Maria José Sanches Marin

Community contributions to a FHU team work

Considering the importance of people participating in the construction of new health models, this study aimed to characterize and analyze contributions brought by community to health actions carried out in a Family Health Unit. It is a documentary analysis based on the records of 24 monthly meetings between the team and community. After reading the records, subject was divided into four themes: material and human resources, availability to secondary level health services, community adherence to the unit activities, health promotion and disease prevention. Discussions opened a wide perspective on health and stimulated co-responsibility, stronger links and information exchanging. Nevertheless, there is a need to improve community effective participation in the co-management of the health system.Considering the importance of people participating in the construction of new health models, this study aimed to characterize and analyze contributions brought by community to health actions carried out in a Family Health Unit. It is a documentary analysis based on the records of 24 monthly meetings between the team and community. After reading the records, subject was divided into four themes: material and human resources, availability to secondary level health services, community adherence to the unit activities, health promotion and disease prevention. Discussions opened a wide perspective on health and stimulated co-responsibility, stronger links and information exchanging. Nevertheless, there is a need to improve community effective participation in the co-management of the health system.

Avaliação da satisfação de um grupo de idosas e cuidadores com o planejamento de alta

Independently of the type of quality assistance improvement model chosen in a health institution, the implementation of ways of assessing it is also necessary. This study analyze the degree of satisfaction among a group of 50 hospitalized elderly women and/or caretakers after the implementation of a discharge planning in a Emergency Medical Clinic Unit. The present paper also investigates the need for continued assistance and points out which information is considered the most important by the patient. Results show that both the elderly and caretakers were highly satisfied with the assistance provide, most of which felt confident about their ability to continue it and that the most important information was that related the main health problem of elderly patient. It is inferred from this study that a discharge planning should be adapted by the health professionals in the hospital.Independently of lhe type of quality assistance improvemenl model chosen ln a health insl ilulion, lhe implementation of ways 01 assess ing it is also necessary. This study analyze lhe degree of salisfaction among a group of 50 hospilalized elderly women and/or carelakers afler l he implemenlation of a discharge planning in a Emergency Medical Clinic Uni!. The present paper also investigales lhe need for conl inued assistance and points oul which information is considered lhe mosl important by lhe patien!. Resulls show Ihat bolh lhe elderly and carelakers were highly salisfied wlth the assistance provide, mosl of whlch fe ll contiden! about their ability to continue ii and tha! lhe mosl important information was lha! relaled lhe main heallh problem of elderly patien!. II is inferred Irom Ihis study Ihal a discharge planning should be adapled by lhe health professionals ln the hospital.Sea cual fuere la propuesta para mejorar la calidad de asistencia, se hace necesaria la implementacion de formas de evaluarla. El presente estudio se propone asi, despues de implementar la planificacion de alta a un grupo de 50 ancianas hospitalizadas en la Unidad de Clinica Medica de Urgencia y Emergencia, evaluar el grado de satisfaccion de las ancianas y de los cuidadores respecto a la asistencia ofrecida; la percepcion sobre la capacidad de dar una continuidad a la asistencia y que informaciones se consideran mas importantes. El analisis de los resultados permite afirmar que tanto las ancianas como los cuidadores manifestaron un alto grado de satisfaccion con la asistencia prestada;la mayoria afirma que se siente en condiciones de dar continuidad a la asistencia. Las informaciones que consideran mas importantes son las que se refieren al problema principal de la anciana. Se infiere que la planificacion de alta debe ser utilizada por los profesionales del area hospitalar.

