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A Questão da Saúde Pública: Um Enfoque Comunicacional; The Question of the Public Health: A Comunicacional Approach

Reis, Devani Salomão de Moura
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 08/10/1999 Português
Relevância na Pesquisa
791.8611%
A proposição dessa dissertação é demonstrar as características do processo comunicativo que acontece na relação médico-paciente, dentro do ambulatório, a fim de compreender sua função como mediadora da tensão existente entre as expectativas do paciente quanto ao atendimento idealizado e o serviço público realmente prestado na área da saúde em São Paulo. Considerou-se pertinente analisar a questão da comunicação na saúde pública em São Paulo, usando como parâmetro o Hospital do Servidor Público Francisco Morato de Oliveira, pertencente ao Instituto de Assistência Médica ao Servidor Público Estadual, o IAMSPE, por ser uma instituição que poderá fornecer dados sobre uma população de usuários, de serviços e de médicos. Para isso foi preciso identificar as normas padrão de atendimento do hospital; a percepção do paciente sobre o médico e também de como acha que o médico o percebe, assim como do atendimento recebido pelo médico e pela Instituição. A percepção dos médicos sobre si mesmo, sobre o paciente e o atendimento oferecido por ele e pela Instituição. A noção de comunicação de ambos e a qualidade da comunicação nesta relação - procurando identificar os condicionantes que existem entre o atendimento esperado e o atendimento real. Foi realizada uma pesquisa de campo com médicos e pacientes dos serviços mais representativos (pela importância e população atendida) e essa amostra mostrou-se significativa...

Perfil dos usuários do tratamento regular e urgência no serviço público bucal no município de Embu, SP; Profile of the regular and urgency users in a public health service, Embu, SP

Olga Maria Dias Agostinho Pires
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 08/07/2011 Português
Relevância na Pesquisa
798.80016%
Estimou-se o perfil dos usuários do tratamento regular e urgência no serviço público de saúde bucal no município de Embu, em adultos, participantes do Levantamento Epidemiológico realizado em 2008, constituindo-se em um estudo transversal de base populacional, composta por pessoas de 35 a 44 anos (n=345), provenientes dos setores censitários, selecionadas através de amostragem probabilística. A amostra deste estudo foi examinada e entrevistada nos domicílios. O desfecho foi ser usuário do serviço público odontológico para tratamento regular ou atendimento de urgência. As variáveis independentes foram: agravos bucais (índice CPOD, condição periodontal: índice CPI e PIP, necessidade de prótese); condições socioeconômicas (renda familiar, aglomeração domiciliar, número de filhos, escolaridade); condições demográficas (sexo, estado civil, cor da pele); hábitos (uso de cigarros); utilização dos serviços (tempo da última consulta odontológica, informações sobre como evitar problemas bucais); percepção dos problemas bucais (dor de dente nos últimos seis meses, percepção de necessidade de tratamento e se sua situação bucal afeta relacionamentos). Para análise estatística foi utilizado o programa EPIINFO6 e STATA10...

Medical Care for Interned Enemy Aliens: A Role for the US Public Health Service in World War II

Fiset, Louis
Fonte: © American Journal of Public Health 2003 Publicador: © American Journal of Public Health 2003
Tipo: Artigo de Revista Científica
Publicado em /10/2003 Português
Relevância na Pesquisa
1085.649%
During World War II, the US Public Health Service (USPHS) administered health care to 19 000 enemy aliens and Axis merchant seamen interned by the Justice Department through its branch, the Immigration and Naturalization Service (INS).

Rural Public Health Service Delivery: Promising New Directions

Berkowitz, Bobbie
Fonte: © American Journal of Public Health 2004 Publicador: © American Journal of Public Health 2004
Tipo: Artigo de Revista Científica
Publicado em /10/2004 Português
Relevância na Pesquisa
882.2613%
I describe variations in the structure and in the practice of rural public health and how rural communities meet the challenges of current public health practice, including primary methods of service delivery and partnership development.

Patients´ Rights and the National Health Service in Britain, 1960s–1980s

Mold, Alex
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Português
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877.6926%
The language of rights has long permeated discussions about health care in Britain, but during the latter half of the 20th century, patients’ rights achieved a level of unprecedented prominence. By the end of the 1980s, the language of entitlement appeared to have spread into many areas of the National Health Service: consent to treatment, access to information, and the ability to complain were all legally established patients’ rights. Patient organizations played a critical role in both realizing these rights and in popularizing the discourse of rights in health care in Britain. “Rights talk,” however, was not without its drawbacks, as it was unclear what kinds of rights were being exercised and whether these were held by patients, consumers, or citizens.

