Processos organizacionais na Estratégia Saúde da Família: uma análise pelos enfermeiros

Abstract

Objective: To analyze the organizational processes of Family Health teams after implementing the Plan Director for Primary Health Care. Methods: This cross-sectional study was conducted in the city of Unai, State of Minas Gerais, Brazil. A Likert questionnaire was used for data collection and the Kruskal-Wallis test was used for analysis, with a 5 % significance level. Results: Better results were identified for the dimensions of maternal and child health, management contract and information systems. Unsatisfactory results were found in the dimensions: principles of primary health care, diagnosis, local programming, welcoming approach, risk classification, family approach, and relationship with the community, health care networks, monitoring, family health medical charts and diagnostic support. A statistically significant difference was identified in the dimensions principles of primary healthcare, local programming, monitoring, women's and child health. Conclusion: Further investment is needed in team organization, particularly regarding organizational processes related to management. ResumoObjetivo: Analisar os processos organizativos das equipes de Saúde da Família após implantação do Plano Diretor da Atenção Primária à Saúde. Métodos: Este estudo transversal foi realizado na cidade de Unaí , no estado de Minas Gerais , Brasil. Um questionário do tipo Likert foi utilizado para coleta de dados e o teste de Kruskal-Wallis foi aplicado para análise, com um nível de significância de 5%. Resultados: Foram identificados melhores resultados para as dimensões saúde da criança, mulher, contrato de gestão e sistemas de informação. Nas dimensões princípios da Atenção Primária à Saúde, diagnóstico, programação local, acolhimento e classificação de risco, abordagem familiar, relacionamento com a comunidade, redes de atenção à saúde, monitoramento, prontuário saúde da família e apoio diagnóstico, os resultados foram insatisfatórios. Nas dimensões princípios da Atenção Primária à Saúde, programação local, monitoramento, saúde da mulher e criança houve diferença estatística. Conclusão: Há necessidade de maiores investimentos na organização das equipes, principalmente com relação aos processos organizativos ligados à gestão.

Processo de trabalho e planejamento das ações de saúde

“…Regarding the conditions of use of material resources, they qualify them as appropriate for the professional performance. However, we distinguish this result when compared to a similar study, 16 which points out weaknesses and difficulties for the performance of basic health care activities such as: scarcity of infrastructure, materials and equipment for the performance of work, especially medicines, dressing and cleaning materials, as well as absence of transportation for home visits, which makes it impossible to carry out daily activities, especially in rural areas.…”

The potential of primary health care in the consolidation of the of the anti-hiv rapid test: discourse analysis / Potencialidades da atenção primária à saúde na consolidação do teste rápido anti-HIV: análise do discurso

“…19 The anti-HIV test can be performed through blood collection by digital puncture, placed in the immune tests with reagent, and can only be performed by a trained professional. 20 Given the ease of use of the test, it is clear that it is a potentializer of political actions to confront HIV.…”

Riscos psicossociais relacionados ao trabalho do enfermeiro da Saúde da Família e estratégias de gerenciamento

“…Managers must be aware of and rethink the implementation of policies to guarantee such resources and their maintenance, given the impact of this theme on Brazilian public health. If managers know and understand the purposes and reality of the FHS in each location, there will be a transformation in the allocation of resources, consequently improving the working conditions of the entire team, since the organization of Primary Health Care develops from the political, social and cultural context of each country (19) .…”