were identified and assessed at home. The assessment for both groups was performed using an evaluation form containing personal data, measures and clinical scales to assess cognitive status, balance, mobility, fear of falling, handgrip strength. Data were analyzed with SPSS 20.0. In addition to this assessment, the ENAP underwent a semi structured interview, in which we used the qualitative approach based on the figure of the Collective Subject Discourse. Results: The study included 222 elderly, 111 EAP and 111ENAP, most aged between 70 and 79 years (48.2%), female (68.5%), married (52.3%) and illiterate (47.7%). Consolidated as protective factors for adherence, worst rates of physical activity (p = 0.001), balance (p = 0.010) and cognition (p = 0.007). The interview of ENAP identified two themes: "Local implementation of programs for the prevention of falls" and "Relationship between BHU and the elderly health care," and found that the elderly who did not adhere were unable to displace and did not mention that primary care programs are related to health care in elderly. Conclusions: Elderly who do not adhere to the program differ from elderly who adhere as worst indices of cognition, balance and physical activity which implies greater risk of falling; and they were unable to participate in falls prevention program and by to be caregiver and showed displacement difficult
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The purpose of this research was to analyze the working profile of dentists from the Family Health Program (PSF Programa de Saúde da Família, Brasil) of some Municipal Districts of Rio Grande do Norte (Brazil) in order to understand the way they handle the experience acquired with the work developed in that Program. This discussion evolves a reflection about the perspectives of consolidation of the FHP as well as the possible advancements of the Brazilian Unified Health System (SUS - Sistema nico de Saúde). The target population was composed of dentists from the FHP of Rio Grande do Norte. Thus we performed twenty-one interviews orientated by a semi-structured guidebook with open questions and identification data. We opted for recording the speech of all the professionals in order to ensure the accuracy of the information gathered. The main results found were: predominance in the female gender; the majority of dentists has no post graduation courses; in those few cases of dentists with some post-graduation a lack of correlation with Public or Collective Health was observed; the dentists interviewed present a profile directed to clinical activities; the dentists used to develop basic restorative and periodontic treatment, simple surgeries and educative and preventive activities, even though the last two ones are carried out in an extremely traditional way (lectures and topical application of fluoride). In addition, as biggest difficulties to manage the work dentists pointed out the lack of permanent and consumer material, inadequate infrastructure, no transport to take them to distant places, no integration with the Health Family Team, technical difficulty such to perform educative and preventive activities as to provide adequate service to a repressed lawsuit. The results indicate the existence of a necessity to lead them to reflect and redirect their practices. In order to reach this aim it must be considered as initial measure the investment and encouragement toward to permanent education as well as a close follow-up and evaluation of the actions developed by them
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Este estudo objetivou identificar a prevalncia dos diferentes tipos de aleitamento e sua relao com variveis maternas no municpio de Conchas-SP, totalmente coberto pelo PSF. Foram obtidas informaes sobre a alimentao atual das crianas menores de um ano que compareceram primeira etapa da Campanha de Multivacinao de 2003. As associaes foram submetidas ao teste do qui-quadrado, adotando-se 5% como nvel de significncia estatstica. As prevalncias do Aleitamento Materno Exclusivo (AME) e do Aleitamento Materno Predominante (AMP), em menores de 4 meses de vida, foram 25,4 e 44,4%, respectivamente, e 66,7% do total de crianas menores de um ano ainda eram amamentadas. A prevalncia do AME em menores de 6 meses foi heterognea, variando de 7,4 a 41,2%, conforme a equipe do PSF de procedncia das crianas. Ter passado por dificuldades no incio do aleitamento associou-se a menores prevalncias de AME e Aleitamento Materno (AM). Esses resultados evidenciam situao distante da recomendada pela Organizao Mundial de Saúde e aquela para a qual h evidncias de mximo efeito protetor saúde infantil, reafirmam a necessidade de apoio s mes no perodo puerperal precoce e demonstram a importncia de diagnsticos desagregados por regies para o planejamento de aes de promoo ao AM.
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Durante dcadas, a poltica de saúde bucal no Brasil foi centrada na prestao de assistncia doena, e ainda hoje grande parcela da populao brasileira no tem acesso a cuidados odontolgicos. Pela Portaria n 1.444, de 28 de dezembro de 2000, o Ministrio da Saúde estabelece incentivo financeiro para a reorganizao da ateno saúde bucal aos municpios. Insere-se, assim, a Odontologia no programa e, conseqentemente, a possibilidade de ampliar e reorientar a ateno odontolgica no Brasil. Dentro desse contexto, este estudo teve por objetivo avaliar a situao da equipe de saúde bucal inserida no Programa de Saúde da Família (PSF) do municpio de Campos dos Goytacazes - RJ, em 2002. Os resultados demonstraram algumas limitaes na incluso e funcionamento da Odontologia no PSF da cidade. A ateno odontolgica deve ser inserida no PSF, atendendo aos princpios bsicos do Plano de Reorganizao das Aes de Saúde Bucal na Ateno Bsica, proposto pelo Ministrio da Saúde, e consolidao do Sistema nico de Saúde.