Caracterizaçao de um grupo de idosas hospitalizadas e seus cuidadores visando o cuidado pós alta hospitalar

No presente estudo foram estudadas 50 idosas internadas em unidade de clinica medica e seus respectivos cuidadores. Verificou-se que a maioria das idosas apresentavam dependencias diversas e, portanto, necessitavam da presenca de um cuidador para sua sobrevivencia. Os cuidadores, em sua maioria, eram do sexo feminino, pertenciam a familia da idosa, tinham algum grau de escolaridade e apontaram diversas dificuldades no cuidado da mesma. Constata-se, portanto, que durante a hospitalizacao, ha necessidade de se adotarem medidas visando ao preparo do cuidador para assumir a complexa assistencia requerida pelo idoso, principalmente apos a alta hospitalar.Abstract In the present study 50 old women interned in a medical treatment unity and their respective caregivers were studied. It was verified that most of the women preseted various dependencies and, thErefore, they needed the presence of a caregiver for their survival. The caregivers, most of them female, belonged to the old womens family, had some scholarship degree and pointed out several difficulties en caring for the women. It is verified, consequently, that during hospitalization there is the need to take measures aiming at preparing the caregiver to take on the complex aid required by the old person, especially after hospital discharge.

AS CONTRIBUIÇÕES DA COMUNIDADE PARA O TRABALHO DA EQUIPE DE UM PSF

Considering the importance of people participating in the construction of new health models, this study aimed to characterize and analyze contributions brought by community to health actions carried out in a Family Health Unit. It is a documentary analysis based on the records of 24 monthly meetings between the team and community. After reading the records, subject was divided into four themes: material and human resources, availability to secondary level health services, community adherence to the unit activities, health promotion and disease prevention. Discussions opened a wide perspective on health and stimulated co-responsibility, stronger links and information exchanging. Nevertheless, there is a need to improve community effective participation in the co-management of the health system.Considering the importance of people participating in the construction of new health models, this study aimed to characterize and analyze contributions brought by community to health actions carried out in a Family Health Unit. It is a documentary analysis based on the records of 24 monthly meetings between the team and community. After reading the records, subject was divided into four themes: material and human resources, availability to secondary level health services, community adherence to the unit activities, health promotion and disease prevention. Discussions opened a wide perspective on health and stimulated co-responsibility, stronger links and information exchanging. Nevertheless, there is a need to improve community effective participation in the co-management of the health system.

ESTUDIANTE DE MEDICINA EN LA ESTRATEGIA SALUD DE LA FAMILIA EN SERIES INICIALES: PERCEPCIÓN DE LOS EGRESOS

There is a lack of knowledge about the effective value of the experience gained by medical students who participate in the Family Health Strategy (Estratégia Saúde da Família (ESF)) during the early stages of their medical training. This teaching strategy is based on learning by experiencing the problems that exist in real life. This study proposed to understand the value of this teaching strategy from the viewpoint of the students who had participated, after their graduation. The method adopted was a qualitative study conducted through interviews with students who graduated in the years 2009, 2010 and 2011. The data analysis used the hermeneutic dialectic technique as its model. The graduates considered that this experience enabled them to understand the organization and functioning of the health service and the context of the daily life of the users. This experience facilitated the doctor patient relationship, the development of clinical reasoning and the bond with the user. However the students emphasized that a lack of maturity prevented them gaining a higher level of benefit from the experience. Therefore, although the structure of the course is permeated by advances and challenges, it was concluded that this experience contributed to the students learning of certain essential elements of medical training.Considerando o desconhecimento do efetivo significado da vivencia de estudantes de medicina ao serem inserido Estrategia Saude da Familia (ESF) em series iniciais do curso por meio de estrategias de ensino baseadas na problematizacao da realidade, propos-se a compreender tal insercao na otica dos egressos. Estudo qualitativo realizado por meio de entrevistas com egressos formados nos anos de 2009, 2010 e 2011. A analise dos dados teve como referencia a tecnica da hermeneutica-dialetica. Os egressos consideram que essa insercao possibilitou o conhecimento da organizacao e funcionamento do servico de saude e do contexto de vida dos usuarios, facilitou a relacao medico paciente, o desenvolvimento do raciocinio clinico e o vinculo. Destacam, no entanto, que a imaturidade do estudante impede maior aproveitamento da vivencia. Embora essa trajetoria esteja permeada por avancos e desafios, conclui-se que ela se mostra capaz de sedimentar elementos imprescindiveis a formacao medica.

