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1.
Cad Saude Publica ; 37(8): e00061120, 2021.
Artigo em Português | MEDLINE | ID: mdl-34495089

RESUMO

The study analyzes interactions between drug treatment adherence, blood pressure targets, and depression in a probabilistic sample of hypertensive individuals treated in the Family Health Strategy in Governador Valadares, Minas Gerais State, Brazil. This is a cross-sectional study with 641 hypertensive individuals 40 years or older, residing in the urban area of Governador Valadares. Structured scripts were used to collect data in home interviews, with a focus on the following indicators: Medication Assessment Questionnaire (MAQ), Beck Depression Inventory (BDI), and blood pressure measurement. Due to the simultaneity of the target events (depression, blood pressure target, and adherence), we applied a system of recursive and simultaneous nonlinear equations. The results suggest that the odds of meeting the blood pressure target increase significantly with adherence to treatment; they also suggest that individuals that meet the blood pressure target show 2.6 higher odds of treatment adherence. Adherence has a protective effect against depression: individuals with minimal adherence show 8.4 higher odds of developing depressive symptoms when compared to those with maximum adherence. Drug treatment adherence is related simultaneously to blood pressure control and lower levels of depression. Promoting drug treatment adherence is essential for ensuring that individuals remain normotensive, with the potential for reducing levels of depression. These positive externalities can reduce pressure on the health system, with simultaneous gains in quality of life for hypertensive individuals.


Assuntos
Hipertensão , Preparações Farmacêuticas , Anti-Hipertensivos/uso terapêutico , Pressão Sanguínea , Brasil , Estudos Transversais , Depressão , Saúde da Família , Humanos , Hipertensão/tratamento farmacológico , Adesão à Medicação , Qualidade de Vida
2.
Epidemiol Health ; 43: e2021049, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34525777

RESUMO

OBJECTIVES: Diabetes is a well-known risk factor for atherosclerosis, but the association between a family history of diabetes and atherosclerosis remains unknown. In this study, we assessed the association between a family history of diabetes and increased carotid intima-media thickness (IMT), a marker of subclinical atherosclerosis, in a middle-aged Korean population. METHODS: This cross-sectional study included 3,974 community-dwelling adults (1,404 male and 2,570 female) aged 30-64 years from the Cardiovascular and Metabolic Diseases Etiology Research Center cohort. The presence of a family history of diabetes was assessed through face-to-face interviews using a standardized questionnaire. Carotid IMT was assessed using B-mode ultrasonography, and increased IMT was defined as a value in the top quartile of the IMT values of all participants. Multivariate logistic regression was used to evaluate independent associations between a family history of diabetes and increased IMT. RESULTS: A family history of diabetes was significantly associated with increased carotid IMT (odds ratio, 1.23; 95% confidence interval, 1.03 to 1.48) after adjusting for sex; age; body mass index; systolic blood pressure; total cholesterol, triglyceride, and hemoglobin A1c levels; smoking; alcohol consumption; exercise; use of antidiabetic, antihypertensive, and antilipidemic drugs; and a family history of hypertension. The positive association remained significant after excluding participants with diabetes (odds ratio, 1.21; 95% confidence interval, 1.00 to 1.47). CONCLUSIONS: A family history of diabetes was positively associated with increased carotid IMT, even in participants without diabetes. Therefore, information on a family history of diabetes may help identify individuals at high risk of atherosclerotic cardiovascular disease.


Assuntos
Aterosclerose/epidemiologia , Doenças das Artérias Carótidas/epidemiologia , Diabetes Mellitus/genética , Saúde da Família/estatística & dados numéricos , Adulto , Estudos Transversais , Diabetes Mellitus/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , República da Coreia/epidemiologia , Medição de Risco
3.
Ann Palliat Med ; 10(8): 8709-8717, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34488360

