Navegando por Palavras-chave "primary care"

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    Cross-cultural validation of the Chalder Fatigue Questionnaire in Brazilian primary care
    (Elsevier B.V., 2007-03-01) Cho, Hyong Jin; Costa, Erico; Menezes, Paulo Rossi; Chalder, Trudie; Bhugra, Dinesh; Wessely, Simon; Universidade Federal de São Paulo (UNIFESP); Kings Coll London; Fundacao Oswaldo Cruz; Universidade de São Paulo (USP)
    Objective: the Chalder Fatigue Questionnaire (CFQ) is an instrument used to measure physical and mental fatigue. We translated and adapted the questionnaire and tested its reliability and validity in a Brazilian primary care setting. Method: A pilot study with 204 consecutive primary care attenders in São Paulo, Brazil, verified the internal consistency and factor structure of the questionnaire. After some modifications through a rigorous translation, back-translation, and cross-cultural adaptation procedure, a validation study was conducted with 304 attenders, who also completed the fatigue section of the Revised Clinical Interview Schedule (CIS-R). Results: the internal consistency of the Brazilian CFQ slightly improved from the pilot to the validation study: Cronbach's alpha from .86 to .88. the two-factor structure (physical and mental fatigue) also improved. According to the receiver operating curve analysis with the fatigue section of the CIS-R as the standard criterion, 3/4 was chosen as the cutoff for Brazilian primary care (sensitivity 69.1% and specificity 79.4%). Conclusion: the Brazilian CFQ had good reliability and validity. the cutoff was determined as 3/4 and the factor structure of the English CFQ was closely reproduced. (c) 2007 Elsevier Inc. All rights reserved.
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    GeoHealth: A Georeferenced System for Health Data Analysis in Primary Care
    (Ieee-inst Electrical Electronics Engineers Inc, 2012-01-01) Sa, J. H. G. [UNIFESP]; Rebelo, M. S.; Brentani, A.; Grisi, S.; Gutierrez, M. A. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)
    The Primary Care Information System (SIAB) concentrates basic healthcare information from all different regions of Brazil. the information is collected by primary care teams on a paper-based procedure that degrades the quality of information provided to the healthcare authorities and slows down the process of decision making. To overcome these problems we propose a new data gathering application that uses a mobile device connected to a 3G network and a GPS to be used by the primary care teams for collecting the families' data. A prototype was developed in which a digital version of one SIAB form is made available at the mobile device. the prototype was tested in a basic healthcare unit located in a suburb of São Paulo. the results obtained so far have shown that the proposed process is a better alternative for data collecting at primary care, both in terms of data quality and lower deployment time to health care authorities.
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    Imigração e saúde: estratégias de acesso à atenção básica aos imigrantes bolivianos
    (Universidade Federal de São Paulo (UNIFESP), 2014-11-28) Gomes, Maria da Penha Silva [UNIFESP]; Gomes, Mara Helena de Andrea [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Backgroud: From the ambiance of Brazilian legislation and international agreements, the issue of health is assumed as the universal right guaranteed not only by the Federal Constitution (1988), but also by the Organic Law of Health, which implemented the 8080/90 Single Health System (SUS- in Portuguese) and contains articles that guarantee equal access to foreign social services. In the health service, was the model for health care delivery of primary care, along with the guidelines of the Family Health Program (now the Family Health Strategy) that made possible the access of immigrants, including Bolivians in the health department of the municipality São Paulo. Objectives: This study aims to record the history of started as access for Bolivian immigrants working and residing in the Bom Retiro, the city of São Paulo neighborhood, in the public health service for care in Primary Care. Also seeks to understand the development of strategies aimed at the health service to immigrant populations - with clipping in the population of Bolivians - all based on public service policy of the Unified Health System (SUS) that strives for universality of Service in the country. Methods: This dissertation case study consisted of interviews with professionals in the health service, linked to the Technical Health Supervision of Sé and Basic Health Unit Bom Retiro "Dr. Octavio Augusto Brill ", São Paulo, from March to April 2014, over a structured questionnaire with script - as the results achieved. Results: We performed the record of how started Bolivian immigrants access to the public health service in Primary Care. We also understand and report the formulation of strategies aimed at the health service to immigrant populations. Moreover, we note the importance of the ESF in the development of practices of care, studies and surveys that have taken place from the work developed by the teams of ESF. Conclusions: Immigrants' access to health services is directly related to the service model adopted in 2001 by the Municipality of São Paulo, the Primary Care. At the time, this model of health care became effective in the city, ensuring access to health services for the residents and workers in São Paulo.
