cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14303413
title: Salutogenesis-Peasant-to-Peasant: a methodology for health promotion of populations exposed to pesticides

description: ABSTRACT The study aimed to present an experience of methodology for Health Promotion of populations exposed to pesticides. This is a methodological experience report carried out with peasants from Lavras (MG), Brazil, through action-research, between May and September 2017. Structured by the theoretical and practical basis of the Salutogenesis paradigm and the social methodology of Peasant-to-Peasant of dissemination of agroecology, the methodology proposed permits the development of the Sense of Coherence of the peasants and the availability of the agroecological resources present in the rural communities, introducing itself as a tool for actions and researches in similar contexts in other Brazilian localities.
DOI: 10.6084/m9.figshare.14303411
title: The ZOPP method and the organization of interprofessional work focused on prenatal care in two primary healthcare units

description: ABSTRACT The objective of this study was to describe the utilization of the ZOPP (Goal-Oriented Project Planning) method in two primary healthcare units, taking into account the development of skills for interprofessional work and the production of a service organization protocol focused on prenatal care. Participant observation method was applied during twelve videotaped sessions. Participants were eight health professionals and two users of the Unified Health System. The method was evaluated positively by bringing nuclear issues to problematization and by the ability to maintain the involvement of the participants, showing flexibility and adequacy, as well as favoring the inseparability between analyzing, planning and implementing actions, which aroused ethical commitments and regained innovative behaviors in the direction of solving problems, strengthening interprofessional collaboration.
DOI: 10.6084/m9.figshare.14303409
title: The More Doctors Program: media controversies

description: ABSTRACT An exploratory study about the repercussion of the launching of the More Doctors Program in the media was carried out, through the identification, selection and analysis of news published in national circulation newspapers, on the websites of Medical Entities and related to the Brazilian Health Reform, during the launch period of the Program, July to September 2013. The analysis of discourse of the selected material was carried out. The results show different political affiliations of the analyzed entities, with a wide diversity of opinions, which contradict or contradict each other, thus contributing to the issue gaining a political significance that surpassed the health sector. In spite of all the discussions and criticisms surrounding the implementation of the Program, this represents a major advance in terms of public policy, which integrates, in a single proposal, elements aimed at the emergency provision of doctors, medical education and the development of the infrastructure of the units under Unified Health System (SUS). The material analyzed shows that the media act simultaneously as a space for reverberation of the political debate and also as a political actor that influences public opinion about the Program.
DOI: 10.6084/m9.figshare.14303408
title: Frailty syndrome and associated factors in elderly residents in long-term institutions

description: ABSTRACT Descriptive study in long-term institutions to investigate the prevalence of frailty and associated factors in institutionalized elderly and its association with sociodemographic variables and health conditions. A total of 214 elderly people, most of them females (69.6%), single marital status (53.7%), one year of schooling (54.4%) and income of up to a minimum wage (73.4%) were investigated. As to cognition, 79.4% were disapproved for significant errors. Frailty syndrome was identified in 70.1% of the elderly. All the factors included in the fragility scale reached statistical significance. In the multivariate analysis, the factors that contribute most to the fragility are: cognition, functional independence, health self-assessment, frequency of social support, perception of weight loss and depression.
DOI: 10.6084/m9.figshare.14303405
title: Evidence-based practice in the context of Primary Health Care

description: ABSTRACT Evidence-based practice brings together the best scientific knowledge with the professional’s clinical experience and the patient’s choice, resulting in a higher resoluteness in health care. The research was carried out aiming at analyzing the evidence-based practice of professionals from Family Health Strategy teams, in a city in the state of Santa Catarina. It was a quantitative study, developed through questionnaires with 112 health professionals. The results showed that professionals consider evidence-based practice essential; however, such practice is more focused on clinical experience in their actions. Moreover, they do not feel completely qualified to search for scientific evidence, highlighting their little knowledge and abilities on research. In addition, they emphasized that applying evidence-based practice is even more difficult because of high demand for care, lack of foreign language skills and lack of management support. As a conclusion, primary care professionals need some improvement for the development of evidence-based practice, which doesn´t only depend on their individual willingness, but it is also a responsibility of educational institutions and health services.
DOI: 10.6084/m9.figshare.14303402
title: Organizational culture in the health field: a bibliometric study

description: ABSTRACT The article aims to identify the characteristics of research studies in the healthcare field on organizational culture published in Brazilian journals. The search was carried out in the Virtual Health Library from the search term ‘organizational culture’, in the period between 2007 and 2016. Thirty (30) articles were found in national journals rated Qualis A1, A2, B1 in the following Capes (Coordination of Superior Level Staff Improvement) assessment areas: nursing, collective health and psychology. The results showed the prevalence of quantitative articles, and the application of a large variety of instruments to analyze organizational healthcare culture, which broadens the possibilities of investigation and analysis of different aspects of the theme.
DOI: 10.6084/m9.figshare.14303399
title: Palliative care in home care for cancer patients in Brazil

