Mestrado Profissional em Saúde Coletiva (IPTSP)

URI Permanente para esta coleção

http://200.137.215.59/tede/handle/tede/10828

Navegar

Agora exibindo 1 - 10 de 10

As estratégias de gestão da atenção à saúde dos radioacidentados pelo Césio 137 do Estado de Goiás
(Universidade Federal de Goiás, 2023-06-05) Sousa, Hildêth Pereira de Oliveira; Barros, Fernando Passos Cupertino de; http://lattes.cnpq.br/4821446904229513; Barros, Fernando Passos Cupertino de; Pereira, Edsaura Maria; Raggio, Armando Martinho Bardou
With the rupture of a Cesium-137 capsule, in September 1987, Goiânia-Goiás experienced the biggest reported radiological accident in the world. In this study, we wanted to consolidate strategic and legal information on the institutional evolution aimed at monitoring radioactive victims of Cesium-137 in Goiás, over a period of 35 years. OBJECTIVES: To know the strategies for managing the health care of those who have radioactive accidents caused by Cesium-137. METHODOLOGY: Descriptive and bibliographic methods were used to deal with the normative characteristics, being a descriptive-analytical study, with a qualitative and quantitative approach referring to management strategies aimed at monitoring radioactive victims by Cesium-137. To collect data on legislation, public databases were used. Patient data were obtained from SISRAD, generating a database. Data from the SES-GO Health Information Platform (Conecta SUS) were consolidated from the database, as well as information from the SUS Department of Informatics (DATASUS) for georeferencing and demonstration of the location of patients in the state, demonstrating the macro-regions and sanitary health regions in the state of Goiás. RESULTS: It was evident that over the 35 years there was a total edition of 15 basic legal orders, such as laws and decrees. As for patient follow-up of the patients, there was a division into three groups, according to the level of exposure. Thhe State Center for Assistance to Radio-Accidents (CARA) followed the initial standard of care, monitoring Groups I and II, as well as their descendants. The seven cases of cancer that occurred in 6 patients from these groups in the period of 30 years (1987-2017), did not present a statistically different number from the population of Goiânia not exposed until that moment. Group III presents dynamic insertion due to evaluation processes or judicial decision and already follow the same monitoring parameters as the groups that had a higher degree of health impairment directly due to the accident. Monitoring during the COVID-19 pandemic, starting in 2020, followed the standards established by SES-GO. However, until December 2022, 06 deaths were recorded as a result of COVID-19, of which: 01 adult man in group II, and 4 men and 1 woman in group III. FINAL CONSIDERATIONS: CARA is guided by the fulfillment of its role and continues to provide all services through the Unified Health System (SUS), in a direct and regulated manner, following the protocols and schedules established for the proper assistance to victims of radioactive accidents.
