Cristiane Lopes Simão Lemos

Educação Permanente em Saúde no Brasil: educação ou gerenciamento permanente?

The scope of this study was to analyze the concept and principles of Ongoing Health Education (OHE) – the Brazilian acronym is PNEPS. The methodology was based on the analysis of documents from the Ministry of Health and related scientific articles. It was revealed that the concept of OHE transcends its pedagogical significance and is undergoing a service restructuring process in the face of the new demands of the model. Precisely at the time in which jobs are increasingly unstable and precarious, the Ministry of Health engages in discourse regarding innovative management, focusing on the issue of OHE. The idea is not one of ongoing education, but of ongoing management. Rather than being an instrument for radical transformation, OHE becomes an attractive ideology due to its appearance as a pedagogical novelty.The scope of this study was to analyze the concept and principles of Ongoing Health Education (OHE) - the Brazilian acronym is PNEPS. The methodology was based on the analysis of documents from the Ministry of Health and related scientific articles. It was revealed that the concept of OHE transcends its pedagogical significance and is undergoing a service restructuring process in the face of the new demands of the model. Precisely at the time in which jobs are increasingly unstable and precarious, the Ministry of Health engages in discourse regarding innovative management, focusing on the issue of OHE. The idea is not one of ongoing education, but of ongoing management. Rather than being an instrument for radical transformation, OHE becomes an attractive ideology due to its appearance as a pedagogical novelty.

Controle da dengue: os consensos produzidos por Agentes de Combate às Endemias e Agentes Comunitários de Saúde sobre as ações integradas

Dengue is one of Brazils most important public health challenges. Activities for its prevention and control have been based on the strategy of integrated management proposed in health policies, in which the central actors are the Endemic Disease Control Agent(ACE) and the Community Health Agent (ACS). This study analyzes consensus opinions produced by ACSs and ACEs on theactions for incorporating ACEs into the teams of the Family Health Strategy (ESF). It is a qualitative study from a large municipality in Brazil in which dengue is endemic, using a focus group of professionals that is subsequently analyzed using Collective Subject Discourse Analysis, supported by WebQDA. The results indicate consensus positions in relation to the following subjects: I) difficulty in the process of integration of ACSs and ACEs for control of dengue; II) inclusion of ACEs in the primary healthcare of the ESF; and III) absence of monitoring and assessment of the integrated actions. In conclusion, there are needs: to make participants more aware, seeking changes in behavior; to offer an environment of support to those involved with training courses about dengue; and to monitor the process of integration, and evaluate it periodically, creating indicators of quality and quantity.Dengue is one of Brazil’s most important public health challenges. Activities for its prevention and control have been based on the strategy of integrated management proposed in health policies, in which the central actors are the Endemic Disease Control Agent(ACE) and the Community Health Agent (ACS). This study analyzes consensus opinions produced by ACSs and ACEs on theactions for incorporating ACEs into the teams of the Family Health Strategy (ESF). It is a qualitative study from a large municipality in Brazil in which dengue is endemic, using a focus group of professionals that is subsequently analyzed using Collective Subject Discourse Analysis, supported by WebQDA. The results indicate consensus positions in relation to the following subjects: I) difficulty in the process of integration of ACSs and ACEs for control of dengue; II) inclusion of ACEs in the primary healthcare of the ESF; and III) absence of monitoring and assessment of the integrated actions. In conclusion, there are needs: to make participants more aware, seeking changes in behavior; to offer an environment of support to those involved with training courses about dengue; and to monitor the process of integration, and evaluate it periodically, creating indicators of quality and quantity.

Integrating Curricular Scenarios in the Dentistry Course: the Academic Disciplines of Dental Clinic and Dentistry and Society

Objective: Analyze the contributions of integration of the Dental Clinic (DC) and the academic discipline of Dentistry and Society (DS) in training students in the course. Material and Methods: The method used was a qualitative approach, with analysis of documents and semi-structured interviews with students, professors, and patients. The Bardin thematic analysis technique was used to obtain results. Results: Positive impacts were related to the possibility of a more comprehensive approach, emphasizing the human aspects of patient care. Stress points were related to the routine of the dental clinic, patient screening, integration of professors from different areas, communication, and lack of student commitment. Conclusion: The proposal for integration of the DC and of the DS academic discipline is innovative in relation to academic training, with progress in overcoming the fragmented perspective of the dentistry student, allowing greater emphasis on the human aspects of patient care. Nevertheless, it was observed that implementing an integrated course plan is a slow process that depends on the engagement and commitment of those involved to move beyond the traditional educational model centered exclusively on physical cure and technical activity.

Perfil do profissional de nível superior na Estratégia Saúde da Família - doi:10.5020/18061230.2011.p367

Objetivo: Investigar o perfil do cirurgiao-dentista (CD), enfermeiro e medico da Estrategia Saude de Familia (ESF) de Anapolis-GO, Brasil. Metodos: Pesquisa descritiva com abordagem quanti-qualitativa. Utilizou-se questionario estruturado com questoes fechadas e abertas para 136 profissionais da ESF de Anapolis-GO, Brasil, ano de 2008. Os dados quantitativos foram tabulados e utilizou-se a tecnica da analise de conteudo para os dados qualitativos. Resultados: A maioria dos profissionais pesquisados era do sexo feminino, sendo 22 (78,5%) CD, 30 (96,8%) enfermeiras e nove (56,3%) medicas; na faixa etaria de 20 a 30 anos, dos quais 21 (75%) eram CD, 22 (71%) enfermeiros e 10 (62,5%) medicos. A maioria era recem-formada (0 a 5 anos desde a graduacao), com destaque para 28 (90,3%) enfermeiros. Quase todos residiam no municipio de Anapolis, com excecao de 4 (14,3%) CD. A maioria, 25 (89,2%) CD, 21 (67,74%) enfermeiros e 12 (75%) medicos, cursou posgraduacao. As atividades clinicas eram mais realizadas pelos 27 (96,4%) CD e 16 (100%) medicos, enquanto as preventivas eram mais realizadas por 28 (90,3%) enfermeiros. A maioria, 26 (92,9%) CD, 31(100%) enfermeiros e 14 (87,5%) medicos, acreditava na proposta de mudanca de modelo de atencao a saude da ESF. Questoes estruturais e organizacionais influenciavam o trabalho, expectativas e motivacoes dos profissionais. Conclusao: O perfil do profissional de nivel superior da Estrategia Saude da Familia de Anapolis-GO e principalmente do sexo feminino, jovem, residente na cidade, com curso de pos-graduacao e acredita na proposta da ESF. Ha indicios de que o enfermeiro e o que mais se aproxima dessa estrategia. A pos-graduacao em saude coletiva e a enfase nas atividades preventivas pelos enfermeiros sao fatores relevantes neste perfil