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REVIEW
Access of the black population to health services: integrative review
- Nelma Nunes da Silva
, - Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces , [ ... ],
- Márcia Aparecida Ferreira de Oliveira
06-01-2020
Resumo
REVIEWAccess of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
06-01-2020DOI 10.1590/0034-7167-2018-0834
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces ,
- Márcia Aparecida Ferreira de Oliveira
Visualizações0ABSTRACT
Objectives:
demonstrate and discuss how the black population’s access to health services occurs
Methods:
integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.
Results:
studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.
Final Considerations:
several limiting factors compromise the black population’s access to health services, including institutional and structural factors
Palavras-chave: African Continental Ancestry GroupHealth of Ethnic MinoritiesHealth PolicyHealth Services AccessibilityPrimary Health CareVer maisVisualizações0
Resumo
REVIEWAccess of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
06-01-2020DOI 10.1590/0034-7167-2018-0834
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces ,
- Márcia Aparecida Ferreira de Oliveira
Visualizações0ABSTRACT
Objectives:
demonstrate and discuss how the black population’s access to health services occurs
Methods:
integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.
Results:
studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.
Final Considerations:
several limiting factors compromise the black population’s access to health services, including institutional and structural factors
Palavras-chave: African Continental Ancestry GroupHealth of Ethnic MinoritiesHealth PolicyHealth Services AccessibilityPrimary Health CareVer mais
- Nelma Nunes da Silva
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ORIGINAL ARTICLE
Care coordination and longitudinality in primary health care in the Brazilian Amazon
- Amanda Lia Rebelo Rabelo ,
- Rúbia Aparecida Lacerda ,
- Esron Soares Carvalho Rocha ,
- Juliana Gagno ,
- Marcia Cristina Rodrigues Fausto , [ ... ],
- Maria Jacirema Ferreira Gonçalves
04-22-2020
Resumo
ORIGINAL ARTICLECare coordination and longitudinality in primary health care in the Brazilian Amazon
Revista Brasileira de Enfermagem. 2020;73(3):e20180841
04-22-2020DOI 10.1590/0034-7167-2018-0841
- Amanda Lia Rebelo Rabelo ,
- Rúbia Aparecida Lacerda ,
- Esron Soares Carvalho Rocha ,
- Juliana Gagno ,
- Marcia Cristina Rodrigues Fausto ,
- Maria Jacirema Ferreira Gonçalves
Visualizações0ABSTRACT
Objectives:
to evaluate the attributes of primary health care, care coordination and longitudinality, from the perception of the professional and patients in the state of Amazonas, Brazil.
Methods:
quantitative evaluative study, in which was used an external evaluation instrument with 469 professionals and 1,888 patients from 367 primary health care facilities that adhered to the Program for Improving Access and Quality of primary health care (Portuguese acronym: PMAQ) standardized by the Ministry of Health. Data were grouped by multivariate cluster analysis in order to find a classification of primary health care from the perspective of professionals and patients.
Results:
the attributes of coordination and longitudinality are still expressed in a weak and undeveloped way in the Brazilian Amazon scenario.
Conclusions:
it is necessary to recognize the organizational barriers and what could promote conditions for the performance of health care teams in the perspective of a continuous, integral and coordinated care.
Palavras-chave: Continuity of Patient CareHealth EvaluationHealth PolicyIntegrality in HealthPrimary Health CareVer maisVisualizações0Resumo
ORIGINAL ARTICLECare coordination and longitudinality in primary health care in the Brazilian Amazon
Revista Brasileira de Enfermagem. 2020;73(3):e20180841
04-22-2020DOI 10.1590/0034-7167-2018-0841
- Amanda Lia Rebelo Rabelo ,
- Rúbia Aparecida Lacerda ,
- Esron Soares Carvalho Rocha ,
- Juliana Gagno ,
- Marcia Cristina Rodrigues Fausto ,
- Maria Jacirema Ferreira Gonçalves
Visualizações0ABSTRACT
Objectives:
to evaluate the attributes of primary health care, care coordination and longitudinality, from the perception of the professional and patients in the state of Amazonas, Brazil.
Methods:
quantitative evaluative study, in which was used an external evaluation instrument with 469 professionals and 1,888 patients from 367 primary health care facilities that adhered to the Program for Improving Access and Quality of primary health care (Portuguese acronym: PMAQ) standardized by the Ministry of Health. Data were grouped by multivariate cluster analysis in order to find a classification of primary health care from the perspective of professionals and patients.
Results:
the attributes of coordination and longitudinality are still expressed in a weak and undeveloped way in the Brazilian Amazon scenario.