Internações por condições sensíveis à atenção primária, no município de Goiânia, no período de 2008 a 2013
(Universidade Federal de Goiás, 2015-03-12) Magalhães, Alessandro Leonardo Alvares; Morais Neto, Otaliba Libânio de; http://lattes.cnpq.br/4030124246791320; Morais Neto, Otaliba Libânio de; Siqueira Júnior, João Bosco; Oliveira, Ellen Synthia Fernandes de; Turchi, Marília Dalva; Minamisava, Ruth
The Hospital Admissions by Primary Care Sensitive Conditions (ICSAP), are health problems, which the hospitalization is liable to be avoided by qualified primary care, which is understood as accessibility and effectiveness in outpatient care. To evaluate the magnitude, profile, evolution and spatial pattern of occurrence of the risks of hospitalizations associated with Primary Care Sensitive Conditions of Goiânia´s dwellers in the period of 2008 to 2013 a transversal study was developed using secondary hospitalizations data available in the Hospital Information System of the Department of Regulation, Evaluation and Control of Municipal Health of Goiânia. All admissions were georeferenced linking the neighborhood of Hospitalization Authorization (AIH) to one of the 07 health sanitary districts of Goiânia and then the analyzes of proportion ICSAP were made considering the group of causes, ageand Sanitary District and its evolution during the studied series. The analysis of ICSAP rates was made and also the respective 95% confidence intervals, using the average of hospitalizations in the period clustered by age and group of causes and region of the Sanitary District of Goiânia The results showed a reduction in the proportion of ICSAP in Goiânia and its Sanitary Districts along the studied series, but heterogeneously. A higher reduction was registered in the Northwest District. The Southern District had the highest ICSAP rate and the Southwest District the lowest rate of ICSAP, however when the rates were detailed by cause group, it was observed that the Northwest District had the highest rates for 09 causes groups and the Southern District in 08 of them. The highest proportion of ICSAP and the highest rates in ICSAP were observed extremity age groups (0-9 years and 60 years or more). The occurrence of spatial pattern showed inequality of ICSAP rates in Goiania´s Sanitary Districts in relation to groups of cause and age groups. The study showed some progress and identified insufficient coverage and effectiveness of primary care services in Goiânia, which has the potential to support the city health manager and the sanitary districts in the reorientation of work processes, the family health strategy, in the implementation of intersectoral policies, in the definition of areas for location of new units of primary care in the municipality.
Acompanhamento de egressos do Mestrado Profissional em Saúde Coletiva: avaliação de uma plataforma on-line
(Universidade Federal de Goiás, 2020-12-18) Silva, Kelly de Oliveira Galvão da; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Oliveira, Ellen Synthia Fernandes de; Cardoso, Alessandra Marques; Teixeira, Ricardo Antônio Gonçalves
Although collective health, in offering the professional master's degree, seeks to train critical scientists capable of evidencing specific facts by understanding localized situations, seeking solutions and proposing improvements to their work environment, it is evident that the combination of research effectiveness and applicability in public health services, still faces invisibilities on the part of Brazilian evaluation bodies. One of the ways to identify this double objective of the Professional Master in Public Health (MPSC) is to bring the Higher Education Institutions (HEIs) closer to their graduates. In this sense obtaining information on the training received will serve as a subsidy for the improvement of graduate programs in the HEIs. Therefore, the objective of our study was to evaluate the use of an online platform called PortalEgressos by graduates of an MPSC. The research was carried out in Goiânia-GO, from October 2019 to December 2020, and 92 students from the classes of 2013, 2014, 2016 and 2017 were invited to participate. It was a retrospective, descriptive cross-sectional study, exploratory, of the type mixed research with qualitative approach and description of quantitative data. For data collection, the program's registration forms and the information entered by the graduates in the PortalEgressos platform were used from February to June 2020, obeying ethical aspects. The data analysis was carried out through statistical tests and content analysis, according to Bardin, 2011. Through the registration form, the profile of the 92 graduates was drawn, a heterogeneous population, with a varied age range, (22–59 years old), with a majority female representation, most of them are linked to the public health service and the research line with the greatest quantitative of interest was “Management processes in Health services”. In PortalEgressos, in the “about me” tab, it was observed, from the analysis of the perception of the 26 respondents, that the MPSC contributed to their work activities in the health service, improved their critical perceptions and based on theoretical concepts that help in decision making. In the “Interview” tab, 18 participants evaluated performance and expectations regarding the course that said, Wilcoxon test showed the existence of a significant difference between the pairs in questions 3, 4, 7 and 21, in order to elucidate, thus, that there are still gaps to be investigated and improved in the course. Thus, through a virtual tool, aspects could be extracted, with proof of its usefulness in following the graduate, being the instrument of data collection and its analysis as a technical product, that contains the proposal for improvements to the process of evaluation and monitoring of the course.