description: ABSTRACT The organization of health services must consider the integral care of the individual with cancer, ensuring, when necessary, palliative care. The objective of this study was to describe the profile of oncology users in palliative care in home care. A descriptive study was carried about the cancer cases registered in home care during the period 2013-2015 in the Country. Only the states of Roraima, Sergipe and Espírito Santo did not register cases. Among the ten most recurrent types of neoplasias were the most incidental, among men, of prostate, and among women, of breast. However, in stratification by age group, differences between the most prevalent types of tumors were observed. In men &lt;40 years, encephalon was the most recurrent type, and among the &gt;60 years, it was prostate. In women, with the exception of &lt;40 years, breast cancer was the most recurrent. The description of the profile of users with malignant neoplasias assisted in the home care allows a better understanding of the flow of these users in the network, allowing the monitoring of the care line.
DOI: 10.6084/m9.figshare.14303397
title: The surveillance framework of water and the reporting of fluoride concentration indicators

description: ABSTRACT Water surveillance is an essential strategy to ensure safety and high quality standards for human consumption. Among the parameters, fluoride stands out. The objective of this study was to describe the surveillance framework of water quality and present a proposal of indicators and dissemination of information to the population regarding the fluoride concentration indicators. Based on main scientific evidences, it is explained the importance of maintaining the parameter under control in the supplies systems and it is presented a concise description of the water surveillance framework in Brazil, showing that the design does not offer indicators for longitudinally monitoring the parameter or visibility to all those who have right to information. Next, the operational and technical foundations of Public Water Supply Fluoridation Surveillance System are presented, a proposal to improve the framework. Indicators to the dissemination of the information are described, arguing that the Country has resources and conditions to overcome the precariousness of information on fluoride concentration and on the coverage of water fluoridation in all units of national territory.
DOI: 10.6084/m9.figshare.14303393
title: Regulatory process of the Family Health Strategy for specialized care

description: ABSTRACT It was aimed to know the regulatory process of the Family Health Strategy for specialized care in Campo Grande, Mato Grosso do Sul. Descriptive study, with 53 physicians, whose data collection used a structured and self-administered questionnaire. The professionals (50.9%) considered that the regulation contributes to the coordination of the care, that the return of the referrals is due to the lack of clarity of the test results (57.1%) and that the main measure to improve the access to the specialized care would be the increase of positions. A greater communication among the professionals involved in the regulatory process should be encouraged, in order to provide the full exercise of their functions.
DOI: 10.6084/m9.figshare.14303390
title: The influences of race/color on unfavorable obstetric and neonatal outcomes

description: ABSTRACT This is a cross-sectional study, which evaluated race/color influences on unfavorable obstetric and neonatal outcomes. Logistic regression models were constructed to calculate the odds ratio and to examine maternal and neonatal risk. Black pregnant women prevailed with statistical significance among those with low schooling, previous hypertension, three or more living children and with occupation. Black pregnant women presented no greater risk in unfavorable outcomes. Race/color does not behave as a genetic or biological marker, but as a social construct, which can influence health conditions as a social determinant.
DOI: 10.6084/m9.figshare.14303388
title: Philanthropic hospitals benefited by financial incentive program: a performance analysis

description: ABSTRACT The state of São Paulo has adopted a financial incentive program for philanthropic hospitals. The objective of this study was to analyze the performance of the hospitals participating in this program in 2012. Performance indicators were analyzed according to hospital size and municipal size, using the Proadess performance model (Evaluation of Health System Performance). There was a difference in the performance of the hospitals according to the size: small hospitals presented unfavorable results in relation to the indicators of access, efficiency and effectiveness. This result corroborates the need to reassess financial incentive programs for small hospitals configured as general hospitals.
DOI: 10.6084/m9.figshare.14303387
title: The health conditions of workers from periodic health examinations

description: ABSTRACT The study aims to present the health profile of employees of a federal production unit that underwent the periodic health examinations. It is a descriptive and exploratory study, which analyzed 503 occupational medical records. There was balanced participation by gender and, proportionally, a greater participation of public servants (70.6 %). Regarding health conditions, the CLT (Consolidation of Labor Laws) employees had the biggest complaints related to respiratory problems (52.5 %) and the servants, circulatory system issues (25.6%). It is considered to match not only the instruments, but the quality of assessment for CLT employees, improving the data to propose promotion actions.
DOI: 10.6084/m9.figshare.14303385
title: Dissemination and use of the research results funded by the Department of Science, Technology and Strategic Inputs of the Ministry of Health, Brazil, 2004 to 2007

