714 results on '"Health Planning"'
Search Results
2. Prevalence and factors associated with low birth weight in the state of Minas Gerais, Brazil
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Glenia Junqueira Machado Medeiros, Maria de Lurdes Zanolli, and André Moreno Morcillo
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low birth weight ,maternal and child health ,health planning ,health information system ,Medicine (General) ,R5-920 - Abstract
Introduction: One of the health indicators of the newborn children is low birth weight (LBW) - weight less than 2,500g - which can be determined by the influence of several reasons, such as, maternal, fetal, placental and environmental factors. Objective: To determine the prevalence and factors associated with LBW in the state of Minas Gerais (MG), Brazil. Method: Cross-sectional study which analyzed data from 259,863 live births, in MG, from Brazilian Live Birth Information System (SINASC), in 2011. Of these, 242,487 records met the inclusion criteria: birth weight equal to or greater than 500g, no malformations, 22 weeks or more of gestational age. The prevalence of the LBW was determined. The crude and adjusted prevalence ratios were determined by Poisson regression. Results: The prevalence of LBW was 9.2%. The prevalence was higher in mothers with lower educational level, primiparity, dead children from previous pregnancies, prenatal care with less than 5 visits to doctor, gestational age less than 37 weeks, multiple pregnancy, and female newborn. The prevalence was lower in the North, Northeast, Northwest, Eastern of South, Southeast, Southern Triangle, East and Jequitinhonha health macro-regions. Conclusion: The LBW prevalence was high, and the variables associated with higher LBW prevalence were gestational age, multiple pregnancy, educational level, number of prenatal visits to doctor, parity, gender, place of birth. The lower prevalence was observed in the health macro-regions in which the socioeconomic and sanitary conditions are worst, characterizing the LBW paradox.
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- 2024
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3. Strategies for persons with disabilities in public health emergencies, especially the COVID-19 pandemic
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de Matos da Costa e Silva, Ana Luiza Antony Gomes, Ramos, MaÃra Catharina, Rezende, Débora Ribeiro, and Elias, Flávia Tavares Silva
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- 2023
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4. Analysis of two different mass vaccination strategies against rabies in dogs and cats.
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A.G. Casteleti, E.B. Marulli, J.R. Modolo, J.C.F. Pantoja, M.S.G. Frontana, R.I. Silva, and C. Victória
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rabies ,health planning ,immunization programs ,dogs ,cats ,Animal culture ,SF1-1100 - Abstract
ABSTRACT This study evaluated whether there were differences in vaccination coverage rates between municipalities with different vaccination strategies regarding the species and the coverage rates during different day periods. The vaccination period was categorized as M1 (morning; 09h00 am - 11h00 am), M2 (morning/afternoon; 11h00 am - 01h00 pm), M3 (afternoon; 01h00 pm - 03h00 pm), and M4 (afternoon; 03h00 pm - 05h00 pm). A repeated measures model compared the vaccination rate between periods and municipalities. The interaction between time and municipality was statistically significant (P < 0.01), indicating that the vaccination rate difference between periods depended on the municipality analyzed. Results of the difference between proportions analysis revealed that municipality B vaccinated 3.3% (2.2%-4.4%, 95% confidence limits) less dogs and 20.1% (17.9%-22.4%, 95% confidence limits) less cats than the municipality A. In municipality A, the vaccination rate in period M1 was higher than in periods M3 (P = 0.07) and M4 (P < 0.01). The vaccination rate was higher in M2 than in M4 (P < 0.01). In municipality B, the vaccination rate in period M1 was higher than in M2 (P = 0.01). The vaccination rate in M2 was lower than that observed in M3 (P = 0.01) and M4 (P = 0.01). Based on these results, mass vaccination campaigns have better results during the week, with the highest vaccination rate at lunchtime.
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- 2024
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5. Participação social na elaboração dos planos municipais de saúde em capitais brasileiras durante a pandemia de COVID-19.
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Pereira Campos dos Santos, Hebert Luan, de Brito Lima Prado, Nília Maria, dos Santos Silveira, Débora Carolina, Melo Maciel, Fernanda Beatriz, Souza Santos, Thadeu Borges, and de Souza Teixeira, Carmen Fontes
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URBAN planning ,SOCIAL participation ,HEALTH planning ,INFORMATION & communication technologies ,HEALTH websites - Abstract
Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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6. O PAPEL DA EQUIPE DE ESTRATÉGIA DE SAÚDE DA FAMÍLIA EM RESPOSTA À PANDEMIA.
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Borchardt Frederich, Cássio Whendrill, Possatti, Luiz Filipe, Cláudio, Letícia, Barbosa Silva, Luiza, Tesch, Lorrana, de Freitas Moreno Rodrigues, Adriene, and Rodrigues, Luciano Antonio
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COVID-19 pandemic ,HEALTH planning ,HEALTH education ,PRIMARY health care ,MEDICAL care - Abstract
Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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7. Regional collaboration for the development of national childhood cancer plans in Latin America and the Caribbean
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Patrícia Loggetto, Marta Jarquin-Pardo, Soad Fuentes-Alabi, Liliana Vasquez, Sara Benitez Majano, Alejandra Gonzalez Ruiz, Mauricio Maza, Monika L. Metzger, Paola Friedrich, Silvana Luciani, and Catherine G. Lam
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neoplasms, prevention & control ,child health ,health programs and plans ,health policy ,health planning ,latin america ,caribbean region ,Medicine ,Arctic medicine. Tropical medicine ,RC955-962 ,Public aspects of medicine ,RA1-1270 - Abstract
This article aims to describe the activities conducted by the National Childhood Cancer Plan Working Group to support the development of national childhood cancer plans in Latin America and the Caribbean in the period 2019–2022, and to present the stage of plan development. The Working Group activities were supported by the Pan American Health Organization and St. Jude Children’s Research Hospital, which is the World Health Organization (WHO) Collaborating Centre for Childhood Cancer. Year after year, the workshops and activities developed with the Working Group mobilized key stakeholders: pediatric oncologists, representatives of the Ministry of Health, foundations supporting childhood cancer initiatives, and hospital administrators. As of February 2023, one regional framework is in place, approved by the Council of Ministries of Health of Central America and the Dominican Republic, nine countries are currently implementing national plans or laws that include childhood cancer, and ten countries are writing new plans. The WHO three-step framework helped to guide the Working Group activities. All plans were supported by a situational analysis, which highlighted the importance of having systematized data for evidence-based policies. To increase implementation success, an accompanying budget and timeline help to ensure the adequate implementation of the interventions. More than anything, committed stakeholders remain the most fundamental element to successfully write and approve a national childhood cancer plan. This is an opportunity to share these countries’ experience so the strategy can be adapted to support other countries developing a childhood cancer plan and extended to other public health areas.