Conclusions:
it is necessary to recognize the organizational barriers and what could promote conditions for the performance of health care teams in the perspective of a continuous, integral and coordinated care.
Palavras-chave: Continuity of Patient CareHealth EvaluationHealth PolicyIntegrality in HealthPrimary Health CareVer mais
- Amanda Lia Rebelo Rabelo
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ORIGINAL ARTICLE
Resources, objectives and guidelines in a Psychosocial Care Network structure
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Gabriela dos Santos Mantovani ,
- Alessandra Matheus Domingos
02-10-2020
Resumo
ORIGINAL ARTICLEResources, objectives and guidelines in a Psychosocial Care Network structure
Revista Brasileira de Enfermagem. 2020;73(1):e20170864
02-10-2020DOI 10.1590/0034-7167-2017-0864
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Gabriela dos Santos Mantovani ,
- Alessandra Matheus Domingos
Visualizações0ABSTRACT
Objective:
to analyze a Psychosocial Care Network structure, based on the compromise of its resources and meeting objectives and guidelines recommended in Ordinance 3,088/2011.
Method:
an empirical, quantitative study with 123 primary care professionals, psychosocial and emergency care, who work at Western Network of the city of São Paulo. Questionnaires and statistical analysis were applied through the Exact Fisher’s test with 5% significance considering p= <0.05.
Results:
there is compromise of physical resources in the absence of mental health beds in a general hospital (p=0.047); of technological resources in the lack of discussion forums (p=0.036); of human resources in number of teams (p=0.258); and of financial resources (p=0.159). Psychosocial care is the one that most meets the objectives and guidelines.
Conclusion:
there are insufficient physical, technological, human, and financial resources for the work articulated in the three care modalities that are heterogeneous in terms of meeting the objectives and guidelines.
Palavras-chave: Comprehensive Health CareHealth PolicyHealth Services AccessibilityMental HealthMental Health AssistanceVer maisVisualizações0Resumo
ORIGINAL ARTICLEResources, objectives and guidelines in a Psychosocial Care Network structure
Revista Brasileira de Enfermagem. 2020;73(1):e20170864
02-10-2020DOI 10.1590/0034-7167-2017-0864
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Gabriela dos Santos Mantovani ,
- Alessandra Matheus Domingos
Visualizações0ABSTRACT
Objective:
to analyze a Psychosocial Care Network structure, based on the compromise of its resources and meeting objectives and guidelines recommended in Ordinance 3,088/2011.
Method:
an empirical, quantitative study with 123 primary care professionals, psychosocial and emergency care, who work at Western Network of the city of São Paulo. Questionnaires and statistical analysis were applied through the Exact Fisher’s test with 5% significance considering p= <0.05.
Results:
there is compromise of physical resources in the absence of mental health beds in a general hospital (p=0.047); of technological resources in the lack of discussion forums (p=0.036); of human resources in number of teams (p=0.258); and of financial resources (p=0.159). Psychosocial care is the one that most meets the objectives and guidelines.
Conclusion:
there are insufficient physical, technological, human, and financial resources for the work articulated in the three care modalities that are heterogeneous in terms of meeting the objectives and guidelines.
Palavras-chave: Comprehensive Health CareHealth PolicyHealth Services AccessibilityMental HealthMental Health AssistanceVer mais - Maria do Perpétuo Socorro de Sousa Nóbrega
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ORIGINAL ARTICLE
Harm reduction: trends being disputed in health policies
- Carla Regina Moreira ,
- Cassia Baldini Soares ,
- Celia Maria Sivalli Campos ,
- Thais Helena Mourão Laranjo
12-13-2019
Resumo
ORIGINAL ARTICLEHarm reduction: trends being disputed in health policies
Revista Brasileira de Enfermagem. 2019;72(suppl 3):312-320
12-13-2019DOI 10.1590/0034-7167-2017-0671
- Carla Regina Moreira ,
- Cassia Baldini Soares ,
- Celia Maria Sivalli Campos ,
- Thais Helena Mourão Laranjo
Visualizações0Ver maisABSTRACT
Objective:
to identify the underlying harm reduction trends in Brazilian drug policies.
Method:
The research, qualitative in nature, used in-depth interviews with experts in the field. The recorded and transcribed material was analyzed via the content analysis method.
Results:
The analysis exposed the following conceptions: drug use is a disease, and its associated health practices should be treatment, rehabilitation and social reintegration. These conceptions deviate to some extent from the war on drugs approach, and support the adoption of harm-reduction practices, proposed by public health. Less expressively, critical conceptions which clearly distance themselves from the prohibitionist approach and from public health may be seen, in line with the perspective of collective health, for the implementation of emancipatory harm-reduction practices.