description: ABSTRACT This article verifies the dissemination and use of the researches funded by the Department of Science and Technology of the Ministry of Health. It is a study of six cases with imbricated analysis, where it is verified that the decentralization policy of the promotion contributed to the reduction of inequality in the production of health knowledge, although there is inequality in the volume of resources allocated. The dissemination of results was the limiting factor of the incorporation of the research results. Survey monitoring formats should be improved. The determinant factor in the incorporation of knowledge and technologies by the health system is the technical and politic intentionality for the use of the results.
DOI: 10.6084/m9.figshare.14303384
title: Mining and its health and environmental impacts. The case of Potosí in Bogotá

description: ABSTRACT Under the global capitalist model this paper explores the link between mining and its environmental and health impacts, taking the case of mining of building materials in Bogotá. The study is descriptive qualitative and its information comes from literature review, observation and perceptions of inhabitants. From this search alterations were found in the physical and mental health of the population, its social net, and environmental damage, questioning the current development model and its patterns that put at risk the survival and goes together with the emergence of serious environmental conflicts that show the relationship of the environment with socio-cultural dynamics and health.
DOI: 10.6084/m9.figshare.14303382
title: Environmental and occupational exposure to pesticides and the non-Hodgkin lymphoma

description: ABSTRACT This essay deals with the exposure to pesticides and the risk of non-Hodgkin lymphoma (NHL) development, a type of hematological cancer that has progressively increased in recent decades in Brazil and the world. An integrative review was conducted to evaluate the association of pesticides with the induction of NHL. The research showed that the pesticides dichlorophenoxyacetic acid (2,4-D), diazinon, glyphosate and malathion are associated with this neoplasia and share some mechanisms of carcinogenicity. This information may subsidize more restrictive regulatory measures and that contemplate the reality of the exposure to mixtures of pesticides, widely used in rural and urban environments.
DOI: 10.6084/m9.figshare.14303381
title: Productive restructuring in health: performance and challenges of the Family Health Support Center

description: ABSTRACT Case studies to identify strategies for the Family Health Support Center, verifying its process of productive restructuring, as well as its challenges. Techniques of documentary analysis, direct observation and interviews were used. The results show that the support of management, integrated planning, agile communication, co-management, reflection on practice, qualification of professionals and adequate infrastructure enable the shared performance between professionals. Challenges remain such as inadequate formation for the practice of matrix support, however, a productive restructuring process with the potential to expand actions and qualify the health care was identified.
DOI: 10.6084/m9.figshare.14303379
title: Belo Horizonte Local Health Conferences: dynamics, effectiveness and contributions to the Municipal Health Plan

description: ABSTRACT The objective of the study is to analyze the dynamics and effectiveness of Local Health Conferences (CLS), which took place in Basic Health Units. The study was conducted at the 12ª Municipal Health Conference, in October 2013. We used the techniques of participant observation research and document analysis. It was found that the CLS are held open door, without the need of a predetermined number of participants. In addition, everyone is entitled to voice and vote. The study concludes that the CLS are effective, since it allows the discussion of health needs by users, workers and managers in primary health, legitimizing political decisions, and ensuring the right to health.
DOI: 10.6084/m9.figshare.14303378
title: Integrality, conditions of service delivery and work process of Family Health Teams in Belo Horizonte

description: ABSTRACT The aim was to analyze the relation between integrality interventions and conditions of service delivery, in addition to the work process of Family Health Teams, in health centers in a district of the city of Belo Horizonte (MG). It is a cross-sectional study with self-administered questionnaire. Descriptive and comparative analyses were carried out through Pearson's chi-square, using p=0.05 value to verify the statistical significance. Both service delivery conditions and the work process showed association with the accomplishment of integrality interventions, and planning proved to be the most important tool for the accomplishment of such activities.
DOI: 10.6084/m9.figshare.14303377
title: Comparative study of oral health indicators in primary care of a São Paulo State's city

description: To compare four oral health indicators (Income, Attrition, Modified Prevention Emphasis, Restoration/Extraction) and the 1st Consultation/Urgency Relationship in 15 Family Health Units and 11 Basic Health Units, in an interior city of São Paulo State, 2008-2011. The data were collected from SIA-SUS and the indicators compared through historical series using the non-parametric test (Mann Whitney) and descriptive statistics. Although there is a strengthening process of the Family Health Strategy, the care model represented by the Basic Health Units still proves more effective in some aspects of oral health in public service.
DOI: 10.6084/m9.figshare.14303375
title: Life experiences as workers in poultry agribusiness of users of mental health care