RESUMO

BACKGROUND: Family resilience refers to the ability of a family to overcome life transitions, stress, or adversity. Unfortunately, Chinese nurses currently do not have a valid short-form instrument for determining family resilience. This study aimed to translate the Revised Walsh Family Resilience Questionnaire (WFRQ-R) into Chinese and determine its reliability and validity among stroke survivors and stroke family caregivers. METHODS: We translated the WFRQ-R into Chinese according to Brislin's translation guidelines, and conducted a questionnaire survey among stroke survivors and stroke family caregivers., in Jinzhou City, People's Republic of China. We conducted two rounds of the questionnaires. First, we conducted 400 questionnaires, including 394 effective questionnaires for item analysis and exploratory factor analysis. Secondly, we conducted 350 questionnaires, including 322 effective questionnaires for reliability analysis and confirmatory factor analysis. RESULTS: The instrument was found to have a Cronbach's α value of 0.83 and acceptable composite reliability coefficients. Moreover, content validity was determined to be good, and the three-factor model obtained during exploratory factor analysis (explaining 60.67% of the variance) and modified during confirmatory factor analysis (χ2/degrees of freedom =1.41; root mean square error of approximation =0.04; goodness-of-fit index =0.91) suggested an acceptable construct validity. CONCLUSIONS: The Chinese version of the WFRQ-R for stroke survivors and stroke family caregivers satisfied psychometric properties and can be used to assess family resilience throughout China.


Assuntos
Saúde da Família , Resiliência Psicológica , China , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
4.
Rev Lat Am Enfermagem ; 29: e3457, 2021.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-34495186

RESUMO

OBJECTIVE: to evaluate family and community guidance in adolescence, within the scope of Primary Health Care. METHOD: an evaluative and descriptive study with a quantitative approach, developed through the application of the Primary Care Assessment Instrument (PCATool), with 70 professionals from the Family Health Strategy and 140 adolescents from the widerange areas. Data collection took place in Basic Health Units and in the adolescents' homes in a municipality of southern Brazil, from May to September 2019. The data were analyzed using descriptive and inferential statistics using ANOVA and Tukey's test, performed using the R Studio software. RESULTS: there was divergence in the assessment of the attributes of family and community guidance between users and responsible professionals, showing weaknesses in the communication process and in the formation of the care bond in this reality, with impacts on quality of care. CONCLUSION: there was a need for continued assessment of the care practice in primary health care, as well as for permanent education with a focus on increasing qualification of care for adolescents.


Assuntos
Saúde da Família , Atenção Primária à Saúde , Adolescente , Brasil , Cidades , Estudos Transversais , Humanos
5.
Rev Chilena Infectol ; 38(3): 324-332, 2021 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-34479287

RESUMO

BACKGROUND: Indoor air quality in health centers is essential to protect the health of people. In Chile, the Community Family Health Centers (CECOSF) are places with large attendance of people, favoring the dissemination of microorganisms, and there are no reports of the microbial air loading these health centers. AIM: To evaluate the microbiological indoor air quality in CECOSF-Centinela in Talcahuano, Biobío Region. METHODS: Air samples were taken in 6 rooms of the CECOSF, every 15 days between July 2018 and June 2019, with the MAS-100 NT equipment using trypticase and Sabouraud agars. Different morphotypes of bacteria and fungi were identified by PCR. RESULTS: The bacterial and fungal counts varied between 9.1 × 101 - 2.4 × 103 cfu/m3 and 10 - 1.5 × 102 cfu/m3, respectively. The air in the waiting room presented the highest counts, both for bacteria and fungi (P < 0.05). Staphylococcus, Enterococcus, Pseudomonas, Acinetobacter were identified, highlighting the species Staphylococcus aureus and Pseudomonas oryzihabitans, the latter described as a nosocomial pathogen. Among the fungi, Aspergillus, Meyerozyma and Rhodotorula were identified. CONCLUSION: The indoor air of the CECOSF-Centinela presents microorganisms of importance in human health. Therefore, it is necessary to formulate more regular monitoring programs for the control of air quality inside these health centers.


Assuntos
Poluição do Ar em Ambientes Fechados , Saúde da Família , Microbiologia do Ar , Poluição do Ar em Ambientes Fechados/análise , Chile , Contagem de Colônia Microbiana , Monitoramento Ambiental , Fungos , Humanos , Pseudomonas
6.
Viruses ; 13(8)2021 08 12.
Artigo em Inglês | MEDLINE | ID: mdl-34452462

