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1.
Article in Chinese | WPRIM | ID: wpr-936423

ABSTRACT

Objective To explore the effect of the utilization of National Basic Public Health Service (NBPHS) on the regular medication behavior and glycemic control of patients aged 35 and over with type 2 diabetes, and to provide support for the health management practice of type 2 diabetes patients in China. Methods Based on the multi-stage stratified sampling method, a questionnaire survey was conducted in 10 community health service centers or township health centers in Zhejiang Province, Shanxi Province and Chongqing City in China from November to December 2019. The data of socio-demographic characteristics, utilization of NBPHS in the last year, regular medication in the last six months and glycemic control were collected. The effect of NBPHS utilization on the regular medication rate and glycemic control rate of type 2 diabetes patients was analyzed by logistic regression. Sensitivity analysis was carried out using the multilevel logistic method and the total score calculation method for basic public health services in different countries. Results A total of 1 527 patients with type 2 diabetes aged 35 and over were recruited, 41.00% were male, 66.08% were aged 65 years old and above, and 39.64% were ill for 10 years and over. The survey showed that the regular medication rate was 89.26%, the glycemic control rate was 65.23%, and the score on utilization of NBPHS was 11.83±2.246 (range 0-15). With the more utilization of NBPHS, regular medication rate in patients with type 2 diabetes increased (χ2trend=4.816, P2trend=0.080, P>0.05). The multivariate regression analysis showed that secondary school and above (OR=2.20), longer duration of disease (OR5-9 years=1.62, OR10 year and above=3.92) and higher utilization score of NBPHS (ORQ3=2.01) were protective factors for the regular medication. Compared with the local household registration population, the local resident population (OR=0.54) was a risk factor for regular medication. Unmarried or divorced or widowed (OR=0.61) and longer course of disease (OR10 year and above=0.60) were risk factors for satisfactory glycemic control, while increased monthly income per household (OR2000-5000 yuan=1.52, ORMore than 5000 yuan=1.76) was a protective factor for satisfactory glycemic control. Conclusion The utilization of NBPHS has promoted the regular medication rate of patients with type 2 diabetes, and the higher utilization takes better effect. Emphasis should be paid on patients with low education level, non-local household registration, short course of disease, and no partner. At the same time, it is necessary to strengthen the utilization of NBPHS to promote the change of their health awareness and health behavior..

2.
Article in English | LILACS, INDEXPSI | ID: biblio-1375969

ABSTRACT

Abstract This study seeks to analyze the association between stigma towards people with mental health problems among Primary Health Care professionals in relation to sociodemographic, contact, and participation variables in mental health actions. The sample was composed of 289 professionals from Rio Grande do Sul/Brazil. We used a sociodemographic questionnaire; Mental Health Knowledge Questionnaire (MAKS-BR); Attribution Questionnaire (AQ-26B); and Mental health items of the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB). Less attribution of stigma is related to greater knowledge in mental health, having mental health training, and performing mental health activities. Among the variables that most influence the relationship between knowledge and the attribution of stigma are personal contact, training, and performing mental health actions. Results point to the importance of mental health practices in Primary Care and team training to reduce stigma.


Resumo Este estudo teve como objetivo analisar a associação entre estigma a pessoas com problemas de saúde mental entre profissionais da Atenção Básica em relação a variáveis sociodemográficas, de contato e de participação em ações de saúde mental. Participaram 289 profissionais do Rio Grande do Sul/Brasil. Utilizaram-se Questionário sociodemográfico; Questionário de Conhecimento em Saúde Mental (MAKS-BR); Questionário de Atribuição (AQ-26B); Itens de saúde mental do Programa Nacional de Melhoria do Acesso e da Qualidade da AB. Menor atribuição de estigma está relacionado a maior conhecimento em saúde mental, ter formação em saúde mental e realizar atividades de saúde mental. As variáveis que mais influenciam a relação entre conhecimento e atribuição de estigma são: o contato pessoal, formação e realizar ações de saúde mental. Os resultados apontam a importância das práticas de saúde mental na Atenção Básica e da formação das equipes para a redução do estigma.


Resumen Este estudio tiene como objetivo analizar el estigma a las personas con problemas de salud mental entre los profesionales de Atención Primaria y su asociación con las variables sociodemográficas, de contacto y participación en acciones de salud mental. Participaron 289 profesionales de Rio Grande do Sul (Brasil). Se utilizaron el cuestionario sociodemográfico; el Cuestionario de Conocimientos sobre Salud Mental (MAKS-BR); el Cuestionario de Asignación (AQ-26B); y los Ítems de salud mental del Programa Nacional de Mejora del Acceso y la Calidad de la Atención Primaria. Una menor atribución de estigma se relacionó con mayor conocimiento sobre salud mental, tener formación en salud mental y realizar actividades de salud mental. Entre las variables que más influyen en la relación entre conocimiento y atribución de estigma se encuentran el contacto personal, la formación y la realización de acciones de salud mental. Los resultados muestran la importancia de las prácticas de salud mental en Atención Primaria y la formación de equipos para reducir el estigma.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Health Personnel , Mentally Ill Persons , Social Stigma , Public Health Services
3.
J. Hum. Growth Dev. (Impr.) ; 31(1): 145-151, Jan.-Apr. 2021. graf, map, tab
Article in English | LILACS, INDEXPSI | ID: biblio-1250161

