Mestrado Profissional em Saúde Coletiva (PRPG)

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Navegando Mestrado Profissional em Saúde Coletiva (PRPG) por Por Unidade Acadêmica "Pró-Reitoria de Pós-graduação (PRPG)"

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    Caracterização da assistência pré-natal em uma maternidade pública de referência em Goiânia-Goiás
    (Universidade Federal de Goiás, 2015-10-30) Costa, Hérika Isabella da; Oliveira, Ellen Synthia Fernandes de; Oliveira, Ellen Synthia Fernandes de; Melo, Elza Machado de; Souza, Márcia Maria de; Barbosa, Maria Alves; Barros, Patrícia de Sá
    The prenatal assistance for its relevance and impact, has been receiving great prominence in relation to maternal and child health, remaining as the concern focus on the history of public health in Brazil. The aim of this study was to characterize the pre-natal assistance provided to users of the Unified Health System in a reference public maternity hospital in Goiânia, Goiás and to describe the perception of managers of sanitary districts (DS) of Goiânia on prenatal assistance provided by their teams, to pregnant women. A standardized questionnaire was applied and with it was obtained data on demographic, socioeconomic and prenatal characteristics. Secondary data were collected through analysis of the pregnant woman's card and hospital records for childbirth. The outcome was analyzed in progressive levels of prenatal adequacy, according to the PHPN / 2000 and the modified Kessner index criteria, being level 1 evaluated by the number of consultations and the beginning of prenatal, at level 2 was added the analysis of laboratory tests records and at level 3 the reports of clinical-obstetric data. To verify the perception of DS managers was applied a semi-structured questionnaire to DS general directors and technical supervisors in September of 2015. The data were analyzed by content analysis, according to Bardin (2011). Regarding the adequacy of prenatal, it was found that 71.4% of participants had adequate prenatal profile at level 1. However, at level 2, when added the analysis of performed tests, there was an adequacy reduction for 5.4% and 4.3% at level 3, when added the analysis of clinical-obstetric data. As for the perception of DS managers, the main ideas presented in the questionnaires were systematized in four categories: human resources (RH); access to the system; physical structure; and adhesion of pregnant women. The central idea of these categories is consistent with the responses from parturients with regard to the difficulties encountered during prenatal. Among them, 67 (36.2%) suggested more professionals to health units, 61 (33.0%) recommended to improve access for examinations and consultations, 33 (17.8%) suggested a physical restructuring of the health units and 24 (13%) participants recommended improving access to emergency services for pregnant women. The criteria used in this study were the minimum requirements for prenatal care of low complexity and yet, the adequacy of care was unsatisfactory. Possibly the low adequacy to the PHPN criteria is due to a practice-oriented activities that are not carried out routinely in SUS, the absence of registration of information on the pregnant women´s cards, a lack of compliance of protocols by health professionals and a lack of organization of health services. Furthermore, bureaucratization of the system as a whole commits both the user access to the system and the quality of service provided by professionals.
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    Atenção hospitalar na região de saúde central do estado de Goiás: alocação de recursos financeiros de setembro de 2019 a agosto de 2020
    (Universidade Federal de Goiás, 2023-08-28) Santos, André Alves dos; Barros, Fernando Passos Cupertino de; http://lattes.cnpq.br/4821446904229513; Barros, Fernando Passos Cupertino de; Raggio, Armando Martinho Bardou; Pereira, Edsaura Maria
    The allocation of financial resources in the Unified Health System (SUS) represents one of the biggest challenges in public health. With regard to the allocation of resources to finance health care, what is proposed is a model for the formation of regionalized service networks, based on the institution of planning, coordination and regulation devices. This articulated planning process must result in programming that considers the definitions expressed in health plans, integrating the analysis of the health situation with the estimation of the population's needs and the definition of health policies in each sphere, as guidelines guiding the various axes programmatic. The different degrees of technological aggregation, as well as the agreed reference mechanisms, mainly between municipalities, will be the subject of the Integrated Agreed Program for Health Assistance (PPI). In Goiás, this tool, with regard to the distribution of resources to pay for SUS Hospital Care, still occurs through supply and consumption, and not the needs of the population. OBJECTIVE: The aim of this study is to analyze the allocation of financial resources to cover hospital care in the central health region of the state of Goiás. METHODOLOGY: This is a longitudinal and retrospective analytical observational study. In the analyses, national and state standards and resolutions agreed within the scope of the SUS were considered. The data comes from official databases of the Health Information Systems of the Ministry of Health, especially those for hospital production, health programming and finance. RESULTS: The results demonstrated a significant concentration in the allocation of financial resources for hospital care in the city of Goiânia, in relation to the total resources allocated in the state (51.49%). In the health region studied, there is an accumulated deficit, in the period under analysis, of around 25 million, comparing the hospital schedule against the consumption of hospital care. Regarding performance indicators, the average performance of the municipalities in the health region showed an average length of stay below 4 days and a hospital occupancy rate between 25% and 56%. Furthermore, with regard to the allocation of financial resources, there was a large volume of resources allocated to the Technical Reserve - PPI (around 20 million/year), that is, financial resources without programming and specific allocation for some service. health. CONCLUSION: There is a scenario of mismatch between programming and consumption in the hospital area, requiring a distribution of financial resources with regional agreement. This proposal involves the redesign and configuration of health care networks in the health region in question, visualizing and planning the care network's points of care, thus guaranteeing financing with greater resolution.