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- 2023
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8. Preventable COVID-19 cases and deaths by alternative vaccination and non-pharmacological intervention policies in Brazil
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Samantha Rodrigues de Araújo, João Flávio de Freitas Almeida, Lásara Fabrícia Rodrigues, and Elaine Leandro Machado
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Health planning ,COVID-19 ,Vaccines ,Program evaluation ,Epidemiological model ,Public aspects of medicine ,RA1-1270 - Abstract
ABSTRACT Objective: This work aimed to estimate the avoidable COVID-19 cases and deaths with the anticipation of vaccination, additional doses, and effective non-pharmacological interventions in Brazil. Methods: We developed a susceptible-exposed-infectious-recovered-susceptible model based on epidemiological indicators of morbidity and mortality derived from data obtained from the Health Information System of the Ministry of Health of Brazil. The number of cases and deaths was estimated for different scenarios of vaccination programs and non-pharmacological interventions in the states of Brazil (from March 8, 2020, to June 5, 2022). Results: The model-based estimate showed that 40 days of vaccination anticipation, additional vaccine doses, and a higher level the nonpharmacological interventions would reduce and delay the pandemic peak. The country would have 17,121,749 fewer COVID-19 cases and 391,647 avoidable deaths Conclusion: The results suggest that if 80% of the Brazilian population had been vaccinated by May 2021, 59.83% of deaths would have been avoided in Brazil.
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- 2023
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9. Contratualização e Regionalização de Serviços Hospitalares no SUS: uma perspectiva municipal.
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Marques da Silva, João Felipe, Gimenez Carvalho, Brígida, and Ricardo Martins, Marina Sidnéia
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HEALTH systems agencies ,CONTRACTS ,GOVERNMENT policy ,HEALTH planning ,METROPOLITAN areas ,STATE health plans - Abstract
Copyright of Journal of Management & Health / Revista Gestão & Saúde is the property of Revista Gestao e Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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10. The Over-All Planning of the Treatment of the Hodgkin’s Disease Patient
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John E. Ultmann
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Hodgkin Disease/therapy ,Therapeutic Approaches ,Congresses as Topic ,Health Planning ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Apresentações e palestras feitas no Simpósio Internacional sobre Doença De Hodgkin, realizado no Instituto Nacional de Câncer no Rio de Janeiro — 16 a 20 de Janeiro de 1967.
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- 2023
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11. Impactos da pandemia de COVID-19 na gestão da Assistência Farmacêutica: uma análise estratégica e necessária.
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de Paula Cunha, Gustavo and Nascimento Silva, Sarah
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Copyright of Journal of Management & Health / Revista Gestão & Saúde is the property of Revista Gestao e Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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12. Gestão do conhecimento e cultura organizacional: estudo de caso em organizações públicas de saúde.
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Heckler Mota, Maristela, Munz Fernandes, Alice, and Vicente dos Anjos, Fernando Elemar
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Copyright of Journal of Management & Health / Revista Gestão & Saúde is the property of Revista Gestao e Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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13. Relatório anual de gestão: o que revelam os pareceres de conselhos municipais de saúde pernambucanos?
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de Oliveira Amorim, Guilherme, Martins da Paz, Alcieros, de Lima Pires, Caio, and Márquez de Martínez Gerbi, Marleny Elizabeth
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Copyright of Journal of Management & Health / Revista Gestão & Saúde is the property of Revista Gestao e Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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14. Agricultura familiar no amazonas e a implantação da nota técnica 01/2017/ADAF/SFAAM/MPF-AM.
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Sakamoto Figueiredo, Rebeca, Mendes Tavares, Bruno, Moura Souza, Celsa da Silva, Amaral Dias, Ivanira, Viana Lima, Regismeire, and Ferreira Freitas, Ronilson
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FOOD habits ,FOOD relief ,CHILD nutrition ,AGRICULTURE ,PSYCHOLOGY of agricultural laborers ,RURAL conditions ,FOOD security ,CROSS-sectional method ,RESEARCH methodology ,FAMILIES ,QUANTITATIVE research ,QUALITATIVE research ,SCHOOLS ,DESCRIPTIVE statistics ,COVID-19 pandemic ,HEALTH planning - Abstract
Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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15. Análise temporal da inserção de Profissionais e Residentes de Educação Física no Sistema Único de Saúde de 2009 a 2021.
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Araújo Vieira, Leonardo, Carvalho Caldas, Leonardo, Correia de Lemos, Emmanuelly, Alves Malhão, Thainá, and Brasil de Carvalho, Fabio Fortunato
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REGIONAL disparities ,PHYSICAL education ,INCLUSIVE education ,COVID-19 pandemic ,TIME series analysis - Abstract
Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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16. Desafios na aplicabilidade dos modelos ontológicos de competências gerenciais em saúde: uma scoping review.
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Borges Fogliatto, Danielle, Maris Peres, Aida, Aparecida Rocha de Souza, Marli, Mara Peres, Leticia, and Lapierre, Judith
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MEDICAL personnel as patients , *ONTOLOGY , *DATA integration , *MEDICAL personnel , *HEALTH planning , *TEAM nursing , *PATIENT monitoring , *MEDICAL decision making ,HEALTH management - Abstract
Objective : Identify challenges in the applicability of ontological models that represent relationships and elements of health management competencies. Methods: Scoping Review, according to Joanna Briggs Institute (JBI) and the guiding question: "What are the challenges in the applicability of ontological models that represent the health management competencies described in health in the literature?". Included national and international studies, English, Portuguese and Spanish, in the time span of 2015 to 2020. Results : The search strategy was applied in eight databases; 2024 articles were found and eight were selected as the final sample. The studies highlighted the following difficulties in this theoretical framework: interpretation of complex, heterogeneous and dispersed data by health managers, lack of automation in patient monitoring, lack of training of health managers, inadequate task distribution and workload of the nursing team and also, deficiency in decision-making shared between health professionals and the patient. Conclusions: The application of ontological models in health management systems resulted in time optimization, data integration and better management decision-making in order to positively help the work of health professionals and managers. [ABSTRACT FROM AUTHOR]
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- 2023
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17. Instrumentos de gestão na pauta do Conselho de Saúde.
