Scheduling models and primary health care quality: a multilevel and cross-sectional study
CONCLUSIONS The scheduling model of advanced access had a positive effect on the quality of primary health care, in the perception of users.RESUMO OBJETIVO Avaliar se o modelo de agendamento influencia a percep ção do usuário sobre a qualidade dos serviços da atenção primária à saúde. MÉTODOS Estudo transversal de base populacional que mediu a qualidade dos serviços pelo instrumento Primary Care Assessment Tool (PCATool-Brasil), aplicado aos usuários adultos (n = 409) de 11 centros de saúde e m Florianópolis, SC. A análise multinível foi utilizada para verificar a relação entre o escore de qualidade ger...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Ambulatory care sensitive conditions hospitalization for emergencies rates in Colombia
CONCLUSIONS A significant reduction in hospital admissions due to ambulatory care sensitive conditions in Entidad Promotora de Salud Sanitas enrollees were reported for the last five years in this study. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Inflammatory markers and occurrence of falls: Bambuí Cohort Study of Aging
CONCLUSIONS Elevated levels of us-CRP, CCL5 and CXCL9, which were associated with falls, may contribute to a proper understanding of the mechanism associated with the occurrence of falls among older people.RESUMO OBJETIVO Analisar se marcadores inflamat órios estão associados a quedas em idosos vivendo na comunidade. MÉTODOS Estudo da coorte de idosos de Bambuí, envolvendo 1.250 participantes da linha de base do projeto. Foram coletadas informações sobre quedas nos últimos 12 meses, classificadas quanto à ocorrência (única ou múltipla) e gravidade (procura por serviços de saúde). O inquérito também contin...
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
Perception of the operating agents about the Brazilian National School Feeding Program
CONCLUSIONS The results indicate the need for employment of nutritionist in sufficient numbers to meet the demands of the National School Feeding Program, investment in educational activities of healthy eating in schools, training of the School Feeding Board, greater availability of vehicles for school visits and assistance to family farmers in order to facilitate their participation in programs of institutional purchases and encourage the diversification of production.RESUMO OBJETIVO Identificar a percep ção de agentes operadores sobre o Programa Nacional de Alimentação Escolar. MÉTODOS Trata-se de um estudo obser...
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
Health Survey in a Peruvian health system (ENSSA): design, methodology and general results
CONCLUSIONS This survey is the first performed in the population of EsSalud affiliates, applied at the national level, and has socio-economic and demographic data of the insured, their distribution, risk factors of health, prevalence of health problems and the degree of access to health services.RESUMEN OBJETIVO Reportar el dise ño, metodología y resultados iniciales de la Encuesta Nacional Socioeconómica de Acceso a la Salud de los Asegurados de EsSalud. MÉTODOS La Encuesta se ejecutó en los 24 departamentos del país. Los temas investigados fueron: características de la vivienda y miembros del hogar, educación,...
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
Health care are associated with worsening of frailty in community older adults
CONCLUSIONS The factors associated with worsening of frailty along the studied period among older adults in the community were those related to health care. This result must be considered by health professionals when addressing frail and vulnerable older adults.RESUMO OBJETIVO Identificar os fatores associados à piora da fragilidade em idosos residentes na comunidade. MÉTODOS Trata-se de um estudo longitudinal prospectivo e analítico. A coleta de dados na linha de base ocorreu no domicílio dos participantes a partir de uma amostragem aleatória por conglomerados. Foram analisadas variáveis demográf icas e socioeco...
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
Fetal and maternal factors are associated with mortality due to circulatory system disorders in children
CONCLUSIONS Fetal and maternal factors are associated with increased mortality due to diseases and malformations of the circulatory system. Measures to control these factors and improve access to their diagnosis and treatment would contribute to reducing the number of deaths caused by diseases and malformations of the circulatory system. However, the identification of environmental influences during gestation and birth on the risk of death should be carefully considered due to being influenced by genetic factors. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
Factors associated with depression symptoms in women after breast cancer
CONCLUSIONS: Age, educational attainment, diagnosis of other diseases, type of surgery, lymphedema, self-esteem, and body image were factors associated with the presence of depression symptoms in Brazilian women after breast cancer. Health professionals should be aware of these relationships and try to detect depression symptoms earlier and improve the care they provide to these women. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
Influence of strategic points in the dispersion of Aedes aegypti in infested areas
CONCLUSIONS: Strategic points are not confirmed as responsible for the vector's dispersion for properties in their surroundings. We highlight the importance of reviewing the current strategy of the vector control program in Brazil, seeking a balance from the technical, operational, and economic point of view, without disregarding the role of strategic points as major producers of mosquitoes and their importance in the dissemination of arboviruses in periods of transmission.RESUMO OBJETIVO: Avaliar se locais com grande quantidade de potenciais criadouros de formas imaturas de Aedes aegypti, denominados pontos estrat égico...