Cultivating Constituencies: The Story of the East Harlem Nursing and Health Service, 1928–1941

D’Antonio, Patricia
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
890.827%
I examine the history of the East Harlem Nursing and Health Service in New York City from its beginnings as a demonstration project in 1922 to its closing in 1941. I explore the less tangible goals, needs, and ambitions of the many different constituents that paid for, delivered, and received health care services. I place these goals, needs, and ambitions as critically important drivers of ultimate success or failure. The East Harlem Nursing and Health Service gained international fame among public health leaders for its innovative and independent nursing practice and teaching. However, it ultimately failed because its commitment was to a particular disciplinary mission that did not meet the needs of the constituent communities it served. From 1928 to 1941, the service focused more on the educational advancement of public health nursing and less on addressing the real health care needs of those in East Harlem.

The Public Health Foundation of Health Services for American Indians & Alaska Natives

Rhoades, Everett R.; Rhoades, Dorothy A.
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Português
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988.18875%
The integration of public health practices with federal health care for American Indians and Alaska Natives (AI/ANs) largely derives from three major factors: the sovereign nature of AI/AN tribes, the sociocultural characteristics exhibited by the tribes, and that AI/ANs are distinct populations residing in defined geographic areas. The earliest services consisted of smallpox vaccination to a few AI/AN groups, a purely public health endeavor. Later, emphasis on public health was codified in the Snyder Act of 1921, which provided for, among other things, conservation of the health of AI/AN persons. Attention to the community was greatly expanded with the 1955 transfer of the Indian Health Service from the US Department of the Interior to the Public Health Service and has continued with the assumption of program operations by many tribes themselves. We trace developments in integration of community and public health practices in the provision of federal health care services for AI/AN persons and discuss recent trends.

Dependência química em mulheres :um estudo sobre o consumo de medicamentos ansiolíticos no serviço público de saúde de Natal/RN; Chemical dependence in women : a study about consumption of anxiolytic drugs at public health service in Natal(RN)

Carvalho, Lúcia de Fátima
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Psicologia; Psicologia, Sociedade e Qualidade de Vida Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Psicologia; Psicologia, Sociedade e Qualidade de Vida
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
991.5781%
This work was concerned to investigate the meaning attributed to anxiolytic drugs by women, in public health service. It proposes a joint analysis through a link between three dimensions: the woman, the drug, and public health service itself, in an hegemonic medical assistance model. It is observed that the relation between these elements has a great influence over the use and construction of a particular meaning, by the user. The medication is analysed as a consumption merchandise and as an health symbol. In this way, it reflects a biologized vision, which believes the drug as a solution for all health problems. It tries to analyse the generalized medical prescription for anxiolythics and it s consequences. It focalizes also the production and utilization of public health services by patients, mainly women. The question related to the use of anxiolytics and the meaning construted by women is analysed focusing the way that relations of masculine/feminine gender are organized in our society. At this point of view, it tries to understand the dimension that these questions have in subjectivity production, and how it acts in the health/disease process. Finally, this work tries to understand, in a broad sense, the use of anxiolytics looking at the problem not only as a biological question...

Public assessment of expiring Public health service act authorities : background report

United States -- Congress. -- House. -- Committee on Interstate and Foreign Commerce. -- Subcommittee on Health and the Environment; United States -- Congress. -- House. -- Committee on Interstate and Foreign Commerce; Library of Congress -- Education and
Fonte: U.S. Govt. Print. Off.; U.S. Govt. Print. Off. ( Washington ) Publicador: U.S. Govt. Print. Off.; U.S. Govt. Print. Off. ( Washington )
Tipo: Artigo de Revista Científica Formato: v, 62 p. : ; 24 cm.
Publicado em //1979 Português
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(Bibliography) Includes bibliographical references.; (Additional Physical Form) Also available in electronic format.; Reuse of record except for individual research requires license from LexisNexis Academic & Library Solutions.; CIS Microfiche Accession Numbers: CIS 79 H502-24; Reuse of record except for individual research requires license from Congressional Information Service, Inc.; Mar. 1979.; Prepared with the assistance of the Education and Public Welfare Division of Congressional Research Service.; At head of title: 96th Congress, 1st session. Committee print. Committee print 96-IFC 10.; (Statement of Responsibility) prepared for the use of the Committee on Interstate and Foreign Commerce, House of Representatives, and its Subcommittee on Health and the Environment, Ninety-sixth Congress, first session.