RESUMO

We aimed to assess the duration of nasopharyngeal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA persistence in adults self-confined at home after acute infection; and to identify the associations of SARS-CoV-2 persistence with respiratory virus co-detection and infection transmission. A cross-sectional intra-household study was conducted in metropolitan Barcelona (Spain) during the time period of April to June 2020. Every adult who was the first family member reported as SARS-CoV-2-positive by reverse transcription polymerase chain reaction (RT-PCR) as well as their household child contacts had nasopharyngeal swabs tested by a targeted SARS-CoV-2 RT-PCR and a multiplex viral respiratory panel after a 15 day minimum time lag. Four-hundred and four households (404 adults and 708 children) were enrolled. SARS-CoV-2 RNA was detected in 137 (33.9%) adults and 84 (11.9%) children. Rhinovirus/Enterovirus (RV/EV) was commonly found (83.3%) in co-infection with SARS-CoV-2 in adults. The mean duration of SARS-CoV-2 RNA presence in adults' nasopharynx was 52 days (range 26-83 days). The persistence of SARS-CoV-2 was significantly associated with RV/EV co-infection (adjusted odds ratio (aOR) 9.31; 95% CI 2.57-33.80) and SARS-CoV-2 detection in child contacts (aOR 2.08; 95% CI 1.24-3.51). Prolonged nasopharyngeal SARS-CoV-2 RNA persistence beyond the acute infection phase was frequent in adults quarantined at home during the first epidemic wave; which was associated with RV/EV co-infection and could enhance intra-household infection transmission.


Assuntos
COVID-19/complicações , COVID-19/virologia , Coinfecção , Infecções por Enterovirus/complicações , Infecções por Picornaviridae/complicações , SARS-CoV-2/isolamento & purificação , Adolescente , Adulto , Anticorpos Antivirais/sangue , COVID-19/epidemiologia , COVID-19/transmissão , Teste de Ácido Nucleico para COVID-19 , Criança , Pré-Escolar , Estudos Transversais , Enterovirus/genética , Enterovirus/isolamento & purificação , Saúde da Família , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Nasofaringe/virologia , Quarentena , RNA Viral/análise , Rhinovirus/genética , Rhinovirus/isolamento & purificação , SARS-CoV-2/genética , SARS-CoV-2/imunologia , Fatores de Tempo , Adulto Jovem
7.
Psychol Aging ; 36(5): 667-676, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34351188

RESUMO

Comorbid depression and anxiety is linked to worse outcomes such as increased impairment, distress, and morbidity, as well as worse treatment outcomes. Transdiagnostic variables such as cognitive fusion are considered potential factors for explaining comorbidity. The aim of this study was to analyze the differences between symptom profiles of caregivers (comorbid, depressive, anxiety, and subclinical) in terms of demographic and contextual factors, stress variables, and cognitive fusion. Individual interviews were conducted with 553 caregivers of a relative with dementia. Sociodemographic variables, stressors, cognitive fusion, and depressive and anxiety symptoms were assessed. Caregivers were grouped into four symptom profiles, comorbid (n = 303), depressed (n = 40) anxiety (n = 86), and subclinical (n = 124), based on their depressive and anxiety symptoms. The likelihood of presenting a comorbid profile relative to the subclinical profile was higher in female caregivers. In addition, higher frequency of disruptive behaviors of the care recipient was a risk factor for presenting a comorbid profile relative to the other three profiles, and higher scores in cognitive fusion were a risk factor of comorbidity relative to the other profiles (anxiety, depressive, and subclinical). The findings suggest that the likelihood of presenting comorbid symptomatology is higher for female caregivers and those reporting higher levels of cognitive fusion and higher frequency of disruptive behaviors. These characteristics may describe a vulnerable profile of dementia family caregivers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Ansiedade/complicações , Cuidadores/psicologia , Cognição , Demência , Depressão/complicações , Estresse Psicológico/complicações , Adulto , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer , Saúde da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
8.
Cien Saude Colet ; 26(8): 3123-3134, 2021 Aug.
Artigo em Português | MEDLINE | ID: mdl-34378703

RESUMO

The scope of this article is to analyze if the nutritional status of children is associated with the health services offered by Family Health teams. This involves a cross-sectional study carried out in areas covered by the Family Health Strategy in two cities in the State of Paraíba, with a representative and random sample of 324 children. Linear regression was used to analyze the association of sociodemographic and health services characteristics with z-score height/age, weight/age and body mass/age anthropometric indices. Among the 319 children observed, there was a predominance of beneficiaries of the Bolsa Família Program and with inadequate use of the Child Health Handbook. The average of the weight/age z-score was lower in children from understaffed health teams (p=0.02), without a nutritionist (p=0.03) and with unqualified professionals in the areas of food and nutrition (p=0.04). There was an average increase of 1.43 standard deviation in height/age in the case of the adequate application of the Child Health Handbook. This study contributes to the knowledge by indicating associations of the nutritional status of the child with structural (human resources) and procedural (adherence to the Child Health Handbook) characteristics of health services.