ABSTRACT

BACKGROUNG: Cervical cancer is a serious public health problem in Brazil and around the world. Its screening through the Pap smear screening is crucial for prevention and early detection. OBJECTIVE: The objective of the study was to evaluate the Pap smear ratio in the regions of the State of Rio Grande do Norte from 2008 to 2014, and to describe the regions with lower and higher screening for cervical cancer according to the space. METHODS: It is a quantitative, retrospective, descriptive and cross-sectional study that used secondary data from SISCOLO/DATASUS. The sample was composed by the 167 municipalities of the State of Rio Grande do Norte in Brazil, divided by the eight regions of that State. The results were expressed in absolute and relative frequencies, the differences between means were analyzed by the T student tests, in which significant differences were considered when p<0.05. The mapping of results was done through the TabWin program 32. CONCLUSION: The average ratio of Pap smear varied considerably between the regions of the State in the years 2008 to 2014. There was decrease in the average of the ratio between the years 2008 and 2014, especially in the metropolitan region. Regarding the space, it was seen that most of the municipalities with the lower ratio are located at the ends of the map. Knowing the cytopathological ratio indicator in the regions of the State is fundamental for the management of health in that State, in order to better qualify practitioners and to establish specific goals for the evaluation of coverage of cervical cancer.


INTRODUÇÃO: O câncer de colo do útero é um grave problema de saúde pública no Brasil e no mundo. Sua triagem através do exame de papanicolau é crucial para a prevenção e detecção precoce. OBJETIVO: O objetivo do estudo foi avaliar a relação de papanicolau nas regiões do Rio Grande do Norte de 2008 a 2014, e descrever as regiões com menor e maior rastreamento de câncer do colo do útero de acordo com o espaço. MÉTODO: Trata-se de um estudo quantitativo, retrospectivo, descritivo e transversal que utilizou dados secundários do SISCOLO/DATASUS. A amostra foi composta pelos 167 municípios do Estado do Rio Grande do Norte, divididos pelas oito regiões daquele Estado. Os resultados foram expressos em frequências absolutas e relativas, as diferenças entre os meios foram analisadas pelas provas dos alunos T, nas quais foram consideradas diferenças significativas quando p<0,05. O mapeamento dos resultados foi feito através do programa TabWin 32. CONCLUSÃO: A razão média do papanicolau variou consideravelmente entre as regiões do Estado nos anos de 2008 a 2014. Houve queda na média da relação entre os anos de 2008 e 2014, especialmente na região metropolitana. Em relação ao espaço, veram-se que a maioria dos municípios com menor proporção está localizada nas extremidades do mapa. Conhecer o indicador de razão citopatológica nas regiões do Estado é fundamental para a gestão da saúde naquele Estado, a fim de qualificar melhor os profissionais e estabelecer metas específicas para a avaliação da cobertura do câncer do colo do útero.


Subject(s)
Uterine Cervical Neoplasms , Public Health , Disease Prevention , Papanicolaou Test , Evaluation Studies as Topic
4.
Saúde debate ; 45(128): 105-117, jan.-mar. 2021.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1252212

ABSTRACT

RESUMO Esta pesquisa teve como objetivo dar visibilidade às Unidades de Acolhimento Adulto (UAA), com intuito de fornecer maior qualidade e contextualização à produção de conhecimento sobre elas. Trata-se de um estudo de caso exploratório sobre uma UAA localizada no estado do Rio de Janeiro, um serviço de saúde de caráter residencial transitório destinado aos usuários de álcool e/ou outras drogas. Foram utilizadas para coleta de dados as técnicas de observação participante, levantamento documental e entrevistas abertas com usuários e profissionais. É apresentada descrição da estrutura desse serviço, do seu funcionamento e da relação com outros serviços e com o território onde está inserido. A partir dos resultados, pode-se afirmar que a UAA é um serviço de base territorial que segue a lógica da atenção psicossocial, considerando a subjetividade e o contexto de cada usuário, afirmando-se como modalidade de cuidado que se contrapõe à lógica de confinamento e proibicionismo das 'comunidades terapêuticas'. Também foi visto que a UAA possibilita mudanças nas formas de relação entre a comunidade e os usuários de substâncias psicoativas.


ABSTRACT This research aimed to give visibility to the Adult Reception Units (UAA), in order to provide greater quality and context to the production of knowledge about them. This study was carried out from an exploratory case study on a UAA, located in the state of Rio de Janeiro, a transitional residential health service for users of alcohol and/or other drugs. Participatory observation techniques, documentary surveys, and open interviews with users and professionals were used for data collection. A description of the structure of this service, its operation and the relationship with other services, and the territory in which it is inserted are presented. Based on the results, it can be said that Adult Reception Units are a territorial-based service that follows the logic of psychosocial care, considering the subjectivity and context of each user, affirming itself as a care modality that is opposed to the logic of confinement and prohibition of 'therapeutic communities'. It was also observed that the UAA allows changes in the forms of relationship between the community and users of psychoactive substances.

5.
Rev. saúde pública (Online) ; 55: 25, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1252113

ABSTRACT

ABSTRACT OBJECTIVE: To evaluate the annual variation of oral health and primary care coverage, the tooth extraction ratio, and the average of supervised toothbrushing in Brazilian municipalities according to social development and population size. METHODS: Public secondary data were analyzed. The outcomes were health service indicators (oral health coverage, primary health care coverage, tooth extraction ratio, and average of supervised tooth brushing) estimated for all Brazilian municipalities annually from 2008 to 2015. Mixed-effect multilevel regression models with random intercept and slopes were fitted with a cross-interaction term to estimate the annual percent variation according to the Municipal Human Development Index (MHDI) and population size. RESULTS: Municipalities with low MHDI presented an annual increase in oral health and primary care coverage of 2.65% and 2.23%, respectively, which was significantly higher than municipalities with medium and high MHDI. Oral health and primary care coverage were 69.26% and 35.00% lower among municipalities with a large population. Municipalities with medium and high MHDI showed an annual decrease in tooth extractions of 5.15% and 5.02%, respectively. An annual decrease was observed in the average of supervised toothbrushing of 9.81% and 4.57% in municipalities with low and medium MHDI, respectively. The tooth extraction ratio was higher among larger municipalities; the relation is inverse for supervised toothbrushing. CONCLUSIONS: The access to primary care and oral health services increased in Brazil, while a decrease occurred in mutilating treatment and provision of preventive actions, with disparities among municipalities with different MHDI levels over time.