Geographic distribution of admissions to hospital with a mental health diagnosis and use of community mental health services, 2004

Public Health Information Development Unit
Fonte: Public Health Information Development Unit, the University of Adelaide Publicador: Public Health Information Development Unit, the University of Adelaide
Tipo: Trabalho em Andamento
Publicado em //2006 Português
Relevância na Pesquisa
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This set of maps outlines the distribution of clients of mental health services in South Australia. This resource was produced for the Mental Health Directorate, Central Northern Adelaide Health Service and complements other health atlases including the Social Health Atlas of South Australia and the Social Health Atlas of the Central Northern Adelaide Health Service. Together, these provide important information for policy makers, planners, service providers and community members working towards the future health and wellbeing of South Australians.

Does health service utilisation vary by remoteness? South Australian population data and the Accessibility and Remoteness Index of Australia

Eckert, K.; Taylor, A.; Wilkinson, D.
Fonte: Public Health Assoc Australia Inc Publicador: Public Health Assoc Australia Inc
Tipo: Artigo de Revista Científica
Publicado em //2004 Português
Relevância na Pesquisa
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Objective: To compare rates of self-reported use of health services between rural, remote and urban South Australians. Methods: Secondary data analysis from a population-based survey to assess health and well-being, conducted in South Australia in 2000. In all, 2, 454 adults were randomly selected and interviewed using the computer-assisted telephone interview (CATI) system. We analysed health service use by Accessibility and Remoteness Index of Australia (ARIA) category. Results:There was no statistically significant difference in the median number of uses of the four types of health services studied across ARIA categories. Significantly fewer residents of highly accessible areas reported never using primary care services (14.4% vs. 22.2% in very remote areas), and significantly more reported high use (≥6 visits, 29.3% vs. 21.5%). Fewer residents of remote areas reported never attending hospital (65.6% vs. 73.8% in highly accessible areas). Frequency of use of mental health services was not statistically significantly different across ARIA categories. Very remote residents were more likely to spend at least one night in a public hospital (15.8%) than were residents of other areas (e. g. 5.9% for highly accessible areas). Conclusion: The self-reported frequency of use of a range of health services in South Australia was broadly similar across ARIA categories. However...

Cultural singularities: indigenous elderly access to Public Health Service

Borghi,Ana Carla; Alvarez,Angela Maria; Marcon,Sonia Silva; Carreira,Lígia
Fonte: Universidade de São Paulo, Escola de Enfermagem Publicador: Universidade de São Paulo, Escola de Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 Português
Relevância na Pesquisa
781.2009%
OBJECTIVEDescribing how Kaingang seniors and their primary caregivers experience access to public health services.METHODA qualitative study guided by ethnography, conducted with 28 elderly and 19 caregivers. Data were collected between November 2010 and February 2013 through interviews and participative observation analyzed by ethnography.RESULTSThe study revealed the benefits and difficulties of the elderly access to health services, the facility to obtain health care resources such as appointments, medications and routine procedures, and the difficulties such as special assistance service problems and delays in the dispatching process between reference services.CONCLUSIONThe importance of knowing and understanding the cultural specificities of the group in order to offer greater opportunities for the elderly access to health services was reinforced.

Factors associated with breakfasting in users of a public health service

Freitas,Patrícia Pinheiro de; Mendonça,Raquel de Deus; Lopes,Aline Cristine Souza
Fonte: Pontifícia Universidade Católica de Campinas Publicador: Pontifícia Universidade Católica de Campinas
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2013 Português
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785.4881%
OBJECTIVE: This study identified the sociodemographic, lifestyle, dietary and anthropometric factors of users of a public health promotion service who have breakfast regularly. METHODS: This cross-sectional study included all users aged 20 years or more who joined the service between March 2007 and December 2010. Their socioeconomic and anthropometric data, dietary habits and health status were investigated. Statistical treatment included the Chi-square, Mann-Whitney, Fisher's exact and Student's t tests and Poisson regression analysis (p<0.05). RESULTS: Most of the participants (87.1%, n=528) breakfasted often, especially those aged 48.5 years or more (p=0.041). Poisson regression analysis showed association between breakfasting often and not smoking (PR=1.45, 95%CI: 1.10-1.91), having a greater number of daily meals (PR=1.15, 95%CI: 1.06-1.25), appropriate intake of deep-fried foods (PR=1.12, 95%CI: 1.01-1.25), lower fat intake (PR=0.78, 95%CI: 0.68-0.89) and smaller prevalence of excess weight (PR=0.85, 95%CI: 0.78-0.92). CONCLUSION: The positive relationship found between breakfasting often and not smoking, appropriate food and nutrient intakes and a healthier body weight shows the need of emphasizing this meal in health services as a simple and doable health promotion strategy that helps to prevent and control chronic diseases.

