Falls in the elderly of the Family Health Program

The study evaluated free access to hypertension and diabetes medicines and the reasons reported for lack of access. The sample included 4,003 elderly people living in Primary Care Unit coverage areas from 41 Southern and Northeastern Brazilian cities. Free access was higher in the Northeast (62.4%). The strategy of the Family Health Program (Programa Saúde da Família - PSF) was more effective in providing access than the traditional model, with higher results in the Northeast (61.2%) than in the South (39.6%). Around 20% of medicines included in the Hypertension and Diabetes Program and 26% of those included in the National Essential Medicines List (RENAME) were paid out of pocket. In the Northeast, 25% of insulin and 32% of oral antidiabetics were paid out of pocket. Unavailability in the public sector and a lack of money determined the lack of access. Although the PSF, Hypertension and Diabetes Program and RENAME expanded free access, supplies were insufficient. A greater connection between programs and a clear definition of responsibilities can improve medicine acquisition process, increasing the effectiveness of pharmaceutical assistance.

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P499 Quality of life (QOL) profile of the elderly women served by the Family Health Program (FHP) in Brazil

International Journal of Gynecology & Obstetrics ◽

10.1016/s0020-7292(09)61990-1 ◽

2009 ◽

Vol 107 ◽

pp. S555-S555

Author(s):

J. Figueira ◽

H. Figueira ◽

O. Figueira ◽

A. Figueira

Keyword(s):

Quality Of Life ◽

Health Program ◽

Elderly Women ◽

Family Health ◽

The Elderly ◽

Family Health Program ◽

The Family

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Quality of life (QOL) axiological profile of the elderly population served by the Family Health Program (FHP) in Brazil

Archives of Gerontology and Geriatrics ◽

10.1016/j.archger.2008.11.017 ◽

2009 ◽

Vol 49 (3) ◽

pp. 368-372 ◽

Cited By ~ 14

Author(s):

Helena A. Figueira ◽

Tania S. Giani ◽

Heron Beresford ◽

Márcia A. Ferreira ◽

Danielli Mello ◽

...

Keyword(s):

Quality Of Life ◽

Elderly Population ◽

Health Program ◽

Family Health ◽

The Elderly ◽

Family Health Program ◽

The Family

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Evaluation on the implementation of projects specific for the elderly: the performance of the family health program

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.700-5562-2-le.0401201026 ◽

2009 ◽

Vol 4 (1) ◽

pp. 198

Author(s):

Adriana Arruda Barbosa ◽

Giselle Pinheiro Lima Aires Gomes ◽

Thammy Rodrigues Araújo Reis ◽

Ivandra Mari Roieski ◽

Iris Lima Silva ◽

...

Keyword(s):