Erros de imunização em Goiás: análise das notificações
(Universidade Federal de Goiás, 2018-11-26) Barboza, Tânia Cristina; Gimenes, Fernanda Raphael Escobar; http://lattes.cnpq.br/2815443534074464; Camargo, Ana Elisa Bauer de Oliveira; http://lattes.cnpq.br/8388407861788466; Camargo, Ana Elisa Bauer de Oliveira; Junqueira, Ana Luiza Neto; Pessoni, Grécia Carolina
INTRODUCTION: The use of immunobiological has provided progress in the control and prevention of various diseases. However, the increase in the supply of this product, both in quantity and in its diversity, promoted a greater complexity in the vaccination process, revealing the increase of adverse events following immunization (AEFI), including immunization errors (IE), incidents that are avoidable. OBJECTIVE: To analyse the immunization errors occurred and notified in Goiás. METHODOLOGY: This is a retrospective, analytical cohort study of the notifications on IE sent to the Information System on Post-Vaccination Adverse Events Surveillance (SI-EAPV) from the National Immunization Program SI-PNI between August 2014 and December 2017. Data were analysed in the SPSS program, version 24.0. Descriptive analysis was performed using absolute and relative frequencies. The number of errors associated with a vaccine and the number of doses applied and recorded in the SI-PNI of the vaccine associated to the error were used to calculate the incidence rate of IE. The association between the type of immunobiological used and the incidence rate was verified by means of the ratio of incidence rate (RIR) and the respective p-value, using Fisher's exact test. RESULTS: 501 IE occurred, 426 (90.6%) IE without AEFI and 47 (9.4%) IE with AEFI. The overall incidence rate was 4.05 IE/100.000 doses applied, the most frequent were those related to the prescription and/or indication of the immunobiological (26.9%), the inadequate interval between doses (18.2 %) and the error in the administration technique (14.2%). Most cases occurred during administration of routine doses (92.6%) and a higher proportion of IE were related to vaccines (15.4%), yellow fever (12%), HPV (10%), pentavalent (7.4%) and VORH (7.0%). The majority of IE (416; 80.0%) occurred in municipalities in the interior of the State and in female individuals (313; 62.5%). Regarding the age group, IE in children under five involved more than half of the cases analysed (55.7%). Approximately half (49.7%) of IE occurred on administration of the first dose of immunobiological and 58.1% involved immunobiological administered intramuscularly. Of the total IE with AEFI, 139 events occurred, including local manifestations (66.2%) and systemic manifestations (33.8%). The five most reported AEFI were local pain (14.4%), edema or flushing (12.2%), erythema (12.2%), heat (9.4%) and nodule (5.0%). There was a higher frequency of IE with AEFI related to BCG (23.4%), pentavalent (10.6%), yellow fever (8.5%), and HPV (8.5%) vaccines. CONCLUSION: The study evidenced that errors are occurring in the immunization process, and it is necessary to adopt prevention strategies, focusing on systemic measures and human resources development, improving the quality of service and promoting safe vaccination in vaccine rooms.