Subject(s)
Humans , Social Change , Oral Health , Socioeconomic Factors , Brazil , Cities
6.
Rev. Psicol. Saúde ; 12(4): 159-174, out.-dez. 2020. ilus
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1279693

ABSTRACT

Este artigo tem por objetivo discutir o trabalho em equipe e intersetorial nas políticas sociais, na área da Saúde e Assistência Social, que assistem à População em Situação de Rua. A pesquisa empreendida é de natureza qualitativa. Para produção de dados, fez-se uso de entrevista semiestruturada, observação no cotidiano dos serviços e diário de campo. Participaram do estudo 15 profissionais integrantes das equipes dos serviços especializados na assistência à População em Situação de Rua, sendo cinco do Consultório na Rua e 10 do Centro Especializado para População em Situação de Rua. O perfil do público assistido, composto por necessidades complexas e que se estendem aos diversos núcleos profissionais e políticas setoriais, exige outras nuances ao fazer profissional: a imperatividade do trabalho em equipe e intersetorial. Embora imprescindível, tal perspectiva de trabalho colaborativo e em rede enfrenta desafios que comprometem a resolutividade e qualidade da assistência prestada.


This paper aims to discuss team and intersectoral work in social policies, in the field of Health and Social Care, that assist Population in Street Situation. The research carried out is of qualitative nature. For data production, we used a semi-structured interview script, observation of the services, and field diary. Participants were 15 professionals who are part of the teams of specialized services in care of Population in Street Situation, five of them were from the Street Clinic, and ten from the Centre for Population in Street Situation. The profile of the public attending these services, composed by complex needs, which are extended to several professional nuclei and sector politics, print other nuances to professional practice, such as the need for team and intersectoral work, which, although indispensable, face challenges that compromise the quality and resolution of the care provided.


Este artículo objetivó discutir el trabajo en equipo e intersectorial en las políticas sociales, en el área de la Salud y Asistencia Social, que asisten a la Población en Situación de Calle. Esta investigación tiene naturaleza cualitativa. Se utilizó entrevista semiestructurada, observación del cotidiano de los servicios y uso de diario de campo. Participaron del estudio 15 profesionales miembros de los equipos de los servicios especializados en asistencia a la Población en Situación de Calle, siendo cinco del Consultorio en la Calle y diez del Centro Especializado para la Población en Situación de Calle. El perfil del público asistido, compuesto de necesidades complejas y que se amplían a los diversos núcleos profesionales y políticas sectoriales, imprime otros matices al hacer profesional, como el imperativo del trabajo en equipo e intersectorial, que, aunque sean esenciales, enfrentan desafíos que comprometen la resolución y calidad de la asistencia proporcionada.

7.
Saúde debate ; 44(spe): 184-197, out. 2020.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1290114

ABSTRACT

RESUMO O consumo de crack é um problema de saúde pública no Brasil. Nesse grupo, as mulheres se encontram em situação de maior vulnerabilidade, em especial, por acessarem menos os serviços de saúde. Por esse motivo, o objetivo deste estudo foi analisar os sentidos do acesso ao tratamento de mulheres usuárias de crack na perspectiva dos profissionais de saúde de um Centro de Atenção Psicossocial - Álcool e Outras Drogas (Caps AD). Trata-se de uma pesquisa de campo, qualitativa, por meio da observação participante (54 visitas) e de 13 entrevistas semiestruturadas com profissionais, realizada durante oito meses de imersão em um Caps AD do Rio de Janeiro. Um software de gerenciamento de dados - o NVivo - foi utilizado para a análise temática. Trabalho aprovado pelo Comitê de Ética e Pesquisa. Para os profissionais, as mulheres vão buscar ajuda porque possuem laços familiares rompidos, precisam de ajuda social devido ao seu contexto de vulnerabilidade e procuram um tratamento direcionado ao seu corpo em falência. Conclui-se como de fundamental importância que o Caps AD ofereça um trabalho desburocratizado e que amplie suas ações no território.


ABSTRACT Crack consumption is a public health problem in Brazil. In this group, women are in a situation of greater vulnerability, especially because they have less access to health services. The aim of this study was to analyze the meanings of access to treatment for women crack users from the perspective of health professionals at a Psychosocial Care Center - Alcohol and Drugs (Caps AD). It is a qualitative field, through participant observation (54 visits) and 13 semi-structured interviews with professionals, carried out during eight months of immersion in a Caps AD in Rio de Janeiro. A data management software - NVivo - was used for thematic analysis. Work approved by the Ethics and Research Committee. For professionals, women will seek help because they have broken family ties, need social help due to their vulnerable context and seek treatment directed at their bankrupt body. It is concluded that it is of fundamental importance that Caps AD offers a job without bureaucracy and that expands its actions in the territory.

