We understand the integrality in people's care, groups and collectivity having the client as a historical, social and political subject, integrated to his family context, to the environment and the society in which he is inserted. In this scenery the importance of education actions in health is highlighted as an integrating strategy of a collective knowledge that translates in the individual his autonomy and emancipation. Based on this comprehension the study aims to reflect on the principle of the integrality as an axis director of the education actions in health. The education in health as a pedagogical and political process requests the development of a critical and reflexive thinking, allowing to reveal the reality and to propose transforming actions, while historical and social subject able to propose and to give opinions in the decisions of health for his own care, of his family and of the collectivity.

/pdf/integralidade-formacao-de-saude-educacao-em-saude-e-as-4dq5bpx7aq.pdf

Integralidade, formação de saúde, educação em saúde e as propostas do SUS: uma revisão conceitual

One day, you will discover a new adventure and knowledge by spending more money. But when? Do you think that you need to obtain those all requirements when having much money? Why don't you try to get something simple at first? That's something that will lead you to know more about the world, adventure, some places, history, entertainment, and more? It is your own time to continue reading habit. One of the books you can enjoy now is schizophrenia cognitive theory research and therapy here.

Schizophrenia: Cognitive Theory, Research and Therapy

The Family Health Program (PSF) constitutes a strategy for reformulating the health assistance model in Brazil. This study was carried out to ponder over the challenges of this strategy concerning to health practices in the primary care context. After existing for more than twelve years, there appear questionings related to the paper of PSF in the reformulation of the way to think and promote health, and their structures remain permeable to the traditional hegemonic model that corrupts the daily work process. Some changes and reconstruction are necessary in the health practices concerning to care production based on light, relational and integrate technologies that are centered on users' needs. Although the deconstruction/reconstruction process implicates much labor, the advantage in overcoming the challenges faced by PSF rather leads to the transformation of reality and to construction of health practices that are solidary, welcoming, and resolvent.

/pdf/saude-da-familia-desafios-no-processo-de-reorientacao-do-5v5nxsgurx.pdf

Saúde da família: desafios no processo de reorientação do modelo assistencial

The physiotherapist is destining its attention almost exclusively on the cure of patients and their rehabilitation However, the new epidemic profile and the new logic of organization of the health system suggest the restructuring of this professional practices and the re-definition of the field of the physiotherapist's performance In this sense, this article aims to discuss the reorientation of the field of the physiotherapy professional performance and the new possibilities of acting at the Unified Health System (SUS) The article starts with a debate about the demographic, epidemiological and nutrition transitions and the new professional demands before the new attendance models Taking as reference the model of health surveillance and the primary attention as a restructuring axis of the health system, it is highlighted the overcome of the rehabilitation as only level of professional performance and showed the collective model of the physiotherapy as an instrument of reorientation of the physiotherapist's performance Finally, it is presented some possibilities of the physiotherapist's performance in the basic attention and in the collective ambit

/pdf/physiotherapy-and-collective-health-challenges-and-new-11xsddp9v2.pdf

Physiotherapy and collective health: challenges and new professional responsibilities

OBJETIVO: Analisar a percepcao dos profissionais de saude, gestores e usuarios sobre o Programa Saude da Familia (PSF) de dois municipios de Minas Gerais, Brasil. METODOLOGIA: Foram realizadas entrevistas semi-estruturadas com os profissionais e gestores com os temas: formacao profissional, objetivos do PSF, equipes e dificuldades do programa no municipio. Foi utilizado um questionario estruturado, usando como criterio de inclusao o sorteio de domicilios cadastrados em quatro unidades dos municipios. RESULTADOS: Os profissionais relataram que: os atributos pessoais de seus membros sao o requisito para uma boa equipe; ha insatisfacao com a organizacao do PSF; a prevencao e o principal objetivo do PSF. Os gestores destacaram que o maior beneficio do PSF e a intervencao junto as familias. Citaram tambem a educacao, a assistencia e a promocao da saude como pontos importantes do PSF. Os usuarios revelaram que: o agente de saude representa a categoria profissional de maior destaque; a presenca de especialistas no PSF e necessaria; a maior parte dos entrevistados nao participa de atividade extra-consulta; o servico especializado e preferivel ao PSF. CONCLUSAO: Os envollvidos na proposta do PSF tem expectativas diferentes quanto a estrategia, o que pode afetar a efetividade do servico.

https://www.scielo.br/pdf/csc/v13n1/06.pdf

O Programa Saúde da Família segundo profissionais de saúde, gestores e usuários

Multiplos aspectos relacionados a formulacao de politicas, a construcao do conhecimento e a implementacao das praticas no setor saude interagem mutuamente e tem como produto a maneira como se prestam os servicos de saude em determinado contexto historico ou ainda resultam na disponibilidade ou na escassez de um determinado conjunto de acoes e servicos de saude. Compreender essas relacoes e fundamental para se avaliar a trajetoria da politica de saude no pais. Tomando-se como referencia o principio constitucional da integralidade da atencao a saude e os desafios de sua implementacao, analisam-se as formulacoes teoricas relacionadas ao conceito de Vigilância da Saude e as mudancas implementadas pelo Ministerio da Saude no campo da Atencao Basica e da Saude da Familia. Busca-se ainda analisar em que medida essas proposicoes contribuem atualmente para o desenvolvimento do Sistema Unico de Saude.

