Navegando por Palavras-chave "Estratégia Saúde Da Família"
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- ItemAcesso aberto (Open Access)Atenção às mulheres no período do climatério: a construção de diálogos com profissionais de saúde no município de Santos, São Paulo(Universidade Federal de São Paulo (UNIFESP), 2019-09-23) Luz, Milene Mori Ferreira [UNIFESP]; Frutuoso, Maria Fernanda Petroli [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Women's health has historically been one of the priority focuses of the health sector, especially with regard to actions in the reproductive period, with little emphasis on the climacteric, the transformation period, from the reproductive to the non-reproductive phase, which may cause various symptoms affecting women’s every day. With population aging and increased life expectancy, new approaches to care, disease prevention and climacteric women’s health promotion are needed. This study aimed to know the professionals’ practices and discuss the assistance provided to women in climacteric period in health primary care in Santos. This is an intervention research with teams of the Family Health Strategy (FHS) and the Extended Family Health Center (NASF), with nine professional categories. The data were produced from workshops encouraging the active participation of the subjects. They were recorded, transcribed and analyzed by content analysis. Professionals point out there are no actions focused on this population and that the complaints of women who are in the climacteric period are not perceived or are minimized by the lack of knowledge and reflection on the issue by the team. The FHS actions are still directed to the priority groups (hypertensive and diabetic patients, pregnant women) and some women's complaints are understood as a problem related to mental health (depression) giving invisibility to climacteric women. The workers recognize the difficulty for women to experience the climacteric syndrome with the actions offered by the services, which are not prepared for the approach in the climacteric period and the conditions of vulnerability of women in the studied region. The NASF team can contribute to multidisciplinary actions, which qualify care for women throughout the life cycle. The actions of permanent education in health, in the daily work of the FHS and NASF teams can extend the professionals' understanding of the women care, as well as rethink professional practices in the unique contexts of the territories. The data production from this research may support the construction of public policies in the area of Women's Health in the city of Santos aiming at comprehensive health care and humanized assistance to women in the climacteric period.
- ItemSomente MetadadadosA Educação Permanente E As Ações Na Alteração Primária À Saúde(Universidade Federal de São Paulo (UNIFESP), 2017-08-29) Terrazas, Caroline [UNIFESP]; Pinto, Umberto De Andrade [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This research aims to analyze the processes of permanent education in health (PEH) offered to professionals that work in Primary Attention to Health (PAH) through the Family Health Strategy (FHS) of the city of São Paulo. This is a qualitative study in which 14 semi-structured interviews were carried out. Among the professionals interviewed, 13 are hired by 6 different Social Health Organizations (SHO) and, among these, 6 develop PEH actions and the other 7 are FHS workers who participated in some permanent education process and interview with a professional of the Municipal Health Secretary responsible for PEH in PAH. The interviews were handled by content analysis according to Bardin. The empirical data were interpreted by the intersection between education and health, with the respective theoretical references of Freire, Saviani, Paim, Ceccim, and by the manuals of the Ministry of Health and by the National Policy of Permanent Education in Health (NPPEH). From the analysis procedure, the following categories emerged: The PEH processes; the PEH at the FHS; Proposals and themes of PEH; Methodologies and didactics adopted at the PEH; Challenges and Reflections about the practice of PEH. The research showed that the PEH actions, carried out with the PAH workers acting at the FHS, are educational practices based on the concepts of Continuing Education and Education in Service. The methodologies adopted are the same of the initial education processes and, because of this, there is no employee participation. The proposals and themes are developed through programmed courses, previously, by the Municipal Planning of Permanent Education, which is done annually. The educational actions are made by professional categories, themes related to the relational knowledge of the practice are not addressed, there is established mismatch between the principles of the SUS with the contracts of management established by the partnership between OSS and SMS-SP. Therefore, PEH is a practice that is still far from the NPPEH proposal.