Final considerations:
Harm-reduction conceptions and practices reveal the underlying conservative, liberal, and critical tendencies in Brazilian drug policies.
Visualizações0Resumo
ORIGINAL ARTICLEHarm reduction: trends being disputed in health policies
Revista Brasileira de Enfermagem. 2019;72(suppl 3):312-320
12-13-2019DOI 10.1590/0034-7167-2017-0671
- Carla Regina Moreira ,
- Cassia Baldini Soares ,
- Celia Maria Sivalli Campos ,
- Thais Helena Mourão Laranjo
Visualizações0Ver maisABSTRACT
Objective:
to identify the underlying harm reduction trends in Brazilian drug policies.
Method:
The research, qualitative in nature, used in-depth interviews with experts in the field. The recorded and transcribed material was analyzed via the content analysis method.
Results:
The analysis exposed the following conceptions: drug use is a disease, and its associated health practices should be treatment, rehabilitation and social reintegration. These conceptions deviate to some extent from the war on drugs approach, and support the adoption of harm-reduction practices, proposed by public health. Less expressively, critical conceptions which clearly distance themselves from the prohibitionist approach and from public health may be seen, in line with the perspective of collective health, for the implementation of emancipatory harm-reduction practices.
Final considerations:
Harm-reduction conceptions and practices reveal the underlying conservative, liberal, and critical tendencies in Brazilian drug policies.
- Carla Regina Moreira
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ORIGINAL ARTICLE
Time series of hospitalizations of adolescents due to mental and behavioral disorders
- Ellen Vanuza Martins Bertelli ,
- Rosana Rosseto de Oliveira ,
- Marcia Lorena Alves dos Santos ,
- Eniuce Menezes Souza ,
- Carlos Alexandre Molena Fernandes , [ ... ],
- Ieda Harumi Higarashi
10-21-2019
Resumo
ORIGINAL ARTICLETime series of hospitalizations of adolescents due to mental and behavioral disorders
Revista Brasileira de Enfermagem. 2019;72(6):1662-1670
10-21-2019DOI 10.1590/0034-7167-2018-0800
- Ellen Vanuza Martins Bertelli ,
- Rosana Rosseto de Oliveira ,
- Marcia Lorena Alves dos Santos ,
- Eniuce Menezes Souza ,
- Carlos Alexandre Molena Fernandes ,
- Ieda Harumi Higarashi
Visualizações0Ver maisABSTRACT
Objective:
to analyze the trend of hospitalizations of adolescents due to mental and behavioral disorders in Paraná, from 1998 to 2015.
Method:
ecological study of time series. Data were analyzed by means of segmented linear regression modeling for time series, estimated for each of the four health macro-regions.
Results:
the East macro-region showed a greater trend to increase hospitalizations from January 1998 to November 2003 (β1=0.006, p<0.001). In other macro-regions, there were similar trends with a sudden increase in February 2010, but with a further gradual decrease until December 2015. In the quadrennium 2012-2015, 38.06% of the hospitalizations lasted 29 or more days, and in the Northwest macro-region, hospitalizations lasted for up to seven days. The main cause of hospitalization was the use of alcohol and other drugs.
Conclusion:
there is a need to strengthen health actions to prevent drug use and improvements in the care network.
Visualizações0Resumo
ORIGINAL ARTICLETime series of hospitalizations of adolescents due to mental and behavioral disorders
Revista Brasileira de Enfermagem. 2019;72(6):1662-1670
10-21-2019DOI 10.1590/0034-7167-2018-0800
- Ellen Vanuza Martins Bertelli ,
- Rosana Rosseto de Oliveira ,
- Marcia Lorena Alves dos Santos ,
- Eniuce Menezes Souza ,
- Carlos Alexandre Molena Fernandes ,
- Ieda Harumi Higarashi
Visualizações0Ver maisABSTRACT
Objective:
to analyze the trend of hospitalizations of adolescents due to mental and behavioral disorders in Paraná, from 1998 to 2015.
Method:
ecological study of time series. Data were analyzed by means of segmented linear regression modeling for time series, estimated for each of the four health macro-regions.
Results:
the East macro-region showed a greater trend to increase hospitalizations from January 1998 to November 2003 (β1=0.006, p<0.001). In other macro-regions, there were similar trends with a sudden increase in February 2010, but with a further gradual decrease until December 2015. In the quadrennium 2012-2015, 38.06% of the hospitalizations lasted 29 or more days, and in the Northwest macro-region, hospitalizations lasted for up to seven days. The main cause of hospitalization was the use of alcohol and other drugs.