8.
Gerais (Univ. Fed. Juiz Fora) ; 13(1): 1-17, jan.-abr. 2020.
Article in Portuguese | LILACS | ID: biblio-1090460

ABSTRACT

Este trabalho objetiva relatar a experiência de um trabalho de educação permanente em saúde realizado com Agentes Comunitários de Saúde (ACS). As ações são realizadas por meio de um projeto de extensão vinculado ao Departamento de Psicologia de uma Universidade Federal do Sul do Brasil. O trabalho vem sendo desenvolvido desde 2013, com periodicidade mensal e conta com a participação dos ACS de uma Unidade Básica, localizada na região norte de um município do Rio Grande do Sul. A proposta tem possibilitado a troca de informações e experiências, por meio da reflexão e problematização, tanto do saber científico quanto da prática profissional. Além disso, pode-se constatar que os encontros têm o potencial de aliviar angústias e promover saúde aos ACS, além de ampliar as possibilidades de compreensão das problemáticas vivenciadas, buscando estratégias para lidar com elas. Destaca-se, ainda, a importância da integração entre a Universidade, a Unidade de Saúde e os ACS.


This study aims to report the experience of a proposal of education in health carried out with Community Health Workers (CHW). Actions were done based on an extension project, part of the activities of the Psychology Department of a Federal University in Southern Brazil. Such work is being done since 2013, on a monthly basis, and participants are CHW of a Primary Health Care Unit located in the north side of a city in the state of Rio Grande do Sul. The proposal has enabled sharing of information and experiences through reflection and questioning, regarding both scientific knowledge and professional practice. Moreover, the experience evidences that the meetings have the potential for relieving anxiety and promoting health among CHW, in addition to expanding their possibilities of understanding the problems experienced and finding strategies to cope with them. The study highlights the relevance of the integration among University, Primary Health Care Units and CHW.


Subject(s)
Community Health Workers , Education, Continuing , Community Health Services , Health Promotion
9.
Article in English | LILACS, INDEXPSI | ID: biblio-1135440

ABSTRACT

Abstract When attributing the causes and agents responsible for a public health problem, people position themselves discursively. This study aimed to analyze utterances attributing causality and responsibility for a neglected disease in Brazil: human leptospirosis. A qualitative method was adopted, using semi-structured interviews and discourse analysis by dialogical maps. Nine interlocutors participated in the study. They were indicated by managers and health professionals, considering their competence to talk about practices and experiences related to the control of the disease. Our results show five simultaneous types of attribution in the utterances, indicating variability. However, we also identified traces of discursive patterns associated with the positions occupied by interlocutors within the healthcare network. Then, we articulated a critical reflection on the potential effects of these patterns. We suggest complementary studies to be performed, associating attributions with actions aiming to reduce leptospirosis cases.


Resumo As pessoas se posicionam discursivamente ao atribuir causas e responsáveis por um problema de saúde pública. Este estudo teve por objetivo analisar enunciados sobre essas atribuições no que se refere a uma doença negligenciada no Brasil: a leptospirose humana. O método adotado é qualitativo, faz uso de entrevistas semipadronizadas e análise discursiva com mapas dialógicos. Participaram do estudo nove interlocutores, indicados por gestores e profissionais da área de saúde por sua competência para falar das práticas e experiências relacionadas ao controle da enfermidade. Os resultados mostraram a emergência de cinco tipos de atribuição que ocorriam simultaneamente nos enunciados, o que indica uma variabilidade atributiva. Embora haja variabilidade, é possível identificar também indícios de padrões discursivos relacionados às posições ocupadas pelos interlocutores na rede de saúde. Uma reflexão crítica sobre os efeitos potenciais desses padrões é realizada. Estudos complementares sobre a relação entre atribuições e ações para reduzir casos da doença são sugeridos.


Resumen Las personas se posicionan discursivamente en la atribución de causas y responsabilidad para un problema de salud pública. Este estudio tuvo como objetivo analizar las declaraciones de estas atribuciones con respecto a una enfermedad descuidada en Brasil: la leptospirosis humana. Se adoptó el método cualitativo, con entrevistas semiestandarizadas, y se hizo el análisis discursivo con mapas dialógicos. Participaron en el estudio nueve interlocutores designados por gerentes y profesionales de la salud por su competencia para hablar sobre las prácticas y experiencias relacionadas con el control de esta enfermedad. Los resultados mostraron cinco tipos de atribución que ocurrieron simultáneamente en las declaraciones, lo que indica una variabilidad de atribución. Aunque existe la variabilidad, también es posible identificar signos de patrones discursivos relacionados con las posiciones ocupadas por los interlocutores en la red de salud. Se reflexiona críticamente sobre el potencial de los efectos de estos patrones. Se sugieren estudios complementarios sobre la relación entre las atribuciones y las acciones para reducir los casos de la enfermedad.


Subject(s)
Signs and Symptoms , Social Responsibility , Societies , Catchment Area, Health , Public Health , Causality , Mental Competency , Delivery of Health Care , Emergencies , Essential Public Health Functions , Neglected Diseases , Leptospirosis
10.
Rev. CEFAC ; 22(1): e10119, 2020. tab
Article in English | LILACS-Express | LILACS | ID: biblio-1091911

ABSTRACT

ABSTRACT Objective: to characterize the care provided at a Speech Therapy School Clinic affiliated with the Brazilian public healthcare system, in 2016. Methods: a cross-sectional study was conducted with data from screening, discharge, discontinuation and medical records. Sociodemographic and clinical variables were assessed, by measuring waiting time and specialty. The reasons for treatment discontinuation were also investigated. The data were presented in tables and expressed as absolute and relative frequencies. Results: one hundred-seven individuals were screened, among whom 53.3% were children, 58.9% were males, 41.1% had language complaints and 35.5% had complaints regarding orofacial motor function. The mean waiting time to begin treatment was 6.6 months. Among all individuals screened, 80.3% began treatment. The treatment, more frequently, addressed orofacial motor function (39.1%) and language (37.9%). Discharge from treatment occurred in 28.6% of cases. Among the 37 individuals whose treatment was discontinued prior to completion, the main reason was abandonment/absences on the part of the patient (71.4%). Conclusion: the speech therapy care profile revealed a greater frequency of children, males and needs regarding language and orofacial motor function. The mean waiting time was 6.6 months and 20% of the individuals screened did not initiate treatment. A high frequency of discontinuation prior to completing treatment was found, due, mainly, to failure on the part of the patients to attend the sessions.