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Araujo Cavalcante, Amanda, Cristina Magdalena, Patricia, and Shinohara Moriguchi, Cristiane
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URBAN planning ,SOCIAL control ,CITY councils ,BUDGET ,THEMATIC analysis - Abstract
Copyright of Saúde e Sociedade is the property of Universidade de Sao Paulo, Faculdade de Saude Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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18. Inventando mapas, recalculando a rota: sobre dimensionar a força de trabalho em saúde em meio à pandemia.
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Berriel de Medeiros, Lidiele, Antoniete de Souza, Carlos Eduardo, Gasperin, Carolina, Kubiszewski Moreira, Christine, and da Costa Franco, Marina Haase
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WORK ,MEDICAL care ,TASK performance ,LABOR supply ,PUBLIC hospitals ,COVID-19 pandemic ,PERSONNEL management ,HEALTH planning - Abstract
Copyright of Saberes Plurais is the property of Saberes Plurais and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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19. Produção de saúde e bem-viver das coletividades: um olhar para o território da Amazônia.
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da Rosa Vasconcelos, Tatiane, Silveira Lemos, Flávia Cristina, da Rosa Vasconcelos, Viviane, and Antônio Ferla, Alcindo
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EVALUATION of medical care ,HEALTH education ,COLLECTIVE efficacy ,MEDICAL technology ,CULTURAL pluralism ,PUBLIC health ,HEALTH planning - Abstract
Copyright of Saberes Plurais is the property of Saberes Plurais and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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20. AÇÕES DE PROMOÇÃO DA SAÚDE NA PREVENÇÃO DA GRAVIDEZ DURANTE A ADOLESCÊNCIA: REVISÃO INTEGRATIVA.
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Antônio Alves, Amarildo, Nogueira da Silva, Patrick Leonardo, Cassimiro de Freitas, Ingred Gimenes, de Souza Santos, Cláudio Luís, Botelho Ruas, Rosana Franciele, and dos Reis Alves, Carolina
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UNPLANNED pregnancy ,MEDICAL personnel ,BIRTH control ,DIGITAL libraries ,SCHOOL environment ,REPRODUCTIVE health ,TEENAGE pregnancy - Abstract
Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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21. Fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no Brasil.
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Marques da Silva, João Felipe, Martins Pantaleão, Cristiane, Fernandes dos Santos, Clodoaldo, Gomes Leles, Fernando Antônio, Wilke Pereira Rocha, Karen Patrícia, Tironi de Freitas Giacometti, Luana Carla, Haruyuki Terabe, Sandro, Gross Galiano, Socorro, and Ciconello Neto, Valdeni Alexandre
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HUMAN services programs , *PRIMARY health care , *EVALUATION of human services programs , *PUBLIC health administration , *HEALTH planning , *METROPOLITAN areas , *ORGANIZATIONAL change , *ADULT education workshops , *SYSTEM integration , *QUALITY of life , *CONTINUING education , *QUALITY assurance , *INFORMATION resources management - Abstract
In Brazil, 67.7% of the municipalities are characterized as small, with a population of less than 20 thousand. The objective of this article is to systematize the experience and identify the challenges and lessons learned in the implementation of the model for strengthening regional governance and organizing the health care network (HCN) in a region of Brazil composed of these municipalities, which present low technical and budgetary capacity, in addition to various fragilities related to the organization of the HCN. With a view to strengthening regional governance and the organization of the primary health care (PHC) work process and, consequently, the workflow with other levels of care, a strategy entitled More Care More Health (Mais Cuidado Mais Saúde) was proposed, developed in partnership with the Pan American Health Organization/World Health Organization (PAHO/WHO) and the Ministry of Health. The project was developed through permanent health education and institutional capacity building in the region of Ivaiporã, state of Paraná, based on workshops and addressing three priority axes: HCN integration, capacity building and information management. The target audience were the extended PHC teams. The project made it possible to develop local and governance capacities through joint reflections on the health care model, its components and the necessary changes in work processes for health promotion with a focus on the quality of life of users. Because it is an experience that considers the weaknesses, needs and autonomy of local actors, the project has a high potential for replication and customization for other regions with similar characteristics inside and outside Brazil. [ABSTRACT FROM AUTHOR]
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- 2023
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22. Participação em saúde como elemento indissociável para o fortalecimento dos sistemas de atenção à saúde nas Américas.
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Kujawa, Henrique, Silveira Pinto, Rodrigo, Gomes Leles, Fernando Antônio, and Viana Machado, Frederico
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COMMUNITY health services , *HEALTH services accessibility , *CONSENSUS (Social sciences) , *INTELLECT , *DEBATE , *MEDICAL care , *HEALTH policy , *HEALTH planning , *PUBLIC health , *PATIENT participation , *SOCIAL control - Abstract
The present narrative review discusses the relevance and challenges of community participation in health for health system strengthening. Based on a definition of community participation in health as a dynamic process that gives people access and control over health resources through involvement and experience, the article summarizes information obtained from documents and debate at an international event (Seminario Internacional: Experiencias y Modelos de Participación en Salud en América Latina y el Caribe). In addition, the SciELO, PubMed and Google Scholar databases were searched using the terms "community participation", "community engagement", "social control" and "community health planning" to identify national or transnational review and opinion articles. Community participation in health is a current concept, acknowledged in the recommendations for health policies described in recent documents and publications. Around the world, the number of studies on the subject is growing; however, in the Americas, three countries (United States, Canada and Brazil) accounted for most of the scientific publications identified in the databases. The studies address timely questions and show consensus among investigators within each individual research group. However, the area lacks exchanges and comparative analyses that contrast different experiences transcending national borders and expanding knowledge on community participation in health. The creation of more spaces for the sharing of experiences and research is advised, as well as the establishment of professional and research networks in the field of community participation in health. [ABSTRACT FROM AUTHOR]
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- 2023
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23. EL MAPA SANITARIO, UNA HERRAMIENTA PARA LA PLANIFICACIÓN Y ORDENACIÓN EN SALUD: EL CASO DE MAURITANIA.
