Navegando por Palavras-chave "Access to health services"

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    Agentes Comunitários de Saúde: agenciadores de encontros entre territórios
    (ABRASCO - Associação Brasileira de Saúde Coletiva, 2012-11-01) Costa, Samira Lima da [UNIFESP]; Carvalho, Emílio Nolasco de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This article presents reflections originating from a series of meetings with community health workers over a period of ten years. It identifies the consolidation of two existential territories, which are sometimes closer and at other times more distant from each other, namely the territory of technical knowledge about health and the territory of popular knowledge about health. Starting with the analysis of some quotes from health workers and reflections which tally with the theoretical reference in the area, this paper discusses some of the dilemmas and deadlocks of access and affiliation from the perspective of some of these health workers, as well as the strategies devised on a day-to-day basis from the crossovers that take place between these two territories. It identifies the function of community health workers as frontier agents, at times acting as inventors or motivators of contact zones between the territories, and at other times acting as a representative by one territory inside the other.
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    Avaliação dos mutirões de mamografia realizados na região da direção regional de saúde de Marília nos anos de 2005 e 2006
    (Universidade Federal de São Paulo (UNIFESP), 2010-10-27) Marconato, Roseli Regina Freire [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: to describe the mammography findings, and to evaluate the performance indicators of the mammographies and describe the direct cost of the mammography campaigns in 2005 and 2006 realized by the Regional Health Section of Marilia. Methods: It is a cross sectional observational study of the radiographic findings during the mammography campaigns of 2005 and 2006, in the Regional Health Section of Marilia. A total of 11.952 mammographies, in 8 health institutions, comprising women from 37 nearby municipalities and the classification of the mammographies outcomes was done according to BI-RADS; the performance indicators analyzed were the ones employed in outcomes auditory and the cost analysis was based on the amount paid by the Unique Health System (SUS), based on the Tables SIA/SUS of 2005. The data were stored in Excel and furthermore analyzed, employing the statistical method SPSS, version 15. Results: From the 11.592 mammographies, 9.35% (1.117) were classified into BI-RADS 0 and for BI-RADS 1 and 2 87.86% (10.501), for the classification BI-RADS 3, 2.53% (302) and for classification 4 and 5, was 0.26%. The highest participation on the campaign comprised women from 40 to 49 years old. Women whose ages ranged from 50 to 59 and 60 to 69 represented 45.59%. The predictive positive value of BI-RADS 4 and 5 were 29.63 and 50% respectively. A total of 10 cases of breast cancer were diagnosed (0.84 per 1000 mammographies), 70% of the ages ranged from 50 to 69 years. The cost of these campaigns and the follow-up cost totaled R{dollar} 450.019.91, considering that R{dollar} 431.467.20 was destined for he payment of 11.952 mammographies and R{dollar}18.552.71 for the diagnoses of 29 suspicious cases, for the treatment of 3 cases of benign tumors and 6 cases of cancer. The cost of each diagnosed case was R{dollar} 43.268.10. Conclusion: The medical prescription for mammographic exams out of the age range recommended by the Ministry of Health, the low proportion of breast cancer cases detected by the exams and the high cost of each diagnosed case, indicate the necessity of implementation of effective screening programs in this region of the state, investing in specific medical programs comprising all levels of health care and fast access to secondary and third party health units for integrated and effective attendance to this specific population.
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    Concepção de profissionais de saúde sobre o papel das unidades básicas nas redes de atenção do SUS/Brasil
    (ABRASCO - Associação Brasileira de Saúde Coletiva, 2012-11-01) Puccini, Paulo de Tarso; Cornetta, Vitória Keddy; Sahyom, Tânia Zogbi; Fuentes, Isabel Cristina Pagliarini; Botta, Luiza Maria Gimenez; Puccini, Rosana Fiorini [UNIFESP]; Universidade de São Paulo (USP); Prefeitura de Embu-Guaçu Secretaria Municipal de Saúde; Prefeitura de Embu das Artes Secretaria Municipal de Saúde; Hospital Municipal Vereador José Storopolli; Universidade Federal de São Paulo (UNIFESP)
    In the process of creation of the Unified Health System (SUS) as a universal policy seeking to ensure comprehensive care, unscheduled assistance in primary healthcare units (UBS) is an unresolved challenge. The scope of this paper is to analyze the viewpoint of health professionals on the role of primary healthcare units in meeting this demand. It is a transversal study of qualitative data obtained through questionnaires and interviews with 106 medical practitioners from 6 emergency medical services and 190 professionals from 30 units. They explained why people seek emergency care for occurrences pertaining to primary care. The content analysis technique with thematic categories was used for data analysis. Lack of resources and problems with primary health unit work processes (50.8%) were the reasons most frequently cited by emergency care physicians to explain this inadequate demand. Only 33.3% of the health unit professionals agreed that these occurrences should be attended in the primary healthcare services. The limited viewpoint of the role of health services on the unscheduled care, particularly among primary care professionals, possibly leads to restrictive practices for access by the population.