Conclusion:
there is a need to strengthen health actions to prevent drug use and improvements in the care network.
- Ellen Vanuza Martins Bertelli
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ORIGINAL ARTICLE
Mental health in primary health care: health-disease according to health professionals
- Sônia Barros ,
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Jussara Carvalho dos Santos ,
- Laís Mariana da Fonseca ,
- Lara Simone Messias Floriano
10-21-2019
Resumo
ORIGINAL ARTICLEMental health in primary health care: health-disease according to health professionals
Revista Brasileira de Enfermagem. 2019;72(6):1609-1617
10-21-2019DOI 10.1590/0034-7167-2018-0743
- Sônia Barros ,
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Jussara Carvalho dos Santos ,
- Laís Mariana da Fonseca ,
- Lara Simone Messias Floriano
Visualizações0ABSTRACT
Objective:
to analyze perceptions of the Family Health Strategy (FHS) professional team about mental health-disorder and to identify health actions developed by the team for people with mental disorders.
Method:
a qualitative study of a Marxist theoretical framework and a dialectical method. 99 FHS middle and higher level professionals from São Paulo participated. Semi-structured interviews were conducted. Data were submitted to ALCESTE software and Thematic Content Analysis.
Results:
there were three empirical categories: Training in Mental Health; Perception of the FHS professional about mental health-disorder; and Health actions developed by the FHS team with people with mental disorders. Actions that converge and diverge from the psychosocial care model were identified.
Final considerations:
there is an effort from professionals to work according to the psychosocial care model, but it is necessary to invest in the Permanent Education in Health of these professionals to overcome barriers and foster successful territorial actions.
Palavras-chave: Health PersonnelHealth PolicyMental HealthMental Health AssistancePrimary Health CareVer maisVisualizações0Resumo
ORIGINAL ARTICLEMental health in primary health care: health-disease according to health professionals
Revista Brasileira de Enfermagem. 2019;72(6):1609-1617
10-21-2019DOI 10.1590/0034-7167-2018-0743
- Sônia Barros ,
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Jussara Carvalho dos Santos ,
- Laís Mariana da Fonseca ,
- Lara Simone Messias Floriano
Visualizações0ABSTRACT
Objective:
to analyze perceptions of the Family Health Strategy (FHS) professional team about mental health-disorder and to identify health actions developed by the team for people with mental disorders.
Method:
a qualitative study of a Marxist theoretical framework and a dialectical method. 99 FHS middle and higher level professionals from São Paulo participated. Semi-structured interviews were conducted. Data were submitted to ALCESTE software and Thematic Content Analysis.
Results:
there were three empirical categories: Training in Mental Health; Perception of the FHS professional about mental health-disorder; and Health actions developed by the FHS team with people with mental disorders. Actions that converge and diverge from the psychosocial care model were identified.
Final considerations:
there is an effort from professionals to work according to the psychosocial care model, but it is necessary to invest in the Permanent Education in Health of these professionals to overcome barriers and foster successful territorial actions.
Palavras-chave: Health PersonnelHealth PolicyMental HealthMental Health AssistancePrimary Health CareVer mais - Sônia Barros
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ORIGINAL ARTICLE
Teaching-service integration: building the educational workshop in healthcare
- Daiana Kloh Khalaf ,
- Kenya Schmidt Reibnitz ,
- Margarete Maria de Lima ,
- Aline Bussolo Correa ,
- Jussara Gue Martini
04-18-2019
Resumo
ORIGINAL ARTICLETeaching-service integration: building the educational workshop in healthcare
Revista Brasileira de Enfermagem. 2019;72(2):375-382
04-18-2019DOI 10.1590/0034-7167-2018-0008
- Daiana Kloh Khalaf ,
- Kenya Schmidt Reibnitz ,
- Margarete Maria de Lima ,
- Aline Bussolo Correa ,
- Jussara Gue Martini
Visualizações0Ver maisABSTRACT
Objective:
To identify the pedagogical strategies and the elements that determine the construction of the educational workshop in healthcare at the teaching-service integration process.
Method:
Collective case study with qualitative approach. The cases consisted of two undergraduate courses in nursing. Thirty-one interviews were conducted with healthcare professionals, professors and students, in addition to participant observation in seven basic health units (UBS) that received the students interviewed.
