Navegando por Autor "OLIVEIRA, Paulo de Tarso Ribeiro de"

Agora exibindo 1 - 12 de 12

Acesso aberto (Open Access)
Análise estratégica do processo de formulação da PM&A-SUS: lições aprendidas e desafios
(Centro Brasileiro de Estudos de Saúde, 2017-03) CAMPELO, Luiz Marques; SANTOS, Elizabeth Moreira dos; OLIVEIRA, Paulo de Tarso Ribeiro de
This article presents the Strategic Analysis (AE) of the formulation process of SUS National Policy on Monitoring and Evaluation (PNM&A-SUS). The study employed a qualitative document analysis and literature review, accounting for the three dimensions of AE: relevance of the problem (needed institutional policy); proposed objectives and mobilized partnerships. The analysis showed a discontinuous formulation process with relevant controversies regarding evaluation purposes, assumptions, responsibilities and expected competencies among stakeholders. The interrupted formulation process needs to be recommenced, as for the lessons learned and the realistic context assessment.
Acesso aberto (Open Access)
Avaliação da completude da variável raça/cor nos sistemas nacionais de informação em saúde para aferição da equidade étnico-racial em indicadores usados pelo índice de desempenho do sistema único de saúde
(Universidade Federal do Pará, 2013-12) BRAZ, Rui Moreira; OLIVEIRA, Paulo de Tarso Ribeiro de; MACHADO, Nadia Maria da Silva; REIS, Afonso Texeira dos
The race/color variable was assessed in eight national systems/modules of health information. The calculation feasibility and use of indicators were also evaluated as for this same issue under the Unified Health System. Only three modules/systems could validate three out of the 24 indicators used by the SUS Performance Index. Despite advances towards health of ethnic and racial groups, the completeness of the variable is mandatory to allow for a better evaluation of the black population heath conditions. The monitoring of this variable is recommended by improving data collection and feed. It is important to broaden the debate on ethnic and racial equity in health by applying the mentioned performance index for monitoring the black population health care by Governments and social movements.
Acesso aberto (Open Access)
O caminho trilhado por usuários de um Centro de Atenção Psicossocial do Estado do Pará: construindo itinerários na busca do cuidado
(Centro Universitário Presidente Antonio Carlos, 2017-06) CARDOSO, Márcia Roberta de Oliveira; OLIVEIRA, Paulo de Tarso Ribeiro de; PIANI, Pedro Paulo Freire; MOREIRA, Ana Cleide Guedes
This paper aimed to know and understand the paths taken by users of a Psychosocial Care Centre of Pará state. The method used was qualitative, discursive and ethnographic. A total of 14 registered users were participants in this study. Interviews were analyzed according to the categories emerged from interviewed speeches and their sense of productions about therapeutic itineraries, which were: trajectory assistance care; access to health services; religiosity and mental health; users and their search for assistance when they are in distress. The therapeutic itineraries chosen by the users took in account aspects related to sociocultural context which they were involved, using the resources and strategies related to their own access in a formal health network service, as well as the relevant resources, religiosity and support offered by family and friends.
Acesso aberto (Open Access)
A clínica do trabalho e o desvelamento do traumático no trabalho bombeiro militar: fragmentos de um caso clínico
(Universidade Federal do Pará, 2017-08) PIMENTEL, José Mário Barbosa de Adelma do Socorro Gonçalves; OLIVEIRA, Kleber Roberto da Silva Gonçalves de; OLIVEIRA, Paulo de Tarso Ribeiro de; PIMENTEL, Adelma do Socorro Gonçalves
Psychodynamics as belonging to the scope the Labor Clinic consider that there is a dialectic between pleasure and psychic suffering at work, which requires the researcher to understand the Intersubjective dynamic that marks the relations of men and women in the organization of work. Based on this principle, the present paper reflected on some aspects of a firefighter work organization that provokes experiences of psychic suffering. The case study and clinical listening were the methods used to unveil the meanings of work for the for the military firefighter. The main results are related to a real situation of helplessness and trauma and the fear of death in front of occupational risks in the division who played.