Probabilidade de morte infantil e fatores associados no município de Aparecida de Goiânia, Goiás, Brasil
(Universidade Federal de Goiás, 2020-03-05) Silva, Karina Meireles; Morais Neto, Otaliba Libânio de; http://lattes.cnpq.br/4030124246791320; Morais Neto, Otaliba Libânio de; Siqueira, Cláudio Morais; Souza, Marta Rovery de
Childhood is a phase of life in which the human being is fragile, dependent and requires special care. Policies that prioritize childcare are often consensus policies. In recent years, infant mortality (up to 1 year of life) represents approximately 86% of under-five deaths (childhood mortality) in Brazil and still has a high percentile of preventable causes, indicating that there are still spaces for its reduction. The objective of this study was to investigate risk factors for neonatal and post-neonatal mortality in the city of Aparecida de Goiânia, Goiás. The study population consisted of a cohort of 8,145 live births of mothers residing in Aparecida de Goiânia in the year of 2012. The Birthdate Declaration of the Live Birth Information System (Sinasc) was used as data source; and the Death Certificate of the Mortality Information System (SIM), as well as the Child Death Investigation Cards. A linkage procedure was performed between the databases to identify the selected variables and the construction of the indicators for estimating the magnitude of the outcomes that were the probability of death in the neonatal and post-neonatal periods. The odds of death in both periods were equal to 9.94 and 3.68 per thousand live births, respectively. The main causes of infant death were diseases originating in the perinatal period (65.8%), followed by congenital malformations (23.4%) and respiratory diseases (4.5%). Hierarchical logistic regression analysis was performed to evaluate the association of infant death with study variables. Factors associated with neonatal death were: male gender (OR = 2.48; 95% CI: 1.24-4.96), low birth weight (<1500g: OR = 557.26; 95% CI: 239.59- 1296.11; 1500g to 2499g: OR = 16.75; 95% CI: 7.35-38.17), prematurity (20 to 32 weeks: OR = 99.19; 95% CI: 46.55-211.33) ; 33 to 36 weeks: OR = 6.68; 95% CI: 2.57-17.35), low maternal education (up to complete elementary school: OR = 0.32; 95% CI: 0.10-0.97; Complete high school: OR = 0.32; 95% CI: 0.11-0.89) and yellow and indigenous race / color (OR = 10.56; 95% CI: 1.02 - 109.08). For the post-neonatal period, low weight (<1500g: OR = 29.55; 95% CI: 8.22-106.26; 1500g to 2499g: OR = 7.39; 95% CI: 3.23- 16.93) and prematurity between 20 and 32 weeks (OR = 11.35; 95% CI: 3.50-36.84). The challenge of reducing infant deaths in the municipality encompasses the need for improvements in access, especially in the quality of maternal and child health services and the demand for public policies aimed at reducing socioeconomic inequalities. This work allowed the identification of factors associated with infant mortality in the municipality of Aparecida de Goiânia, Goiás, and may support interventions that reduce the impact of these factors during pregnancy, childbirth and after the birth of children.
Plano de gerenciamento de tecnologias: conhecendo a implantação em unidades de terapia intensiva de Goiânia, Goiás
(Universidade Federal de Goiás, 2019-09-27) Silva, Frederico Inácio e; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Oliveira, Ellen Synthia Fernandes de; Teixeira, Ricardo Antônio Gonçalves; Rodrigues, Paula Cicília Faquim
Although almost 10 years have passed since the publication of RDC Nº 2/2010 ANVISA that establishes the obligation of technology management in health facilities, its implementation in practice is still a challenge and a public health problem. Especially in highly specialized and technology-dependent healthcare facilities such as Intensive Care Units (ICU). This study then aimed to verify the implementation of the Technology Management Plan for Medical Equipment in the ICU of Goiânia, Goiás, an integral part of technology management. As a basis, we used secondary data collected in a Guide prepared by the Sanitary Surveillance of the municipality studied. This guide was applied twice during each visit to the municipality's ICU during tax audits. These data were analyzed comparatively in both visits and the results presented by absolute, relative frequency and statistical analysis. The PGT implementation levels found were 25.82% and 40.86% in the first and second audit, respectively. When analyzing the results individualized by type of management, it appears that the private sector, which corresponds to the vast majority of health services with ICU, had the lowest rates of implementation of PGT, while the group of health services managed by Social Organizations presented the highest rates, according to the study criteria. Regulatory and control mechanisms capable of restricting resources and disabling services such as the management contract established between the Social Organizations and the State are effective to provide improvements in the implementation of technology management. Investments in training and continuing education programs can be a direction for improving the implementation of PGT and consequently an advance in the quality of service offered to the user. Considering that Health Surveillance is an important catalyst for this change, this study provides important data for managers to prioritize actions and formulate public policies in Collective Health. Considering that Health Surveillance is an important catalyst for this change, this study provides important data for managers to prioritize actions and formulate public policies in Collective Health.
