A produção científica brasileira sobre a Estratégia Saúde da Família e a mudança no modelo de atenção

Silva, Livia Angeli; Casotti, Cézar Augusto; Chaves, Sônia Cristina Lima

doi:10.1590/s1413-81232013000100023

Cited by 88 publications

(104 citation statements)

References 46 publications

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“…The results found in this study with respect to ESF units are satisfactory since this is considered a strategy to change the traditional way of providing assistance to stimulate the implementation of a model which favors Primary Care (APS), targeting comprehensive care for the user as an integrated subject of family, the household and the community (18) .…”

Section: Discussionmentioning

confidence: 73%

“…Studies from other regions nationwide corroborate the finding in traditional units, identifying difficulties experienced with respect to meeting the objectives of APS (11)(12)(13)(14) . The only scores that identified as suitable for APS in ESF units were found in Curitiba (14) .The results found in this study with respect to ESF units are satisfactory since this is considered a strategy to change the traditional way of providing assistance to stimulate the implementation of a model which favors Primary Care (APS), targeting comprehensive care for the user as an integrated subject of family, the household and the community (18) .These units however, did not have satisfactory performance in all attributes. It was observed that the positive evaluations are related to the unit's resolution to be the priority entry by way of the trust established by the professional teams, as well as the interaction established by the ESF with specialized services.…”

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confidence: 76%

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Children's health care assistance according to their families: a comparison between models of Primary Care

Oliveira

Veríssimo

2015

Rev. esc. enferm. USP

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Objective:To compare the health assistance models of Basic Traditional Units (UBS) with the Family Health Strategy (ESF) units for presence and extent of attributes of Primary Health Care (APS), specifically in the care of children. Method: A crosssectional study of a quantitative approach with families of children attended by the Public Health Service of Colombo, Paraná. The Primary Care Assessment Tool (PCA-Tool) was applied to parents of 482 children, 235 ESF units and 247 UBS units covering all primary care units of the municipality, between June and July 2012. The results were analyzed according to the PCA-Tool manual. Results: ESF units reached a borderline overall score for primary health care standards. However, they fared better in their attributes of Affiliation, Integration of care coordination, Comprehensiveness, Family Centeredness and Accessibility of use, while the attributes of Community Guidance/Orientation, Coordination of Information Systems, Longitudinality and Access attributes were rated as insufficient for APS. UBS units had low scores on all attributes. Conclusion: The ESF units are closer to the principles of APS (Primary Health Care), but there is need to review actions of child care aimed at the attributes of APS in both care models, corroborating similar studies from other regions of Brazil. DESCRIPTORS INTRODUCTIONAfter more than thirty years since the Alma Ata Conference, Primary Health Care (APS) has consolidated as one of the most equitable and efficient ways to organize a health system (1) by advocating equitable care with quality to the population, among other benefits. The Pan American Health Organization (PAHO) defines Primary Health Care as a "strategy for organizing health care systems in order to enable universal access to services and comprehensive and integrated care over time" (1)(2) .At the national level, the Ministry of Health adopted the Family Health Strategy (ESF) in 1994 to reorganize the Unified Health System (SUS) and expand the APS. According to the Ministry of Health in Brazil (3) , the number of family health teams deployed and funding for the expansion of the ESF have both increased, reaching/covering 52.1% of the Brazilian population.The scientific literature provides evidence of the association between greater APS orientation and increasing the effectiveness of health systems, promotion of fairness, user satisfaction and efficiency (4) . It is noteworthy that most of the studies are centered on the health systems of developed countries (4) . However, there is evidence of the positive impact of APS on the health systems of developing countries, primarily those which are located in Latin America.On the international scene, it has been observed (5-6) that increasing ESF coverage is linked to reducing infant mortality and promoting greater equity. Such evidence is present in the national results (7)(8) , studies which also indicate a higher quality of prenatal care, child care, offering use of health services, although in a low effectiveness context ...

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Section: Discussionmentioning

confidence: 73%

mentioning

confidence: 76%

Children's health care assistance according to their families: a comparison between models of Primary Care

Oliveira

Veríssimo

2015

Rev. esc. enferm. USP

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“…However, evaluative research on FHS has pointed to limitations that include hegemonic and disarticulated actions that impair the comprehensiveness of care [4]. At this context, the Family Health Support Center (FHSC) was established with the objective of supporting and expanding the actions developed in the FHS with the inclusion of professionals from other areas of knowledge [5].…”

Section: Introductionmentioning

confidence: 99%

Profile and performance of nutritionists in Primary Health Care

Pedraza

Santos

2017

Rev. Nutr.

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A B S T R A C T ObjectiveTo describe the profile and performance of nutritionists in Primary Health Care. MethodsA cross-sectional study was carried out, and all nutritionists in two municipalities of Paraíba, Brazil, were interviewed. Information was collected through structured interviews on demographic characteristics, professional qualification, development of food and nutrition activities, knowledge and use of essential bibliography for the work in Primary Care. ResultsIn one municipality there were 28 teams of the Family Health Strategy and in the other, nineteen teams. In all, nineteen nutritionists were interviewed, fourteen of whom were working in the health teams and five were working exclusively in the Family Health Support Centers. All but one were women and the majority were between 20 and 39 years; the majority (n=10) had no graduate training. Nutritionists from the basic health teams developed more public health nutrition actions, such as defining nutritional care protocols and vitamin A and iron supplementation than those from the Family Health Support Centers (11 versus 1; and 13 versus 1, respectively). About half were satisfied with work in general, and dissatisfaction was related to deficiencies in the availability and quality of anthropometric equipment, physical structure and material. ConclusionNutritionists work in food and nutrition actions in collective health, emphasizing the importance of qualification and practices that better combine the programmatic agenda of this area with Primary Care.

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“…Atribui-se a visão mais ampla destes profissionais e a familiaridade com o tema proposto, à sua inserção em Unidades de Saúde com Estratégia de Saúde da Família, visto o objetivo desta de reorientar a APS, buscando a centralidade de suas ações na integralidade da atenção e do cuidado à família e comunidades 19 . Na Estratégia de Saúde da Família (ESF) a equipe de saúde deve conhecer as famílias de seu território de abrangência, identificar os problemas de saúde e as situações de riscos existentes na comunidade, elaborar programas de atividades para enfrentar os determinantes do processo saúde/doença, desenvolver ações educativas e intersetoriais relacionadas com os problemas de saúde identificados e prestar assistência integral às famílias sob sua responsabilidade 21,22 . A inserção no serviço faz com que o profissional se aproprie da realidade do local e do modelo de assistência do mesmo, fazendo com que ele busque informações acerca dos mesmos e suas práticas diárias acabam caracterizando um aprendizado formativo.…”

Section: Discussionunclassified

Integralidade no cuidado a usuários com lesões de pele: percepção dos profissionais da atenção primária

Bandeira

Bello

Trennepohl³

et al. 2017

Cienc. Saude

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A produção científica brasileira sobre a Estratégia Saúde da Família e a mudança no modelo de atenção

Abstract: A produção científica brasileira sobre a Estratégia Saúde da Família e a mudança no modelo de atençãoBrazilian scientific production on the Family Health Strategy and the change in the model of care

Cited by 88 publications

References 46 publications

Children's health care assistance according to their families: a comparison between models of Primary Care

Children's health care assistance according to their families: a comparison between models of Primary Care

Profile and performance of nutritionists in Primary Health Care

Integralidade no cuidado a usuários com lesões de pele: percepção dos profissionais da atenção primária

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