description: ABSTRACT This study aimed at revealing the poultry agribusiness workers' perceptions, who got mentally ill, about the impacts of their work activities. Data obtained during the interviews were grouped into categories as: a) labor organization in the poultry agribusiness, b) worker's physical and psychological changes, c) use of psychoactive drugs to stand the work, d) an opportunity to improve the school level and produce more, e) fear of being fired and the lack of recognition, f) dealing with prejudice of mental illness and g) sexual and moral harassment. Workers are submitted to the management model that associates Taylorism, Fordism and Toyotism, which impairs their physical and mental health.
DOI: 10.6084/m9.figshare.14303372
title: Assessment of Chronic Illness Care (ACIC): evaluation of applicability and results

description: Descriptive study of quantitative and qualitative approach, sought to evaluate the application of the Assessment of Chronic Illness Care (ACIC) and its results along with professionals of teams of the Family Health Strategy, in Campo Grande (MS). The sample consisted of 30 professionals in 5 teams, and data collection was carried out in May and June of 2014, through the application of ACIC instrument. The average of the teams resulted in reasonable ability to the care for chronic conditions, and the clinical information system as the main weakness and the drawing of the healthcare service delivery system, the greatest potential.
DOI: 10.6084/m9.figshare.14303369
title: Primary Health Care: continuity and change in public health at the Federal District

description: ABSTRACT Primary Health Care (PHC) has a prominent position in the Brazilian governmental agenda. This study focuses on the health system in the Federal District and the initiatives to reorganize PHC, with the analysis of expenditure behavior in order to identify aspects of continuity and change during the period from 2005 to 2014. To achieve this purpose, documental research was carried out focusing on data from the Public Budget Information System. Drawing on historical neo-institutionalism, the results reveal contradiction between the discourse in defense of PHC and the maintenance of high level of expenditure with hospital services, thus confirming path dependence characteristic.
DOI: 10.6084/m9.figshare.14303363
title: The Budget for Performance as a tool for management and evaluation of health policy in the municipality of São Bernardo do Campo, from 2006 to 2012

description: ABSTRACT This article aims to evaluate the performance of health expenditure of the municipality of São Bernardo do Campo, in the period 2006-2012, from a methodology of the budget's performance in health which seeks to relate the planning with the results of health policy achieved. It is used the budgetary instruments Multiannual Plans (PPAs), Budget Guidelines Laws (LDOs), Annual Budgetary Laws (LOAs) and, also, reports and spreadsheets from the pact processes in health. Thus, the article uses a methodology based on the instrument 'Budget for Performance', which allows evaluate the relationship between the goals achieved in the municipality of São Bernardo do Campo, the resources involved and the results of the health policies from the perspective of the budget.
DOI: 10.6084/m9.figshare.14303360
title: Performance evaluation of health interventions in Latin America: a systematic review

description: This study aimed to investigate, in Latin American literature, theoretical models to assess performance evaluation of health interventions in the Region. To this end, a systematic review of literature on the Lilacs, Medline and Capes' databases viewing assessment and performance-related terms for the period 2008-2013 was conducted. Criteria based on the Joint Committee on Standards for Educational Evaluation were applied to assess the quality of articles as well as a matrix to analyze bibliometric attributes array and models. Six studies were found explaining the assessment model of health intervention performance, especially for one-dimensional models with systemic approach.
DOI: 10.6084/m9.figshare.14303358
title: Family Health Strategy in care coordination in a health administrative region in Bahia, Brazil

description: This qualitative case study examines the limitations and scope of care coordination by Family Health Teams in a health administrative region comprising 19 municipalities located in the State of Bahia, Brazil. The results emerged from analyses and correlation of data collected from 17 semi-structured interviews of policy makers and managers, nine focal groups, observations and documents. The region's Family Health Teams face difficulties in providing care support, which limits care continuity and resolution rates in cases needing specialised support. Incipient communication flows among the network points do not enable coordinating care by Family Health Teams.
DOI: 10.6084/m9.figshare.14303357
title: Micro-regulatory processes in a Primary Health Care Service and the production of health care

description: ABSTRACT This paper seeks to characterize the micro-regulatory processes developed by a Primary Health Care Service (PHCS) to ensure the integrality of the care. This is a case study with an ethnographic approach and the use of document analysis techniques, participant observation and interviews. The results point to two interrelated dimensions of micro-regulatory access: one internal - user access to health care offers of the Primary Health Care Service itself; and other external - access to others network services. The Primary Health Care Service does not act as an effective health care coordinator, as the established by the Ministry of Health, a task that depends on the development of communication arrangements and the exchange of information among services.