Navegando por Palavras-chave "health services"

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    Avaliação epidemiológica da mortalidade em um hospital universitário
    (Universidade Federal de São Paulo (UNIFESP), 2013-08-28) Mota, Ecila Campos [UNIFESP]; Barbosa, Dulce Aparecida Barbosa [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: The analysis of mortality allows you to track changes in the epidemiological profile of the population through the aspects of their structure, levels and its trend. Data on the mortality of patients during or after hospitalization may determine the performance of a hospital over time. Objective: Thus, this work aims to analyze the main causes of mortality according to gender of adult patients admitted to a university hospital in Northern Brazil-General, Mines and also describe the sociodemographic characteristics of hospitalized patients who died, as well as identifying major comorbidities related to patient death. Method: This was a cross-sectional study with conducting field research, using quantitative and descriptive methodology. Data were collected through the death certificates of patients and Mortality Information System of the Regional Health Montes Claros. Results: The hospital mortality rate was 3.73%. The average age of patients who died was 64.9 years and standard deviation of 19 was found that the majority (54.6%) were male; marital status was more present married (37.6%). Regarding education was a higher proportion of illiterate (34%) and the brown color was predominant (73.5%). The main chapters of the identified causes of mortality in both sexes were diseases of the respiratory system (27.8%), infectious and parasitic diseases (20.9%) and symptoms, signs and abnormal (20.7%) findings. Conclusion: The mortality rate was higher in males, the main causes were respiratory diseases, infectious and parasitic diseases and symptoms, signs and abnormal in over 60 years. Studies on secondary data sources are inexpensive and offer possibilities for monitoring the indicators over time ..
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    O discurso da institucionalização de práticas em saúde: uma reflexão à luz dos referenciais teóricos das ciências humanas
    (IMS-UERJ, 2008-09-01) Lins, Auristela Maciel; Cecilio, Luiz Carlos de Oliveira [UNIFESP]; Agência Nacional de Vigilância Sanitária; Universidade de Brasília; Universidade Federal de São Paulo (UNIFESP)
    This paper aims to promote reflections on the movement to institutionalize health practices evaluation: can it lead to the intended changes or may it reproduce old practices? To answer these questions, it was necessary to resort to the aid of Human Sciences mainly the authors who study social institutions. These authors based their theories on Positivistic sociology, on sociological phenomenology and on the precepts of the French institutionalism movement. Following their lines of thought, this paper is intended to further understand the concept of institution and institutionalization present in those social schools. Based on the theoretical framework which encourages this text, the authors suggest some special attention be placed on actions that support the movement for health evaluation institutionalization.
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    Programa nacional de reorientação da formação profissional em saúde pró-saúde como política norteadora do processo de reformulação curricular do curso de enfermagem da Universidade federal do acre
    (Universidade Federal de São Paulo (UNIFESP), 2013-02-27) Aguiar, Katiuscia Larsen de Abreu [UNIFESP]; Cury, Geraldo Cunha [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Training of human resources in health has been constituted national and international rich field of research. In Brazil, several programs aiming to improve workforce in health arose from the establishment of the Unified Health System - SUS and, among them there are the National Reorientation of Vocational Training in Health - Pro-Saúde. Similarly, an important movement between Health and Education took place with the advent of the National Curriculum Guidelines - DCN, enhancing current education for health professionals. The Universidade Federal do Acre, campus Rio Branco - UFAC/RB was established in 1974 with the Undergraduate Nursing course in order to meet the health care needs of the region. The importance of Political Pedagogical Project - PPP of the course was emphasized since it had only five revisions in thirty-eight years, being the privileged space for these interactions. General Objective: This study aimed to recognize the need to change the process of nursing education based on the National Reorientation of Vocational Training in Health – Pró-Saúde, as well as in accordance with the National Curriculum Guidelines- DCN for the Undergraduate Nursing Program at the UFAC/RB. Specific objectives: Identify the Pró-Saúde potential as an inducer of the teaching-service integration, improving the nursing course of the Universidade Federal do Acre / Rio Branco - UFAC/RB; to characterize the transformation process of the Nursing Course in relation to teaching/service integration; to investigate the mobilization and influence triggered by the Pró-Saúde in the Curriculum Committee of the Nursing Course ; apprehend managers´ perceptions about the process of curricular reorientation of the Nursing Course at the Universidade Federal do Acre / Rio Branco - UFAC/RB. Methodology: Using qualitative and quantitative approach with the following instruments: case study, documentary analysis on Pedagogical Political Projects - PPP of the Nursing Course of the UFAC/RB, the DCN and the Pró-Saúde program. A Likert-type attitudinal scale was used with four dimensions with 17 assertions in its contents and statistically validated by linear correlation, test reliability and homogeneity. Results: good perception regarding mobilization and influence triggered by Pro-Saúde in the curriculum committee of the Undergraduate Nursing Course UFAC/RB; the need for immediate changes and improvement related to the identification of Pró- Saúde potential as an inducer of improvement of the teaching-service integration in the Course of Nursing UFAC-RB; characterization of the transforming process of the Nursing Course UFAC-RB in relation to teaching-service integration and apprehension of managers' perceptions about the process of curricular reorientation of Nursing Course at UFAC-RB. Conclusion: Perception of an harmony between all actors in the Course of Nursing UFAC/RB based on the National Reorientation of Vocational Training in Health - Pró-Saúde, National Curriculum Guidelines - DCN Pedagogical Political Projects - PPP in relation to Human Resources training in Nursing; need of adjustments in the academic process operationalization; educational qualification of the academic staff, to improve practice, search for greater integration between the activities of teaching, research and extension, offering a curricular space for discussion of issues relating to ethics, citizenship, among others.