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1.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde, LIS-fiocruz-SI | ID: lis-LISBR1.1-46798

RESUMO

Politica de Atenção Básica do Rio Grande do Sul.


Assuntos
Atenção Primária à Saúde , População Indígena
2.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde, LIS-fiocruz-SI | ID: lis-LISBR1.1-46799

RESUMO

Legislação da Atenção Básica do Rio Grande do Sul. Estabelece incentivo financeiro aos municípios para qualificação da Atenção Básica prestada aos povos indígenas no Estado do Rio Grande do Sul, com vista a corresponsabilização dos três entes federativos.


Assuntos
Legislação , População Indígena , Atenção Primária à Saúde
4.
BMJ ; 366: l5311, 2019 09 05.
Artigo em Inglês | MEDLINE | ID: mdl-31488421
5.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46750

RESUMO

A Organização Pan-Americana da Saúde (OPAS) publicou recentemente a versão atualizada da Lista de Dispositivos Médicos Prioritários para o primeiro nível de atenção que pode ajudar os países da Região das Américas a priorizar ferramentas críticas e a responder efetivamente aos principais problemas de saúde enfrentados por sua população.


Assuntos
Equipamentos e Provisões , Atenção Primária à Saúde
6.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46721

RESUMO

Semana Mundial de Aleitamento Materno, celebrada entre 1 e 7 de agosto, a Organização Pan-Americana da Saúde/Organização Mundial da Saúde (OPAS/OMS), o Ministério da Saúde do Brasil e a Sociedade Brasileira de Pediatria (SBP) se uniram em Brasília (DF) para reforçar a importância da amamentação não só para as crianças e para suas mães, mas para a sociedade como um todo.


Assuntos
Leite Humano , Saúde Materno-Infantil , Atenção Primária à Saúde , Nações Unidas , Organização Mundial da Saúde
8.
Sr Care Pharm ; 34(7): 464-472, 2019 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-31383058

RESUMO

OBJECTIVE: The primary objective was to evaluate prescribing of potentially inappropriate medications (PIMs) as defined by the Beers criteria in outpatient clinics with and without mandatory pharmacy medication reviews. DESIGN: Retrospective electronic medical chart review at a single academic Veterans Affairs (VA) medical center. SETTING: Home-based primary care (HBPC) and geriatric primary care. PATIENTS: Patients were included if they were 65 years of age or older at the time of enrollment and newly enrolled with an initial visit to HBPC or geriatric primary care between January 2015 and September 2015. Charts were included if patients received at least one follow-up visit with their primary care provider within 13 months of the initial visit. An additional inclusion criterion for HBPC patients was the documentation of at least one follow-up medication review by a clinical pharmacist within 13 months of the initial mandatory chart review. A total of 30 patients were included in both groups. INTERVENTIONS: Mandatory pharmacy medication reviews compared with usual care (no formal pharmacy review). MAIN OUTCOME MEASURE: Mean change in PIMs prescribed in both groups. RESULTS: The mean number of PIMs at initial and final visits was 0.4 unit per patient in HBPC. In geriatric primary care, the mean number of PIMs at the initial visit was 0.4 unit per patient, which increased at the final visit to 0.6 unit per patient. CONCLUSION: No change in PIMs was observed in the HBPC group, while an increase was observed in geriatric primary care.


Assuntos
Assistência Farmacêutica , Atenção Primária à Saúde , Veteranos , Idoso , Humanos , Lista de Medicamentos Potencialmente Inapropriados , Estudos Retrospectivos
9.
J Dent Educ ; 83(8): 865-877, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31371427