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RODRÍGUEZ-RODRÍGUEZ, MERCEDES and ALONSO-PARDO, SANTIAGO
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HEALTH planning , *FIVE year plans , *HEALTH equity , *ORGANIZATION management , *MEDICAL care , *GEOGRAPHIC information systems - Abstract
The so-called health maps are an instrument for the promotion, democratization and right to public information in health. They have also been a tool for contextualizing and better targeting inequalities in the public health sector and other related sectors. This article aims to explain the elaboration of the health map of Mauritania, and its value in the planning and reordering of the supply of health services at all levels of the country's health pyramid in order to respond to the growing requests for information generated by various organizations, but mainly from the Mauritanian health sector. The methodology used to develop a participatory map of health assets in a specific African country is presented. The survey technique was used as a research procedure, as it allows data to be collected and processed quickly and efficiently. Geographic information systems were an important support to the work. The health map drawn up was a fundamental tool for the management and organization of the territory in terms of health planning for the following five years. It has enabled health resources to be organized in order to achieve a supply of services more suited to the needs of the population, avoiding duplication of care, while at the same time becoming a powerful instrument to support decision-making. This territorial knowledge of the country allowed and made possible the subsequent implementation of Health Development Plans in the regions with the greatest health inequalities. [ABSTRACT FROM AUTHOR]
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- 2022
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24. How Anaesthesiology Helped to Fight the First Wave of the COVID-19 Pandemic in Portugal
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Paulo Lemos, Alexandra Guedes, António P. Martins, Carmo Branco, Clara Lobo, Joana Mourão, José S. Pinto, Nuno Serrano, Rosário Abrunhosa, Susana Cadilha, and Valentina Almeida
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Anesthesiology ,COVID-19 ,Critical Care ,Health Personnel ,Health Planning ,Medicine ,Medicine (General) ,R5-920 - Abstract
Introduction: The dissemination of the COVID-19 pandemic in Europe, namely in Portugal, demanded an organizational and clinical reaction from the Portuguese National Health Service. With the unpredictable impact of COVID-19 infected patients redefining hospital logistics, reducing non-priority elective care and extending the hospital capacity for critical care patients made mobilizing a significant part of human resources a priority. We conducted a national survey to monitor the contribution and the role of anaesthesiologists belonging to the 53 Portuguese National Health Service hospitals in the first wave fight against the pandemic. Material and Methods: This prospective cross-sectional observational study used a weekly survey sent to the Directors of the Anaesthesiology Departments of all Portuguese National Health Service hospitals, between the period of 13th April and 21st June 2020. Directors were asked about human resources, hospital logistics, anaesthetic activity and residency programs in their departments as well as contingency plans facing the impact of the pandemic growth in the PNHS. Results: Contingency strategy for all Portuguese National Health Service hospitals planned for a total of 1524 level III critical care beds during the initial phases of the pandemic, an increase of 151% from the existing 607 level III critical care beds in Portugal in January 2020. This re-configuration effort of the Portuguese National Health Service was only possible due to the partial or total suspension of non-urgent elective activity that reached over 90% of these institutions in the first pandemic months (March and April) and the deployment of anaesthesiologists from their normal activities to the treatment of critical care patients. During the peak of the first pandemic wave, 209 anaesthesiology specialists and 170 trainees (22.9% of the total anaesthesiologist’s staff in the Portuguese National Health Service) were deployed in critical care. There was an almost complete interruption of the residency program rotation in 70.4% of hospitals with anaesthesiology residents, between March and April 2020. Conclusion: During the first pandemic wave there was an effective and fast reorganisation of the Portuguese National Health Service in order to increase level III critical care beds, which might have contributed to the low mortality rates in Portugal. We believe that this could have also been a result of the contribution given by all public anaesthesiology departments.
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- 2022
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25. As práticas corporais e atividades físicas na gestão tripartite do SUS: estrutura organizacional, financiamento e oferta.
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Brasil de Carvalho, Fabio Fortunato, de Almeida, Erika Rodrigues, Loch, Mathias Roberto, and Knuth, Alan Goularte
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HEALTH policy ,ORGANIZATIONAL structure ,FAMILY health ,PHYSICAL activity ,INFORMATION storage & retrieval systems - Abstract
Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
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26. Planejamento estratégico situacional de saúde como ferramenta de ensino-aprendizagem: Relato de experiência.
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Mizael de OMENA, Aralyne, Dantas LISBOA, Beatriz Pimentel, de Marco PEREIRA, Bruna, Alexandre da SILVA, Clarice, Gabrielle dos Santos SILVA, Eliana, Brito ROCHA, Emanuelle Maria, Lôbo de CARVALHO, Vanessa, and Raquel de Carvalho MOURÃO, Ana
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HEALTH planning ,STRATEGIC planning ,WELL-being ,SOCIAL problems ,HEALTH education - Abstract
Copyright of Diversitas Journal is the property of Diversitas Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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27. Reorganization of nursing work in an intensive care unit during the COVID-19 pandemic
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Daniele Delacanal Lazzari, Sabrina Guterres da Silva Galetto, Daniele Cristina Perin, Jose Luis Guedes dos Santos, Alex Becker, and Carina Martins Acosta
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Coronavirus infections ,Epidemics ,Intensive care units ,Practice management ,Resources management ,Health planning ,Nursing ,RT1-120 - Abstract
ABSTRACT Objective: To describe the reorganization of nursing work in an intensive care unit of a public hospital due to the COVID-19 pandemic. Method: Report of the experience from February to April 2020, about the reorganization of a unit. Results: The description of the experience was divided into four moments: Definition of the cohort isolation; Reorganization of the intensive care units as General and Respiratory; Health care teams and work shifts; and Wearing and removing protective clothing by the teams. Conclusion: The COVID -19 pandemic brought numerous challenges to the management of intensive care units. The socialization of management experiences can contribute to the definition of new strategies, including in the post-pandemic period.
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- 2022
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28. The Interiorization of COVID-19 in the cities of Pernambuco State, Northeast of Brazil
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Rosalva Raimundo da Silva, Geyssyka Morganna Soares Guilhermino, Barnabé Lucas de Oliveira Neto, and José Bonifácio de Lira Neto
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Betacoronavirus ,COVID-19 ,Epidemiological monitoring ,Dissemination of information ,Health planning ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Objectives: to analyze how the disseminationof COVID-19 occurred in the cities of Pernambuco State, Northeast in Brazil. Methods: descriptive, exploratory and quantitative study whose units of analysis were the 184 cities and Fernando de Noronha Archipelago which constitutes the state of Pernambuco. Geoprocessing techniques used QGis 3.14.16 and were presented in figures. Results: the first city to register a case of COVID-19 was Recife, in 129 days there were already confirmed cases of the disease in all the cities in the state and including Fernando de Noronha Archipelago. Only 117 cities informed the patients’ sexin public reports since the first case and only 88 cities mentioned the patients ’ age. Conclusion: there was a fast spread of COVID-19 in the state of Pernambuco, showing the inability of the Health Surveillance services to control the transmission, especially in smalltowns.
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- 2021
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29. Malformações congénitas de abordagem cirúrgica imediata no Estado do Rio de Janeiro, Brasil: análise para a organização do cuidado em rede.