Results:
The following analytical categories emerged: teaching-service integration: articulating idealized situations with real situations; pedagogical workshop in health: development of collective pedagogical actions; reflection on the experiences in the pedagogical workshop in health: articulating the knowledge of the work world with the teaching world.
Final Consideration:
Despite the integration difficulties between teaching and service, we can conclude that their encounter generates a fertile field for the development of the educational workshop in healthcare. To this end, the agreement of the strategies presented in the constitution of the workshop is necessary.
Visualizações0Resumo
ORIGINAL ARTICLETeaching-service integration: building the educational workshop in healthcare
Revista Brasileira de Enfermagem. 2019;72(2):375-382
04-18-2019DOI 10.1590/0034-7167-2018-0008
- Daiana Kloh Khalaf ,
- Kenya Schmidt Reibnitz ,
- Margarete Maria de Lima ,
- Aline Bussolo Correa ,
- Jussara Gue Martini
Visualizações0Ver maisABSTRACT
Objective:
To identify the pedagogical strategies and the elements that determine the construction of the educational workshop in healthcare at the teaching-service integration process.
Method:
Collective case study with qualitative approach. The cases consisted of two undergraduate courses in nursing. Thirty-one interviews were conducted with healthcare professionals, professors and students, in addition to participant observation in seven basic health units (UBS) that received the students interviewed.
Results:
The following analytical categories emerged: teaching-service integration: articulating idealized situations with real situations; pedagogical workshop in health: development of collective pedagogical actions; reflection on the experiences in the pedagogical workshop in health: articulating the knowledge of the work world with the teaching world.
Final Consideration:
Despite the integration difficulties between teaching and service, we can conclude that their encounter generates a fertile field for the development of the educational workshop in healthcare. To this end, the agreement of the strategies presented in the constitution of the workshop is necessary.
- Daiana Kloh Khalaf
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RESEARCH
Quality of Primary Health Care in Brazil: patients’view
Revista Brasileira de Enfermagem. 2018;71(suppl 6):2713-2719
01-01-2018
Resumo
RESEARCHQuality of Primary Health Care in Brazil: patients’view
Revista Brasileira de Enfermagem. 2018;71(suppl 6):2713-2719
01-01-2018DOI 10.1590/0034-7167-2017-0656
Visualizações0ABSTRACT
Objective:
To describe the evaluation of patients that participated in the National Program for Improving the Access and Quality in Primary Health Care (Programa Nacional de Melhoria do Acesso e da Qualidade na Atenção Básica) for the comprehensive healthcare, the bond and the coordination of care in the country's macro-regions.
Method:
A descriptive, transversal study, from interviews with 65,391 patients of Primary Health Care, in 3,944 municipalities regarding the use of health services.
Results:
The professionals seek to solve the patients' problems in their unit (73.1%) but focused mainly on the scope of the appointment (65.6%) and offering care away from the population's reality (69.4%). Difficulties in the rescue of clinical history were referred (50.3%) and in the care performed in other health services (29.2%).
Conclusion:
The comprehensive health care, the bond and the coordination of care remain challenges to the Primary Health Care in the country, requiring reflections on the implementation of national policies, especially considering the regional diversities in Brazil.
Palavras-chave: Access, and EvaluationHealth Care QualityHealth PolicyHealth Services ResearchPrimary Health CarePublic HealthVer maisVisualizações0Resumo
RESEARCHQuality of Primary Health Care in Brazil: patients’view
Revista Brasileira de Enfermagem. 2018;71(suppl 6):2713-2719
01-01-2018DOI 10.1590/0034-7167-2017-0656
Visualizações0ABSTRACT
Objective:
To describe the evaluation of patients that participated in the National Program for Improving the Access and Quality in Primary Health Care (Programa Nacional de Melhoria do Acesso e da Qualidade na Atenção Básica) for the comprehensive healthcare, the bond and the coordination of care in the country's macro-regions.
Method:
A descriptive, transversal study, from interviews with 65,391 patients of Primary Health Care, in 3,944 municipalities regarding the use of health services.
Results:
The professionals seek to solve the patients' problems in their unit (73.1%) but focused mainly on the scope of the appointment (65.6%) and offering care away from the population's reality (69.4%). Difficulties in the rescue of clinical history were referred (50.3%) and in the care performed in other health services (29.2%).
Conclusion:
The comprehensive health care, the bond and the coordination of care remain challenges to the Primary Health Care in the country, requiring reflections on the implementation of national policies, especially considering the regional diversities in Brazil.
Palavras-chave: Access, and EvaluationHealth Care QualityHealth PolicyHealth Services ResearchPrimary Health CarePublic HealthVer mais
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