Mestrado Profissional em Saúde Coletiva (PRPG)
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Navegando Mestrado Profissional em Saúde Coletiva (PRPG) por Por Orientador "Lima, Alessandra Rodrigues de Almeida"
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Item Fortalecimento da ouvidoria do SUS a partir da Comissão Intergestores Regional – experiência na região de saúde Rio Vermelho-Goiás(Universidade Federal de Goiás, 2014-11-27) Alarcao, Jonas Carlos Berquo; Lima, Alessandra Rodrigues de Almeida; http://lattes.cnpq.br/6164678486856191; Lima, Alessandra Rodrigues de Almeida; Soares, Meire Incarnação Ribeiro; Lemos, Cristiane Lopes Simão; Baptista, Tadeu João Ribeiro; Oliveira, Ellen Synthia Fernandes deThe SUS Ombudsman is a channel of qualified citizens hearing, capable of guaranteeing them the fundamental right to health, insofar as it presents to the system management instances, the needs or weaknesses identified by citizens or users. For the perfect operation of the SUS Ombudsman, it must be configured on network with software deployment demands management : SUS Ombudsman system. In Goiás state , till the beginning of 2014, the number of municipalities with the implanted system was extremely low. The state network is organized to the level of Regional Health, located in the municipalities of each region headquarters, with the existence of Ombudsman regional dialogues . In Rio Vermelho Health Region , we observed a number of issues regarding the Ombudsman work that were impeding the advance of the network to the municipal level. This study intended to raise awareness of the local health managers in the region, under the Inter-Regional Commission - CIR, on the role of the SUS Ombudsman and its importance and thereby to get achieving maximum response time to citizens, to institute the responsible staff for the Municipal Ombudsman Health and to deploy SUS Ombudman System in 100% of the municipalities in the region. For this, we used an Intervention Project, based on the assumptions of action research. The intervention was structured in the form of an action plan and implemented through strategies developed by the Department of Rio Vermelho Goiás Health Region in partnership with the Management of the Ombudsman, both organs of the State Office of Health. As results, we have obtained: a. pact of maximum response to ombudsman demands directed to municipalities, the setting of the responsible ones by Municipal Ombudsman in 16 municipalities in Rio Vermelho Region and the expansion of the network state Ombudsman with the implementation of SUS Ombudsman system in 15 municipalities. We have noted that in a Health Region, it is fundamental the integration of Regional Health with municipalities under their geographical jurisdiction, in particular, within the CIR space, since this integration when directed to building or strengthening the process regionalization of health always results in advances in the Regional System. Using the space of CIR to discuss the strengthening of the Ombudsman allowed us to comprehend the need for it in a network structure and to include municipalities on network. As the new structure and workflow established in the region, it will be possible to achieve new breakthroughs in the management of the Ombudsman demands such as: to reduce further the response time, to decrease the number of unanswered demands and to use the information in the management system, both in regional and municipal levelsItem Participação de cidadãos residentes em municípios de pequeno porte do Estado de Goiás na ouvidoria do SUS no ano de 2013(Universidade Federal de Goiás, 2014-11-05) Pires, Julyana Esteves; Lima, Alessandra Rodrigues de Almeida; http://lattes.cnpq.br/6164678486856191; Lima, Alessandra Rodrigues de Almeida; http://lattes.cnpq.br/6164678486856191; Lemos, Cristiane Lopes Simão; Baptista, Tadeu João Ribeiro; Oliveira, Ellen Synthia Fernandes de; Marcelo, Vânia CristinaIn Brazil, the expansion of public policies and forms of social participation have contributed to democratization of management. During 25 years of construction and consolidation of SUS, several laws have treated social participation. Among the forms of participation, we emphasize the Ombudsman of SUS, with the ability to provide the population with a more direct participation in public administration. The ombudsman's Health System is conceptualized as a channel so that the population can communicate with managers of SUS. This form of participation is little known and used by citizens of small municipalities. Actually, the State of Goiás, has 07 ombudsmen SUS established, however, no in municipalities with less than 20,000 inhabitants. Above all, this work fulfills the main purpose of describing participation of residents in municipalities, the State of Goiás, with less than 20 thousand inhabitants in the Ombudsman of SUS, in the year 2013 This is a quantitative research from information from the database OuvidorSUS System, referring to claims recorded in the Ombudsman of the State of Goiás and the Department of Ombudsman SUS, in 2013. The variables taken into account were: date of record, type of care, classification of service, subject demand, municipality of residence, and the profile of the citizen, through knowledge of the Ombudsman, race / color, age, marital status, exclusive use of the SUS. A total of 3564 records of demands arising from the year 2013 was analyzed, 805 of these relate to claims recorded by citizens of small municipalities and the remaining 2759 records of large municipalities.The phone and internet were the means of contact used by most citizens. In small municipalities complaints and reports relating to matters Management and Family Health and the large municipalities are predominate requests and complaints about the management issues and health care. The demands were mainly recorded by individuals aged 2039 years old, mostly women, married individuals, white and mulatto. 72% of the records of small municipalities exclusively use the SUS. It was concluded that only the decentralization associated with social participation did not materialize democratization of public systems and the county reach this situation, perform actions that strengthen the local government would facilitate the process. Decentralization facilitates knowledge about the Ombudsman service, however, is not sufficient to improve participation, thus requiring actions that intensify the dissemination to the public and to seek improvements by the management.Item Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública(Universidade Federal de Goiás, 2015-03-05) Silva, Rodrigo Otávio de Leclery Campos e; Oliveira, Ellen Synthia Fernandes de; Lima, Alessandra Rodrigues de Almeida; http://lattes.cnpq.br/6164678486856191; Lima, Alessandra Rodrigues de Almeida; Oliveira, Ellen Synthia Fernandes de; Provin, Mércia Pandolfo; Soares, Meire Incarnação RibeiroThe lack of qualified professionals in the supply chain and the minimal attention devoted to logistical planning within the public health institutions are notorious. Faced with this problem, it was proposed a change in the drug storage system of a hospital pharmacy of a public institution specialized in maternal and child health in the city of Goiania, the state capital of Goias, Brasil, using some studies about total quality management and logistics. The research was conducted between october 2012 and september 2013 and it was chosen an intervention project to transform the reality experienced and enhance the use of material and human resources. The operations of the project were: situational analysis, stock sanitation, fixed address of storage area, change of dispensing area layout, preparation of SOP, the pharmacy professional team training and evaluation. The variables chosen were the nonstandard activities, named nonconformities, and divided into four subtypes, all potentially leading to product waste and endangered patient’s safety. An initial data collection was performed, and another at the end of the intervention, the initial sample (T0) was composed of 223 medicines whereas the final sample (Tf) contained 251 medicines at dispensing sector. In the evaluation, these samples were compared using spreadsheet to verify the reduction of variables of non-compliance, as well as elaborate an indicator to measure. The results showed a reduction of two variables among the four types of non-conformities raised and there was no significant change in the indicators. Through statistical tests Z and P-value was possible to verify data reliability and the relationship with the loss of medication by their expiration dates. The development of activities and completion of certain operations in the intervention project turned possible the storage process improvement and correct dispensing of medicines, working respectively for optimization of health care resources and patient safety. Thus, changes in the drug storage system proved to be applicable and relevant and turned into benefit to public service, increasing the possibility of assistance to users and improving the quality of care, and therefore extremely useful in the context of public health.