A gerência da Unidade Básica de Saúde no controle da tuberculose: um campo de desafios

This study evaluated the performance of health care services implementing TB control actions in relation to the establishment of bonds between health professionals and patients in São José do Rio Preto, SP, Brazil from the perspective of patients, health professionals, and managers.A total of 108 patients, 37 health professionals and 15 managers were interviewed through a questionnaire containing 10 indicators of bond-establishment based on the instruments of the Primary Care Assessment Tool, adapted to evaluate tuberculosis control in Brazil. The three groups of actors considered the establishment of bonds satisfactory, though opinions of patients and managers differed in almost all indicators. This fact indicates that the view of managers is still predominantly focused on bureaucratic and administrative aspects, which shows the need for managers to integrate more management and care actions. Vínculo entre profesional y enfermo en el tratamiento de la tuberculosis: desempeño de la atención básica en un municipio del estado de Sao PauloEl objetivo del estudio fue evaluar el desempeño de los servicios de salud que realizan acciones de control de la TB relacionado al vínculo entre el profesional y el enfermo, en el municipio de Sao José del Rio Preto, en Sao Paulo, en la percepción de enfermos, profesionales de la salud y gestores. Fueron entrevistados 108 enfermos, 37 profesionales y 15 gestores utilizando un cuestionario elaborado con 10 indicadores para la dimensión vínculo construidos con base en el Primary Care Asesment Tool, adaptado para evaluar de la atención a la tuberculosis en Brasil. El vínculo fue evaluado como satisfactorio por los tres actores, entre tanto hubo variabilidad entre las opiniones de los enfermos y los gestores en casi todos los indicadores, lo que permite inferir que la visión de los gestores todavía está orientada predominantemente por los aspectos burocrático/administrativos, necesitando que estos integren más las acciones gerenciales y asistenciales.

show abstract

“…delivery. This posture often leads to managers and the users of service becoming distant, even if professionals work as care managers (23) .…”

Section: Discussionmentioning

confidence: 99%

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

Ponce

Vendramini

Santos

et al. 2011

Rev. Latino-Am. Enfermagem

Self Cite

View full text Add to dashboard Cite

show abstract

“…Os estudos relacionam fragilidades no trabalho interno das equipes (4,13) , como ênfase em ações programáticas e atendimento à demanda espontânea (4)(5)(6)(8)(9)(10)(11)(15)(16)(17)(18)(19)(20)(21)(22)(23) , além de pouco diálogo na rede de serviços e escassez de ações intersetoriais (4)(5)(6)(17)(18)(19)21,23) . Os gestores, em geral, priorizam ações padronizadas do Ministério da Saúde que não consideram especificidades e perfil epidemiológico local, com foco no financiamento (5,7,16,20,23,27,32) . Sem efetiva descentralização de recursos e decisões (5,6,15,(25)(26)(27) , acentua-se a discrepância entre oferta e demanda de serviços (7,16,23) .…”

Section: Resultsunclassified

“…Os gestores, em geral, priorizam ações padronizadas do Ministério da Saúde que não consideram especificidades e perfil epidemiológico local, com foco no financiamento (5,7,16,20,23,27,32) . Sem efetiva descentralização de recursos e decisões (5,6,15,(25)(26)(27) , acentua-se a discrepância entre oferta e demanda de serviços (7,16,23) . A integralidade e a longitudinalidade da atenção são bastante prejudicadas neste contexto.…”

Section: Resultsunclassified

Planejamento das ações desenvolvidas pelas equipes de estratégia de saúde da família: revisão integrativa

Martins¹,

Weiller²,

Megier³

et al. 2021

SaudColetiv (Barueri)

View full text Add to dashboard Cite

Objetivo: identificar e analisar as evidências disponíveis na literatura acerca do processo de planejamento das ações desenvolvidas por equipes de Saúde da Família. Método: revisão integrativa realizada em julho de 2020. Resultados: Foram selecionados 31 artigos, os quais apontaram fragilidades (gestão normativa, falta de estrutura e conhecimento para planejar) e potencialidades (cogestão com trabalhadores e comunidade, apoio matricial e institucional) Conclusão: são necessários mais estudos para aprimorar metodologias passíveis de aplicação prática e ações de educação permanente para fomentar e institucionalizar a cultura de planejamento.

show abstract

“…The feasibility of training, as a possible element for the transferal process, seems directly correlated to the existence of resources, which is aggravated by the fact that TB still appears as a neglected disease, without the structural and organizational quality necessary for control and treatment in many health services 14 . In fact, the development of human resources for TB control was so important that it was considered as an element of a strategic plan, in 2006-2010, for Africa, America, Southeast Asia and Western Pacific regions 15 .…”

Section: Resultsmentioning

confidence: 99%

Planning pathways in the transfer of Directly Observed Treatment of Tuberculosis

Peruhype

Mitano

Hoffmann

et al. 2018

Rev. Latino-Am. Enfermagem

Self Cite

View full text Add to dashboard Cite

Objective:to investigate the planning pathways in the transfer of Directly Observed Treatment of tuberculosis. Method:a qualitative study conducted using interviews and a semi-structured guide, administered to five subjects who were among the coordinators and managers of the tuberculosis control programs, and the secretary of health of a municipality in the south of Brazil. Situational Strategic Planning and Discourse Analysis of the French matrix were the theoretical and analytical references used, respectively. Results:three reflexive axes were identified: weaknesses in the process of planning the Directly Observed Treatment transfer, antagonism between planning and daily requirements and formulation of planning and execution. Lack of systematization regarding the planning and execution for transfer the Directly Observed Treatment policy, demonstrates the fragility and incipience of this activity, and the possibility of its non-existence. Conclusion:the urgent need for managers and coordinators to better appropriate the theoretical framework for changing public policies, and the related planning mechanisms, includes a proposal for reorganization and qualification of the diffusion process, both practical-operative and political-organization.

show abstract

A gerência da Unidade Básica de Saúde no controle da tuberculose: um campo de desafios

Cited by 7 publications

References 10 publications

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

Planejamento das ações desenvolvidas pelas equipes de estratégia de saúde da família: revisão integrativa

Planning pathways in the transfer of Directly Observed Treatment of Tuberculosis

Contact Info

Product

Resources

About

A gerência da Unidade Básica de Saúde no controle da tuberculose: um campo de desafios

Cited by 7 publications

References 10 publications

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

Planejamento das ações desenvolvidas pelas equipes de estratégia de saúde da famí­lia: revisão integrativa

Planning pathways in the transfer of Directly Observed Treatment of Tuberculosis

Contact Info

Product

Resources

About

Planejamento das ações desenvolvidas pelas equipes de estratégia de saúde da família: revisão integrativa