Contexto de trabalho e custo humano no trabalho para agentes comunitários de saúde

Lima, Clara Cynthia Melo e; Fernandes, Tatiana Fróes; Caldeira, Antônio Prates

doi:10.1590/1413-81232022278.19192021

Cited by 2 publications

(2 citation statements)

References 23 publications

(44 reference statements)

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Section: Discussion and Implications For Practicementioning

confidence: 99%

“…For personal and psychological safety and avoidance of burnout, people working in these roles require support, supervision and full integration within a community team (Lima et al, 2022;Silva et al, 2022) as well as ongoing training and development (Grossman-Kahn et al, 2018). In their evaluation of CHWs in the United States, Mirambeau et al (2013) note the value of CHWs who share the same language, ethnicity and life experiences as the communities they serve but found they were rarely well integrated into care teams.…”

Section: Box 1 Examples Of Local Transformationmentioning

confidence: 99%

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Are community health agents the link to integrating care? Lesson from Brazil

Veríssimo,

Rainey,

Lindemann

et al. 2024

JICA

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Purpose This viewpoint piece will highlight the contribution of trained lay community health workers to the integrated workforce in rural, remote and island settings, drawing on experience from a system strengthening project involving community health agents (CHAs) in four municipalities in Litoral Norte, a remote coastal and island region in the state of São Paulo, Brazil.Design/methodology/approach This viewpoint reflects on experiential learning from a unique north–south collaboration that spanned the period of a global pandemic. It adds to the international literature on the value of community health workers in public health and chronic disease management and highlights their potential pivotal role as integrators at point of care.Findings CHAs took forward actions that touched the lives of thousands of vulnerable families with low income and complex needs in communities with high levels of social and health inequalities. They acted as a bridge between patients and families at home, primary healthcare professionals and wider community partners and services. Their valuable insight into the healthcare issues and social challenges experienced by the community informed and supported family centred practice and population health goals. The CHAs rapidly pivoted to became an essential public health workforce during the Covid-19 pandemic.Practical implications As the authors establish integrated care systems and embrace proactive care and population health, the conditions are favourable for introducing a similar role in the UK. For psychological safety and avoidance of burnout people in such new roles will require training, supervision and full integration within community teams.Originality/value This viewpoint reflects experiential learning from a unique north–south collaboration that spanned the period of a global pandemic. It adds to the international literature on the value of community health workers in public health and chronic disease management and highlights their potential pivotal role as integrators at point of care.

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Section: Discussion and Implications For Practicementioning

confidence: 99%

Section: Box 1 Examples Of Local Transformationmentioning

confidence: 99%

Are community health agents the link to integrating care? Lesson from Brazil

Veríssimo,

Rainey,

Lindemann

et al. 2024

JICA

View full text Add to dashboard Cite

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Análise dos indicadores de prazer e sofrimento no trabalho associados a ansiedade e depressão entre agentes comunitários de saúde

Lima,

Fernandes,

Barbosa

et al. 2023

J. bras. psiquiatr.

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RESUMO Objetivo Analisar os indicadores de prazer e sofrimento no trabalho associados a depressão e ansiedade entre agentes comunitários de saúde (ACSs). Métodos Estudo transversal, no qual variáveis dependentes foram a presença de sintomas de ansiedade e depressão, avaliadas com o Patient Health Questionnaire (PHQ-9) e com o Inventário de Ansiedade de Traço-Estado (IDATE). As variáveis independentes foram avaliadas com um questionário sociodemográfico e a Escala de Indicadores de Prazer e Sofrimento no Trabalho (EIPST) do Inventário do Trabalho e Riscos de Adoecimento (ITRA). As associações entre as variáveis foram testadas com o uso de regressão logística multinominal. Resultados Participaram do estudo 675 ACSs, sendo a maioria mulheres (83,7%), com até 40 anos (51,3%). As chances de apresentar sintomas de ansiedade foram maiores entre ACSs efetivos (1,61 [1,10-2,36]), e avaliações críticas ou graves nos fatores realização (Crítica 1,87 [1,30-2,68]; Grave 4,16 [2,06-8,40]) e esgotamento profissional (Crítica 2,60 [1,78-3,80]; Grave 3,97 [2,53-6,21]). Sexo feminino (2,12 [1,03-4,40]), idade de até 40 anos (1,741 [1,05-2,89]), tempo de serviço superior a cinco anos (1,88 [1,18-2,99]), avaliações crítica ou grave nos fatores realização (Crítica 2,53 [1,55-4,10]; Grave 6,07 [2,76-13,38]), esgotamento profissional (Crítica 5,21 [2,30-11,80]; Grave 15,64 [6,53-37,44]) e falta de reconhecimento (Crítica 1,93 [1,13-3,28]) estiveram associados a maiores chances de sintomas depressivos. Conclusões Apesar de se tratar de estudo transversal, que não permite inferir causalidade, os achados sugerem importante associação entre aspectos laborais dos ACS e os sintomas de ansiedade e depressão. Sexo feminino e possuir 40 anos ou menos também mostraram relação com o aumento dos sintomas de depressão.

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Contexto de trabalho e custo humano no trabalho para agentes comunitários de saúde

Cited by 2 publications

References 23 publications

Are community health agents the link to integrating care? Lesson from Brazil

Are community health agents the link to integrating care? Lesson from Brazil

Análise dos indicadores de prazer e sofrimento no trabalho associados a ansiedade e depressão entre agentes comunitários de saúde

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