Tecnologías de información y comunicación en salud: proyectos habilitantes y aplicaciones en Chile

Incluye Bibliografía

Procesos de priorización en salud y prestaciones no priorizadas ni explícitas: La evolución de algunas prestaciones trazadoras en Chile

Incluye bibliografía.

La economía del cambio climático en Bolivia: Impactos en salud

En este estudio se modela la relación entre los factores climáticos y el nivel de vulnerabilidad de 4 enfermedades: diarreicas, infecciones respiratorias, malaria y dengue, y se usa un modelo para simular los efectos del cambio climático previsto por el modelo PRECIS hasta el año 2100. La modelación se realizó a nivel municipal para poder tomar en cuenta la gran heterogeneidad de Bolivia.

Characteristics of physical activity programs in the Brazilian primary health care system

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

Mental health of the elderly: perceptions related to aging

To understand the elderly's perception of their current condition. Methodology. Study undertaken in 2012 using the qualitative method of Minayo and the thematic analysis according to Bardin's suggestions. Data were collected through semi-structured interviews that took place in the homes of the elderly people. The guiding question was: At this point in your life, how do you feel? Tell me. Results. The elderly who were satisfied stated that this was due to the good relationship with their family, spouse, to the fact of having autonomy and respect from the society. Those who were shown to be dissatisfied reported lack of family support, physical limitations imposed by age and the presence of illnesses as the main causes. Conclusion. The adult population requires the use of care technologies that cover all the stages of life, including old age. Nursing professionals should be prepared for the increasing care demand of these people.

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.

Saúde Mental e Morte: subsídios para implantação dos Cuidados Paliativos na Atenção Básica

The objective of this work was, from a bibliographical survey, to discuss the relationship between the subjects “Mental Health” and “Death”, in order to analyze possible contributions of the Psychiatric Reformation tied with the sphere of Palliative Cares. The characterization of madness as a social problem is related to the development of the capitalist mode of production. Unable to fulfill the requirements imposed by capital, insane persons are excluded from society and locked in psychiatric hospitals in order to be treated. In the same way, death is incompatible with the capitalist principles of accumulation of goods. Dying people are then transferred to the hospital in order to hide their invalidity, non-production and felt inexistence of wealth. Some principles for care in mental health that could be shared in the palliative cares are: deinstitutionalization; organization of assistance in a network; psychosocial assistance; interdisciplinarity and construction of the autonomy of family members and users. In this sense, some challenges are distinguished, between them, professional training.

Qualidade das medidas antropométricas produzidas em unidades de atenção básica à saúde da região de Botucatu-SP, Brasil

The aim of this study was to evaluate the quality of weight measurements produced in Primary Health Care Centers in Botucatu and surroundings. 14 Health Care Centers were included, all of them located in four towns in the area of Botucatu (4,555; 5,656; 18,761 and 128,397 inhabitants). General conditions and scale calibration conditions found in those Health Care Centers were evaluated. In order to evaluate the weight accuracy obtained by the local team, 10 adult users of each Center were addressed by the rater during the service routine in order to get a new weight evaluation, immediately after the measurement made by the team. The statistic method applied for checking the weight measurement held in the Heath Care Center and the scales accuracy was the measurement error technique (MET). The results have showed that out of 19 scales, 6 of them overestimated the weight by 50 grams, 1 of them underestimated the weight by 200 grams and the others were accurate. Evaluated as a group, the result of the scale MET was 44.3g. Regarding the conformity of the measures obtained by the MET of the adults weighing in the Health Care Centers compared to the ones obtained by the researcher, the expected result was obtained in only one Center (< 100g). The results have showed data compromise, rather due to lack of health team training than due to the conditions of the equipment used for the measurement.

PREVALENCE AND DETERMINANTS OF EXCLUSIVE BREASTFEEDING IN THE CITY OF SERRANA, SAO PAULO, BRAZIL

The objective of this cross-sectional and quantitative study was to identify the prevalence and determinants of exclusive breastfeeding among infants less than six months of age in the city of Serrana, Sao Paulo, Brazil in 2009. A validated semi-structured questionnaire was administered to the guardians of the children less than six months of age who attended the second phase of a Brazilian vaccination campaign against polio. Univariate and multivariate analysis presented in odds ratios and confidence intervals was accomplished. Of the total of 275 infant participants, only 29.8% were exclusively breastfed. Univariate analysis revealed that mothers who work outside the home without maternity leave, mothers who did not work outside the home, adolescent mothers, and the use of pacifiers have a greater chance of interrupting exclusive breastfeeding. In the multivariate analysis, mothers who work outside the home without maternity leave are three times more likely to wean their children early. Results provide suggestions for the redirection and planning of interventions targeting breastfeeding.

Ações educativas em um Programa de Agentes Comunitários de Saúde

Este estudo teve por objetivo identificar e analisar as ações educativas realizadas por um Programa de Agentes Comunitários de Saúde de uma cidade do interior do estado de São Paulo, considerando as concepções pedagógicas e os aspectos intervenientes que aproximam e afastam a equipe da mudança de prática pretendida pelo programa. É uma pesquisa de abordagem qualitativa do tipo estudo de caso. Foram realizadas entrevistas semiestruturadas com análise de conteúdo, modalidade temática. O estudo evidenciou que a concepção pedagógica predominante é a da transmissão de informações voltada para prevenção de doenças, embora existam algumas ações próximas da pedagogia participativa. A organização do trabalho e o vínculo com a população também interferem no trabalho educativo. Conclui-se que as ações educativas ainda são alicerçadas no preventivismo com desafios para promoção da saúde e carecem de investimentos em formação e na organização da rede assistencial.

A coordenação da assistência no controle da tuberculose

Estudo epidemiológico descritivo que analisa a coordenação da assistência ao doente de Tuberculose em Serviços de Atenção Primária segundo 23 doentes, 16 profissionais e 17 gestores em Ribeirão Preto-SP, através de instrumento adaptado para avaliar a tuberculose. De acordo com os informantes, a coordenação da assistência ao doente em tratamento pela equipe do programa de controle da tuberculose foi considerada satisfatória. No entanto, quando há necessidade de encaminhar o doente a outros pontos de atenção, a coordenação da assistência apresenta pontos deficientes como descontinuidade do fluxo de comunicação e participação incipiente do doente no processo de atenção, havendo necessidade de aumentar a responsabilização pelo cuidado do doente e estimulá-lo como agente ativo do processo.