RESUMO Objetivo: caracterizar o perfil dos atendimentos realizados numa Clinica Escola de Fonoaudiologia conveniada à rede Sistema Único de Saúde (SUS), no ano de 2016. Métodos: estudo transversal cujas fontes de dados foram as fichas de triagem, altas e desligamentos, e os prontuários. Foram estudadas as variáveis sociodemográficas e clínicas, mensurando o tempo de espera e especialidade para atendimento e, nos casos de desligamento, o motivo. Resultados: foram acolhidas 107 pessoas na triagem, das quais 53,3% eram crianças, 58,9% do sexo masculino, 41,1% com queixas de Linguagem e 35.5% de Motricidade Orofacial. A média de tempo de espera para iniciar o tratamento foi de 6,6 meses. Do total de pessoas triadas, 80,3% começaram o tratamento, com maior ocorrência nas áreas de Motricidade Orofacial (39.1%) e Linguagem (37,9 %). A alta fonoaudiológica foi obtida em 28,6% dos casos. Dentre as 37 pessoas que foram desligadas do tratamento, o principal motivo foi abandono ou falta (71,4%). Conclusão: evidenciou-se maior frequência de crianças, do sexo masculino, com maiores demandas para as áreas de Linguagem e Motricidade Orofacial. O tempo médio de espera para início do tratamento foi de 6,6 meses, sendo que 20% das pessoas triadas não o iniciaram. Destaca-se a alta frequência de desligamentos por falta.

11.
Psicol. esc. educ ; 24: e211527, 2020.
Article in Portuguese | LILACS | ID: biblio-1091850

ABSTRACT

Este é um relato de prática profissional do psicólogo escolar e educacional na área da saúde. Trata-se de um campo de atuação pouco divulgado ou reconhecido e este artigo visa colaborar para dar visibilidade a ele. O trabalho aqui apresentado é desenvolvido na Escola Municipal de Saúde Pública de Goiânia, no estado de Goiás, e se fundamenta na Educação Permanente em Saúde. O psicólogo escolar é o profissional que oferece contribuições dessa ciência para os processos de ensino aprendizagem e da educação como um todo. A Psicologia na saúde pública tem várias frentes de atuação e a educação na saúde é uma delas. O psicólogo escolar e educacional pode atuar nos processos educativos para profissionais de saúde, buscando como fim último aprimorar a qualidade do serviço prestado por eles. Além disso, pode colaborar com as instituições de ensino formais na formação de futuros profissionais. Enfim, o psicólogo escolar na saúde tem muito a contribuir na melhoria do atendimento à população e na busca por uma saúde de qualidade que atenda às necessidades reais do usuário.


Este es un relato de práctica profesional del psicólogo escolar y educacional en el área de la salud. Se trata de un campo de actuación poco divulgado o reconocido y este artículo tiene por objetivo colaborar para dar visibilidad a ellos. El estudio aquí presentado fue desarrollado en la Escuela Municipal de Salud Pública de Goiânia, en el estado de Goiás, y se fundamenta en la Educación Permanente en Salud. El psicólogo escolar es el profesional que ofrece contribuciones de esta ciencia para los procesos de enseñanza aprendizaje y de la educación como un todo. La Psicología en la salud pública tiene varias frentes de actuación y la educación en la salud es una de ellas. El psicólogo escolar y educacional puede actuar en los procesos educativos para profesionales de salud, buscando como fin último perfeccionar la calidad del servicio prestado por ellos. Además de eso, puede colaborar con las instituciones de enseñanza formales en la formación de futuros profesionales. En suma, el psicólogo escolar en la salud tiene mucho a contribuir en la mejora de la atención a la populación y en la búsqueda por una salud de calidad que cumpla a las necesidades reales del usuario.


This is a report of the professional practice of the school and educational psychologist in the health area. It is a field of activity little known or recognized and this article aims to collaborate to give visibility to it. The work presented here is developed at the Goiânia Municipal School of Public Health, in the state of Goiás, and is based on Permanent Health Education. The school psychologist is the professional who offers contributions of this science to the processes of teaching, learning and education as well as one all. Public health Psychology has several fronts and health education is one of them. The school and educational psychologist can act in the educational processes for health professionals, seeking ultimately to improve the quality of service provided by them. In addition, it can collaborate with formal education institutions in training future professionals. Finally, the school psychologist inside the health system has much to contribute to the improvement of care to the population and the search for quality health that meets the real needs of the user.