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Ps-graduao em Alimentos e Nutrio - FCFAR
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Coordenao de Aperfeioamento de Pessoal de Nvel Superior (CAPES)
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Ps-graduao em Servio Social - FCHS
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The inclusion of the dentist in the Family Health Program (FHP) teams designates a reorganization of the mouth health care in your country and establishes a new scenario in Brazilian odontology, through of a new way to organize the basic health care, creating conditions to consolidate in mouth health practice actions, in the level of the basic attention, the validation of Unique Health System (UHS) constitutional principles. The purpose of this research is to verify if the actuation of mouth health teams (MHT) dentists, in Natal city north sanitary district, is tuned with FHP goals.The target research population was composed by all dentists working in Basic Health Units (BHU) of Natal north sanitary district. Fifth-eight questionnaires were applied and using open and closed questions we look for identify the functional characteristics of each BHU, the dentists professional attributions on each BHU, as well as the clinical procedures that they execute. This research also searched to identify the factors that facilitate and/or difficult the inclusion process and the dentists activities performance on these BHUs, as well as the necessary actions to north sanitary district MHTs to fulfill the objectives proposed by FHP. The results point that the inclusion of mouth health actions in north sanitary district FHPs brought the incorporation of new values to the used practices. Whoever, its necessary a more frequent evaluation of the carried actions, in a way they can be adapted to the real community necessities, and, is fundamental the data accompaniment, for that these serve of base for planning and redirecting activities, in a way that we do not have only a reproduction of traditional practices, fragmented and isolated, but a truly substitution of the traditional practices and a new way of promoting health
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The inclusion of the dentist in the Family Health Program (FHP) teams designates a reorganization of the mouth health care in your country and establishes a new scenario in Brazilian odontology, through of a new way to organize the basic health care, creating conditions to consolidate in mouth health practice actions, in the level of the basic attention, the validation of Unique Health System (UHS) constitutional principles. The purpose of this research is to verify if the actuation of mouth health teams (MHT) dentists, in Natal city north sanitary district, is tuned with FHP goals.The target research population was composed by all dentists working in Basic Health Units (BHU) of Natal north sanitary district. Fifth-eight questionnaires were applied and using open and closed questions we look for identify the functional characteristics of each BHU, the dentists professional attributions on each BHU, as well as the clinical procedures that they execute. This research also searched to identify the factors that facilitate and/or difficult the inclusion process and the dentists activities performance on these BHUs, as well as the necessary actions to north sanitary district MHTs to fulfill the objectives proposed by FHP. The results point that the inclusion of mouth health actions in north sanitary district FHPs brought the incorporation of new values to the used practices. Whoever, its necessary a more frequent evaluation of the carried actions, in a way they can be adapted to the real community necessities, and, is fundamental the data accompaniment, for that these serve of base for planning and redirecting activities, in a way that we do not have only a reproduction of traditional practices, fragmented and isolated, but a truly substitution of the traditional practices and a new way of promoting health
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Conhecer e realizar a programao em saúde de sua equipe de saúde atravs da ferramenta PROGRAB, com vistas qualificao da avaliao da ateno primria em saúde.
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Este exerccio visa a fixao do contedo sobre o PROGAB, que so conhecer e realizar a programao em saúde de sua equipe de saúde atravs desta ferramenta.
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Este estudo teve como objetivo principal identificar a estrutura do processo de trabalho de uma Equipe de Saúde da Família referente ao Programa de Hipertenso e Diabetes (HIPERDIA), buscando estabelecer mudanas atravs de um Projeto de Interveno (PI) para favorecer uma melhora no acolhimento e na resolutividade da assistncia pessoa com hipertenso (HAS) e diabetes (DM). Foi proposto um plano de interveno voltado para a reestruturao do processo de trabalho da equipe junto aos usurios do Programa Hiperdia, por meio de formao de grupos para ao educativa, fornecimento de medicao, controles peridicos e atendimento mdico e de enfermagem mensalmente. Os encontros so mensais, seguidos de consultas peridicas, atuando no controle das doenas e preveno de agravos a saúde, organizando a dispensao da medicao. Dessa maneira, resultando na formao de grupos de hipertensos e diabticos e mudanas na estrutura do atendimento da unidade, e assim, temos um maior controle nos nveis pressricos e glicmicos, o controle de todos os determinantes de adeso ao tratamento.
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De acordo com o grande aumento da incidncia e prevalncia de sobrepeso e obesidade na populao da Unidade de Saúde da Família Jussara, municpio de Feira de Santana, Bahia, Brasil, notou-se a necessidade de implantar um estilo de vida saudvel que ajude a manter um ndice de massa corporal normal nestas pessoas, com a finalidade de melhorar sua qualidade de vida evitando o aparecimento de doenas crnicas no transmissveis, atravs de aes e de um manejo multiprofissional promovido pela equipe de saúde da família e do ncleo de apoio saúde da família desta populao, que manter vigilncia e assistncia constante para as pessoas com sobrepeso ou obesidade.