Estudante de medicina na estratégia saúde da família em séries iniciais: percepção dos egressos

There is a lack of knowledge about the effective value of the experience gained by medical students who participate in the Family Health Strategy (Estratégia Saúde da Família (ESF)) during the early stages of their medical training. This teaching strategy is based on learning by experiencing the problems that exist in real life. This study proposed to understand the value of this teaching strategy from the viewpoint of the students who had participated, after their graduation. The method adopted was a qualitative study conducted through interviews with students who graduated in the years 2009, 2010 and 2011. The data analysis used the hermeneutic dialectic technique as its model. The graduates considered that this experience enabled them to understand the organization and functioning of the health service and the context of the daily life of the users. This experience facilitated the doctor patient relationship, the development of clinical reasoning and the bond with the user. However the students emphasized that a lack of maturity prevented them gaining a higher level of benefit from the experience. Therefore, although the structure of the course is permeated by advances and challenges, it was concluded that this experience contributed to the students learning of certain essential elements of medical training.Considerando o desconhecimento do efetivo significado da vivencia de estudantes de medicina ao serem inserido Estrategia Saude da Familia (ESF) em series iniciais do curso por meio de estrategias de ensino baseadas na problematizacao da realidade, propos-se a compreender tal insercao na otica dos egressos. Estudo qualitativo realizado por meio de entrevistas com egressos formados nos anos de 2009, 2010 e 2011. A analise dos dados teve como referencia a tecnica da hermeneutica-dialetica. Os egressos consideram que essa insercao possibilitou o conhecimento da organizacao e funcionamento do servico de saude e do contexto de vida dos usuarios, facilitou a relacao medico paciente, o desenvolvimento do raciocinio clinico e o vinculo. Destacam, no entanto, que a imaturidade do estudante impede maior aproveitamento da vivencia. Embora essa trajetoria esteja permeada por avancos e desafios, conclui-se que ela se mostra capaz de sedimentar elementos imprescindiveis a formacao medica.

MEDICAL STUDENT IN THE FAMILY HEALTH STRATEGY ON THE FIRST YEARS OF COLLEGE: PERCEPTION OF GRADUATES

There is a lack of knowledge about the effective value of the experience gained by medical students who participate in the Family Health Strategy (Estratégia Saúde da Família (ESF)) during the early stages of their medical training. This teaching strategy is based on learning by experiencing the problems that exist in real life. This study proposed to understand the value of this teaching strategy from the viewpoint of the students who had participated, after their graduation. The method adopted was a qualitative study conducted through interviews with students who graduated in the years 2009, 2010 and 2011. The data analysis used the hermeneutic dialectic technique as its model. The graduates considered that this experience enabled them to understand the organization and functioning of the health service and the context of the daily life of the users. This experience facilitated the doctor patient relationship, the development of clinical reasoning and the bond with the user. However the students emphasized that a lack of maturity prevented them gaining a higher level of benefit from the experience. Therefore, although the structure of the course is permeated by advances and challenges, it was concluded that this experience contributed to the students learning of certain essential elements of medical training.Considerando o desconhecimento do efetivo significado da vivencia de estudantes de medicina ao serem inserido Estrategia Saude da Familia (ESF) em series iniciais do curso por meio de estrategias de ensino baseadas na problematizacao da realidade, propos-se a compreender tal insercao na otica dos egressos. Estudo qualitativo realizado por meio de entrevistas com egressos formados nos anos de 2009, 2010 e 2011. A analise dos dados teve como referencia a tecnica da hermeneutica-dialetica. Os egressos consideram que essa insercao possibilitou o conhecimento da organizacao e funcionamento do servico de saude e do contexto de vida dos usuarios, facilitou a relacao medico paciente, o desenvolvimento do raciocinio clinico e o vinculo. Destacam, no entanto, que a imaturidade do estudante impede maior aproveitamento da vivencia. Embora essa trajetoria esteja permeada por avancos e desafios, conclui-se que ela se mostra capaz de sedimentar elementos imprescindiveis a formacao medica.