Assuntos
Saúde da Família , Estado Nutricional , Peso Corporal , Brasil , Criança , Estudos Transversais , Serviços de Saúde , Humanos , Lactente
9.
Braz Oral Res ; 35: e093, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34378763

RESUMO

Most of the Brazilian population is covered by the Family Health Strategy (FHS), however no longitudinal study has assessed the impact of the FHS on child oral health-related quality of life (OHRQoL). The objective of the study was to evaluate the longitudinal impact of the FHS on the OHRQoL. This study followed up 459 children aged 2 to 5 years for 2 years. OHRQoL was assessed by the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS) at baseline (April to November 2016) and follow-up (April to December 2018). Children's parents answered a questionnaire regarding sociodemographic information, FHS service, and dental service. Participants were clinically examined for dental caries. Multilevel Poisson regression was used to assess the associations between FHS variables at baseline and overall/domain-specific of the ECOHIS scores over time. A total of 365 children were reassessed for OHRQoL (follow-up rate: 79.5%). The absence of FHS coverage from the child's first year of age was associated with higher scores in the family function domain [rate ratio (RR) = 2.42; 95% confidence interval (CI) 1.28-4.58)]. Home visits by the FHS team members were associated with higher psychological domain scores (RR = 1.60; 95%CI 1.01-2.57). Children not covered by the FHS since the first year of age reported worse OHRQoL over time. This fact highlights the importance of an integrated health approach to promote children's health.


Assuntos
Cárie Dentária , Qualidade de Vida , Brasil , Criança , Pré-Escolar , Estudos de Coortes , Estudos Transversais , Cárie Dentária/epidemiologia , Saúde da Família , Humanos , Saúde Bucal , Pais , Inquéritos e Questionários
10.
Artigo em Inglês | MEDLINE | ID: mdl-34360438

RESUMO

In order to reduce health inequities, a socio-ecological approach and community engagement are needed to develop sustained interventions with a positive effect on the health of disadvantaged groups. This qualitative study was part of the development phase of a community health promotion programme. The study aimed to provide insight into the perceptions of parents in a disadvantaged neighbourhood about health, and their priorities for the community health programme. It also described the process of integrating these perceptions in the development of a multilevel plan for this programme. Participatory methods were applied to enable the engagement of all groups involved. Ten parents from a low-income neighbourhood in the Netherlands participated in five panel sessions. Parents' priorities for improving family health were reducing chronic stress and not so much healthy eating and physical activity. They prioritised solutions to reduce their financial stress, to provide a safe place for their children to meet and play and to establish good quality communication with authorities. The programme development process resulted in objectives in which both parents and professionals were willing to invest, such as a safe playground for children. This study shows that target population engagement in health programme development is possible and valuable.


Assuntos
Saúde da Família , Promoção da Saúde , Criança , Humanos , Países Baixos , Pobreza , Características de Residência
11.
Artigo em Inglês | MEDLINE | ID: mdl-34360448

RESUMO

Parents, health professionals, and communities are integral in the development of nutrition behaviors that reduce children's risk for high body mass index (BMI) and chronic disease. The aim of this study was to conduct formative evaluations with key health informants and parents to understand the specific strategies that families use at mealtimes to promote their family's health, along with the barriers they face in attending current nutrition education programming. Focus groups (in English and Spanish) were conducted with parents (n = 22; 63.64% Black/African American, 13.64% Black but not African American, 18.18% Hispanic/Latinx) whose household was located in a community where 50% of residents' gross income was ≤185% of the federal poverty level. Semi-structured interviews were conducted with six key informants with expertise in family health and nutrition. Inductive thematic analysis was used to identify themes across interviews. Six general themes emerged from the interviews including perceptions of health, relationships, health behaviors, facilitators, barriers, and desired changes. Across the six themes, participants responded with suggestions for community-based health promotion programs such as incorporating a broader definition of health to better address the individual and systemic barriers that perpetuate health inequities and make healthy eating difficult. Participants identified stress reduction, health literacy, and cooking knowledge as areas of interest for future programming.