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    Stigmatizing attitudes of primary care professionals towards people with mental disorders: A systematic review
    (Sage Publications Inc, 2018) Vistorte, Angel O. Rojas [UNIFESP]; Ribeiro, Wagner Silva [UNIFESP]; Jaen, Denisse [UNIFESP]; Jorge, Miguel Roberto [UNIFESP]; Evans-Lacko, Sara; Mari, Jair de Jesus [UNIFESP]
    Objective To examine stigmatizing attitudes towards people with mental disorders among primary care professionals and to identify potential factors related to stigmatizing attitudes through a systematic review. Methods A systematic literature search was conducted in Medline, Lilacs, IBECS, Index Psicologia, CUMED, MedCarib, Sec. Est. Saude SP, WHOLIS, Hanseniase, LIS-Localizador de InformacAo em Saude, PAHO, CVSO-Regional, and Latindex, through the Virtual Health Library portal (http://www.bireme.br website) through to June 2017. The articles included in the review were summarized through a narrative synthesis. Results After applying eligibility criteria, 11 articles, out of 19.109 references identified, were included in the review. Primary care physicians do present stigmatizing attitudes towards patients with mental disorders and show more negative attitudes towards patients with schizophrenia than towards those with depression. Older and more experience doctors have more stigmatizing attitudes towards people with mental illness compared with younger and less-experienced doctors. Health-care providers who endorse more stigmatizing attitudes towards mental illness were likely to be more pessimistic about the patient's adherence to treatment. Conclusions Stigmatizing attitudes towards people with mental disorders are common among physicians in primary care settings, particularly among older and more experienced doctors. Stigmatizing attitudes can act as an important barrier for patients to receive the treatment they need. The primary care physicians feel they need better preparation, training, and information to deal with and to treat mental illness, such as a user friendly and pragmatic classification system that addresses the high prevalence of mental disorders in primary care and community settings.
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    O trabalho em saúde na atenção básica no município de São Paulo: olhares sobre um cenário em transformação
    (Universidade Federal de São Paulo (UNIFESP), 2014-03-12) Carnevalli, Fabio Urbini [UNIFESP]; Silva, Geovani Gurgel Aciole da Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The field of knowledge in Occupational Health is part of the Public Health and aims to know the relations of labor and the health-disease process in connection therewith. In the context of health care work in the setting of primary care, work activities have specificities and peculiarities, being possible, from the identification of vulnerabilities that workers are exposed, to suggest and relate the specific illness of work and job dissatisfaction and to understand the turnover professional service. The main objective of this study was to analyze and describe the health of this level of care worker, according to the perceptions of workers and the interpretation of reports. The qualitative research methodology, five groups chat and five interviews with problem-solving discussion questions from semi-structured questionnaires applied to workers at basic health units and family health units were performed, as well as their administrative coordinators of each service. Altogether were conducted an interview and a group chat by health unit in São Paulo: Central West, North, East, Southeast and South. After understanding how work is organized in each health unit and knowledge of professionals from their experiences and knowledge about the model proposed work in primary care, was possible to identify and understand key generators reasons for vulnerabilities: the relationship with the user, the territory ascribed the unit working, passing by issues of lack of material resources, and building physical infrastructure, human resources quality and quantity. These factors become more susceptible to illness and absence from work and imply a higher turnover in jobs, not applicable or the logic of the services or the quality of service to users. Proposals were prepared workers believe that the most varied attitudes need to be implemented and deployed, including personal and collective attitudes among employees and teams, as well as possibilities that require validation by the local administrator. Moreover, the major dissatisfactions revealed in the survey were related low appreciation, both financially and in relation to plans for jobs and careers, the lack of network support in SUS to take care of your health, not to feel included in the planning of actions and not being heard your complaints and demands as workers of SUS.