Análise dos atributos da atenção primária a saúde na estratégia da saúde da família
(Universidade Federal de Goiás, 2017-08-30) Lima, Mirlene Guedes de; Batista, Sandro Rogério Rodrigues; http://lattes.cnpq.br/0635277135921573; Pereira, Edsaura Maria; http://lattes.cnpq.br/8820722314388248; Pereira, Edsaura Maria; Zara, Ana Laura de Sene Amâncio; Caixeta, Camila Cardoso
The organization of public health services in the logic of the networks of attention has Primary Health and Care is first contat preferential, coordinated of the care and ordering of the system. For this level of attention to be considered qualified and resolutive, 7 attributes were identified that, when present, reflect the quality of care provided in primary care. In order to construct a picture of the quality of care offered by the professionals doctors and nurses of the Family Health Strategy in Goiânia-GO, a descriptive, exploratory cross-sectional study was conducted with a quantitative approach. As a data collection instrument, the PCATool-Brazil Primary Care Assessment Tool (professional version) applied to 143 professionals doctors and nurses from the city of Goiânia, showing whether sociodemographic factors can be related to adequate primary care scores. The study allows to conclude that the average of the general score of the professionals of the municipality was below the suitable one and that professionals with age greater than 60 years, time of formation smaller and those that have residence present adequate scores of primary care. It was evidenced the need for qualification in primary care with actions and mutual commitment of municipal management and professionals to qualify the assistance provided to users. The results achieved in this research should also contribute to new inquiries in the challenge of building, strong and resolute primary care.
Síndrome de burnout: características sociodemográficas, estilo de vida e psicossociais em trabalhadores-estudantes
(Universidade Federal de Goiás, 2021-11-16) Lima, Vinicius de Almeida; Zara, Ana Laura de Sene Amâncio; http://lattes.cnpq.br/8039224852182884; Carneiro, Larissa Arbués; http://lattes.cnpq.br/6576103363656577; Carneiro, Larissa Arbués; Barros, Patrícia de Sá; Zara, Ana Laura De Sene Amâncio; Andrade, Sara Rosa de Sousa
Introduction: Psychosocial risks are precursors of Burnout Syndrome, a condition that afflicts 32 million Brazilians, being critical in student-workers. Objective: Identify signs of Burnout Syndrome, its correlation with sociodemographic factors, lifestyle and which are the psychosocial risks that generate more stress. Method: Quantitative, analytical, cross-sectional research carried out with a group of 159 student workers. Results: Student workers expressed (33.3%) critical level, (23.9%) moderate level (42.8%) light level of Burnout. The following variables were correlated with at least one dimension of the syndrome; age group, practice of physical activity, activities outside the work and academic environment, time at work, salary range, intention to retire, residents in the same residence and children. The psychosocial risks that generated the greatest stress were; interference, lack of autonomy, poor communication, long working hours, discrimination, lack of training and precarious career plans. Conclusion: More than half of worker-students have signs compatible with Burnout syndrome, they are young, sedentary and without daily leisure activities. They receive low wages and suffer from a lack of social support in the family and an unhealthy work environment from a psychosocial point of view.