Assuntos
Saúde da Família , Educação em Saúde , Criança , Dieta Saudável , Comportamentos Relacionados com a Saúde , Humanos , Pobreza
12.
Rev Bras Enferm ; 74(suppl 6): e20210228, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34431931

RESUMO

OBJECTIVES: to map advanced practice nursing actions implemented in the Family Health Strategy context. METHODS: cross-sectional exploratory study carried out with Family Health Strategy nurses. Data obtained in the mapping were compared to the characteristics that define advanced practice nurses and are adopted internationally by using a checklist based on the International Council of Nurses Guidelines. RESULTS: the mapping allowed to identify advanced practice nursing actions, such as advanced assessment, judgement, decision-making, and diagnostic reasoning skills and authority to diagnose and prescribe medications, diagnostic testing, and therapeutic treatments. However, evidence found in the educational preparation domain indicated evident fragility, expressed as the low percentage of nurses credentialed with a professional master's degree. CONCLUSIONS: the present study showed that nurses in the Family Health Strategy carry out advanced practice nursing actions without the professional master's degree recommended for credentialing, with pertinent legislation, which requires initiatives to be taken by nursing leaders to overcome this deficiency.


Assuntos
Prática Avançada de Enfermagem , Estudos Transversais , Saúde da Família , Humanos
13.
Lima; Perú. EsSalud; 20210800. 42 p. tab.
Monografia em Espanhol | MINSAPERÚ | ID: biblio-1283785

RESUMO

El documento contiene las normas a fin de contribuir al fortalecimiento del Modelo de Cuidado Integral de salud por curso de vida para el asegurado, su familia y comunidad basado en los atributos de la atención primaria de salud: primer contacto, integridad, longitudinalidad y continuidad de la atención.


Assuntos
Atenção Primária à Saúde , Previdência Social , Família , Saúde da Família , Continuidade da Assistência ao Paciente
15.
Int J Behav Nutr Phys Act ; 18(1): 99, 2021 07 17.
Artigo em Inglês | MEDLINE | ID: mdl-34273973

RESUMO

BACKGROUND: Physical activity is related to many positive health outcomes, yet activity levels of many children are low. Researchers have suggested that family-based interventions may improve physical activity behaviors of both children and their parents. In this study, we evaluated the "Active 1 + FUN" program, which was designed based on tenets of self-determination theory. Intervention components included free sporting equipment, ten coach-led workshops and activity sessions, and one booster session. METHODS: We evaluated the intervention program using a randomized controlled trial. One hundred seventy-one families were randomly allocated to either an experimental group or a wait-list control group. Participants were exposed to program contents over a nine-month period, while families in the control did not receive any form of intervention. Measured constructs included moderate-to-vigorous physical activity, co-physical activity behaviors, fundamental movement skills, BMI, and several self-reported questionnaire outcomes. Hierarchical linear modeling was used to compare changes in measured outcomes across the two groups. RESULTS: No significant intervention effects were found for children's and parents' accelerometer-measured moderate-to-vigorous physical activity, or their co-physical activity. However, in terms of children's fundamental movement skills, a significant Time*Group interaction (B = 0.52, 95% CI [0.07, 0.96] for Times 1 to 2; B = 0.24, 95% CI [0.01, 0.48] for Times 1 to 3) in favor of the experimental group was found. CONCLUSIONS: Results suggested that the "Active 1 + FUN" program was effective in improving children's fundamental movement skills. Additional research is needed to examine how family-based initiatives could effectively improve physical activity behaviors too. TRIAL REGISTRATION: ANZCTR, ACTRN12618001524280. Registered 11 September 2018, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375660 .


Assuntos
Exercício Físico/psicologia , Saúde da Família , Promoção da Saúde/organização & administração , Relações Pais-Filho , Pais/educação , Avaliação de Programas e Projetos de Saúde/métodos , Adulto , Criança , Exercício Físico/fisiologia , Feminino , Humanos , Masculino , Atividade Motora , Pais/psicologia , Autonomia Pessoal
16.
Am J Perinatol ; 38(11): 1201-1208, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34225372