RESUMO

With increasing recognition of the important relationship between oral and systemic health, non-dental health professions schools and programs are now teaching their students about oral health in various ways. This study built on surveys of medical schools, primary care residency and fellowship programs, and other health professions programs conducted by the authors in 2017, which found some had made significant progress in integrating oral health into primary care training, while others lagged behind. The aim of the current study was to better understand the characteristics and climate of oral health education in non-dental health professions schools by conducting interviews with leaders of programs who had self-identified in the surveys as having a robust oral health curriculum. Hour-long interviews were conducted between October 2017 and March 2018 with 31 program directors or deans of medical specialty and allied health professions programs using a semi-structured interview guide. These interviewees were from 13 health disciplines. The coding of interview transcripts identified seven major themes: motivations to develop an oral health curriculum; rationale for curriculum topics covered; best aspects of the curriculum; evaluation and assessment strategies; relationships with dental providers and residents and dental hygienists; barriers and challenges; and advice and lessons learned. The interviewees reported a strong belief that oral health is an important health topic. Key elements that interviewees identified as helping them build robust oral health programs in their primary care curricula were the following: having an oral health champion; having some funding; building relationships with dental professionals; using local, state, and national resources; using curricular materials from existing sources; incorporating skills-based sessions; taking an IPE approach; and making oral health part of what the program already does. These findings should be useful for primary care schools and programs that are beginning to add oral health to their curricula and those seeking to improve their existing oral health education for their students.


Assuntos
Saúde Bucal/educação , Atenção Primária à Saúde , Avaliação de Programas e Projetos de Saúde , Faculdades de Odontologia/normas , Faculdades de Medicina/normas , Adulto , Currículo/normas , Higienistas Dentários/educação , Educação em Odontologia , Ocupações em Saúde , Humanos , Internato e Residência , Pessoa de Meia-Idade , Desenvolvimento de Programas , Pesquisa Qualitativa , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
10.
Stud Health Technol Inform ; 264: 1829-1830, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438364

RESUMO

The availability of statistical information is usually associated with 'better decision making', fundamentally within the paradigm of evidence-based decisions. Thus, it is interesting to understand the demands and expectations, interpretations and effective use of statistical information by decision-makers at the primary health care level, considering the implications of the recently implemented Information System in Public Health (Buenos Aires, Argentina).


Assuntos
Tomada de Decisões , Atenção Primária à Saúde , Argentina , Cidades
12.
Braz Oral Res ; 33: e018, 2019 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-31432923

RESUMO

The aim of the present study was to evaluate the association between access to oral health care in the Primary Health Care (PHC) and Oral Health-Related Quality of Life (OHRQoL). The present study was a cross-sectional study, and the sample was composed of 412 users living in the areas covered by the public PHC services who visited a health unit for an oral exam or treatment in the last 24 months. Participants in the study responded to a home-based interview with questions that addressed socioeconomic status, behavioral, general health, dental prostheses, access to dental services in the PHC and their OHRQoL as measured by the Oral Health Impact Profile (OHIP-14) instrument. After the interview, a dental examination was performed to count the number of teeth. Chi-square tests, Student's t tests and multivariate analyses were performed using a hierarchical model and a Poisson regression with robust variance to evaluate the association between independent variables and OHRQoL. Access to oral health services in the PHC was statistically associated with OHRQoL, and the estimated prevalence rate was PR = 1.17 (CI 95% 1.00-1.37). In this study, the definition of access was based on the availability of dental consultations on demand. The study identified that lack of access to oral health services offered by the PHC was associated with a higher prevalence of impact on the quality of life of individuals.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Qualidade de Vida , Adulto , Idoso , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Distribuição por Sexo , Perfil de Impacto da Doença , Fatores Socioeconômicos , Inquéritos e Questionários
13.
Stud Health Technol Inform ; 266: 174-182, 2019 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-31397320

RESUMO

Telehealth using high quality satellite internet has been shown to improve health service delivery in three very remote Aboriginal communities, however, further expansion of telehealth in this and other areas of the Northern Territory (NT) is limited by the lack of adequate internet. Despite the growing evidence of the benefits of telehealth there remains limited uptake in the NT in the primary health care sector. A national survey through Broadband for the Bush Alliance (B4BA) and its member organisations into consumers' experiences of telecommunications and telehealth services was done. The survey was supported by detailed case studies based on semi-structured interviews. It was found there were a number of barriers to telehealth uptake at the national level: Lack of adequate internet; consumers not being aware of, or knowing how, to access telehealth; lack of access to clinicians providing telehealth services; lack of Medicare item numbers for telehealth and the lack of resourcing at the patient end. The research indicated there needs to be investment into telecommunications infrastructure, public education about telehealth, an increase in Medicare telehealth item numbers and resourcing for primary health care services to support telehealth expansion particularly in rural, regional and remote areas.


