Práticas avaliativas na gestão da Atenção Básica à Saúde: estudo de caso em Camaquã e Canguçu (RS)

Pinto, Juliana Maciel; Gerhardt, Tatiana Engel

doi:10.1590/s0034-76122013000200002

Cited by 9 publications

(14 citation statements)

References 3 publications

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“…This difficulty was not only related to geographical issues, but also the difficulty in getting the consultation, accessibility to specialized services and cultural access as related to their reason for seeking care. In addition, the provision of services and their geographical distribution, availability and quality of human and technological resources, financing mechanisms, the care model and the information about the system are characteristics of the offer that can affect access to health services (17) . Access to basic health services is especially reduced in rural communities, resulting in increased use of specialized services, hospital and emergency situations due to the shortage of access to other forms of health care (18)(19) .…”

Section: Discussionmentioning

confidence: 99%

Primary Health Care from the perception of women living in a rural area

Pitilin

Lentsck

2015

Rev. esc. enferm. USP

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Objective: Understanding the perception of women living in a rural area about the actions and services of Primary Health Care (PHC) in a municipality of southern Brazil, which is the only one regarded as predominantly rural. Method: A descriptive study of qualitative approach, carried out with women who lived in the countryside and required health services in the 15 days prior to collection. Results: The results registered low fidelity to PHC attributes, focusing its functional axis on sickness, transforming the unit into small points of emergency care and a bureaucratic place where patients are referred to other types of services. The quality of service offered is compromised to offering quick, fragmented and unequal treatment in the rural context. Conclusion: The findings of this study highlight the need for greater efforts in order to adequate the new care model in the development of appropriate actions as designated by PHC in the rural context studied.

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Section: Discussionmentioning

confidence: 99%

Primary Health Care from the perception of women living in a rural area

Pitilin

Lentsck

2015

Rev. esc. enferm. USP

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“…Several aspects of management mentioned in the texts as challenges or difficulties, visible in group 1 of Figure 2, are related to the characteristics of the PHC model itself, highlighting aspects of this new model that constitutes a challenge for management. Among them were the difficulties of effectiveness of the comprehensive care, including the deficits in the functioning of the care network (18)(19)26,31,(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46) and the challenges of deploying and working intersectorality (18)(19)23,25,28,31,(47)(48)(49)(50)(51)(52)(53) . It was identified difficulties related to the effectiveness of the Healthcare Councils in relation to the articulation with the population for sharing and approval management instruments of the Unified Health System, in the Brazilian case (19,54) .…”

Section: -Inadequate Work Instruments and Work Environmentmentioning

confidence: 99%

“…Group 2 describes aspects related to the workforce of the manager including: the deficits in the training for management (18,20,27,36,40,42,47,(64)(65)(66)(67)(68)(69) , discrepancy between speech and practice (70) political influence (17,19,36,38,40,44,61,63,(66)(67) ; little autonomy (17,25,29,36,40,50,56,59,63,66,68) ; Overload (22,36,55,66) ; duplicity of activities -management and care, especially in the case of nurses; insecurity in employment (17,22,26,40,45,48,57) and difficulties related to power relations.…”

Section: -Inadequate Work Instruments and Work Environmentmentioning

confidence: 99%

Gestão na atenção primária: implicações nas cargas de trabalho de gestores

Pires

Vandresen

Forte

et al. 2019

Rev. Gaúcha Enferm.

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Resumo OBJETIVO Identificar quais aspectos da gestão na atenção primária à saúde, evidenciados na literatura atual, podem influenciar as cargas de trabalho dos gestores. METODOLOGIA Revisão integrativa de literatura com coleta dos dados realizada em abril de 2016, em cinco bases de dados, com artigos publicados em inglês, espanhol e português, entre 2006 e 2016. RESULTADOS Os resultados dos 78 estudos encontrados foram organizados em duas macro categorias: aumento das cargas de trabalho, especialmente pelo desafio da gestão de novo modelo de atenção e de déficits nas condições de trabalho; e redução das cargas de trabalho relacionada à capacitação das equipes e gestores, à autonomia e ao apoio aos gestores. CONCLUSÃO Além de identificar fatores que aumentam e diminuem as cargas de trabalho dos gestores, este estudo ilumina uma linha de investigação promissora, dada a importância da gestão para o setor saúde e para efetivação da Atenção Primária à Saúde.

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“…Healthcare services availability/access; 20,56,58,96 deficit of resources; 25,98,100 manager training/ experience/ unpreparedness; 32,39,87 analysis of management guidelines; 18 management model; 29 human resources/relations; 30 data management; 51 managers' perception of management; 65 work process in PHC; 71 implementation of PHC; 73 quality assessment; 78 organization of work in PHC. 80 Quality management Instrument/model; 23,27,35,41,48,53,[61][62]68,83,101 evaluation; 21,33,47,[49][50] performance of services; 26 evaluation policy. 88 Role/Management Activities Coordination activity; 52,70 organization of work; 34 team management; 44 articulation of services in the healthcare network; 63 planning; 72 management model (traditional).…”

Section: Health Policymentioning

confidence: 99%

Primary Healthcare Management: What Is Discussed in the Literature

Pires

Vandresen

Machado

et al. 2019

Texto contexto - enferm.

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Objective: to identify what is discussed in studies published in Brazilian and international literature in the last ten years on Primary Health Care management. Method: an integrative review with a search carried out from 2006 to 2016, in the SciELO®, LILACS®, Scopus®, PubMed® and CINAHL® databases in the Portuguese, English and Spanish languages. The review followed the steps: formulation of the research question, definition of the inclusion and exclusion criteria, identification and selection of the studies, and summary of the subjects found in the studies. Resources from The Atlas.ti® software was used for data organization and analysis. Results: the corpus include 90 studies which predominantly originated from LILACS® and were performed in Brazil. The themes covered in the publications were: health policy and management in Primary Health Care, material resources management, human resources management, financial management, quality management, planning, characterization of managers, management role/ activities, challenges/difficulties in management, potentialities/facilities in management. There was a prevalence of studies that dealt with Primary Health Care management in the context of reflections on health policies and those dealing with the challenges/difficulties faced in Primary Health Care management. These findings demonstrate that the Primary Health Care model is complex and challenging, both for policymakers and for those managing it. Conclusion: the number of studies on Primary Health Care management is significant in the current literature and the predominance of health policy and difficulties in performing management issues reinforce the recognition of the centrality of the management for effective Primary Health Care.

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Práticas avaliativas na gestão da Atenção Básica à Saúde: estudo de caso em Camaquã e Canguçu (RS)

Cited by 9 publications

References 3 publications

Primary Health Care from the perception of women living in a rural area

Primary Health Care from the perception of women living in a rural area

Gestão na atenção primária: implicações nas cargas de trabalho de gestores

Primary Healthcare Management: What Is Discussed in the Literature

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