A Atenção Primária à Saúde e seus atributos: a situação das crianças menores de dois anos segundo suas cuidadoras

Filho, Marcos Mesquita; Luz, Bruna Suellen Raimundo; Araújo, Cristina Sousa

doi:10.1590/1413-81232014197.17322013

Cited by 43 publications

(69 citation statements)

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“…The small number of nutritionists, especially those enrolled in FHSC, who indicated having participated in training to work in the PHC, in the nutrition actions directed to the Primary Care and in the child's health converges with previous reports [18][19][20]. However, complementary analyzes of the current study did not identify differences in the knowledge of technical materials nor in the performance of actions of the nutrition area among those with and without graduate courses (data not shown).…”

Section: Discussionsupporting

confidence: 86%

“…Regarding the demographic profile, the predominance of female nutritionists and in the age groups between 20-39 years is comparable to that verified in other studies, which revealed the feminization of the profession and the performance of young adults [9,[16][17][18]. This profile may be related to the cultural connotation, in Brazil, of the role of women as caregivers [19] and the short time of existence of the profession [16].…”

Section: Discussionsupporting

confidence: 82%

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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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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 82%

Profile and performance of nutritionists in Primary Health Care

Pedraza

Santos

2017

Rev. Nutr.

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“…In most educational institutions of healthcare professionals (nurses, doctors etc. ), health education is defined in a purely clinical education and biomedical paradigm (24) . This approach favors the onset of problems such as the distance of the professional from the patient and their family, difficulties in understanding the dialogue between those involved and denial/rejection of knowledge coming from patients.…”

Section: Discussionmentioning

confidence: 99%

“…The traditional public health is constituted by the image and similarity of technoscience and the biomedical model, and is still ingrained in the practices of health care professionals (21) . Some authors correlate this problem to the difficulty in obtaining qualified professionals working in the ESF model and to rethink the issue of health promotion depending on the educational practices, as highlighted by the assumptions of APS (22)(23)(24)(25) . This situation happens as a result of the training model of these professionals: hospital centric, biologistic and fragmented (24) .…”

mentioning

confidence: 99%

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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“…Assim, o processo de implantação do SUS, direcionado por seus princípios e pelo conceito de saúde como produção social, compõe o contexto de ressignificação do trabalho do enfermeiro no âmbito da Atenção Primária à Saúde (17) . Vale salientar, ainda, que dentre os diversos campos de atuação da saúde, a Estratégia Saúde da Família (ESF) oportuniza um espaço privilegiado para a aplicação diferenciada das práticas de cuidado (18) . Nesse prisma, a análise de cada um dos atributos da APS, a partir da percepção dos usuários da APS, revelou melhores escores para as equipes com melhor formação (residência), com diferenças estatisticamente significantes para os atributos de acessibilidade (p=000), longitudinalidade (p=0,040), coordenação-sistema de informações (p=0,000) serviços disponíveis e serviços integrados (p=0,000), além de orientação familiar e comunitária (p=0,000).…”

Section: Métodosunclassified

<b>Qualificação de enfermeiros em Saúde da Família e qualidade da atenção na ótica de usuários/Quality of nurses in family health and quality of care from the perspective of users<b>

et al. 2015

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RESUMOO estudo objetivou avaliar a relação entre qualificação de enfermeiros em Atenção Primária à Saúde -APS (Saúde da Família) -e qualidade da atenção sob a ótica de usuários. Estudo transversal, quantitativo, realizado com 373 adultos usuários do serviço e 78 enfermeiros, em Montes Claros, Minas Gerais-Brasil, utilizando questionário Primary Care Assessment Tool versão adulto. Os serviços da APS cujos profissionais possuíam residência apresentaram escores maiores para maioria dos atributos avaliados e diferença estatística para os atributos da acessibilidade, longitudinalidade, coordenação, integralidade de serviços disponíveis, orientação familiar e comunitária, e para o escore essencial. Quanto ao perfil sócio-demográfico, acadêmico e ocupacional dos enfermeiros, destacaram-se diferenças estatisticamente significativas entre os escores atribuídos à formação acadêmica (pós-graduação ou não) e tempo de atuação no serviço. A qualificação do enfermeiro em Atenção Primária à Saúde pode trazer avanços na assistência prestada, sendo fator positivo na melhoria do modelo de atenção à saúde.Palavras-chave: Saúde da família. Atenção primária à saúde. Enfermeiros. Qualificação profissional. Avaliação de programas e projetos de saúde.

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A Atenção Primária à Saúde e seus atributos: a situação das crianças menores de dois anos segundo suas cuidadoras

Abstract: A Atenção Primária à Saúde e seus atributos: a situação das crianças menores de dois anos segundo suas cuidadorasPrimary health care and its attributes: the situation of children under two years of age according to their caregivers

Cited by 43 publications

References 9 publications

Profile and performance of nutritionists in Primary Health Care

Profile and performance of nutritionists in Primary Health Care

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

<b>Qualificação de enfermeiros em Saúde da Família e qualidade da atenção na ótica de usuários/Quality of nurses in family health and quality of care from the perspective of users<b>

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