Acesso aberto (Open Access)
Condições de trabalho de equipes de saúde da família do Pará
(Universidade Federal do Pará, 2018-04) ALVARENGA, Eric Campos; OLIVEIRA, Paulo de Tarso Ribeiro de; PINHEIRO, Helder Henrique Costa; CARNEIRO, Vânia Cristina Campelo Barroso
This study investigates the working conditions of the family health teams from state of Pará based on the data of the National Program for Access and Quality Improvement in Primary Care. Records were selected that refer to the working conditions of 776 teams from the State of Pará, such as: forms of employment, type of employment contract, materials and the structural part of the health units. Descriptive Statistics were performed. As a result, it was noticed that most of the employment contracts are temporary (65.4%) and the largest form of employee selection is by indication (36.7%). Almost all of the health units have reception and waiting room (94.5%) and vaccine room (89.2). The improvement of the working conditions of the teams is fundamental to sustain the health of these workers. It can reduce illness and accidents at work. As well as increasing the resolution of the care.
Acesso aberto (Open Access)
Cuidado ao paciente com Doença Renal Crônica no nível primário: pensando a integralidade e o matriciamento
(2012-11) PENA, Paulo Félix de Almeida; SILVA JÚNIOR, Aluísio Gomes da; OLIVEIRA, Paulo de Tarso Ribeiro de; MOREIRA, Gracyelle Alves Remigio; LIBÓRIO, Alexandre Braga
Chronic kidney disease is a public health problem throughout the world. Early detection and treatment can reduce morbidity, mortality and associated expenditures. The objective of this research is to examine primary healthcare from a physician´s perspective, evaluating the patient´s access to other levels of healthcare. Questionnaires were given to 62 family physicians working in primary healthcare units in the city of Fortaleza. Glomerular filtration rate was measured by only 8.1% of the physicians when evaluating patients with diabetes and 4.8% when evaluating hypertensive patients. The majority of physicians (51.2%) refer patients with slight/moderate Glomerular filtration rate reduction to a nephrologist. On the other hand, 25.8% do not refer patients with advanced chronic kidney disease reduction to a specialist. The gap between these levels of healthcare creates a barrier to user access, prejudicing comprehensive healthcare. The creation of new work processes is urgently required and the matrix process is a viable option to connect these healthcare levels for the care of patients with chronic kidney disease or its main risk factors (diabetes and arterial hypertension).
Acesso aberto (Open Access)
Estudo exploratório dos modelos de avaliação de desempenho em saúde: uma apreciação da capacidade avaliativa
(Centro Brasileiro de Estudos de Saúde, 2017-03) REIS, Ana Cristina; SANTOS, Elizabeth Moreira dos; ARRUDA, Marcela Rocha de; OLIVEIRA, Paulo de Tarso Ribeiro de
This paper aims to characterize the evaluation potential of currently known health performance models. A systematic literature was performed and six articles were selected because they specified the adopted model of performance. The review showed that most of the debates concerning the models was focused on the description of the analytic dimensions and indicators. Issues such as valuation theory, standards and thresholds for judgment were missing. Thus, this study expects to contribute to systematize criteria to assess health performance evaluation models highlighting focus, theoretical assumptions and methodological strategies.
Acesso aberto (Open Access)
Evidence of the effect of primary care expansion on hospitalizations: Panel analysis of 143 municipalities in the Brazilian Amazon
(Public Library of Science, 2021-04) CARNEIRO, Vânia Cristina Campelo Barroso; OLIVEIRA, Paulo de Tarso Ribeiro de; CARNEIRO, Saul Rassy; MACIEL, Marinalva Cardoso; PEDROSO, Janari da Silva
Background The Family Health Strategy (FHS) became consolidated as a primary care model and gate keeper for the Unified Health System (Sistema U´ nico de Sau´de, SUS) in the Brazil and it is considered one of the largest primary health care programmes in the world. Its rapid expan sion allowed the SUS to meet the changing health care needs of the population remote localities of Brazilian municipalities. Methods In the present study, exploratory data analysis was performed using modelling to provide a general overview of the study and to delineate possible structural characteristics of the cross-sectional time-series data. Panel regression methods were used to assess the associ ation between FHS coverage and ambulatory care-sensitive hospitalizations (ACSH rates) in the municipalities of Para´, in the Brazilian Amazon, from 2008 to 2017. Results The results showed strong evidence for the association between FHS coverage and ACSH rates, including reductions of 22% in preventable hospitalizations and 15% in hospital expenses that were directly linked to the 40% increase in FHS population coverage during the evaluated period. This expansion of primary care has mainly benefitted areas that are difficult to access and populations that were previously deprived of health care in the vast Amazon territory. Conclusions The findings of this study show that the increase of the expansion of primary care reduces the preventable hospitalization and the hospital expenses. This reinforces the need for public protection of the health of populations at risk and the positive impacts of primary care in the Brazilian Amazon.
