Integrated health practices: scenarios for interprofessional experiences in the Brazilian health system

2021 ◽  
Author(s):  
Matheus Neves ◽  
Ramona Fernanda Ceriotti Toassi
Keyword(s):  
Health System ◽  
Health Practices ◽  
Integrated Health ◽  
Brazilian Health System

Tu1703 DIAGNOSIS OF HEPATOPULMONARY SYNDROME IN A LARGE INTEGRATED HEALTH SYSTEM

2020 ◽  
Vol 158 (6) ◽  
pp. S-1460-S-1461
Author(s):  
Shoma Bommena ◽  
Nael Haddad ◽  
Sumit Agarwal ◽  
Sarabdeep Mann ◽  
Layth AL-Jashaami ◽  
...  
Keyword(s):  
Health System ◽  
Hepatopulmonary Syndrome ◽  
Integrated Health

scholarly journals Health needs: a temporary analysis of the social representations of the concept

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Winckler ◽  
F Zioni ◽  
G Johson
Keyword(s):  
Political Participation ◽  
Health System ◽  
Social Representations ◽  
Public Policies ◽  
Civil Society Organizations ◽  
Health Needs ◽  
The Social ◽  
The Right ◽  
Brazilian Health System ◽  
Universal Health

Abstract Background This study aims to analyse the social representations of health needs in a Brazilian municipality, questioning the capacity that public policies developed and implemented by the Brazilian Health System (SUS) had to meet these needs. Methods Qualitative case study in which the data were analysed by: 1) the Health Needs Taxonomy (Matsumoto, 1999), as an instrument for assessing health needs, formatting the interview guide and organizing the empirical data; 2) the Theory of Social Representations (Jovchelovitch, 2000), to capture health needs; 3) Content Analysis (Bardin, 2004), as an instrument of analysis and comparison of perceived needs. The methodological path used was the same in the two moments in which this research is based (2009 and 2016). The entire municipal territory was analyzed and 26 representatives of civil society organizations were interviewed. Results Based on the results given, we state that health is a permanent and timeless need, but the mediations for its satisfaction have changed historically. The interface between quantitative indicators and subjectivity in assessing needs reveals the authoritarian architecture of its decision-making process, which has ruined the necessary democracy for prioritising and meeting those needs. The asymmetrical relationships present in the Brazilian society have both undermined the collective character of health needs and promoted the distance between who care and who are cared for. Most of the priorities listed by the interviewees in 2009 remain composing the social context of the municipality in 2016. Conclusions The challenges for comprehensive health care remain critical given both the decrease in popular political participation and in institutional spaces, which leads to the annulment of the right to a universal health. Interdisciplinary and participatory diagnostics remain essential to understand the complexity of social changes and the challenges for the consolidation of meeting health needs. Key messages The capacity that public policies developed and implemented by the Brazilian Health System (SUS) had to meet these needs. The challenges for meeting health needs remain critical given both the decrease in political participation and in institutional spaces, which leads to the annulment of the right to a universal health.

scholarly journals Somatropin dose analysis for treatment of hypopituitarism in public Brazilian health system (SUS)

2014 ◽  
Vol 17 (3) ◽  
pp. A243
Author(s):  
C.N. Ferreira ◽  
C.S. Rufino ◽  
D.F. Manfrin
Keyword(s):  
Health System ◽  
Brazilian Health System

Impact of Alternative Encounter Types on HIV Viral Suppression Rates in an Integrated Health System

2018 ◽  
Vol 32 (11) ◽  
pp. 425-431 ◽  
Author(s):  
Michael A. Horberg ◽  
Jackie G. Blank ◽  
Kevin B. Rubenstein ◽  
Julia M. Certa ◽  
Leo B. Hurley ◽  
...  
Keyword(s):  
Health System ◽  
Viral Suppression ◽  
Integrated Health ◽  
Hiv Viral Suppression

Integrated Health System for Chronic Disease Management

CHEST Journal ◽  
2004 ◽  
Vol 125 (2) ◽  
pp. 695-703 ◽  
Author(s):  
Mary Stuart ◽  
Michael Weinrich
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Health System ◽  
Chronic Disease Management ◽  
Integrated Health

scholarly journals Perception of ‘Comprehensiveness of Care’: a qualitative study amongst dentists in the Brazilian Health System

2015 ◽  
Vol 29 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Grazielle Christine Maciel MATTOS ◽  
Jennifer Elizabeth GALLAGHER ◽  
Saul Martins PAIVA ◽  
Mauro Henrique Nogueira Guimarães ABREU
Keyword(s):  
Qualitative Study ◽  
Health System ◽  
Brazilian Health System

scholarly journals 1536. Impact of Type of Provider on Appropriateness of Treatment for Gonorrhea and Chlamydia in Outpatient Clinics

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S768-S768
Author(s):  
Katherine Sittig ◽  
Rossana Rosa Espinoza
Keyword(s):  
Health System ◽  
Adult Patients ◽  
Outpatient Clinics ◽  
P Value ◽  
Lower Odds ◽  
Des Moines ◽  
Appropriate Treatment ◽  
Integrated Health ◽  
Pregnancy Status ◽  
The Impact

Abstract Background Patients with sexually transmitted infections (STIs) receive care in a variety of outpatient settings with medical providers of different levels of training and expertise, especially regarding STIs. We aimed to determine the impact of type of provider on the appropriateness of treatment for chlamydia and gonorrhea in a large integrated health system. Methods We conducted a retrospective cohort study of adult patients diagnosed with chlamydia and/or gonorrhea at any outpatient clinic within an integrated health system in Des Moines, Iowa. Nucleic-acid amplification tests were used for diagnosis, and all samples were processed at the same laboratory. Adequate treatment was defined as prescription for appropriate antibiotic, dose and duration within 7 days of the positive test. Logistic regression models with robust standard errors and adjusting for clustering by clinic were built. Results We identified 481 unique patients and a total of 515 unique encounters. Considering unique patients only, the median patient age was 23 years (IQR 20-26), 466/481 (96.9%) were female (96.9%), 15/481 (3.1%) were male, and 79/481 (16.4%) were pregnant. Table 1 shows the patient demographic and provider characteristics by appropriateness of treatment for individual visits. A total of 53 patients had inappropriate treatment, some with multiple errors which are described in Table 2. Provider type, age, type of infection, and pregnancy status were significantly associated with appropriateness of treatment. After adjusting for type of infection, pregnancy status and clustering by clinic, compared to physicians, certified nurse midwives (CNMs) had 33% lower odds of prescribing appropriate treatment (95% CI 0.49-0.91; p-value = 0.010), with no difference in appropriateness of prescribing by mid-level providers (OR 1.61, 95% CI 0.82-3.17; p-value = 0.167). Pregnancy was independently associated with lower odds of appropriate treatment (OR 0.35, 95% CI 0.24-0.52; p-value < 0.001), as was infection with gonorrhea (OR 0.29, 95% CI 0.12-0.68; p-value = 0.004). Table 1. Demographic characteristics of adult patients diagnosed with chlamydia and/or gonorrhea in outpatient clinics by appropriateness of treatment. Des Moines, Iowa, January 1, 2019 to December 31, 2019 Table 2. Type of therapeutic errors encountered among patients diagnosed with chlamydia or gonorrhea Conclusion CNMs had lower odds of prescribing appropriate treatment for STIs. Efforts aimed at improving prescribing by healthcare providers should actively engage with this group. Disclosures All Authors: No reported disclosures

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