Patty Fidelis de Almeida

Saúde da família: limites e possibilidades para uma abordagem integral de atenção primária à saúde no Brasil

The article analyzes the implementation of the Family Health Strategy (FH) and discusses its potential to guide the organization of the Unified Health System in Brazil, based on the integration of FH to the health care network and intersectorial action, crucial aspects of a comprehensive primary health care. Four case studies were carried out in cities with high FH coverage (Aracaju, Belo Horizonte, Florianopolis e Vitoria), using as sources: semi-structured interviews with managers and surveys with health care professionals and registered families. The integration analysis highlighted the position of FH Strategy in the health services network, the integration mechanisms and the availability of information for continuity of care. Intersectoriality was researched in relation to the fields of action, scope, sectors involved, presence of forums, and team initiatives. The results point to advances in the integration of FH to the health care network, strengthening basic services as services that are regularly sought and used as a preferential first contact services, although there are still problems in the access to specialized care. The intersectorial initiatives were broader when defined as integrated municipal government policy for the construction of interfaces and cooperation between the diverse sectors.

A autonomia do sujeito psicótico no contexto da reforma psiquiátrica brasileira

More than a decade after the beginning of the moviment towards Psychiatric Reform in Brazil, new forms of assistance for the so-called “mad”, such as CAPS, NAPS, hospital day-care, have been set up. Thus, the current moviment appears to be one of reflection and the evaluation of these practices with a view to pin-pointing further developmental measures.

Notas sobre as concepções de clínica e ética na reforma psiquiátrica brasileira: impasses e perspectivas de uma prática em construção

The movement for the Psychiatric Reform in Brazil relighted old discussions about themes and devices in order to treat or simply to exclude people identified under the stigma of the madness. After a long period of asylum reclusion, subjects referring to the clinic, ethics and construction of new possibilities of attention in Mental Health come to light, bringing the need of reflection and analysis about our practices.

Evaluation of Brazilian Primary Health Care From the Perspective of the Users: Accessible, Continuous, and Acceptable?

The objective of this study was to examine the experience of primary care center (PCC) users in Brazil, classified according to the quality of its structure, in relation to the aspects of accessibility, continuity, and acceptability. The source of information was the National Program to Improve Access and Quality of Primary Care in 2013-2014. A total of 109 919 interviewees in 24 055 PCCs comprised the sample. Results show that the structure of a PCC was associated with better indicators of accessibility (oral health and medicines) and continuity of care (patient navigation in the health system). No association was found between indicators of accessibility and the PCC structure.