Las contribuciones de la comunidad para el trabajo del equipo de un PSF

Considering the importance of people participating in the construction of new health models, this study aimed to characterize and analyze contributions brought by community to health actions carried out in a Family Health Unit. It is a documentary analysis based on the records of 24 monthly meetings between the team and community. After reading the records, subject was divided into four themes: material and human resources, availability to secondary level health services, community adherence to the unit activities, health promotion and disease prevention. Discussions opened a wide perspective on health and stimulated co-responsibility, stronger links and information exchanging. Nevertheless, there is a need to improve community effective participation in the co-management of the health system.Considering the importance of people participating in the construction of new health models, this study aimed to characterize and analyze contributions brought by community to health actions carried out in a Family Health Unit. It is a documentary analysis based on the records of 24 monthly meetings between the team and community. After reading the records, subject was divided into four themes: material and human resources, availability to secondary level health services, community adherence to the unit activities, health promotion and disease prevention. Discussions opened a wide perspective on health and stimulated co-responsibility, stronger links and information exchanging. Nevertheless, there is a need to improve community effective participation in the co-management of the health system.

Caracterización de un grupo de ancianas hospitalizadas y sus cuidadores con vistas al cuidado post-alta hospitalaria

No presente estudo foram estudadas 50 idosas internadas em unidade de clinica medica e seus respectivos cuidadores. Verificou-se que a maioria das idosas apresentavam dependencias diversas e, portanto, necessitavam da presenca de um cuidador para sua sobrevivencia. Os cuidadores, em sua maioria, eram do sexo feminino, pertenciam a familia da idosa, tinham algum grau de escolaridade e apontaram diversas dificuldades no cuidado da mesma. Constata-se, portanto, que durante a hospitalizacao, ha necessidade de se adotarem medidas visando ao preparo do cuidador para assumir a complexa assistencia requerida pelo idoso, principalmente apos a alta hospitalar.Abstract In the present study 50 old women interned in a medical treatment unity and their respective caregivers were studied. It was verified that most of the women preseted various dependencies and, thErefore, they needed the presence of a caregiver for their survival. The caregivers, most of them female, belonged to the old womens family, had some scholarship degree and pointed out several difficulties en caring for the women. It is verified, consequently, that during hospitalization there is the need to take measures aiming at preparing the caregiver to take on the complex aid required by the old person, especially after hospital discharge.

Characterization for a group of hospitalized old women and their cares vising the care after discharge

No presente estudo foram estudadas 50 idosas internadas em unidade de clinica medica e seus respectivos cuidadores. Verificou-se que a maioria das idosas apresentavam dependencias diversas e, portanto, necessitavam da presenca de um cuidador para sua sobrevivencia. Os cuidadores, em sua maioria, eram do sexo feminino, pertenciam a familia da idosa, tinham algum grau de escolaridade e apontaram diversas dificuldades no cuidado da mesma. Constata-se, portanto, que durante a hospitalizacao, ha necessidade de se adotarem medidas visando ao preparo do cuidador para assumir a complexa assistencia requerida pelo idoso, principalmente apos a alta hospitalar.Abstract In the present study 50 old women interned in a medical treatment unity and their respective caregivers were studied. It was verified that most of the women preseted various dependencies and, thErefore, they needed the presence of a caregiver for their survival. The caregivers, most of them female, belonged to the old womens family, had some scholarship degree and pointed out several difficulties en caring for the women. It is verified, consequently, that during hospitalization there is the need to take measures aiming at preparing the caregiver to take on the complex aid required by the old person, especially after hospital discharge.