De Alma-Ata a Astana: o percurso dos Cuidados de Saúde Primários em Portugal,1978-2018 e a génese da Medicina Familiar

Pisco, Luís; Pinto, Luiz Felipe

doi:10.1590/1413-81232020254.31222019

Cited by 6 publications

(2 citation statements)

References 6 publications

(4 reference statements)

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“…De Alma-Ata a Astana: o percurso dos Cuidados de Saúde Primários em Portugal,1978-2018 e a génese da Medicina Familiar (Pisco et al, 2020) Los logros de las políticas sanitarias han hecho posible el incremento de la esperanza de vida. Sin embargo, las enfermedades emergentes y las no transmisibles, que causan cuatro de cada cinco muertes anuales, son los principales desafíos a enfrentar en una de las regiones más desiguales del mundo, lo cual reafirma el papel de la APS.…”

Section: Hallazgos Artículos Análisisunclassified

Una mirada a la atención primaria desde Alma-Ata hasta Astaná

Aparicio¹,

Barrios²

2022

cuid

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The history of Primary Care does not begin in 1978 with the Declaration of Alma-Ata, but must be contextualized in the history of Social Medicine, as the first is a strategy of the second. The advances that have been made in the area of Primary Care are undeniable, but they have not been enough to overcome inequities with regard to addressing vulnerable groups with low economic resources. The objective of the article is to analyze the evolution of Primary Health Care from the declaration of Alma-Ata to that of Astana. To do this, a bibliographic review of articles published in the last five years was carried out in journals indexed in Google Scholar, Lilacs and Scopus. Scientific recognition of the practices of Traditional Chinese Medicine is evident, extending its use to various regions of the western world; the enactment of health promotion and disease prevention as a necessity of the first order. Strengthening the primary level of care constitutes the most inclusive, efficient and effective approach to improving people's physical and mental health, as well as their social well-being.

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Section: Hallazgos Artículos Análisisunclassified

Una mirada a la atención primaria desde Alma-Ata hasta Astaná

Aparicio¹,

Barrios²

2022

cuid

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“…No Brasil, esses cuidados são prioritariamente fornecidos à população através da Estratégia Saúde da Família (ESF), como modelo para a atenção básica do SUS, buscando-se um olhar mais abrangente com ações articuladas aos demais níveis 6,7 .…”

Section: Introductionunclassified

Coordenação de cuidados primários para o paciente com doença renal crônica em diálise: revisitando papéis

et al. 2022

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O número de pessoas em diálise tem aumentado de maneira significativa nos últimos anos. Essas pessoas são, em geral, portadoras de condições crônicas múltiplas e complexas, e a coordenação do seu cuidado torna-se um desafio. O presente artigo objetiva sintetizar os resultados da literatura a respeito da coordenação do cuidado e dos cuidados primários ofertados ao paciente em diálise. Trata-se de uma revisão integrativa que teve como fontes de dados publicações disponíveis nas bases: LILACS, SciELO e PubMed. Foram identificados 16 artigos publicados entre 1992 e 2020. A partir da análise temática, evidenciaram-se cinco áreas: vínculo das pessoas em diálise com a Atenção Primária à Saúde (APS) e com o médico da família e comunidade (MFC); percepção dos profissionais quanto a seus papéis e habilidades; percepção das pessoas a respeito dos papéis e habilidades dos profissionais; cuidados primários (CP) prestados por nefrologistas e MFC; e impacto da APS na mortalidade, hospitalização e qualidade de vida. Os resultados sugerem que o nefrologista tem assumido o papel de coordenador do cuidado e de principal provedor de CP à pessoa em diálise. Todavia, isso não significa que os cuidados oferecidos sejam adequados às necessidades do paciente, devendo o MFC estar cada vez mais envolvido com esse cuidado, o que tem sido gradualmente observado nos últimos anos.

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How can the healthcare system deliver sustainable performance? A scoping review

et al. 2022

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BackgroundIncreasing health costs, demand and patient multimorbidity challenge the sustainability of healthcare systems. These challenges persist and have been amplified by the global pandemic.ObjectivesWe aimed to develop an understanding of how the sustainable performance of healthcare systems (SPHS) has been conceptualised, defined and measured.DesignScoping review of peer-reviewed articles and editorials published from database inception to February 2021.Data sourcesPubMed and Ovid Medline, and snowballing techniques.Eligibility criteriaWe included articles that discussed key focus concepts of SPHS: (1) definitions, (2) measurement, (3) identified challenges, (4) identified solutions for improvement and (5) scaling successful solutions to maintain SPHS.Data extraction and synthesisAfter title/abstract screening, full-text articles were reviewed, and relevant information extracted and synthesised under the five focus concepts.ResultsOf 142 included articles, 38 (27%) provided a definition of SPHS. Definitions were based mainly on financial sustainability, however, SPHS was also more broadly conceptualised and included acceptability to patients and workforce, resilience through adaptation, and rapid absorption of evidence and innovations. Measures of SPHS were also predominantly financial, but recent articles proposed composite measures that accounted for financial, social and health outcomes. Challenges to achieving SPHS included the increasingly complex patient populations, limited integration because of entrenched fragmented systems and siloed professional groups, and the ongoing translational gaps in evidence-to-practice and policy-to-practice. Improvement strategies for SPHS included developing appropriate workplace cultures, direct community and consumer involvement, and adoption of evidence-based practice and technologies. There was also a strong identified need for long-term monitoring and evaluations to support adaptation of healthcare systems and to anticipate changing needs where possible.ConclusionsTo implement lasting change and to respond to new challenges, we need context-relevant definitions and frameworks, and robust, flexible, and feasible measures to support the long-term sustainability and performance of healthcare systems.

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De Alma-Ata a Astana: o percurso dos Cuidados de Saúde Primários em Portugal,1978-2018 e a génese da Medicina Familiar

Cited by 6 publications

References 6 publications

Una mirada a la atención primaria desde Alma-Ata hasta Astaná

Una mirada a la atención primaria desde Alma-Ata hasta Astaná

Coordenação de cuidados primários para o paciente com doença renal crônica em diálise: revisitando papéis

How can the healthcare system deliver sustainable performance? A scoping review

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