Preventive health reform: What does it mean for public health?

Russell, Lesley; Rubin, George; Leeder, Stephen
Fonte: Australasian Medical Association Publicador: Australasian Medical Association
Tipo: Artigo de Revista Científica
Português
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782.51266%
• A revitalised public health strategy offers the most sustainable way to address current health inequalities and prevent chronic non-communicable diseases. • Success in these goals requires a whole-of-government approach and long-term investments. A

Public Health, Private Body

Broom, Dorothy
Fonte: Public Health Association of Australia Publicador: Public Health Association of Australia
Tipo: Artigo de Revista Científica
Português
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A number of comparatively recent epistemological shifts draw attention to the body, among them developments in social (including feminist) theory and gender studies. In many social science and humanities disciplines, there is now considerable research and debate about notions of embodiment. Yet despite the fact that our subject matter is, ultimately, the life and death of human bodies, public health has remained largely silent on the question of what bodies are and how our public health work, whether academic or applied, is shaped by ideas about embodiment. Consequently, public health notions of the body remain implicit, ambiguous, often contradictory and incoherent. In this discussion, I strive to make explicit what some of our implicit ideas might be, to speculate on why bodies are excluded from most public health discourse, how that exclusion is achieved, and the consequences for public health research and practice. In an active consideration of the fundamental subject matter of public health, I invite attention to where and how greater self-consciousness about embodiment and its consequences might instigate shifts in public health thinking and action.

Evaluation of a new diabetes screening method at the Derbarl Yerrigan Health Service

McAullay, Daniel; Sibthorpe, Beverly; Knuiman, Matthew
Fonte: Public Health Association of Australia Publicador: Public Health Association of Australia
Tipo: Artigo de Revista Científica
Português
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Background and objectives: Diabetes is a major health problem for the Aboriginal population of Australia. Early detection is a key strategy to reduce the burden of diabetes. The aim of this study was to assess the acceptability, sensitivity and specificity, effectiveness and cost of a new method of screening for diabetes at Derbarl Yerrigan, the Aboriginal health service in Perth. Methods: Between January and May 1999, all clients over the age of 30 years and not known to have diabetes were approached for HbA1c testing using the DCA 2000 analyser. Those whose HbA1c results indicated the need for follow-up were asked to return for confirmatory testing using the gold standard oral glucose tolerance test (OGTT). A questionnaire was administered to participants who did not return. A file audit was conducted over 15 non-consecutive days to determine screening, follow-up and the number of new cases diagnosed using the previous ad hoc approach to screening with a glucometer. Result: 238 clients were approached and all agreed to participate and undertook the test. Of these, 37 were referred for follow-up diagnostic testing. Of these, only 14 had an OGTT. Among these 14, five were found to have diabetes and three were found to have impaired glucose tolerance. Of the remaining 23 participants...

Regionalização dos serviços de Saúde Pública: a experiência do estado da Bahia, Brasil; Regionalization of public health service: the experience of the State of Bahia, Brazil

Araújo, José Duarte de; Ferreira, Emerson S. M.; Nery, Gabriel Cedraz
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Artigo Avaliado pelos Pares Formato: application/pdf
Publicado em 01/03/1973 Português
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After making a historic review of Public Health Service organization in Bahia, the Administrative Reform enacted in 1966, was analized and studied in particular the system of regionalization of Public Health Services, through Regional Executive Centers in the interior. Besides presenting the various aspects of the new structure, the difficulties presented in implantation, and the various advantages resulting from its application were commented. It was concluded that the regionalization of Public Health Services is advantageous not only for a more efficient delivery of health services, but also as a basis to stablish a process of health planning.; Após historiar a evolução dos serviços de Saúde Pública no Estado da Bahia, no aspecto de sua estrutura administrativa, foi apreciada a Reforma Administrativa do Estado (1966) no setor saúde, e analisado em pormenor o sistema de regionalização através da implantação de centros regionais no interior do Estado. Ao lado da apresentação da nova estrutura administrativa foram comentadas as dificuldades surgidas na implantação do novo sistema, bem como as numerosas vantagens dele decorrentes. Concluiu-se que a regionalização administrativa mostrou-se vantajosa não só para uma mais efetiva prestação de serviços de saúde no interior do Estado...

