Navegando por Palavras-chave "Integrality in health"

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    Atenção nutricional ao excesso de peso sob a ótica da integralidade: diagnóstico e avaliação da atenção básica e de média complexidade em município do sudeste brasileiro
    (Universidade Federal de São Paulo (UNIFESP), 2016-03-22) Neves, Jose Anael [UNIFESP]; Medeiros, Maria Angélica Tavares de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Background: Chronic noncommunicable diseases (NCDs) are the major public health problem in the world and overweight is one of its main causes and a modifiable risk factor. Prevention and control of this problem are part of health promotion agenda in several countries, including Brazil, where more than half of the adult population is overweight. Objective: To analyze nutritional care provided to adults with overweight in Primary and Secondary Health Care in Brazilian Southeastern, from the perspective of integrality. Methods: It was carried out a census study which identified and assessed the actions of nutritional care to adults with overweight, from the perspective of health comprehensiveness, through semi-structured interviews with managers and/or professionals of all services Primary and Secondary Health Care in Santos muncipality, São Paulo, Brazil. Results: It was found that actions are limited to individual clinical care, to the detriment of health promotion and protection actions; low insertion of dietitians professionals; disjointed practices from territorial contexts of services; limited dialogue between different levels of health care and lack of intersectoral action. Final Considerations: There are several limiting factors for nutritional care to adult with overweight in both health care levels investigated, configured as important obstacles to the achievement of health integrality.
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    Evaluation of nutritional care of overweight adults from the perspective of comprehensive health care
    (Pontifícia Universidade Católica Campinas, 2017) Neves, Jose Anael [UNIFESP]; Zangirolani, Lia Thieme Oikawa [UNIFESP]; Medeiros, Maria Angélica Tavares de [UNIFESP]
    Objective: Describe and evaluate the nutritional care provided for overweight adults by the Primary and Secondary Health Care services of Santos, São Paulo, Brazil. Methods: This study was carried out between 2013 and 2015 integrating quantitative and qualitative approaches; it was divided into two phases: (1) characterization and (2) evaluation. In phase 1, a census of Primary Health Care Units (n=28) and Secondary Health Care Units (n=4) was conducted using interviews with health service managers and/or health professionals. Data were analyzed using exploratory data analysis. In phase 2, in-depth interviews were conducted with health service managers and/or health professionals investigating a sample of the Primary Health Care services and the totality of Secondary Health Care services provided. Thematic analysis was carried out using the theoretical framework for comprehensive health care proposed by Pinheiro & Mattos. Results: A total of 40 professionals were interviewed: 36 in the primary health care services and 4 in the secondary health care services. Nutritional care in the Primary Care services is focused on individual care and referrals to other services; nutrition diagnosis and health promotion occur only when overweight is associated with another disease. It was observed that the referral and counter-referral system and intersectorial collaborations were ineffective. In Secondary Care services, nutritional care is focused on clinical care using traditional approaches to nutrition education. Limiting factors for promoting comprehensive care were identified at the two levels of care: unproductive actions, lack of actions for health promotion and protection, and little dialogue between the Primary and Secondary care services. Conclusion: Overweight is not an outcome based on Primary and Secondary Care, but rather on prescriptive practices, which are not very effective in promoting users’ autonomy. It is necessary to guide the actions taken in these two levels of care to ensure the promotion of effective nutritional care.
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    A integralidade como eixo da formação em proposta interdisciplinar: estágios de Nutrição e Psicologia no campo da Saúde Coletiva
    (Pontifícia Universidade Católica de Campinas, 2014-12-01) Medeiros, Maria Angélica Tavares de [UNIFESP]; Braga-campos, Florianita Coelho; Moreira, Maria Inês Badaró [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This paper aimed to analyze the experience in interdisciplinary training for Nutrition and Psychology undergraduate courses at the Baixada Santista campus of Universidade Federal de São Paulo, focusing on comprehensive care. It took place between 2010 e 2012, in the Primary Care Health of Unified Health System of Santos municipality, São Paulo, Brazil, in the the territory of Monte Serrat Hill. We used field records from memories of supervisions and meetings between teachers and health team, according to qualitative research. Narratives have been constructed and Singular Therapeutic Projects. In joint-supervision by professors of Nutrition and Psychology courses, we debated situations highlighted by students and constructed work plans for each training cycle. Through interdisciplinary practices reflections and actions to SUS consonants were realized. Our results corroborate the importance of interdisciplinar work towards comprehensive care, promoting ways of listenning which leads to special health care in close relation to the services.
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    Trabalho em equipe e integralidade num cenário hospitalar
    (Universidade Federal de São Paulo (UNIFESP), 2015-04-30) Sanches, Sarita Barbosa [UNIFESP]; Capozzolo, Angela Aparecida [UNIFESP]; http://lattes.cnpq.br/7660336218859464; http://lattes.cnpq.br/2055985295714686; Universidade Federal de São Paulo (UNIFESP)
    The present research aims to understand and analyze how a team of a hospital unit works on the prospect of a full attendance. The option was for an exploratory and qualitative case study, whose production data was collected by means of observations recorded in field journal and meetings with professionals with semi structured interviews and conversation, as well as informal conversations with patients and documentary analysis. In the meetings, were discussed issues related to the organization of work, the mode of operation of the team, the problems involved for the production of integral care and continuity of care. Our study showed that the team working in this hospital scenario presents many difficulties and is still a challenge. The organization of the work process, vertical and fragmented, does not contribute to joint performances of professionals. The professional area has an organization of its own and, in general, performs their work in a isolated manner from other areas. There are very few spaces for exchange of information, to discussions of cases and planning joint interventions. The care of patients is more focused on performing procedures than listen and dialogue with their living conditions. The issues that emerged from the investigation indicate the need for changes in the organization of the work process in the hospital, with the deployment of strategies that contribute to better coordination between the different professionals who work there, among them we highlight the deployment of team meetings and moments of permanent education. Also indicate the importance of the participation of management in these transformations for producing integral care.