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Binsfeld, Luciane, de Souza Mendes Gomes, Maria Auxiliadora, and Kuschnir, Rosana
- Abstract
Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
- Full Text
- View/download PDF
30. INTERNAÇÃO DE IDOSOS POR CONDIÇÕES SENSÍVEIS À ATENÇÃO PRIMÁRIA NO ESTADO DE SANTA CATARINA.
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DYNKOSKI, M. A., PROBST, G. H. S., FERRAZ, L., FERRETTI, F., LUTINSKI, J. A., and BUSATO, M. A.
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- *
PRIMARY health care , *CEREBROVASCULAR disease , *OUTPATIENT medical care , *HEART failure , *LUNG diseases - Abstract
Objective: analyze the hospitalizations prevalence for Ambulatory Care Sensitive Conditions (ACSCs) and its main causes in elderly according to the healthy macroregions in Santa Catarina State. Methods: this is a descriptive ecological study where were picked Hospitalizations System data (SIH - DATASUS). Results: in the study period, there were 262.104 hospitalizations of elderly for ambulatory Care Sensitive Conditions in Santa Catarina. The most frequent diseases were Heart Failure Lung Diseases, Cerebrovascular Diseases, Angina and Diabetes Mellitus. The regions from the state that had more hospitalizations were the South and West. However, it was found that there was a decrease in the total number of elderly hospitalizations during the study period, suggesting a good resolution of primary health care in the State. Conclusion: the ACSCs in elderly is relevant when it is compared to the total number of hospitalizations made by the Unified Health System, in this population, in the state of Santa Catarina. [ABSTRACT FROM AUTHOR]
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- 2022
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31. Sistemas de informação utilizados para planejamento e avaliação em saúde bucal.
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Macedo do Vale, Tainá, Rodrigues Ferreira Junior, Antonio, and Batista da Costa, Ermano
- Abstract
Copyright of Revista de Atencao Primaria a Saude is the property of Revista de Atencao Primaria a Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
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32. CULTURA ORGANIZACIONAL E CARACTERÍSTICAS DO PLANEJAMENTO EM CENTROS DE SAÚDE.
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Senna Schlickmann, Monique Haenscke, de Melo Lanzoni, Gabriela Marcellino, and Lorenzini Erdmann, Alacoque
- Abstract
Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
33. WORK PERFORMED THROUGHOUT THE LIFE OF RETIREES AND FACTORS ASSOCIATED WITH PHYSICAL INACTIVITY AND HEALTH CONDITIONS
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Pollyanna Natalia Micali and Jamile Sanches Codogno
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Retirement ,Employment ,Sedentary Behavior ,Chronic Disease ,Health Planning ,Special aspects of education ,LC8-6691 ,Sports ,GV557-1198.995 - Abstract
ABSTRACT This study aimed to identify the most prevalent chronic diseases among retired residents in the city of Rio Claro-SP and possible associations of work performed during their lives (manual or intellectual) with physical inactivity, body mass index, diseases, and expenses with health services. This is a cross-sectional population study with retired individuals, performed at two moments (2014 and 2018). Instruments used for data collection: Survey of Referred Morbidities; Questionnaire developed by Pimenta (2006); International Physical Activity Questionnaire; Body mass index The statistical tests applied were the Chi-square test, by Kruskal-Wallis and Mann Whitney with the Bonferroni adjustment. The sample of the present study was composed of 171 retirees, with the highest prevalence of married individuals (81.3%), with secondary education incomplete (53.8%), economic class "C" (49.1%), manual work performed throughout life (54.4%), obese (49.1%), and sedentary (33.9%). The association analysis demonstrated that the majority of the sample who performed manual work throughout life was associated with hypertension (p= 0.01) and Osteoarthritis (p 0.01). It is concluded that manual labor seems to present a greater risk for the development of chronic diseases.
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- 2022
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34. [Brazilian Ministry of Health strategy to increase vaccination coverage at bordersEstrategia del Ministerio de Salud de Brasil para aumentar las tasas de cobertura de vacunación en las fronteras].
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Nascimento LMD, Araújo ACM, de Souza PCA, Matozinhos FP, da Silva TPR, and Fernandes EG
- Abstract
Objective: Evaluate the implementation of the Ministry of Health's "Action Plan: Border Vaccination Strategy - Agenda 2022" in the Brazil's 33 twin cities and evaluate the increase in the country's vaccination coverage (VC)., Methodology: Pre-post community clinical trial. Implementation of the strategy was analyzed, and pre- and post-intervention VC were compared in two stages: P1 (pre-intervention) and P2 (post-intervention). Based on statistical analyses of P1 and P2 coverage, calculations were made of municipal averages, standard deviation, and difference in VC between the two periods., Results: Integration was observed between the primary health care (PHC), surveillance, immunization, and special indigenous health district (DSEI) teams, although there were difficulties, for example, in relation to migratory flows. While immigration flows present challenges in the areas of immunization, PHC, and DSEI, the difficulties are compounded by the polarization of these services, which hinders intersectoral integration. After carrying out the workshops, a total of 50 977 doses were administered in the general population in the 33 twin cities. There was an increase in vaccination coverage in children up to 1 year of age in the locations evaluated after the intervention, which may be relevant in terms of increasing VC in Brazil., Conclusion: There was an increase in vaccination coverage in children up to 1 year of age in the locations evaluated after the intervention, helping to increase VC in Brazil., Competing Interests: Conflito de interesse. Os autores não possuem conflito de interesse.
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- 2024
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35. ANÁLISE DE DESEMPENHO DO SAMU DE OURO PRETO E MARIANA ATRAVÉS DE MODELOS DE SIMULAÇÃO.
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Silva Motta, Dênisson Pierre, Moreira Lopes, Ramon Sávio, and Rodrigues, Lásara Fabrícia
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- *
DISCRETE event simulation , *QUALITY of service , *MEDICAL emergencies , *AMBULANCES - Abstract
The Emergency Medical System of Ouro Preto and Mariana operates together, continuously, 24 hours a day, seven days a week, using four ambulances fixed located in three bases scattered throughout the region. Given the degree of uncertainty of the system coupled to the number of parameters capable of interfering in its efficiency, it is interesting to determine and evaluate indicators to make a diagnosis of the complete situation of the emergency system in the region in line with the service quality analysis. In this sense, this work proposes discrete event simulation models that, after validation, were able to analyze (1) the location of ambulance bases in centralized and decentralized configurations, (2) the behavior of the system in meeting the estimated real demand, (3) the performance of the system after the removal of an ambulance using two ambulance dispatch policies, and (4) the changes in system demand throughout the day. The results were able to point out the positive and negative technical features of each scenario, as well as any possible bottlenecks in the system. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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36. Um SUS para a Amazônia: contribuições do pensamento de Boaventura de Sousa Santos.