Assuntos
Serviços de Saúde Rural , Telecomunicações , Telemedicina , Austrália , Humanos , Atenção Primária à Saúde , População Rural
14.
Stud Health Technol Inform ; 264: 516-520, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31437977

RESUMO

The Primary Health Care strategy is based on organization of interdisciplinary teams and comprehensive approach to health, disease and health care processes. To strengthen information systems so that they represent primary health care complexities, participatory meetings were held with primary care practitioners from the public health care system of Buenos Aires City. Terms for the record tool and its components were chosen using consensus methodologies. This process involved 300 practitioners from 49 centers, and submission of 21 proposals. It was decided to change the term "Electronic Medical Record" with "Comprehensive Health Record." It was also agreed that, apart from "Reason for Consultation," the field "Problem Situation" would be added, that "Care Service" would be replaced with "Care Act," and that a new module "Health Team Management and Education Activities" would be included to document practitioners team activities.


Assuntos
Atenção Primária à Saúde , Saúde Pública , Cidades , Assistência à Saúde , Registros Eletrônicos de Saúde
15.
Stud Health Technol Inform ; 264: 2001-2002, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438449

RESUMO

The Electronic Health Record used in the public primary care network of Buenos Aires City has a specific module for the vaccines registration. The present study explores the factors of EHR adoption by nurses. We found 5 barriers and one facilitator for adoption. Barriers are related with organize the flow of patients especially during vaccine campaigns, adapt the work stations and integrate the records with the vaccine central program.


Assuntos
Registros Eletrônicos de Saúde , Vacinas , Cidades , Humanos , Atenção Primária à Saúde
16.
Stud Health Technol Inform ; 264: 818-823, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438038

RESUMO

Recent advancements in mediated communication technologies enable unfettered communication between patients and their providers. We explore patients' utilization of different direct and mediated communication modalities in a Direct Primary Care (DPC) clinic and the patient characteristics that predict their communication behavior patterns. Based on this knowledge, we developed 2 patient personas that explicate the nuances of patients who tend to prefer visiting the clinic in person versus those who use mediated modalities more often. We hope this study may inform future work in understanding and supporting patient-provider communication in a new technical environment. The results suggest that patients and their health team alike may be incentivized to voluntarily adopt and utilize multi-modality communication in a DPC setting.


Assuntos
Comunicação , Atenção Primária à Saúde , Humanos
17.
Stud Health Technol Inform ; 265: 42-47, 2019 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-31431575

RESUMO

The responsibilities for delivery of care in Sweden is divided between the regions and the municipalities. The regions run the hospitals and the primary care centres (PCCs) whereas the municipalities are responsible for homecare nursing and nursing homes. The homecare nurses and the doctors they need to seek advice from, thus belong to different organizations/contexts. As more patients with multi- and long-term illnesses are taken care of in their homes the workload of the homecare nurses has increased. A new healthcare agreement has thus been signed between a region in South Sweden and its municipalities. The healthcare agreement states that doctors from the PCCs are to form mobile teams together with the homecare nurses. This paper reports from a pre-study investigating how the agreement, in terms of translation sociology, is interpreted in four of the municipalities. The aim of the research project as a whole is to develop digital support systems for the mobile teams.


