Navegando por Palavras-chave "programa saúde da família"
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- ItemAcesso aberto (Open Access)Programa saúde da família no brasil: um enfoque sobre seus pressupostos básicos, operacionalização e vantagens(Faculdade de Saúde Pública, Universidade de São Paulo.Associação Paulista de Saúde Pública., 2001-07-01) Santana, Milena Lopes; Carmagnani, Maria Isabel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Since its conception up to the moment, many have been the analysis concerning the Family Health Program in Brazil (FHP). Although still in a small number, members of the Family Health Units, Health Municipal Secretaries, Mayors, members of health Ministry, as well as Universities teaching staff and renowned researchers of public health and other similar branches, they have disposed themselves towards discussing and considering such strategy. Thus, it became appropriate to carry out a review on the literature about The FHP, which was approached in topics: historic retrospective of the period that preceded The FHP; its basic assumptions; performance strategies; the family as the center of assistance, the principle of health vigilance, the performance of the multidisciplinarian staff, the different patterns of implantation in Brazil, the facilitating aspects or not of this launching in Brazil, as well as the advantages and disadvantages of The FHP in Brazilian Health System.
- ItemSomente MetadadadosTrabalho do enfermeiro na atenção primária à saúde no Brasil: recortes históricos e desafios profissionais(Universidade Federal de São Paulo (UNIFESP), 2013-12-20) Ximenes Neto, Francisco Rosemiro Guimaraes [UNIFESP]; Cunha, Isabel Cristina Kowal Olm Cunha [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Nursing, since 1920, has been developing important role in the Brazilian Public Health, especially in Primary Health Care (PHC). As the Unified Health System (SUS) started in the 1980s, the country was undergoing an intense process of decentralization of policies, programs, projects, services and health actions, PHC was one of the priority attention. Thus, the Ministry of Health has institutionalized policies such as Community Agent Health Strategy in 1991, and the Family Health Strategy (FHS), created in 1994 with the designation of the Family Health Program (FHP), in which the nurse receives a new strategic role. The study aimed to analyze the process of nursing work in the PHC in light of the Brazilian Health Policies from SUS, based on a documented research, analytical and critical, with historical and interpretation recovery of information based on logic dialectic, developed during the period of April to November 2013, using five institutional documents of the Ministry of Health, in the light of the analysis of referential context of Souza (2001), which examines the events, scenarios, actors, force and structures relationships after being referred to the content analysis of Minayo (2008), which derived the following category of results: Conjunctures of the Nursing work in the FHS. Events and structures that showed potent symbolism for the work of nurses in PHC were: the creation of the PSF in 1994 as decentralization strategy of the Brazilian PHC; the strengthening of health decentralization, with the institutionalization of the Basic Health Tread funding via FHP, by Basic Operational Norm-SUS 01/1996, augmented with Operational Norm for Health Care-SUS 01/2001, which led to the consolidation and expansion of PHC and internalization of the labor market in Health and Nursing; improving indicators and the rapid growth in the number of PSF teams throughout the country, as institutionalization reason of it as policy, the FHS in 1997; the revitalization and strengthening of FHS with National Primary Care Policy. Scenarios where the health production development of nurses in the PHC occurring are: in the territory, in the community, at home and at Basic Health Unit, having focus on care of the family and individuals. Actors that influence the nursing work environment at PHC depend on the organization of the work process, whether individual (physicians, nursing assistants and CHA) or collective (multidisciplinary team, with minimal staff, Oral Health of CHA among others. The main actors/elements that mediate the forces in the field of practice with FHS nurses are community, the established local culture, local political power, the Municipal health Management, the pyramidal system model of health organization, health workers team, which exercises also strong social and technical work, among other. The working process of nurses in PHC is socially determined, influenced by instituted and instituting health policies and the territorialized political scene.