Subject(s)
Psychology , Education, Continuing , Public Health Services
12.
Article in Chinese | WPRIM | ID: wpr-837474

ABSTRACT

Objective To explore the current status of the application of health portals in the field of public health, and analyze the factors affecting users' adoption of health portals, so as to provide a theoretical basis for promoting the use of health portals and promoting health management. Methods Referring to domestic and foreign literature, integrating the technology acceptance model and the dual motivation factor theory, a comprehensive analysis framework was built, and the influencing factors of whether various groups of people adopt health portals were analyzed from multiple dimensions. Results The current status of health portal applications around special groups and specific purposes was analyzed. A comprehensive analysis dimension was constructed with perceived usefulness and perceived ease of use as the basic framework, service quality, social norms and users themselves as specific indicators, and positive and negative impacts as specific directions. Conclusion From the perspective of service, society and individuals, analyzing the positive and negative factors that affect users’ adoption of health portals, it is necessary to strengthen the use of health portals by special groups such as the elderly, to further improve disease prevention and control, deepen public health services, and promote the development of healthy China.

13.
Salud Publica Mex ; 62(6): 851-858, 2020. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1395121

ABSTRACT

Resumen: Objetivo: Estudiar los cambios en la utilización de servicios de salud públicos y privados en México entre 2012 y 2018. Material y métodos: Usamos la Encuesta Nacional de Salud y Nutrición de los años 2012 y 2018 (Ensanut 2012 y Ensanut 2018-19), y datos agregados de la oferta de servicios de salud. Resultados: Los consultorios adyacentes a farmacias (CAF) crecieron aceleradamente y esto se relacionó con un menor uso de servicios públicos, aun en la población con seguridad social. Individuos que viven en municipios con alta densidad de CAF tienen menor probabilidad de usar servicios públicos. El aumento en la afiliación al Seguro Popular (SP) no se acompañó de un incremento de la oferta de servicios públicos y no se relaciona con mayor utilización de servicios públicos. Conclusiones: Derechohabiencia y afiliación no garantizan el acceso a la atención médica en servicios públicos. Dada la creciente importancia de los CAF, es urgente diseñar y evaluar estrategias para regular su desempeño.


Abstract: Objective. To study changes in health care utilization in the public and private sector in Mexico in 2012 and 2018. Material and methods: We used the 2012 and 2018-19 National Health and Nutrition Surveys and aggregated data on the supply of health services. Results. There was an accelerated increase in medical offices in pharmacies (MOP) that was related to a lower use of public health services, even among the population with social security. We found that individuals living in municipalities with a high density of MOP had a lower probability of using public services. The increase in the affiliation to the Seguro Popular (SP) was not followed by an increase in public health services and was not associated with a higher utilization of public health services. Conclusions. Affiliation or health insurance does not guarantee access to public services. Given the high increase in MOP, it is urgent to design and evaluate strategies to regulate their performance.

14.
Geriatr., Gerontol. Aging (Impr.) ; 13(3): 133-140, jul-set.2019. tab
Article in English | LILACS | ID: biblio-1097039

ABSTRACT

OBJECTIVE: This study aimed to investigate self-esteem among older adults treated at Basic Health Units (BHU) and associated factors. METHODS: This cross-sectional study evaluated 654 older people treated at BHUs in the municipality of Maringá, state of Paraná, in Brazil. A sociodemographic questionnaire, the International Physical Activity Questionnaire (IPAQ), and the Rosemberg Self-esteem Scale were used as instruments. The data analysis was performed using the Kolmogorov-Smirnov test, the Spearman's rank correlation, the Chi-squared test and the Binary Logistic Regression. RESULTS: The results showed a significant association between self-esteem (p < 0.05) and self-perceived health, which is related to going to BHUs, history of falls and near-falls, and the level of physical activity. The logistic regression showed that the older patients with no history of near-falls are more likely to have good self-esteem as well as very active older adults. Having high self-esteem was significantly correlated with the variables related to the practice of low-intensity and moderate physical activities. CONCLUSION: It was concluded that health conditions, especially the history of near-falls and physical activity level are factors associated with a higher self-esteem. In addition, the performance of low-intensity and moderate activities is associated with good self-esteem.


OBJETIVO: O objetivo do presente estudo foi investigar o nível de autoestima entre idosos assistidos em unidades básicas de saúde (UBS) e seus fatores associados. MÉTODOS: Trata-se de um estudo transversal no qual foram avaliados 654 idosos assistidos em UBS na cidade de Maringá, no estado do Paraná, Brasil. O questionário internacional de atividade física (IPAQ) e a escala de autoestima de Rosenberg (EAR) foram utilizados como instrumentos. A análise de dados foi feita através do teste de Kolmogorov-Smirnov, da correlação de postos de Spearman, do teste qui-quadrado e da regressão logística binária. RESULTADOS: Os resultados mostraram uma associação significativa entre a autoestima (p < 0,005) e a autopercepção de saúde, a qual é relacionada ao uso de UBS, histórico de quedas ou quase quedas e nível de atividade física. A regressão logística mostrou que os idosos sem histórico de quase quedas têm maiores chances de desenvolver uma boa autoestima, assim como os idosos muito ativos. A presença de autoestima elevada se correlacionou significativamente com as variáveis referentes à prática de atividades físicas de moderada e baixa intensidade. CONCLUSÃO: Concluiu-se que condições de saúde, especialmente histórico de quase quedas e nível de atividade física, são fatores associados à autoestima mais elevada. Além disso, a realização de atividades físicas de moderada e baixa intensidade está associada à boa autoestima.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Primary Health Care , Self Concept , Accidental Falls/prevention & control , Exercise , Health of the Elderly , Cross-Sectional Studies , Health Services Research
15.
Article | IMSEAR | ID: sea-201024