Acesso aberto (Open Access)
Medicina e hospital
(Universidade Federal do Pará, 2011-12) FERLA, Alcindo Antônio; OLIVEIRA, Paulo de Tarso Ribeiro de; LEMOS, Flávia Cristina Silveira
This text is the result of a review of the historical analysis of Michel Foucault concerning the formation of modern medicine and its relations with other knowledge. It describes how the organization of health care is made from the hospital technology and power relationships that invested the individual and collective bodies in delivering a project of society. Question is how life came on the scene through a Biopolitics and as was the anatomical and politics in their effects in terms of organization of medical services and ways to manage their health.
Acesso aberto (Open Access)
O mix público e privado no sistema de saúde brasileiro: coexistência em evidência
(Associação Brasileira da Rede UNIDA, 2017) CARDOSO, Márcia Roberta de Oliveira; FERLA, Alcindo Antônio; OLIVEIRA, Paulo de Tarso Ribeiro de; NUNES, Nathália da Silva
This article aims to describe and analyze the main nuances of the public and private relationship in the Brazilian health system. In this sense, in addition to presenting a discussion on public and private concepts, characteristics, trends and impacts of the public-private mix in the Brazilian health system will also be punctuated. A bibliographic survey was carried out in the form of a narrative review on the classical and current production of scientific articles, dissertations, theses and research reports that presented pertinent reflections on the topic in the last ten years. The results were categorized in the following axes: Considerations about the concepts of public and private; Characteristics of the Brazilian Health System; Trends and Impacts of the Public-Private Mix in the Brazilian Health System. It was clear the existence of a conceptual polysemy on the public and private terms and due to the arrangements between these two dimensions in the structure of the Brazilian health system, it is based on the premise that it is a mixed system, where the public sector And the private sector coexist in the provision, financing, demand and use of health services. Within this context, problems of the systems with duplicate coverage were found, with impacts on equity, financing, production, use and access to health services. Therefore it is urgent to create strategies and mechanisms of resistance that guarantee an integrated regulatory action for a National Health System that, among other things, defines the public / private relation, besides the need to integrate public policies, not only aimed at For development, but also for well-being.
Acesso aberto (Open Access)
Nas fronteiras dos impactos expansionistas do capital sobre a saúde dos povos indígenas no brasil: questões para a compreensão do suicídio
(Associação Brasileira da Rede UNIDA, 2019) ADSUARA, Carmen Hannud Carballeda; ARAÚJO, Gabriel Henrique Macedo de; OLIVEIRA, Paulo de Tarso Ribeiro de
Suicide among indigenous peoples in Brazil occupies a prominent place in the concern of several leaderships, indigenists and intellectuals. However, often the look at this phenomenon becomes detached from the social fabric that permeates the relationship between indigenous and nonindigenous society. Thus, the present article proposes to look at the available literature on suicide, based on the central assumption that it is inseparable from the contradictory process of violence and embezzlement to which they have been subjected despite the guarantee of their rights under international agreements. Thus, considering the structurehistory movement of cultures, the text addresses suicide as a collective health problem for the population and indigenous peoples in an inseparable way from the history of genocide in the context of borders, so there is a epistemic transformation caused by the penetration of territories.
Acesso aberto (Open Access)
Práticas de cuidado em saúde mental na voz dos usuários de um centro de atenção psicossocial do Estado do Pará
(Universidade Federal do Pará, 2016-06) CARDOSO, Márcia Roberta de Oliveira; OLIVEIRA, Paulo de Tarso Ribeiro de; PIANI, Pedro Paulo Freire
This paper aimed to analyze how practices of care in mental health are perceived by users of a Psychosocial Care Center (Caps) of the State of Pará. The methodology used was a qualitative approach, discursive and ethnographic. 14 registered users participated in the study in Caps. The interviews were analyzed according to themes: Health and Disease Process; Route Therapeutic; Care Practices in Mental Health; User and Autonomy. In speeches, the Caps was the site where users felt better care. It was observed the coexistence of care practices that corroborate the principles of Psychiatric Reform and others that still reproduce the asylum logic.