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Rocha El Kadri, Michele and Machado de Freitas, Carlos
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HEALTH planning ,SOCIAL development ,POPULATION density ,HEGEMONY ,SOCIAL anxiety - Abstract
Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
37. Linha de cuidados no tratamento da asma: informações úteis para o gestor.
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Santos, Marcos, Rubini, Norma, Reis Neto, João Paulo, Busch, Juliana, Ferro, Júlio, Vinicius Balzan, Márcio, Linhares Matar, Zuleid Dantas, Crespo, Guilherme, and Follador, Wilson
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PHYSICIANS ,HEALTH planning ,DEATH rate ,SCHOOL absenteeism ,ASTHMATICS ,QUALITY of life ,MEDICATION therapy management ,COST control - Abstract
Copyright of JBES: Brazilian Journal of Health Economics / Jornal Brasileiro de Economia da Saúde is the property of JBES: Brazilian Journal of Health Economics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
38. Concepções, estratégias e usos do planejamento na gerência em Unidades de Saúde da Família.
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de Araújo de Jesus, Michele and de Souza, Mariluce Karla Bomfim
- Abstract
Copyright of Revista de Atencao Primaria a Saude is the property of Revista de Atencao Primaria a Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
39. Planificação da atenção à saúde e planejamento: experiência do Rio Grande do Sul.
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Ballejo Canto, Raíssa Barbieri, Romeu Farias, Elson, Zancan Paz, Francisco Antonio, Alves de Quevedo, André Luis, Zambrano Machado, Rebel, Tyllmann, Gládis, and Vettorato, Poala
- Abstract
Copyright of Revista de Atencao Primaria a Saude is the property of Revista de Atencao Primaria a Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
40. HIV/aids no Brasil: feminização da epidemia em análise.
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Narciso da Silva Campany, Luciana, Murta Amaral, Daniela, and Nascimento de Oliveira Lemos dos Santos, Roberta
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AIDS ,HEALTH planning ,HEALTH education ,WOMEN'S empowerment ,SELF-efficacy ,LITERATURE reviews - Abstract
Copyright of Revista Bioetica is the property of Conselho Federal de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
41. Developing a national patient safety plan in Guatemala
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Randall Lou-Meda, Sindy Méndez, Erwin Calgua, Mónica Orozco, Bria J. Hall, Natalie Fahsen, Brad M. Taicher, Joseph P. Doty, Julio García Colindres, Carlos Soto Menegazzo, and Henry E. Rice
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Quality assurance, health care ,patient safety ,medical errors ,health planning ,Guatemala ,Medicine ,Arctic medicine. Tropical medicine ,RC955-962 ,Public aspects of medicine ,RA1-1270 - Abstract
Objective. Patient safety is challenging for health systems around the world, particularly in low- and middleincome countries such as Guatemala. The goal of this report is to summarize a strategic planning process for a national patient safety plan in Guatemala. Methods. This strategic planning process involved multiple stakeholders, including representatives of the Guatemala Ministry of Health and Social Assistance, medical leadership from across the public health system, and academic experts from Guatemala and the United States of America. We used mixed methods (quantitative and qualitative surveys) and a nominal group technique at a national symposium to prioritize patient safety challenges across Guatemala, and subsequent meetings to develop a national patient safety plan. Results. This national patient safety plan outlines four domains to advance patient safety across the public hospital system over a five-year period in Guatemala: leadership and governance, training and awareness, safety culture, and outcome metrics. For each domain, we developed a set of goals, activities, outputs, and benchmarks to be overseen by the Ministry of Health. Conclusions. With this national patient safety plan, Guatemala has made a long-term commitment to improving patient safety across the public hospital system of Guatemala. Future efforts will require its extension to all levels of the Guatemalan health system.
- Published
- 2019
- Full Text
- View/download PDF
42. Capacidade de governo em Secretarias Municipais de Saúde
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Celmário Castro Brandão and Magda Duarte dos Anjos Scherer
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Public health ,Health management ,Health planning ,Public aspects of medicine ,RA1-1270 - Abstract
RESUMO A partir da descentralização da gestão Sistema Único de Saúde (SUS), surge a necessidade de se discutir a capacidade de governo, ou de gestão, no âmbito municipal, para a implementação dessa política. Este estudo objetiva analisar a capacidade de governo de Secretarias Municipais de Saúde em municípios baianos, tendo por base a experiência dos gestores. Foi aplicado questionário on-line, subdividido em 03 dimensões, a 15 gestores representantes de Secretarias de municípios de pequeno (porte I) e grande porte (porte II), nas 09 macrorregiões de saúde do estado. Foi utilizada uma matriz de pontuação, que permitiu a quantificação e a classificação dos municípios em cada uma das dimensões e quanto à sua capacidade de governo. Obteve-se que 12 dos municípios apresentaram capacidade moderada, e 03 apresentaram baixa capacidade de governo. A dimensão relacionada ao desenho organizativo das Secretarias foi aquela em que os municípios apresentaram melhor desempenho, seguida por sistemas de trabalho nessas organizações e trajetória profissional dos gestores. Ainda, municípios de porte I e os situados em regiões mais desenvolvidas obtiveram melhores resultados globais. Para a qualificação das gestões, considera-se essencial o investimento em iniciativas de formação e de apoio institucional, priorizando municípios de pequeno porte e situados em regiões de maior vulnerabilidade socioeconômica.
- Published
- 2019
- Full Text
- View/download PDF
43. Planejamento em saúde: utilização de uma ferramenta inteligente na gestão municipal do SUS.
- Author
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Silva de Souza, Sabrina da, Cláudia da Cunha, Ana, Lúcia Prim Laurindo, Dione, Godinho de Souza, Alvaro, Landt Simioni, Sinara Regina, and Martins da Silva, Fabricia
- Subjects
- *
URBAN planning , *HEALTH planning , *TREND analysis , *HEALTH status indicators , *GOAL (Psychology) - Abstract
Objective: to evaluate how an intelligent tool can contribute to the monitoring of municipal health indicators. Method: descriptive study, carried out in the city of São José, Santa Catarina, Brazil. Data collection took place in January 2021. For data analysis, descriptive statistics were performed. The data were organized according to the national pact health indicators achieved in the years 2017-2019, made available by the State of Santa Catarina. All ethical aspects were respected. Results: the development and application of the smart tool enabled trend analysis, the achievement of goals and indicators, of the national agreement, enabling directors to have a systemic view of health planning at the municipal level. Conclusion: strategic planning and local health programming through the development of an intelligent tool, allowed the transformation of the relationships between the supply and demand of services, redirecting the reorganization of health practices, directing them to the solution of problems. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
44. Rate and direct medical costs of cesarean sections among supplementary health plan holders living in the state of São Paulo, Brazil: 2015-2021.