RESUMO

OBJECTIVE: Limited data are available regarding family and financial well-being among parents whose infants were hospitalized during the 2019 coronavirus (COVID-19) pandemic. The study objective was to evaluate the family and financial well-being of parents whose infants were hospitalized in the neonatal intensive care unit (NICU) during COVID-19. STUDY DESIGN: Parents were recruited for this online, cross-sectional survey via support groups on social media. Data collection was completed between May 18, 2020 and July 31, 2020. The final sample consisted of 178 parents, who had an infant hospitalized in an NICU between February 1, 2020 and July 31, 2020. The primary outcomes were impact on family life and financial stability, as measured by the Impact on Family scale, an instrument that evaluates changes to family life as a result of infant or childhood illness. RESULTS: Of the 178 parent respondents, 173 (97%) were mothers, 107 (59.4%) were non-Hispanic White, and 127 (69.5%) of the infants were born prematurely. Parents reported significant family impact and greater financial difficulty. Extremely premature infants, lower household income, parent mental health, and lower parental confidence were predictive of greater impacts on family life. CONCLUSION: Parents reported significant family and financial impacts during their infant's hospitalization amid COVID-19. Further studies are needed to guide clinical practice and inform family-supportive resources that can mitigate consequences to family well-being. KEY POINTS: · Impact of infant hospitalization in the context of COVID-19 is largely unknown.. · In a cohort of NICU parents during COVID-19, they reported changes to family life and finances.. · Greater impacts were reported by parents with lower income, confidence, and very premature infants..


Assuntos
COVID-19 , Criança Hospitalizada/psicologia , Saúde da Família , Hospitalização/economia , Saúde Mental , Pais/psicologia , Adulto , COVID-19/epidemiologia , COVID-19/prevenção & controle , Estudos Transversais , Saúde da Família/economia , Saúde da Família/estatística & dados numéricos , Feminino , Estresse Financeiro , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Terapia Intensiva Neonatal/psicologia , Masculino , SARS-CoV-2 , Estados Unidos/epidemiologia
18.
Urol Clin North Am ; 48(3): 323-337, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34210488

RESUMO

Germline genetic testing is becoming more prevalent in urology clinics because of precision medicine for prostate cancer treatment. Genetic testing results can also influence cancer screening discussions for patients and/or their families. An important part of germline genetic testing is genetic counseling. This article provides an overview of the historical aspects of genetic counseling, discusses the components needed to provide proper genetic counseling, summarizes genes related to hereditary prostate cancer risk, and reviews genetic privacy and genetic discrimination concerns related to germline genetic testing.


Assuntos
Aconselhamento Genético , Predisposição Genética para Doença , Neoplasias da Próstata/genética , Saúde da Família , Testes Genéticos , Humanos , Masculino , Medicina de Precisão
19.
Cien Saude Colet ; 26(6): 2013-2022, 2021 Jun.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34231715

RESUMO

This article aims to present the experience of 15 years of the Family Health Residency Program of the Sérgio Arouca National School of Public Health (ENSP/Fiocruz) in the city of Rio de Janeiro-RJ, and seeks to identify the challenges and potentialities of the training process of preceptors facing the development of resident training programs. Presents one of its effects that resulted in the contribution with the development of a multiprofessional residency program in partnership with the Municipal Health Department of Campo Grande-MS. Seeks to identify the challenges and potentialities of preceptors training process in the face of the development of training programs for residents. From a theoretical point of view, it presents as cross-cutting questions, multiprofessionality, interprofessionality and the relationship between field and nucleus in the formation of residences in the health professional area. Concludes by pointing out the challenges contained in the practice of the preceptorship of the ENSP program and how they can be implemented in the project of Campo Grande, as well as a new trend for cooperative education institutions for the current model of expansion of residences with the unit offeror to the municipal health departments.


Assuntos
Internato e Residência , Brasil , Saúde da Família , Humanos , Preceptoria , Atenção Primária à Saúde
20.
Cien Saude Colet ; 26(6): 2065-2074, 2021 Jun.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34231719

RESUMO

Data management tools, called Business Intelligence (BI), can be important to provide complete and customizable information for the demands of health management. The objective of the article is to present the evaluation of the applicability and potential of a BI tool in the planning of management actions of Primary Health Care. Exploratory study, with a quantitative approach, using the dimensions of efficiency and optimization as attributes of quality. A Family Clinic was selected in the city of Rio de Janeiro. Data from the territory, from the Bolsa Família Program register and some "Care Lines" were inserted in the BI, in order to explore the possibilities of combining and generating indicators. In this article, we present the use of Form A and the pregnant woman's Care Line. As a result, greater range of detailed indicators compared to a common tab, and optimization in obtaining lists and perform monitoring tasks by the teams and the manager. Regarding efficiency, its low cost and easy handling reduces the costs of creation and necessary professionals. As a conclusion, the BI tool enables greater organization and planning, facilitating the Family Health Clinic management, mainly for the monitoring of indicators and evaluation processes.


Assuntos
Saúde da Família , Atenção Primária à Saúde , Instituições de Assistência Ambulatorial , Brasil , Feminino , Humanos , Inteligência
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