ABSTRACT

Background: According to WHO, responsiveness is an important goal of the health system, in addition to the two predominant goals of improving health and fairness of financing. Responsiveness includes non-medical aspects of health care. As the progress to universal health coverage is gaining pace, the present study has attempted to study the domains of responsiveness in the government and private health services and health care providers.Methods: A community based cross-sectional study for a period of 3 months in the households of the urban field practising area. Sampling technique was simple random sampling. Assuming the prevalence of 50% and allowable error of 5%, 400 households were surveyed. KISH table method was used at household level. Study tool was World Health Survey responsiveness module questionnaire for the eight responsiveness domains-prompt attention, dignity, communication, autonomy, confidentiality, choice, quality of basic facilities and social support (for inpatients).Results: The mean age (yrs) of the study subjects is 46.078±13.998. 68.25% (273) were males.31.75% (127) were females. 46.25% (185) were using government services and 53.75% (215) were using private services. The mean waiting time (min) in the public health facilities was 135.2±111.2 which was more than private facilities, 62.4±40.8.Conclusions: All the responsiveness domains (except confidentiality) were found to be positively associated (p<0.05) with the government health services. Proportion of people rating the responsiveness domains from most important to the least important showed prompt attention (52%) and dignity (30%) as the most important domains.

16.
Article in Chinese | WPRIM | ID: wpr-800874

ABSTRACT

Objective@#To understand the current equalization in essential public health services in China, and to provide recommendations for health resource allocation and public health policy making.@*Methods@#WHO′s comprehensive evaluation model, and the Rank Sum Ratio (RSR) method were used to analyze, rank and categorize essential public health services.@*Results@#Thirty-one provinces (cities, autonomous regions) in China were grouped into five categories, namely, relatively balanced area, low input area, resource shortage area, over utilization area and resource waste area.@*Conclusions@#The equalization of essential public health services in China is gradually being realized, but there are still setbacks such as mismatch between health needs and resource input, waste and over-utilization of resources. To correct these problems, relevant recommendations on health policy making for different areas were given.

17.
Article in Chinese | WPRIM | ID: wpr-746340

ABSTRACT

Objective To explore the financial compensation strategy on the basis of understanding the current situation of compensation for public health services at public hospitals in Zhejiang province.Methods From July to October,2017,an interview survey was conducted at 23 public hospitals in 7 cities in Zhejiang province to understand the current situation of financial compensation for public health services at public hospitals.At the same time,the data of income and expenditure in 2016 of every hospital were collected and analyzed by the methods of descriptive statistics.Results The average proportion of financial subsidies at the 23 public hospitals in 2016 was 6.29%,of which public health special subsidy accounted for 0.44% of total hospital revenues.Only 9 of the 23 hospitals had surplus in 2016,accounting for 39.13%.Conclusions The public health services compensation mechanism of public hospitals in Zhejiang province calls for further reforms.The government departments should comprehensively formulate financial compensation policies at the provincial level according to the public health assignments and call into play a variety of compensation methods,to establish a long-term assessment mechanism and ensure that public hospitals can proactively carry out public health services.

18.
Estud. Interdiscip. Psicol ; 9(3): 80-101, set.-dez. 2018.
Article in Portuguese | LILACS | ID: biblio-975275

ABSTRACT

O estudo objetiva conhecer os dispositivos de trabalho que favorecem a funcionalidade da Rede de Atenção Psicossocial, através da perspectiva de trabalhadores de Porto Alegre, e investigar como acontece a articulação entre os diferentes pontos da rede. Trata-se de pesquisa qualitativa, com delineamento exploratório-descritivo. Foram entrevistados treze profissionais da saúde dos diferentes níveis de atenção e as entrevistas foram submetidas à Análise de Conteúdo. Os resultados foram divididos em dois eixos temáticos: (1) dispositivos que auxiliam na formação e funcionalidade da rede e (2) conexão entre os pontos da rede: afastamentos e dificuldades na articulação. A partir do exposto, considera-se que as equipes aderem ao movimento de mudança da lógica de assistência e esforçam-se em estreitar a comunicação entre si, embora existam práticas ainda incipientes. Evidencia-se o fato de que há pouco contato entre os hospitais e demais serviços, sendo este um trabalho a ser desenvolvido nas equipes.


The goals of this study are to know the work devices which favor the Psychosocial Assistance Network from the workers’ perspective in Porto Alegre, and to investigate how the articulation among different points of the network happens. It is a qualitative research, with an exploratory-descriptive design. We interviewed thirteen health care professionals from several levels of care, and the interviews were analyzed with Content Analysis. We split the results into two thematic axes: (1) devices which help creating and featuring the network, and (2) connection among the network points: estrangement and difficulties in the articulation. From these, we consider that professionals adhere to the movement of changing the assistance logic, and try to narrow communication among themselves, even though some practices are still at the beginning. We highlight the fact that there is little contact between hospitals and other health care services, being this one of the points to be developed in the teams.


El objetivo del estudio fue evaluar los dispositivos de trabajo que favorecen la funcionalidad de la Red de Atención Psicosocial (RAPS) desde la perspectiva de los trabajadores de Porto Alegre; y investigar como lo hace la articulación entre los puntos de la red. Es una investigación cualitativa con un diseño exploratorio descriptivo. Trece trabajadores de los diferentes niveles de atención fueron entrevistados y las entrevistas fueron sometidas a análisis de contenido. Los resultados se dividieron en: (1) dispositivos que ayudan en la formación y funcionalidad de la red y (2) conexión entre los puntos: dificultades en la articulación. Se considera que los equipos están cambiando la lógica de servicio y se esfuerzan para la comunicación más cerca entre sí, aunque todavía hay prácticas incipientes. Es evidente el hecho de que hay muy poco contacto entre los hospitales y otros servicios, que es un trabajo a realizar en equipos.