- ItemSomente MetadadadosO Eterno Retorno E O Amor Fati De Nietzsche Como Situações Filosófico-Narrativas Em Quatro Contos De Borges(Universidade Federal de São Paulo (UNIFESP), 2017-04-24) Marson, Henrique Aparecido [UNIFESP]; Silva, Ivo Da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This work aims at analyze, according to the concept of the philosophical-narrative situation, which elements of the Nietzschean philosophy, concerning to the Eternal Return and amor fati, are assumed as arguments of four pieces of fiction of Borges (The library of Babel, Biography of Tadeo Isidoro Cruz (1829-74) , The Other and The Immortal). Firstly, in order to define the method of investigation, a methodological concept must be established based on the concept of the philosophical-narrative situation and its connection with the Poetics of reading. Besides the tale The library of Babel is scrutinized to show that its argument is the cosmological version of Eternal Return of Nietzsche converted into philosophical-narrative situation. In the sequence, the narratives Biography of Tadeo Isidoro Cruz (1829-74) and The other are analyzed to show that the constitution of its arguments occurs through the Nietzschean concept of amor fati used as a philosophical-narrative situation. Finally, the text The immortal is put in scrutiny to evidence that its argument derives from the Eternal Return of Nietzsche instrumentalized by Borges like situation philosophical-narrative to create the short story. With this course, the work aims at to extract the consequences as to why Borges made use of these philosophical concepts of Nietzsche to create the thematized narratives in this text. This is the rason why such nietzschean concepts serve the poetic/aesthetic purpose of Borges to dissolution of subjectivity, It would be in harmony with the poetic discipline adopted by him, namely with the Poetics of reading.
- ItemSomente MetadadadosUma Pesquisa Avaliativa Sobre Os Núcleos De Apoio À Saúde Da Família(Universidade Federal de São Paulo (UNIFESP), 2017-08-18) Correia, Patricia Caroline Iacabo [UNIFESP]; Furtado, Juarez Pereira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Endowed with a new working process model, the matrix support, the Family Health Support Centers (Nasf) were formulated with the objective of increasing the resolution of Primary Health Care in Brazil. However, concomitantly with the numerical expansion of these centers, there are questions about what and how to develop their attributions. An evaluability assessment on Nasf was carried out based on a systematic literature review and the official speech expressed in documents of the Ministry of Health. The findings proved that the initiative is evaluable and that the strategic and logical analyzes are pertinent for the current stage in which the centers are found, as the main questions about them are in their own tecno-assistential model. Through a case study, the analysis of the theoretical conceptions and hypotheses that support this initiative was carried out. Nasf still faces challenges to consolidate matrix support, as there is tension between general and specific performance, obstacles to professional collaboration and difficulties at centers’ coordination. However, there was an increase in the scope of actions offered in Primary Health Care and the incorporation of new knowledge by the teams.
- ItemAcesso aberto (Open Access)Problematizando As Práticas Profissionais De Uma Unidade De Saúde Da Família: O Encontro Dos Trabalhadores(Universidade Federal de São Paulo (UNIFESP), 2017-11-17) Oliveira, Ludmila Sterci de [UNIFESP]; Uchôa-Figueiredo, Lúcia da Rocha [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Abstract: The main objective of this research was to problematize the professional practices of a Family Health Unit located in the municipality of São Bernardo do Campo. And the specific objectives were to provide encounters and speech possibilities, in which professionals could analyze their implications regarding the work performed in this Family Health Unit. It was a qualitative field research carried out and developed according to the theoretical-methodological framework of Institutional Analysis. The participants were sixteen professionals of this service. For the production of the data, there were conversational wheels among the participants and for the analysis the concept-tool of the analysis of the implications and the micropolitics of work and health care were used. The results have showed that the work is burdened by the affection and the caring in health, is conducted by the subjectivity from the participants involved. It has been clear that the absorption of the daily events at the Family and Health Strategy, is pervaded with complexity and life, and the professionals need and wish to participate in a creative enviroment altogether with discussions which permit the analysis of the implications and reflections concerning upon life and the health care work universe.
- ItemSomente MetadadadosSignificados Sobre A Relação Médico-Paciente, Segundo Usuários Da Estratégia Saúde Da Família, Em Santos " Sp(Universidade Federal de São Paulo (UNIFESP), 2018-03-19) Brito, Marcelo Pereira De [UNIFESP]; Nakamura, Eunice [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Primary Health Care Appears As The Main Guideline For Health Actions In The Family Health Strategy. Its Prerogatives Include Multidisciplinary Teamwork Focused On The Users, Families And Communities Where This Strategy Is Inserted. However, The Historical Context Of Health Practices In Brazil Has Shown That Primary Health Care Does Not Consolidate In The Country Without Contradictions. Some Of Its Principles, Such As Completeness, Arise In The Clinical Encounter Between Physicians And Patients Still Strongly Marked By The Asymmetric Relationship, By Biomedical Discourse And Practice. The Aim Of This Study Was To Analyze And Understand Some Of The Meanings Present In The Physician-Patient Relationship, From The Perspective Of The Users Of A Family Health Strategy Unit. For That, An Ethnographic Research Was Carried Out, With Follow-Up And Observation Of Meetings Of A Team From The Family Health Strategy Unit In The Areia Branca Neighborhood, In The Northwest Zone Of Santos-Sp; And Indepth Interviews, With A Se