- Author
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Silva RPD and Pazin-Filho A
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- Pregnancy, Female, Humans, Child, Adolescent, Young Adult, Adult, Middle Aged, Brazil, Health Facilities, Health Planning, Cesarean Section, Delivery, Obstetric
- Abstract
Brazil has the second largest cesarean section rate in the world. Differences in rates exist between the public and private health sectors. This study used data on admissions of supplementary health plan holders aged between 10 and 49 years living in the state of São Paulo admitted between 2015 and 2021 to determine cesarean section rates and costs in the private health sector. We conducted a partial economic analysis in health from a supplementary health perspective focusing on the direct medical costs of admissions. A total of 757,307 admissions were analyzed with total costs amounting to R$7.701 billion. The cesarean section rate over the period was 80%. Rates were lowest in young women (69%) and highest in the oldest age group (86%), exceeding 67% across all groups. The rate was 71% higher than in public services. The proportion of admissions with use of the intensive care unit was higher among cesarian deliveries. The median cost of a cesarean was 15% higher than that of a normal delivery and twice as high in insurance companies than healthcare cooperatives. There is an opportunity to apply policies that are widely used in public services to the private sector with the aim of reducing cesarean rates in private services, direct costs of admission, and the cost of supplementary health plans.
- Published
- 2024
- Full Text
- View/download PDF
45. PLANEJAMENTO REGIONAL EM SAÚDE DA POLÍTICA PÚBLICA EM HIV/AIDS.
- Author
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Fontes Fernandes, Sâmara, Mesquita Soares, Themis Cristina, Gomes de Almeida Neta, Antonia, Nobre Gomes, José Giovani, Batista Ferreira, Lucas, and Rosendo da Silva, Richardson Augusto
- Abstract
The research aimed to analyze the regional planning process of the Public HIV/AIDS Policy in a Health Region of northeastern Brazil.This work consisted of a descriptive research, with a qualitative approach, conducted with managers from 13 municipalities in a health region in northeastern Brazil. A questionnaire adapted according to Dantas was used as a data collection instrument, containing 05 open questions, analyzed from Bardin's content analysis. Four areas of discussion were contemplated: 1 - Knowledge of the health reality, 2 - Specialized Care Service, 3 - Quality of care and, 4 - Regional planning. The managers reported knowing the people living with HIV/AIDS in their territory and stated that they did not carry out the planning of the PN-IST/AIDS. It was identified that care for people with HIV/AIDS is not prioritized as the need of the region and that its planning does not occur. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
46. PROJETO TERAPÊUTICO SINGULAR: FERRAMENTA DE SUPERAÇÃO DO GAP TERAPÊUTICO EM SAÚDE MENTAL.
- Author
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de Carvalho Neto, Francisco João, Sobreiro Ramos, Maria da Glória, Guimarães, Mayla Rosa, de Sousa Ibiapina, Aline Raquel, Cardoso Costa, Ana Paula, Lima Silva, Rávida da Rocha, de Castro Rocha Campelo, Lany Leide, and Tajra Rocha, Girzia Sammya
- Subjects
- *
COLLEGE students , *EXPERIENCE , *FAMILY nursing , *RESEARCH methodology , *NURSING schools , *NURSING students , *PSYCHIATRIC nursing , *STUDENTS , *CLINICAL education - Abstract
Objective: To report the experience of academic care of nursing students during the joint construction of a singular therapeutic project with the family health care teams in a Basic Health Unit. Methodology: A descriptive study of the type of experience report on the elaboration of a singular therapeutic project, based on the experiences lived by Nursing students of the Federal University of Piauí in the second semester of 2019 when they followed up on a patient with mental disorder was carried out. Results: As a result of following the stages of situational diagnosis, goal setting, division of responsibilities, and evaluation and reevaluation, as well as the link between academics and professionals with the patient and her family in each phase of the singular therapeutic project, it was possible to identify the organic, psychological and social aspects that trigger health problems and risks to plan and implement interventions aimed at satisfying the demands of the patient and their family, consequently improving their quality of life. Conclusions: The singular therapeutic project proved to be an important tool to overcome the existing therapeutic gap between patient, family and health team, contributing to the strengthening of ties, a better resolution of the demands of the patient, the family and the production of autonomy and personal care. [ABSTRACT FROM AUTHOR]
- Published
- 2020
47. Educação permanente em Saúde: Design Thinking para planejamento e construção de diretrizes
- Author
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Silva, Poliana Avila, Lourenço, Mariana Pissioli, and Baldissera, Vanessa Denardi Antoniassi
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Aprendizaje ,Health Management ,Education, Continuing ,Health Policy ,Política de Saúde ,Educación Continua ,Política de Salud ,Gestão em Saúde ,Health Planning ,Aprendizagem ,Gestión en Salud ,Planejamento em Saúde ,Educação Continuada ,Learning ,Planificación en Salud - Abstract
Resumo Objetivo analisar o percurso do planejamento e construção de diretrizes de Educação Permanente em Saúde em uma regional de saúde. Método pesquisa participativa, desenvolvida pelo Design Thinking como estratégia colaborativa para o planejamento e construção de diretrizes de Educação Permanente em Saúde em uma Regional de Saúde do estado do Paraná-Brasil. Participaram gestores municipais, profissionais de saúde e representantes da Regional de Saúde, totalizando 32 participantes. Realizaram-se análise documental, grupos focais e formulários online para coleta de dados, que foram analisados segundo a Política Nacional de Educação Permanente em Saúde e a concepção dialógica problematizadora do percurso colaborativo. Resultados apontaram que o planejamento regional descreve ações de educação em saúde majoritariamente generalistas e quantificáveis, e que suscitaram inquietudes quando refletidas coletivamente. A atividade colaborativa oportunizou espaços de problematização do planejamento de Educação Permanente em Saúde, relações dialógicas, construção de conhecimento ancorado na ressignificação das práticas e elaboração coparticipativa de diretrizes qualitativas de educação permanente pautadas na reflexão da realidade vivenciada. Considerações finais implicações para prática o Design Thinking promoveu protagonismo e transformação de saberes e gestão por meio do diálogo emancipatório. O estudo corrobora de forma significativa a adoção do planejamento coparticipativo e regional de Educação Permanente em Saúde pela ressignificação das práticas. Resumen Objetivo analizar el curso de planificación y construcción de directrices para la Educación Permanente en Salud en una regional de salud. Método investigación participativa, desarrollada por Design Thinking como estrategia colaborativa para la planificación y construcción de directrices para la Educación Permanente en Salud en una Regional de Salud del estado de Paraná, Brasil. Participaron gestores municipales, profesionales de la salud y representantes de la Región Sanitaria, totalizando 32 participantes. Se realizaron análisis documentales, grupos focales y formularios en línea para la recolección de datos, los cuales fueron analizados de acuerdo con la Política Nacional de Educación