Elderly Population ◽

Health Program ◽

Family Health ◽

The Elderly ◽

Health Programs ◽

Family Health Program ◽

Health Community ◽

The Family ◽

Elderly Health ◽

The University

ABSTRACTObjective: to evaluate the Family Health Program in Gurupi-TO, regards to implementation of projects which are specific for the elderly. Methods: after approval of the research by the Research Ethics Committee of the University Castelo Branco (protocol number 0002/2009), a descriptive study was developed in the scope of context evaluation was carried out, applying the questionnaire to the parties responsible for the actions to capture the variety of situations encountered in 14 Family Health Programs in Gurupi-TO city. Results: a total of 3,452 elderly registered in the Family Health Program was verified, which corresponds to 59.64% coverage of the elderly population. However, 80% of the health units being evaluated have no specific actions for the elderly, being identified the group “Saber Viver” and the “Grupo do Idoso”. The most active professional in the programs directed to the elderly where the physicians, nurses and health community agents. The main difficulties encountered for implementing the actions were: budgetary, infra-structure and disclosure of the programs Conclusion: it was verified that, in practice, the rights of this population are not assured yet, which evidences the need for remedy the difficulties in mentioned on the implementation of programs. Descriptors: family health program; elderly; health policy. RESUMOObjetivo: avaliar a atuação do Programa de Saúde da Família em Gurupi-TO, no que diz respeito à implantação de projetos específicos para idosos. Métodos: após aprovação dos procedimentos pelo Comitê de Ética em Pesquisa da Universidade Castelo Branco (número de protocolo 0002/2009), foi realizada uma pesquisa descritiva desenvolvida no âmbito de uma avaliação de contexto, com aplicação de questionário aos responsáveis pelas ações, para captar a variedade de situações encontradas em 14 Programas de Saúde da Família em Gurupi-TO. Resultados: verificou-se um total de 3.452 idosos cadastrados no Programa de Saúde da Família, o que corresponde 59,64% de cobertura da população idosa. Porém 80% das unidades de saúde avaliadas, não possuem ações específicas para idosos, sendo identificado o grupo “Saber Viver” e o “Grupo do Idoso”. Os profissionais mais atuantes nos programas direcionados aos idosos foram os médicos, enfermeiros e agentes comunitários de saúde. As principais dificuldades encontradas para implantação de ações foram: orçamentárias, de infra-estrutura e de divulgação dos programas. Conclusão: verificou-se que os direitos desta população na prática ainda não são assegurados, o que evidencia a necessidade de sanar as dificuldades referidas na implantação dos programas. Descritores: programa saúde da família; idoso; política de saúde. RESUMENObjetivo: evaluar la actuación del Programa de Salud de la Familia en Gurupi-TO, en lo que se refiere a la implantación de proyectos específicos para los mayores. Métodos: después de la aprobación de los procedimientos por la Ética de la Universidad Castelo Branco (número de registro 0002/2009), se realizó una pesquisa descriptiva desarrollada en el ámbito de una evaluación de contextos, con aplicación de cuestionario a los responsables por las acciones, para captar la variedad de situaciones encontradas en los 14 Programas de Salud de la Familia en la ciuidad de Gurupi-TO. Resultados: se verificó un total de 3.452 ancianos catastrados en el Programa de Salud de la Familia, lo que corresponde 59,64% de cobertura de la populación mayor. Sin embargo 80% de las unidades de salud evaluadas, no poseen acciones específicas para los mayores, identificando el grupo “Saber Viver” y el “Grupo do Idoso”. Los profesionales más actuantes en los programas direccionados a los ancianos fueron los médicos, enfermeros y agentes comunitarios de salud. Las principales dificultades encontradas para la implantación de acciones fueron: presupuestarias; de infra- estructura; dificultades de divulgación de los programas. Conclusión: se verificó que los derechos de esta populación en la práctica todavía no son asegurados, lo que evidencia la necesidad de reparar las dificultades referidas en la implantación de los programas. Descriptores: programa salud de la familia; anciano; política de salud.

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Local implementation of the Family Health Program in Brazil

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2006001200005 ◽

2006 ◽

Vol 22 (12) ◽

pp. 2549-2559 ◽

Cited By ~ 6

Author(s):

Rosana Magalhães ◽

Mônica de Castro Maia Senna

Keyword(s):

Health Program ◽

Family Health ◽

Federal District ◽

Management Training ◽

Health Department ◽

Local Health ◽

Levels Of Care ◽

Family Health Program ◽

The Family ◽

Political Traditions

This article discusses the implementation of the Family Health Program in the municipalities of Camaragibe, Aracaju, São Gonçalo, and the Federal District of Brazil, aiming to identify possible interfaces between the program's shaping and different incentives structures, the local health system's case-resolving capacity, experiences with social participation, and accountability mechanisms. The article shows that aspects related to the constitution of local health systems in terms of the quantitative and qualitative supply of services, technical and management training within the Municipal Health Department, investment in other levels of care, and local political traditions are crucial variables for understanding the diversity of experiences in the implementation of the Family Health Program.

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Analysis of the indicators of the Family Health Program in the Metropolitan Region of São Paulo

Einstein (São Paulo) ◽

10.1590/s1679-45082018gs4174 ◽

2018 ◽

Vol 16 (3) ◽

Author(s):

Paulo Augusto Monteclaro Cesar ◽

Márcia Mello Costa De Liberal ◽

Valdecir Marvulle ◽

Paola Zucchi

Keyword(s):

Primary Care ◽

Health Program ◽

Family Health ◽

Health Indicators ◽

Sao Paulo ◽

Metropolitan Region ◽

São Paulo ◽

Family Health Program ◽

The Family ◽

Family Health Strategy

ABSTRACT Objective To analyze the Family Health Program replaced by the Family Health Strategy in 2011, based on health indicators and diseases classified as primary care sensitive. Methods This was a descriptive, analytical and documental study carried out in the Metropolitan Region of São Paulo between 2002 and 2007. We analyzed data from Health observatory for the Metropolitan Region of São Paulo. Pearson’s correlation and the Statistical Package for the Social Sciences software version 17.0 were used to calculate data associations. Results We used 30 of the 31 health indicators of 24 from the 39 studied municipalities. A total of 720 (100%) health primary care sensitive indicators were analyzed in the Metropolitan Region of São Paulo. Conclusion Percentages of improvements and worsening were low. In addition, some data were not presented. The majority of indicators remained stable.

