Navegando por Palavras-chave "atenção básica"

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    Educação e trabalho uma realidade amazônica: desafios da saúde do trabalhador na atenção primária em saúde
    (Universidade Federal de São Paulo (UNIFESP), 2014-06-25) Souza, Israel Brito de [UNIFESP]; Batista, Nildo Alves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This dissertation investigated the changes in the organization of work teams of the Family Health Strategy, Course in Occupational Health offered by CEREST / AM in 2008. The study comprised two stages: documentary and field. In the documentary, we sought in LACAZ, Merlo, Antunes, SANTOS among others, understanding the health-work-disease relationship from the first inter-relationships to the creation of UBS where Brazilian Teams work in the Family Health Strategy (FHS). Changes in work organization FHS Teams in post-stroke and how policies in this area meet the needs of promotion and attention workers were investigated. The field research, qualitative descriptive character through scripted interviews was conducted with two groups of graduates Course in Occupational Health, most with technical training, and a group of the municipality of Borba and the other, Urucurituba. By the participants were transcribed and analyzed using content analysis. The most recurrent themes subsequently grouped in thematic units and processed in the analysis were selected: Subjects Amazon; The Routine Work of Graduates Course in Occupational Health; Processes of Education in the Family Health Strategy; The Influence Course in occupational health; each subject enabled the investigation of subtopics needed to understand the reality of workers in these counties. The results indicate the need for constant training of professionals working in the region to ensure better quality of services and the health of the individual worker, as well as the inclusion of programs to ensure the fixation of professionals in the region to form teams more efficient and effective in these desolate places, where knowledge comes slow and compartmentalized way.
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    Imigração e saúde: estratégias de acesso à atenção básica aos imigrantes bolivianos
    (Universidade Federal de São Paulo (UNIFESP), 2014-11-28) Gomes, Maria da Penha Silva [UNIFESP]; Gomes, Mara Helena de Andrea [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Backgroud: From the ambiance of Brazilian legislation and international agreements, the issue of health is assumed as the universal right guaranteed not only by the Federal Constitution (1988), but also by the Organic Law of Health, which implemented the 8080/90 Single Health System (SUS- in Portuguese) and contains articles that guarantee equal access to foreign social services. In the health service, was the model for health care delivery of primary care, along with the guidelines of the Family Health Program (now the Family Health Strategy) that made possible the access of immigrants, including Bolivians in the health department of the municipality São Paulo. Objectives: This study aims to record the history of started as access for Bolivian immigrants working and residing in the Bom Retiro, the city of São Paulo neighborhood, in the public health service for care in Primary Care. Also seeks to understand the development of strategies aimed at the health service to immigrant populations - with clipping in the population of Bolivians - all based on public service policy of the Unified Health System (SUS) that strives for universality of Service in the country. Methods: This dissertation case study consisted of interviews with professionals in the health service, linked to the Technical Health Supervision of Sé and Basic Health Unit Bom Retiro "Dr. Octavio Augusto Brill ", São Paulo, from March to April 2014, over a structured questionnaire with script - as the results achieved. Results: We performed the record of how started Bolivian immigrants access to the public health service in Primary Care. We also understand and report the formulation of strategies aimed at the health service to immigrant populations. Moreover, we note the importance of the ESF in the development of practices of care, studies and surveys that have taken place from the work developed by the teams of ESF. Conclusions: Immigrants' access to health services is directly related to the service model adopted in 2001 by the Municipality of São Paulo, the Primary Care. At the time, this model of health care became effective in the city, ensuring access to health services for the residents and workers in São Paulo.
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    Sofrimento e cuidado a partir de uma Unidade Básica de Saúde, com Estratégia Saúde da Família, no Município de São de Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2014-10-13) Souza, Rosangela Gomes da Mota de [UNIFESP]; Sarti, Cynthia Andersen [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Summary: The problem of this research, concerns the disagreements between the concepts of suffering and care implicit in the construction of situations-problems defined by the Family Health Teams of Basic Health Unit in São Paulo city, and the perception of suffering and care from the point of view of the patient involved in mental health care. The methodological approach used in this study was qualitative, through case study in the design of the social sciences; the methodological procedures performed were participant observation and structuring of a field journal, and conducting of semi-structured interviews. The survey was conducted in two stages: in the first each team of Family Health selected a case which they considered to be a mental health issue, resulting in six cases analyzed. The second case study was executed on two cases presented on the first stage. From the first step it was analyzed, as of the perspective of professionals, what is a case of mental health in the Family Health Strategy, and it was identified the predominance of designations in psychiatric field. In the second step, by analyzing the patient's perspective, it was identified that the notions of suffering and care were constituted beyond the categories of the field of biomedicine disease. Fourteen years after the onset of the mental health program in the PSF, particularly in that UBS, by the hegemony of the notion of suffering and care focused on biomedical knowledge was a surprise, rather than knowledge of the disease by the patient.
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    O trabalho em saúde na atenção básica no município de São Paulo: olhares sobre um cenário em transformação
    (Universidade Federal de São Paulo (UNIFESP), 2014-03-12) Carnevalli, Fabio Urbini [UNIFESP]; Silva, Geovani Gurgel Aciole da Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The field of knowledge in Occupational Health is part of the Public Health and aims to know the relations of labor and the health-disease process in connection therewith. In the context of health care work in the setting of primary care, work activities have specificities and peculiarities, being possible, from the identification of vulnerabilities that workers are exposed, to suggest and relate the specific illness of work and job dissatisfaction and to understand the turnover professional service. The main objective of this study was to analyze and describe the health of this level of care worker, according to the perceptions of workers and the interpretation of reports. The qualitative research methodology, five groups chat and five interviews with problem-solving discussion questions from semi-structured questionnaires applied to workers at basic health units and family health units were performed, as well as their administrative coordinators of each service. Altogether were conducted an interview and a group chat by health unit in São Paulo: Central West, North, East, Southeast and South. After understanding how work is organized in each health unit and knowledge of professionals from their experiences and knowledge about the model proposed work in primary care, was possible to identify and understand key generators reasons for vulnerabilities: the relationship with the user, the territory ascribed the unit working, passing by issues of lack of material resources, and building physical infrastructure, human resources quality and quantity. These factors become more susceptible to illness and absence from work and imply a higher turnover in jobs, not applicable or the logic of the services or the quality of service to users. Proposals were prepared workers believe that the most varied attitudes need to be implemented and deployed, including personal and collective attitudes among employees and teams, as well as possibilities that require validation by the local administrator. Moreover, the major dissatisfactions revealed in the survey were related low appreciation, both financially and in relation to plans for jobs and careers, the lack of network support in SUS to take care of your health, not to feel included in the planning of actions and not being heard your complaints and demands as workers of SUS.