Vilma Constancia Fioravante dos Santos

PERFIL DAS INTERNAÇÕES POR DOENÇAS CRÔNICAS NÃO-TRANSMISSÍVEIS SENSÍVEIS À ATENÇÃO PRIMÁRIA EM IDOSOS DA METADE SUL DO RS

The purpose here established was that of establishing, within the municipalities in the southern part of the Brazilian State of Rio Grande do Sul, the profile of admittances to hospital resulting from Non-Contagious Chronic Diseases Sensitive to Primary Health Care (NCCDSPHC) among chronologically advantaged patients. This is a transversal study with secondary data obtained from the Information Technology Department of the Brazilian Public Health System--SUS (DATASUS), including variables related to admittance to hospital and also the mortality rates in hospitals (according to causes, gender, age, and time spent in hospital). The NCCDSPHC are responsible for 43.99% of hospital admittances for all causes (AAC), with Pulmonary Diseases standing out as the most prevalent single group (18%), followed by Heart Failure (12.28%). The female sex, with the exception of the Pulmonary Disease category, is the one that causes most admittances to hospital through other causes. We also found a linear trend towards an increase in the mortality rate of the NCCDSPHC when grouped together Our conclusion is that, due to the magnitude of the admittances to hospital, as also the increase in the mortality caused by the NCCDSPHC, it is urgent to embark on more in-depth considerations about care to be taken as part of primary care for the chronologically advantaged in this region.

A mediação em saúde: espaços e ações de profissionais na rede de atenção à população rural

A atual organizacao das Redes de Atencao em Saude (RAS) exige olhares que busquem analisa-las a partir dos profissionais e usuarios que dao movimento a estes dispositivos. A mediacao em saude, enquanto uma acao do profissional em funcao das demandas de saude do usuario e que intervem sobre seu fluxo de utilizacao dos servicos, e uma possibilidade de fazer esta analise. Tem-se como objetivo deste estudo analisar a organizacao local de uma RAS a partir da acao de mediacao empreendida pelos profissionais que atuam nos servicos de saude e que atendem populacoes rurais. Trata-se de um estudo qualitativo que se utilizou de entrevista semiestruturada, diario de campo e observacao participante. Apreendeu-se que as acoes de mediacao em saude, em seu exercicio, envolvem diferentes setores e atores que incidem sobre o campo da saude, gerando desacomodacoes em diferentes espacos, circunscrevendo-se alem daquilo que e protocolizado e formalmente instituido para os servicos de saude. O campo de atuacao do mediador, no entanto, depende do reconhecimento das acoes de mediacao como uma atuacao legitima, do contrario, existe a possibilidade de a acao de mediacao gerar processos de desautorizacao e cerceamento dos profissionais. Apreendeu-se igualmente que, ao estudar a mediacao em saude em uma RAS, da-se visibilidade a uma potencia, que existe nas tramas destes arranjos, e isto merece atencao e mais debate, uma vez que impacta a logica institucional e interfere sobre a organizacao da RAS localmente.

The exercise of interprofessionality and intersetoriality as an art of caring: innovations and challenges

Objectives: To analyze the innovations and challenges pointed out by the coordinators of basic care for the interprofessional and intersectoral exercise, and the importance of these practices as a potentiator of Nursing care and teaching in Primary Health Care. Methods: An exploratory study with a qualitative approach was carried out in a Rio Grande do Sul Health Region. Semistructured interviews were carried out with the Basic Attention Coordination of the Cities of the empirical area, between 2014 and 2015, with thematic content analysis. Results: The primary care coordinators highlight the effectiveness of interprofessional and intersectoral actions, but claim that there are still several obstacles for these actions to become routine. These professionals seek alternatives to modify the reality found, but not all have results. Conclusion: Intersectoriality and interprofessionality make it possible to carry out holistic and integral health actions, optimizing Nursing care practices.

Health and environment in public policies of tobacco farming municipalities in southern Brazil

OBJECTIVE To analyze the challenges and potentialities for the development and implementation of local public policies that focus on the relationship between the use of pesticides, the health of the rural population and the environment in tobacco producing municipalities in southern Brazil. METHODS Qualitative case study research conducted at three major tobacco producing municipalities, by means of semi-structured interviews with seven actors involved with municipal healthcare. Data were subjected to thematic analysis. RESULTS The studied issues are not among the priorities for the local public policy. However, municipalities have introduced initiatives involving actions on the use of pesticides that are articulated with contining education and intersectoral action. CONCLUSIONS Actions to protect the health of farmers must be combined with sustainable development, which would also help achieve the Millennium Development Goals (MDGs).