/pdf/o-desafio-da-integralidade-segundo-as-perspectivas-da-22c9y6tfn2.pdf

O desafio da integralidade segundo as perspectivas da vigilância da saúde e da saúde da família

Satisfaction with health care is a multidimensional concept that considers aspects such as access, organization and professional-user interaction. The aim of this study was to adapt and apply an instrument in the Family Health Strategy (FHS) to assess user satisfaction with Primary Health Care (PHC) based on the European Task Force on Patient Evaluation of General Practice Care (EUROPEP), which refers to user satisfaction wth general and family medicine services. The instrument consists of five dimensions of satisfaction: relationship and communication, medical care, information and support, continuity and cooperation, and organization of services. The study was divided into phases: review and adjustment of the instrument and application to a representative sample of users of the FHS in Rio de Janeiro. The averages of the proportions of answers for each indicator were calculated to analyze the results. Relationship and communication between professionals and users received the best evaluation and Organization of Services eceived the worst appraisal. Regarding education level, good self-perceived health and more elderly were more satisfied. The instrument proved to be easy to apply, can be routinely used for monitoring of the FHS, and is a tool for the institutionalization of evaluation.

/pdf/avaliacao-da-atencao-basica-pela-perspectiva-dos-usuarios-21uywq50mb.pdf

Avaliação da atenção básica pela perspectiva dos usuários: adaptação do instrumento EUROPEP para grandes centros urbanos brasileiros

Recentes iniciativas governamentais possibilitaram a implantacao de propostas de avaliacao da qualidade da Atencao Primaria a Saude no Brasil. Este campo ate entao inexplorado constitui-se uma prioridade no atual processo de fortalecimento da Estrategia de Saude da Familia, apos uma decada de expansao e consolidacao. Este artigo aborda estrategias de avaliacao e de melhoria da qualidade no contexto da Atencao Primaria em Saude.

/pdf/estrategias-de-avaliacao-e-melhoria-continua-da-qualidade-no-298hwu2mji.pdf

Estratégias de avaliação e melhoria contínua da qualidade no contexto da Atenção Primária à Saúde

This study examines the importance of household surveys for evaluating the implementation of district-based health systems for the delivery of health services. The concepts underlying health surveys and the literature on health surveys in the Third World are reviewed, and significant methodological problems are also discussed. Although many authors dealing with this issue consider household health surveys of capital importance for the planning of health services, that was not the situation encountered by the author, who rarely found examples of the applicability of such studies. The potential use of less complex and quicker studies was a solution proposed by some authors to increase the presence of surveys in health planning. Finally, national health surveys are also analyzed.

/pdf/health-surveys-from-a-planning-perspective-4kzxyvi0f3.pdf

Health surveys from a planning perspective

Evaluation of health planning activities adapted to the local context is an essential part of daily work in the Family Health Strategy (FHS). This study aimed to evaluate the planning activities conducted by family health teams in Espirito Santo State, Brazil. This was an ecological study based on secondary data from 241 health teams in 46 municipalities (counties) in the State that use the Evaluation for Quality Improvement in the Family Health Strategy (AMQ-ESF) form. Criteria were set for evaluating the responses by health professionals to the quality standards in the AMQ-ESF forms, and health planning indicators were listed. The responses were stratified according to the municipality's population size and time since implementation of the FHS and population coverage. The study mostly showed low adequacy rates in the teams' work processes in relation to the AMQ quality standards, and stratification of the variables had no influence on the local planning practices. Specific measures are needed to upgrade the work processes in the FHS.

/pdf/evaluation-of-health-planning-activities-by-family-health-4jx0zqwofc.pdf

Carlos Eduardo Aguilera Campos

Papers

O desafio da integralidade segundo as perspectivas da vigilância da saúde e da saúde da família

Avaliação da atenção básica pela perspectiva dos usuários: adaptação do instrumento EUROPEP para grandes centros urbanos brasileiros

Estratégias de avaliação e melhoria contínua da qualidade no contexto da Atenção Primária à Saúde

Health surveys from a planning perspective

Evaluation of health planning activities by family health teams