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Adhesion to the hypertensive patients’ treatment at family health program: importance the nursing of consultation

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1262-12560-1-le.0508201125 ◽

2011 ◽

Vol 5 (8) ◽

pp. 2001

Author(s):

Jancelice Santos Santana ◽

Larrissa Mariana Bezerra França ◽

Maria Miriam Lima da Nóbrega ◽

Wilma Dias de Fontes

Keyword(s):

Hypertensive Patient ◽

Health Program ◽

Family Health ◽

Daily Practice ◽

Family Health Program ◽

Revisión Sistemática ◽

The Family ◽

Scientific Papers ◽

Agents Of Change

ABSTRACTObjective: to investigate according to the literature the influence of the nursing consultation on the hypertensive patient´s adhesion to the treatment the Family Health Program. Method: this is a systematic literature review study based on material already developed which consists of Brazilian books and scientific papers identified through research in the Nursing Database, using as descriptors: hypertension, nursing consultation, and adhesion to treatment. Results: the results allowed the understanding of the importance of the nursing consultation to the hypertensive patient´s adhesion to the treatment in the Family Health Program, and the participation of nurses in all phases of consultation, ensuring the quality of care and a greater intensity of the actions for cases identified as at the highest risk for developing complications. Conclusion: it is expected that this work can contribute to a reflection of the nurses on how to deal with the customer and the issue of non-adhesion to treatment in their daily practice, recognizing themselves as agents of change and health promotion. Descriptors: nursing consultation; hypertension; adhesion to treatment.RESUMOObjetivo: investigar com base na literatura da área a influência da consulta de enfermagem na adesão do hipertenso ao tratamento no Programa de Saúde da Família. Método: trata-se de um estudo de revisão sistemática da literatura que foi desenvolvido com base em material já elaborado e constituído de livros e artigos científicos de produção nacional, identificados por meio de pesquisa no Banco de Dados em Enfermagem, utilizando como descritores: hipertensão, consulta de enfermagem e adesão ao tratamento. Resultados: os resultados da pesquisa possibilitaram a compreensão da importância da consulta de enfermagem na adesão do hipertenso ao tratamento no Programa Saúde da Família, e da participação do enfermeiro em todas as fases da consulta, garantindo a qualidade da atenção e assegurando maior intensidade das ações para os casos identificados como de maior risco para desenvolver complicações. Conclusão: espera-se que este trabalho possa contribuir para que os enfermeiros repensem a maneira de lidar com o cliente e com o problema da não-adesão ao tratamento no cotidiano de sua prática, reconhecendo-se como agentes de transformação e de promoção da saúde. Descritores: consulta de enfermagem; hipertensão; adesão ao tratamento.RESUMENObjetivo: investigar en base a la literatura del área la influencia de la consulta de enfermería en la adhesión por parte de pacientes hipertensos al tratamiento en el Programa de Salud de la Familia. Método: se trata de un estudio de revisión sistemática de la literatura que fue desarrollado a base del material ya elaborado y se constituye de libros y artículos científicos de producción nacional, identificados a través de la investigación en el Banco de Datos de Enfermería, utilizando como descriptores: hipertensión, consulta de enfermería y adhesión al tratamiento. Resultados: los resultados de la investigación permitieron tanto la comprensión de la importancia de la consulta de enfermería en la adhesión por parte de pacientes hipertensos al tratamiento en el Programa de Salud de la Familia, como la participación del enfermero en todas las etapas de consulta, garantizando la calidad de la atención y asegurando una mayor intensidad de las acciones para los casos identificados como de mayor riesgo de desarrollar complicaciones. Conclusión: Se espera que este trabajo pueda contribuir para que los enfermeros reflexionen sobre la forma de tratar al cliente y sobre el problema de la no-adhesión al tratamiento en lo cotidiano de su práctica, reconociéndose a sí mismos como agentes de transformación y fomento de la salud. Descriptores: consulta de enfermería; hipertensión; adhesión al tratamiento.

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