Elaboração de protocolo de referência e contra referência do paciente com acidente vascular encefálico para a fisioterapia na atenção primária à saúde
(Universidade Federal de Goiás, 2020-09-29) Pellozo, Fernando; Rosso, Claci Fátima Weirich; http://lattes.cnpq.br/1137218060736306; Rosso, Claci Fátima Weirich; Guimarães, Rafael Alves; Almeida, Nilza Alves Marques
INTRODUCTION: The social advances in Brazilian health, achieved by the health reform movement, enabled the consolidation of the Unified Health System and, subsequently, of the Health Care Networks and, finally, allowed the insertion of Physiotherapy in Primary Health Care, initially focused on the rehabilitation of users and, currently, acting on the levels of prevention, promotion and health education related to rehabilitation. However, the role of the physiotherapist in the Health Care Networks lacks criteria and greater organization to be used to its full potential, in view of the growing demand for rehabilitation in Primary Health Care, where the Stroke generates conditions temporary or permanent functional disabilities when it does not result in death. The use of a Reference and Counter-reference protocol for patients with a Stroke for Physiotherapy in Primary Health Care is relevant for the organization of services. This can favor the user's access to the available Physiotherapy services, contribute to the managers and physiotherapists in the assistance. OBJECTIVE: To elaborate a Reference and Counter-Reference Protocol for patients with a Stroke for Physiotherapy in Primary Health Care. METHODOLOGY: This is a descriptive analytical study for the elaboration of a reference and Counter-reference protocol for patients with Vascular Accident. Brain for Physiotherapy in Primary Health Care, held in the municipality of Senador Canedo, Goiás, in the years 2018 and 2019. The elaboration of the protocol was organized in two stages. The elaboration team was composed of five physiotherapists working in the management and assistance to the patient of the Unified Health System. RESULTS: The product of the study is the Reference and Counter Reference Protocol for the patient with a Stroke for Physiotherapy in Primary Health Care. Health, according to guidelines and norms of the Ministry of Health, in addition to ethical and legal guidelines of the Federal Council of Physiotherapy for professional practice. Contains reference and Counter reference of patients for physiotherapy, organization of care and scheduling, definition of care units or home care, definition of individual or group care and management of the waiting list. FINAL CONSIDERATIONS: The Reference and Counter-Reference Protocol for Patients with Stroke for Physiotherapy in Primary Health Care is an instrument that assists in the organization of the Physiotherapy service, in the standardization of care flows and organization of care. Can be used as a reference for building other service organization protocols, as it is one of the first developed in the area of Physiotherapy and Primary Health Care
Hemoterapia na saúde pública do Estado de Goiás 1999-2018
(Universidade Federal de Goiás, 2021-04-16) Morais, Ana Paula Almeida Cruz Guimarães; Teixeira, Ricardo Antonio Gonçalves; http://lattes.cnpq.br/0272312162765846; Teixeira, Ricardo Antonio Gonçalves; Pereira, Edsaura Maria; Silva, Carlos Cardoso
This dissertation is a study on the creation of the Public Network of Blood Centers in Goiás began in 1988, with the purpose of supplying blood, components and blood products with sufficient quality and quantity to the population. Regionalization, expansion and restructuring processes have been at the heart of this implementation, contributing to the consolidation of hemotherapy services in the state. The recovery of this service network history, the object of this study, made it possible to identify political and institutional milestones that impacted assistance and contributed to the increase in hemotherapeutic stage coverage. It has also made it possible to evaluate the applicability of the blood Regionalization Plan. To this end, the methodology applied in this research was a case study with a qualitative approach. The data were collected by means of documentary research and the application of questionnaires about the milestones in the implementation and expansion of the public blood network in Goiás, answered by former employees of the Goiás State Coordinating Blood Center Professor Nion Albernaz. For the data analysis, we employed the content analysis method of Bardin (2011). From this analysis, a priori categories emerged, based on the state pillars of public hemotherapy assistance. The results of this research revealed the complexity of the service, advances, conquests, and also the difficulties and obstacles that were critical in the construction and functionality of the state public hemotherapeutic. In addition, the analysis of the implementation of the Blood Regionalization Master Plan concluded that the public blood network of Goiás did not have the installed capacity to meet the demand for blood products in all the hospital beds of the Unified Health System due to the inexistence of a State Blood Policy. Final reflections indicate that the ethical commitment of the professionals was considered essential for the quality of the execution of the hemotherapeutic technical activities, and also for the quality of the final products dispensed to the population of Goiás.

Navegar

Submissões Recentes