Navegando por Palavras-chave "Apoio Matricial"
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- ItemAcesso aberto (Open Access)Um estudo sobre o Nasf-AB em um município paulista de pequeno porte(Universidade Federal de São Paulo (UNIFESP), 2019) Coneglian, Rosana Cristina [UNIFESP]; Pereira, Pedro Paulo Gomes [UNIFESP]; Junqueira, Virginia; http://lattes.cnpq.br/5029984524343235; http://lattes.cnpq.br/1474930426841995; http://lattes.cnpq.br/3375231893599759; Universidade Federal de São Paulo (UNIFESP)In Brazil, the National Policy of Basic Attention met and systematized formulations guided by the principles and directives of Public Health System, notably integrality, universality and equal access. In our country of continental dimensions, in which most municipalities are small, the federal manager has induced policies and devices to strengthen PHC. However, there are several obstacles in this trajectory, especially regarding integrality. One of the devices financially induced by the federal manager is the Expanded Nucleus of Family Health and Basic Care, created in 2008, and consists of multiprofessional teams whose attributions are technical-pedagogical support and assistance to the PHC teams and the users. This thesis, the result of a qualitative research of the ethnographic type, conducted by the author during two years of work in a Expanded Nucleus of Family Health and Basic Care of a small municipality, has the objective of discussing some questions and aspects that seemed central in the experience of the problems that were placed in the day to day work. The spectrum of impediments and embarrassment is wide ranging from national, state, and local policy issues, which include system funding, management, training and hiring of the workforce, to power relations within teams, with the municipal Public Health System authorities, among PHC professionals and users, among others. In the reality of a public health system in a small municipality, research questions were posed to the Expanded Nucleus of Family Health and Basic Care researcher/worker, concerning questions about the (im)possibilities of effective responses to the health situation of the population of the municipality by the PHC teams, be it from the Expanded Nucleus of Family Health and Basic Care or the Family Health units, considering the restrictions and working conditions that generated evident repercussions on the health of the local workers.
- ItemAcesso aberto (Open Access)QuestNASF: Desenvolvimento de um instrumento de avaliação dos NASF - AB(Universidade Federal de São Paulo (UNIFESP), 2019-04-15) Siena, Cesar Augusto Favaro [UNIFESP]; Furtado, Juarez Pereira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)We elaborated an interdisciplinarity evaluation questionnaire of primary health group of workers, considering complex factors as role conflict and ambiguity, leadership establishment, innovation at work, professional diversity, shared goals and guidelines, team size, premises and composition, organisational (management) support, training in interprofessional cooperation, audit (evaluation) in workplace and others. The questionnaire was adapted to NASF (Family Health Support Nucleus), appointed subsequently as NASF-AB (Extended Family and Primary Health Support Nucleus), established aiming to expand comprehensiveness and problem resolution (case-resolving) of pimary care by the means of matrix support, a primary health interdisciplinar management mode. We intend to fill gaps left by current NASF evaluation instruments, focusing on interdisciplinarity sibsidizing feedback for the evolution of this work proposal.
- ItemSomente MetadadadosSaúde mental na atenção básica: apoio matricial no município de Santos(Universidade Federal de São Paulo (UNIFESP), 2017) Ronchetti, Simone de Sousa Bernardino [UNIFESP]; Moreira, Maria Inês Badaró [UNIFESP]; http://lattes.cnpq.br/1186084305231587; http://lattes.cnpq.br/9951638348793254; Universidade Federal de São Paulo (UNIFESP)The Psychosocial Care Network (RAPS) aims to consolidate an open and community-based model of care. It counts on basic care as one of its support points. Matrix support in Mental Health is one of the strategies that aim to establish this network care and redirect the demands put upon the Psychosocial Care Centers (CAPS), which should prioritize the care of patients with serious and persistent mental disorders. That strategy was implemented in the municipality of Santos as of 2011. Objectives: the general objective was to analyze the matrix support that takes place between a CAP and two primary care units in Santos. Method: the research was accomplished by means of a case study that involved documental analysis and focus groups with community health agents. Data were elaborated according to dialetical hermeneutics. Results: it could be observed that the matrix support is redirecting the municipality’s mental health demands with the change of flow of exclusive care at the CAPS to the care at the RAPS. It is important to emphasize the importance of community health agents in the identification of issues and in the care in mental health, with a proximity to the psychosocial model. Conclusion: Despite the need for training and qualification, the potency of lay people knowledge and acting in mental health care was identified, with the matrix support meetings as a place for continuing health education. Matrix support enables the network care that is necessary for completeness, although an articulation among all RAPS’s points is also required.