EL PERFIL DE NIÑOS EXPUESTOS AL VIRUS HIV EN UN SERVICIO PÚBLICO DA LA MUNICIPALIDAD DE CURITIBA-PR; THE CHARACTERISTICS OF CHILDREN EXPOSED TO THE HIV VIRUS IN A PUBLIC HEALTH SERVICE IN CURITIBA CITY - BRAZIL; O PERFIL DE CRIANÇAS EXPOSTAS AO VÍRUS HIV EM UM SERVIÇO PÚBLICO NO MUNICÍPIO DE CURITIBA-PR

Verbung, Dirce; Chaves, Maria Marta Nolasco
Fonte: UFPR Publicador: UFPR
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 29/05/2007 Português
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It is study of qualitative approach carried through a Health Unit in Curitiba city - Brazil, from August to December 2005.The objective was to characterize the families and its children exposed to the HIV virus, users of a public health service. Thedata was collected from 168 records of positive HIV pregnant attended by the health center. The ethical aspects had been respectedaccording to resolution 196/96. The analysis of the data showed that the majority of pregnant, lives in peripheries presents loweducation, are between 14 and 30 years old, experiencing an exposition to the virus and infection during the adolescence andyouth. The HIV diagnosis was informed before or during the prenatal consultation. The kind of exposure to HIV virus was sexualand sanguine, and the pregnant followed the prenatal protocols during the gestation in order to prevent the vertical transmission.The majority of children received the prophylaxis necessary to prevent the vertical transmission.; Estudio realizado en una Unidad de Salud (US) de la Municipalidad de Curitiba, en el periodo de agosto a diciembrede 2005. De abordaje cualitativa, método explorador, cuyo objetivo fue de calificar los niños expuestos al HIV y sus familias, usuariasdel servicio público de referencia en infecto-pediatría. Los datos fueron cogidos a través de tarjetas de exámenes de gestantesHIV positivo y niños con exposición atendidos por el servicio. Fueron respetados los aspectos éticos. El análisis de los datos mostróque la mayoría de las gestantes vivían en Barrios periféricos...

Poverty and public health: social aspects of the relation between user and personnel of health

Abreu,Fabiana Hernández
Fonte: Cuadernos del CLAEH Publicador: Cuadernos del CLAEH
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2006 Português
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This article includes the results of a study on social inequalities in health area. In the Paediatric Hospital Pereira Rossell, a place was defined to analyze health sociological aspects in a context of social inequality. This place, to which we gave the name of corridor situation, included every relationship that users of this public health service had with different interlocutors in any of the different corridors, before their real access to the health service. The outcomes and empirical material provided by this study derived in the need of deepening the discussion on users-staff's relationship in corridor situation. Based on certain theoretic and empirical data, this article tries to discuss about the dynamic of relationship, the ways of communication and the handling of time that the Institution makes. This discuss will result in a final analysis on the existent relationship among these elements, the public character of the Institution and the weigh that bureaucratic processes in corridor situation have on those who have to use this service.

Making abortions safe: a matter of good public health policy and practice

Berer,M.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2000 Português
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793.3654%
Globally, abortion mortality accounts for at least 13% of all maternal mortality. Unsafe abortion procedures, untrained abortion providers, restrictive abortion laws and high mortality and morbidity from abortion tend to occur together. Preventing mortality and morbidity from abortion in countries where these remain high is a matter of good public health policy and medical practice, and constitutes an important part of safe motherhood initiatives. This article examines the changes in policy and health service provision required to make abortions safe. It is based on a wide-ranging review of published and unpublished sources. In order to be effective, public health measures must take into account the reasons why women have abortions, the kind of abortion services required and at what stages of pregnancy, the types of abortion service providers needed, and training, cost and counselling issues. The transition from unsafe to safe abortions demands the following: changes at national policy level; abortion training for service providers and the provision of services at the appropriate primary level health service delivery points; and ensuring that women access these services instead of those of untrained providers. Public awareness that abortion services are available is a crucial element of this transition...