Permanente en Salud y la concepción dialógica problematizadora del camino colaborativo. Resultados señalaron que la planificación regional describe mayoritariamente acciones de educación en salud generalistas y cuantificables, y que suscitó preocupación cuando se reflexiona colectivamente. La actividad colaborativa brindó espacios para cuestionar la planificación de la Educación Permanente en Salud, las relaciones dialógicas, la construcción de saberes anclados en la redefinición de prácticas y la elaboración coparticipativa de lineamientos cualitativos para la educación permanente a partir del reflejo de la realidad vivida. Consideraciones finales e implicaciones para la práctica el Design Thinking promovió el protagonismo y la transformación del conocimiento y la gestión a través del diálogo emancipador. El estudio corrobora significativamente la adopción de la planificación coparticipativa y regional para la Educación Permanente en Salud por medio de la redefinición de prácticas. Abstract Objective to analyze the course of planning and construction of guidelines for Permanent Education in Health in a health regional. Method participatory research, developed by Design Thinking as a collaborative strategy for the planning and construction of guidelines for Permanent Education in Health in a Health Region in the state of Paraná, Brazil. Municipal managers, health professionals, and representatives of the Health Region participated, totaling 32 participants. Documentary analysis, focus groups and online forms for data collection were carried out, which were analyzed according to the Brazilian National Policy on Permanent Education in Health and the problematizing dialogic conception of collaborative path. Results they pointed out that regional planning describes mostly generalist and quantifiable health education actions, and that raised concerns when collectively reflected. The collaborative activity provided spaces for questioning the planning of Permanent Health Education, dialogical relationships, construction of knowledge anchored in the re-signification of practices and co-participatory elaboration of qualitative Permanent Health Education guidelines based on the reflection of experienced reality. Final considerations and implications for practice Design Thinking promoted leading role and transformation of knowledge and management through emancipatory dialogue. The study significantly corroborates the adoption of co-participatory and regional planning for Permanent Education in Health by redefining practices.
- Published
- 2023
48. Health accounts from past to present for a political arithmetic
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Magdalena Rathe, Patricia Hernández, Cornelis Van Mosseveld, Claudia Pescetto, and Nathalie Van de Maele
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Health expenditures ,standards ,health economics ,history ,health planning ,economics ,world strategies ,Medicine ,Arctic medicine. Tropical medicine ,RC955-962 ,Public aspects of medicine ,RA1-1270 - Abstract
This report traces the progressive expansion of health accounts (HA) to measure national health expenditures, from the first attempts in 1926 by the American Medical Association to the present day. Milestones in the development of A System of Health Accounts (SHA) are covered, from the economic background to initial efforts by a few countries and organizations, to the need for a set of accounting standards for health care systems, and finally, to consolidation with SHA 2011. International organizations, such as the World Health Organization, Organization for Economic Cooperation and Development, Eurostat, the World Bank, and the United States Agency for International Development have been critical to expanding national HA exercises and ensuring that these are standardized, comparable, and become institutionalized. National efforts to track health expenditures have not only enriched collective results, but have become an important component of global leadership, informing policy the world over. More than 100 countries have created HA under the global standard and have gained a better understanding of health spending and financial flows. These results are key for monitoring progress toward national and global initiatives, such as the Sustainable Development Goals and Universal Health Coverage. Challenges remain to be tackled, among them institutionalization and quality of results. Social responsibility for improving data sources and expanding the generation and usability of health accounts are also needed.
- Published
- 2018
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49. Care handover to chronic conditions to regionalized planning
- Author
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Kamila da Silva Pena, Rosane Machado Rollo, Camila Luana Oliveira Reuter, Vilma Constancia Fioravante dos Santos, Deise Lisboa Riquinho, and Adriana Roese Ramos
- Subjects
Transitional care ,Regionalization ,Health planning ,Nursing ,RT1-120 - Abstract
Abstract Objective: To analyze the possibilities of the transition from care to the problem of chronic illness due to the need of regionalized municipal planning. Method: An exploratory qualitative study was carried out in one of the Health Regions of Rio Grande do Sul, together with the Primary Health Care Coordinators. Results: The final thematic categories that emerged from the results were: “The relationship between municipalities of the Health Region and health planning”, Organizational flow of care of users with chronic diseases”, and “Managing care in the health system: meeting the demands of chronically sick users”. Conclusions: The scenario under study demonstrates the persistence of barriers that affect health care for NCDs, such as the scarcity of investments, lack of planning and disarticulation of communication among municipalities. These conditions reflect on the path of the user among the health services, weakening the transition process of care.
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- 2019
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50. PRÁTICAS EXITOSAS EM ATIVIDADE FÍSICA NA ATENÇÃO PRIMÁRIA À SAÚDE: ELABORAÇÃO DO CONCEITO.
- Author
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Bertoldo Benedetti, Tânia Rosane, Rech, Cassiano Ricardo, Sandreschi, Paula Fabricio, Wolker Manta, Sofia, Alencar Cruz, Danielle Keylla, Almeida, Fabio, and de Alcantara Mendonça, Braulio Cesar
- Subjects
- *
PHYSICAL activity , *PRIMARY health care , *PUBLIC health - Abstract
To develop a concept for best practices in physical activity (PA) in primary health care (PHC) settings. The following steps were taken as part of the conceptual development: (1) concept selection, (2) objective determination, (3) identification of possible uses of the concept, and (4) attribute determination. For data collection, we used document analysis, online questionnaires, a workshop, and an expert panel. Participants included administrators, coordinators, health professionals, community members, and PHC researchers of the five Brazilian regions. To evaluate the qualitative data gathered, content analysis using NVivo software was performed. The concept for best practices in PA in PHC settings was defined as an action that promotes an increase in PA among participants through a planned, replicable, and sustainable process that guarantees and promotes participation and autonomy. This concept includes the following attributes, planning, sustainability, replication, participation, and autonomy. The concept and its attributes are essential to guide the planning, implementation, and evaluation of best practices in PA in the Brazilian PHC. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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