Gestão de unidade básica de saúde em municípios de pequeno porte: instrumentos utilizados, facilidades e dificuldades relacionadas

Bazzo-Romagnolli, Ana Paula; Gimenez-Carvalho, Brígida; Fátima, Elisabete de; Almeida-Nunes, Polo de

doi:10.11144/javeriana.rgyps13-27.gubs

Cited by 10 publications

(23 citation statements)

References 14 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…What we do know, however, is that the potential for articulation and development of interdisciplinary team work is directly influenced by the existence and guarantee of spaces for discussion, whose absence, in turn, can culminate in individualized planning, in which each professional defines and programs his/her actions, with disarticulation of the potential of collective action 24 .…”

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

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

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

View full text Add to dashboard Cite

show abstract

“…According to financial data of the Information System about the Public Health Budget (SIOPS), present in the Annual Management Reports (RAG) (SARGSUS, 2015), only one of the four studied municipalities received, in 2015, enough resources from the Union (R$ 60,801.87) for the payment of the employees in the minimum VS team (nurse, one or two nursing technicians, field agent, and sanitary inspector), the rest received about R$ 30,000 referring to the VS budget, coming from the Union.…”

Section: Surveillance Devaluationmentioning

confidence: 99%

“…According to the 2015 Sispacto, which concerns annual goals, guidelines and targets agreement, available at the RAG (SARGSUS, 2015), only one of the four municipalities achieved 100% of the goals concerning the objective 7.1 that is to strengthen health promotion and surveillance. In the goals that were not achieved are the mandatory notification and the cases' closing in up to 60 days; the proportion of vaccine coverage of the basic children vaccination schedule, and the percentage of sanitary surveillance actions considered necessary for the municipalities.…”

Section: Lack Of Planning In Surveillancementioning

confidence: 99%

“…The existing studies deal with the use of information systems and the management of basic health units, having as results the overlapping of duties, deriving from the excess of bureaucratic demand and lack of human resources, which results in overload feeling, stress, and dissatisfaction with work (Romagnolli;Carvalho;Nunes, 2014;Vidor;Fisher;Bordin, 2011).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A organização e a prática da Vigilância em Saúde em municípios de pequeno porte

Recktenwaldt

Junges

2017

Saude soc.

View full text Add to dashboard Cite

The decentralization process of the Health System entrusted the municipalities with responsibilities that used to be at federal level. One of these decentralized duties is the Health Surveillance for which the municipalities receive federal budget. Small municipalities struggle to meet this duty because of the lack of capacitation and the shortage of human and financial resources, producing the overlapping of duties. The aim of this research is to discuss the consequences of these duties overlapping the performance of the health surveillance role in four small municipalities in the region of Vale do Rio Caí (RS). It is both a case and a qualitative study, with data gathering through focus groups with surveillance professionals, interviews with municipal health secretaries, and consultation of municipal management documents. Data were interpreted in the content analysis perspective. Two analytical categories that explain the health surveillance functioning in these small municipalities emerged as outcomes: surveillance devaluation and lack of planning in surveillance. These outcomes enabled the critical discussion of the surveillance role in order to achieve practice comprehensiveness; the health care and management models that define health services' priorities, and the relevance of the process of decentralization and entrusting surveillance duties to small municipalities' responsibility.

show abstract

“…A falta de condições de trabalho, postura institucional inadequada e funcionamento impró-prio das ESF/UBS, por exemplo, são motivos já explorados em outros estudos como, geralmente, responsáveis pela segmentação e desmotivação nas equipes e levam à desconsideração de suas ações de saúde (24) . As precárias condições associadas às exigências do cuidado prestado à saúde da família, além de prejudicar o exercício da atividade também provoca desgastes nos profissionais, necessitando de atenção da gestão para intervir nesse processo de adoecimento em virtude do trabalho (25) .…”

Section: Forças Impulsoras E Restritivas Do Trabalho Em Equipe Em Uniunclassified

Forças Impulsoras E Restritivas Do Trabalho Em Equipe Em Unidades Básicas De Saúde Da Família

et al. 2016

View full text Add to dashboard Cite

Objetivo: analisar as forças impulsoras e restritivas para o trabalho em equipe em Unidades Básicas da Saúde da Família. Método: estudo transversal desenvolvido com 109 profissionais de unidades básicas da saúde da família, utilizando-se instrumento autoaplicável fundamentado na Teoria de Campo de Kurt Lewin com dimensões predefinidas que avaliam o envolvimento das pessoas (Eu), interação da equipe (Outro) e ambiente de trabalho (Ambiente), indicando os aspectos que impulsionam e restringem o trabalho em equipe. Resultados: os dados apontaram que 52% de forças são impulsoras e 48,0%, restritivas, sendo essas predominantes na dimensão Ambiente. Conclusão: os achados demonstraram que se tratam de equipes com potencial para o trabalho coletivo, especialmente pelas interações positivas entre os profissionais. Este resultado sinaliza que deve ser encorajada a abertura de espaços que permitam às equipes a compreensão da sua dinâmica, para seu aprimoramento.

show abstract

Gestão de unidade básica de saúde em municípios de pequeno porte: instrumentos utilizados, facilidades e dificuldades relacionadas

Cited by 10 publications

References 14 publications

Planning pathways in the transfer of Directly Observed Treatment of Tuberculosis

Planning pathways in the transfer of Directly Observed Treatment of Tuberculosis

A organização e a prática da Vigilância em Saúde em municípios de pequeno porte

Forças Impulsoras E Restritivas Do Trabalho Em Equipe Em Unidades Básicas De Saúde Da Família

Contact Info

Product

Resources

About