Programa de Pós-graduação em Saúde Coletiva

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Navegando Programa de Pós-graduação em Saúde Coletiva por Por Orientador "Oliveira, Ellen Synthia Fernandes de"

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    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.
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    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.
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    Práticas integrativas e complementares na atenção primária à saúde: percepções dos profissionais sobre a oferta dos serviços na Região Metropolitana de Goiânia
    (Universidade Federal de Goiás, 2019-04-29) Silva, Pedro Henrique Brito da; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Oliveira, Ellen Synthia Fernandes de; Teixeira, Ricardo Antônio Gonçalves; Barros, Nelson Filici de
    Researches involving Complementary and Alternative Medicine (CAM) have been increasingly encouraged in order to understand how these unconventional care practices are provided in Primary Health Care (PHC). They acquire even more relevance from the perception of professionals who use them. They are important so that professionals can know the reality of these services in order to support planning and management strategies. CAM are in accordance with what is recommended at work in the field of Collective Health and in the Unified Health System, since they aim at the integrality, conection and protagonism of users regarding their care, being health promotion the structuring axis in a dialogical, creative and innovative perspective. The objective of this study was to understand the perception of health professionals who provide CAM on their use in PHC services in the Metropolitan Region of Goiânia. This is a descriptive, exploratory study with a qualitative approach. Twenty professionals who used to provide CAM took part of our study in 14 PHC services in three cities in the Metropolitan Region of Goiânia between January and August, 2018. Data were collected through semi-structured interviews, which were transcribed and analyzed through Content Analysis with the aid of NVivo© software to identify thematic categories. Most of them were nurses, aged between 31 and 40 years, and auriculotherapy was the most common complementary and alternative practice provided. The results were grouped into three categories: a) Training and qualification of professionals in CAM; b) Working with CAM; c) Conceptions of health and care. We could demonstrate that provision of ICP depended on the prior competence of the professionals or on their training in service. CAM were being organized and inserted into PHC by professionals from the Family Health Strategy (FHS), the Family Health Support Center (NASF) and the Health Academy, in a complementary way to the biomedical model. Such professionals have suffered from the disregard and ignorance of their work as well as from the lack of discussion about CAM in team meetings and lack of notes in the patients' medical records, which lends public invisibility and social humiliation to those professionals, who work within the limits imposed by the current biomedical model. On the other hand, CAM showed some change in health practices since they have contributed with a holistic perspective, individual empowerment, and a possibility of social de-medicalization, which have been enhancing the work between the Family Health teams and the Family Health Support Centers. However, there is still a concept of health and care that is rooted in disease prevention and in stimulating users’ behavioral changes. In this perspective, CAM are present in PHC, but we confirm that they have found barriers for their legitimacy, even in the presence of a national policy that establishes them.