Assuntos
Serviços de Assistência Domiciliar , Casas de Saúde , Assistência à Saúde , Humanos , Atenção Primária à Saúde , Suécia
18.
Rev Saude Publica ; 53: 54, 2019 Aug 15.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31432911

RESUMO

Guidelines emphasize the importance of approaching substance use by adolescents, particularly in primary health care. However, there are problems with its incorporation. The objective of this study was to present the training stages on the theme for professionals in primary health care. Researchers conducted logistic structuring, content elaboration and evaluation of difficulties before and after training. Sixty percent of professionals involved in the care of adolescents in a medium-sized city participated in the study. More than half of them stated having difficulties in the approach, mainly theoretical limitations and short consultations. After the training, the professionals informed whether they felt more prepared, but practical difficulties remained.


Assuntos
Educação Continuada , Atenção Primária à Saúde/organização & administração , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adolescente , Serviços de Saúde do Adolescente , Adulto , Brasil , Usuários de Drogas , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Prevenção Primária/métodos
19.
Rev Fac Cien Med Univ Nac Cordoba ; 76(3): 135-141, 2019 08 29.
Artigo em Espanhol | MEDLINE | ID: mdl-31465179

RESUMO

Introduction: The relationship of the metabolic syndrome (MS) and its components with the reduced glomerular filtration rate and proteinuria is not yet widely elucidated. The aim of the study was to associate the estimated glomerular filtration rate (eGFR) and proteinuria to MS and its individual components in adults with cardiometabolic risk factors, who attended a public health center in the municipality of San Diego, Carabobo State, Venezuela. Methods: Descriptive and cross-sectional study (n=176 individuals). Weight, height, waist circumference, body fat percentage and blood pressure were measured; serum glucose, creatinine, urea, ureic nitrogen, total cholesterol, low (LDLc) and high (HDLc) density lipoprotein cholesterol, triglycerides and glycosylated hemoglobin A1C in whole blood were determined; the presence of proteinuria was determined in partial urine. The eGFR was estimated by equations and the body mass index (BMI) was calculated. Results: The frequency of MS was significantly higher among patients with CKD (eGFR < 60 mL/min/m2), mildly reduced eGFR (60-89 mL/min/m2), hyperfiltration or proteinuria. The risks of mildly reduced eGFR and protenuria were significantly associated with elevated fasting blood glucose, low HDLc and MS, with and without adjustment for sex, age and BMI. When adjusted for the diabetic condition, only the risk of proteinuria remained associated with MS and elevated blood pressure. The risk of hyperfiltration was not associated with MS. Conclusion: The reduction in estimated glomerular function and proteinuria were associated with MS and its individual components. Other studies that confirm the results are required.


Assuntos
Doenças Cardiovasculares/etiologia , Taxa de Filtração Glomerular , Síndrome Metabólica/complicações , Índice de Massa Corporal , Doenças Cardiovasculares/sangue , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Estudos Transversais , Feminino , Humanos , Masculino , Síndrome Metabólica/sangue , Pessoa de Meia-Idade , Atenção Primária à Saúde , Fatores de Risco , Triglicerídeos/sangue , Venezuela , Circunferência da Cintura
20.
Med Clin North Am ; 103(5): 775-784, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31378324

RESUMO

A 12-lead electrocardiogram (ECG) is the most commonly ordered cardiac test. Although data are not robust, guidelines recommend against performing an ECG in patients who are asymptomatic, even if they have a higher risk of developing cardiovascular disease in the long term. Conversely, patients with cardiac symptoms, including chest pain, dyspnea, palpitation, and syncope, should have an ECG performed in the office. Computerized algorithms exist ubiquitously to guide interpretation, but they can be the source of erroneous information. A stepwise approach is given to guide the primary care physician's approach to the systematic interpretation of ECG tracings.


Assuntos
Dor no Peito/etiologia , Eletrocardiografia/estatística & dados numéricos , Cardiopatias/diagnóstico , Atenção Primária à Saúde/métodos , Algoritmos , Atletas , Diagnóstico por Computador/normas , Humanos
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