Salud y medio ambiente en la política pública en municipios cultivo de tabaco en el sur de Brasil

OBJECTIVE To analyze the challenges and potentialities for the development and implementation of local public policies that focus on the relationship between the use of pesticides, the health of the rural population and the environment in tobacco producing municipalities in southern Brazil. METHODS Qualitative case study research conducted at three major tobacco producing municipalities, by means of semi-structured interviews with seven actors involved with municipal healthcare. Data were subjected to thematic analysis. RESULTS The studied issues are not among the priorities for the local public policy. However, municipalities have introduced initiatives involving actions on the use of pesticides that are articulated with contining education and intersectoral action. CONCLUSIONS Actions to protect the health of farmers must be combined with sustainable development, which would also help achieve the Millennium Development Goals (MDGs).

Saúde e ambiente nas políticas públicas em municípios que cultivam tabaco no sul do Brasil

OBJECTIVE To analyze the challenges and potentialities for the development and implementation of local public policies that focus on the relationship between the use of pesticides, the health of the rural population and the environment in tobacco producing municipalities in southern Brazil. METHODS Qualitative case study research conducted at three major tobacco producing municipalities, by means of semi-structured interviews with seven actors involved with municipal healthcare. Data were subjected to thematic analysis. RESULTS The studied issues are not among the priorities for the local public policy. However, municipalities have introduced initiatives involving actions on the use of pesticides that are articulated with contining education and intersectoral action. CONCLUSIONS Actions to protect the health of farmers must be combined with sustainable development, which would also help achieve the Millennium Development Goals (MDGs).

[A profile of admittances to hospital due to non-contagious chronic diseases sensitive to primary health care among chronologically advantaged patients in the southern half of Rio Grande do Sul].

The purpose here established was that of establishing, within the municipalities in the southern part of the Brazilian State of Rio Grande do Sul, the profile of admittances to hospital resulting from Non-Contagious Chronic Diseases Sensitive to Primary Health Care (NCCDSPHC) among chronologically advantaged patients. This is a transversal study with secondary data obtained from the Information Technology Department of the Brazilian Public Health System--SUS (DATASUS), including variables related to admittance to hospital and also the mortality rates in hospitals (according to causes, gender, age, and time spent in hospital). The NCCDSPHC are responsible for 43.99% of hospital admittances for all causes (AAC), with Pulmonary Diseases standing out as the most prevalent single group (18%), followed by Heart Failure (12.28%). The female sex, with the exception of the Pulmonary Disease category, is the one that causes most admittances to hospital through other causes. We also found a linear trend towards an increase in the mortality rate of the NCCDSPHC when grouped together Our conclusion is that, due to the magnitude of the admittances to hospital, as also the increase in the mortality caused by the NCCDSPHC, it is urgent to embark on more in-depth considerations about care to be taken as part of primary care for the chronologically advantaged in this region.

Perfil de las hospitalizaciones de ancianos por Enfermedades Crónicas no Transmisibles Sensibles Atención Primaria Mitad Sur de RS

The purpose here established was that of establishing, within the municipalities in the southern part of the Brazilian State of Rio Grande do Sul, the profile of admittances to hospital resulting from Non-Contagious Chronic Diseases Sensitive to Primary Health Care (NCCDSPHC) among chronologically advantaged patients. This is a transversal study with secondary data obtained from the Information Technology Department of the Brazilian Public Health System--SUS (DATASUS), including variables related to admittance to hospital and also the mortality rates in hospitals (according to causes, gender, age, and time spent in hospital). The NCCDSPHC are responsible for 43.99% of hospital admittances for all causes (AAC), with Pulmonary Diseases standing out as the most prevalent single group (18%), followed by Heart Failure (12.28%). The female sex, with the exception of the Pulmonary Disease category, is the one that causes most admittances to hospital through other causes. We also found a linear trend towards an increase in the mortality rate of the NCCDSPHC when grouped together Our conclusion is that, due to the magnitude of the admittances to hospital, as also the increase in the mortality caused by the NCCDSPHC, it is urgent to embark on more in-depth considerations about care to be taken as part of primary care for the chronologically advantaged in this region.