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
Social inequalities in the use of contraceptives in adult women from Southern Brazil
CONCLUSIONS: The results indicated that differences persist in relation to contraception, which can be associated with both the difficulties of access to these inputs and the frailty of actions in reproductive health to achieve the needs and preferences of women who are more socially vulnerable.RESUMO OBJETIVO: Descrever os m étodos contraceptivos utilizados e fatores demográficos e socioeconômicos associados em mulheres adultas. MÉTODOS: Estudo transversal de base populacional com mulheres de 20 a 49 anos de São Leopoldo, RS, em 2015. Foram considerados três desfechos para analisar a associação com característ ...
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
Factors associated with environmental barriers of people with disabilities in Mexico
CONCLUSIONS: This information is valuable for the design of public policies and programs that promote the participation of individuals with permanent disabilities, a high-priority issue in low- and middle-income countries. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
VES-13 and WHOQOL-bref cutoff points to detect quality of life in older adults in primary health care
CONCLUSIONS: VES-13 score ≥ 2 and WHOQOL-bref score< 60 adequately detected poorQoL in patients treated in primary health care. Our data suggest that older individuals with these scores require special treatment such as geriatrics collaborative care to improve this scenario, considering QoL impact on mortality. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 1, 2019 Category: International Medicine & Public Health Source Type: research
Lung transplantation and organ allocation in Brazil: necessity or utility
This article reviews the organ allocation philosophy focusing on the case of lung transplantations in Brazil.RESUMO A filosofia da aloca ção de órgãos é resultado de duas vertentes aparentemente inconciliáveis: utilitarismo e justiça distributiva. O processo de doação e transplante de órgãos no Brasil revela grandes desigualdades entre regiões e unidades da federação, desde a captação de órgãos até o implante dos ó rgãos. Nesse contexto, o transplante de pulmão é realizado em poucos centros no país e ainda é um tratamento, cujos resultados de longo prazo são limitados. A alocação dos poucos órg...
Source: Revista de Saude Publica - February 25, 2019 Category: International Medicine & Public Health Source Type: research
Sociocultural factors related to the physical activity in boys and girls: PeNSE 2012
CONCLUSIONS: One-fifth of adolescents practice physical activity regularly, demonstrating the need for specific public policies to increase the percentage of active young people in the country. Maternal schooling, healthy eating habits and family supervision were associated with regular physical activity in boys and girls, evidencing the importance of the family for the acquisition of healthy habits in this age group.RESUMO OBJETIVO: Verificar em adolescentes brasileiros dos sexos masculino e feminino a associa ção de características demográficas, psicossociais, comportamentais e socioculturais com a prática regular ...
Source: Revista de Saude Publica - February 25, 2019 Category: International Medicine & Public Health Source Type: research
Diabetes mellitus mortality in a municipality in the state of São Paulo, 2010 to 2014
CONCLUSIONS: As a diagnosis of local health care, the significant increase in age-standardized mortality rates, premature mortality and potential years of life lost in the studied municipality point to the need for improvements in health promotion and disease prevention measures. It is our hope that the results presented in this study contribute to the monitoring of mortality rates in the coming years.RESUMO OBJETIVO: Descrever a mortalidade por diabetes mellitus segundo sexo e idade em um munic ípio do estado de São Paulo, 2010 – 2014. M ÉTODOS: Estudo ecológico, de série temporal, realizado em Ribeirão Preto, S...
Source: Revista de Saude Publica - February 25, 2019 Category: International Medicine & Public Health Source Type: research