Subject(s)
Humans , Male , Female , Adult , Mental Health Services , Psychosocial Support Systems , Health Policy
19.
Estud. psicol. (Natal) ; 23(2): 99-110, abr.-jun. 2018. ilus
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1001994

ABSTRACT

Esse estudo se propõe a descrever as percepções que os psicólogos têm acerca das atividades de trabalho que desenvolvem nas Unidades de Saúde da Família (USF) e os efeitos do trabalho percebidos por esses profissionais em sua saúde. Para tanto, utiliza-se a análise da atividade de trabalho do psicólogo em serviços de APS, inspirando-se nas abordagens da Ergonomia francesa e da Clínica da Atividade. Foram realizados cinco encontros com seis psicólogas de USF e empregada a técnica de instrução ao sósia com três participantes desse grupo. Os encontros e as instruções ao sósia foram gravados, e os conteúdos foram analisados por meio da análise do discurso. Discute-se a fragilidade do coletivo e do Gênero Profissional de psicólogos atuantes em USF, acarretando na atuação solitária e consequente dificuldade para lidar com as demandas e os desafios do cotidiano de trabalho, bem como o impacto na saúde desses trabalhadores.


This study aims to describe the perceptions that psychologists have about the work activities they develop in Family Health Units (FHU) and the effects from work perceived by these professionals on their health. In order to do so, we analyzed the work activity of the psychologist in PHC services, drawing on the approaches of the French Ergonomics and Clinic of the Activity. We held five meetings with six FHU psychologists and applied the instruction to the double technique with three participants of this group. We recorded the meetings and instructions to the double and analyzed the data with discourse analysis. We discuss the fragility of the collective and of the Professional Gender of psychologists working in FHU, resulting in solitary action and consequent difficulty in dealing with the demands and challenges of daily work, as well as the impact it has on these worker's health.


Este estudio se propone describir las percepciones que los psicólogos tienen acerca de las actividades de trabajo que desarrollan en las Unidades de Salud de la Familia (USF) y los efectos del trabajo percibidos por esos profesionales en su salud. Para ello, se utiliza el análisis de la actividad de trabajo del psicólogo en servicios de APS, inspirándose en los enfoques de la Ergonomía francesa y de la Clínica de la Actividad. Se realizaron cinco encuentros con seis psicólogas de USF y empleada la técnica de instrucción al sósia con tres participantes de ese grupo. Los encuentros y las instrucciones al sósia fueron grabados, y los contenidos fueron analizados por medio del análisis del discurso. Se discute la fragilidad del colectivo y del Género Profesional de psicólogos actuantes en USF, acarreando en la actuación solitaria y consecuente dificultad para lidiar con las demandas y los desafíos del cotidiano de trabajo, así como el impacto en la salud de esos trabajadores.


Subject(s)
Humans , Female , Professional Practice , Psychology , Family Health , Occupational Health , National Health Strategies , Brazil , Public Health , Qualitative Research
20.
Article in English | LILACS, INDEXPSI | ID: biblio-976303

ABSTRACT

Abstract This study's objective was to simultaneousy assess the factors associated with the satisfaction of 84 patients and 84 family members with treatment and the satisfaction of 67 professionals with the work performed in a mental health service. This is a quantitative cross-sectional study with a correlational design and multivariate data analysis. The participants responded to satisfaction scales and sociodemographic questionnaires. The results indicate that the following variables predicted the level of satisfaction: age at onset of psychiatric disorder; being supported by the professionals; receiving information about treatment; level of education; and years of work in mental health services. The results reveal that establishing a partnership with the families of patients is important to ensuringtheir satisfaction and treatment adherence, while the way the public health system manages the professionals' careers has contributed to their dissatisfaction, requiring urgent reformulation.


Resumo Este estudo teve por objetivo avaliar, simultaneamente, os fatores associados à satisfação de 84 pacientes e de 84 familiares com o tratamento recebido e a satisfação de 67 profissionais com o trabalho realizado em um serviço de saúde mental. Trata-se de uma pesquisa quantitativa, de corte transversal, com delineamento correlacional e análise de dados multivariada. Os participantes responderam questões das Escalas de Satisfação e questionários sociodemográficos. Os resultados apontaram que as variáveis idade de início do transtorno psiquiátrico, receber o apoio dos profissionais, receber informações sobre o tratamento, nível de escolaridade e tempo de trabalho em saúde mental foram preditoras do grau de satisfação. A parceria com as famílias dos pacientes é importante para garantir sua satisfação e adesão ao tratamento. A forma como o sistema público de saúde gerencia a carreira dos profissionais tem contribuído para a sua insatisfação, necessitando de reformulações urgentes.


Resumen Este estudio evaluó tanto los factores asociados con la satisfacción de 84 pacientes y 84 miembros de la familia con el tratamiento recibido y la satisfacción de 67 profesionales para trabajar en un servicio de salud mental. Se trata de una investigación cuantitativa, de corte transversal, con delineamiento correlacional y análisis de datos multivariada. Los participantes respondieron a las preguntas de las escalas de satisfacción y cuestionarios demográficos. Los resultados mostraron que las variables: edad de inicio del trastorno psiquiátrico, reciben el apoyo de profesionales, reciben información sobre el tratamiento, el nivel de educación y tiempo de trabajo en la salud mental eran predictores de la satisfacción. Los resultados mostraron que la asociación con las familias de los pacientes es importante para asegurar su satisfacción y adherencia al tratamiento y la forma en que el sistema de salud pública gestiona la carrera profesional ha contribuido a su insatisfacción que requiere reformulaciones urgentes.


Subject(s)
Personal Satisfaction , Social Welfare , Mental Health Services
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