DSpace Coleção: PPGSC

Avaliação dos atributos da Atenção Primária à Saúde por profissionais e Pessoas com Deficiência do município de João Pessoa

Wed, 18 Dec 2024 00:00:00 GMT

Título: Avaliação dos atributos da Atenção Primária à Saúde por profissionais e Pessoas com Deficiência do município de João Pessoa Autor(es): Nóbrega, Ariela de Queiroz Correia Orientador: Oliveira, Luciana Figueiredo de Abstract: Primary Health Care (PHC) plays a central role in the organization of health care, especially in the care of vulnerable populations, such as people with disabilities (PwD). Evaluating PHC is fundamental to identifying flaws and potentialities in the system, allowing for adjustments that promote greater equity and efficiency in the care provided. This study aimed to evaluate the essential and derived attributes of PHC based on the perception of professionals and PwD in the city of João Pessoa. This is a cross-sectional study with a quantitative approach, involving 201 Family Health Strategy (FHS) professionals and 38 PwD, of which 18 answered the adult version and 20 answered the child version. The first stage was developed with the application of the PCATool Brazil professional version instrument to Family Health Team workers, and the second stage involved the application of the PCATool child and adult short versions to PwD using the Family Health Units (FHU) in the city of João Pessoa. The professional sample was defined using stratified sampling, and the user sample using the snowball sampling technique. The results showed that PHC was evaluated positively by professionals, obtaining an overall score of 7.29, a value that exceeds the cutoff point of 6.6, while PwD pointed out barriers related to essential and derived attributes, revealing a negative evaluation, in which some of the analyzed variables, such as first- contact access with the health system, longitudinality, and comprehensiveness, obtained medians below the cutoff point, resulting in an overall median of 5.22. It is concluded that, despite advances in the implementation of PHC, there are gaps, such as the fragility of accessibility and equity, that need to be addressed to ensure inclusive and effective care for PwD. This study contributes to the strengthening of public policies and inclusive care strategies in PHC. Editor: Universidade Federal da Paraíba Tipo: Dissertação

Caracterização dos usuários e do acesso às órteses, próteses e auxiliares de locomoção e movimento com base na PNS 2019 e no SIA/SUS

Tue, 10 Dec 2024 00:00:00 GMT

Título: Caracterização dos usuários e do acesso às órteses, próteses e auxiliares de locomoção e movimento com base na PNS 2019 e no SIA/SUS Autor(es): Carneiro, Márcia Camila Figueiredo Orientador: Padilha, Wilton Wilney Nascimento Abstract: Introduction: Access to orthoses, prostheses, and mobility aids, as well as rehabilitation services, presents a significant challenge for individuals with physical disabilities in Brazil. The unequal availability of resources, inadequate infrastructure, and difficulties accessing the Unified Health System (SUS) directly impact the quality of life of these individuals. Objective: To investigate the use of orthoses, prostheses, and mobility aids by people with physical disabilities in Brazil, based on data from the 2019 National Health Survey (PNS) and the 2019 Ambulatory Information System (SIA/SUS), aiming to understand regional variations, access patterns, and implications for public health policies. Method: This is an observational, descriptive study with a quantitative approach, focusing on the sociodemographic characterization of users of mobility devices. Universe and Sample: The sample included 121,520 individuals who responded to the PNS questionnaire, with 9,125 using mobility devices. The study focused on sociodemographic variables such as gender, age, race/ethnicity, education, marital status, income, as well as access to SUS and rehabilitation services. Variables: The research addressed sociodemographic variables and access to rehabilitation. Socioeconomic variables included gender, age, ethnicity, income, marital status, education, and distribution by federative units. The study analyzed the use of mobility devices, access to SUS, and rehabilitation, including classifications of the groups Physical, OPM Physical, and OPM Physical FAEC. Analysis: Data analysis was conducted using SPSS, Excel 2019, and software RStudio versão 2022.2.3.492 (R Foundation for Statistical Computing, Boston, EUA), focusing on descriptive statistics of absolute and relative frequencies of the variables. The analysis aimed to identify socioeconomic patterns, the prevalence of mobility device use, and access to rehabilitation services, with an emphasis on SUS’s role. Results: The study revealed that most respondents were brown and single, while users of mobility devices tended to be white and married. The highest prevalence of device use was observed in the Northeast, with the highest number of dispensing records in the Southeast. The use of mobility aids was more frequent for lower limbs, and most participants received rehabilitation care through healthcare services. Non-profit organizations were predominant in providing rehabilitation services, while fixed orthopedic workshops recorded the highest dispensing of mobility aids. Conclusion: The analysis of the distribution of orthoses, prostheses, and mobility aids in Brazil highlights significant inequalities in access and availability. The population most in need of these devices is concentrated in vulnerable areas, where socioeconomic, racial, and regional factors limit access to healthcare services. Poor infrastructure and a lack of qualified professionals exacerbate difficulties, resulting in long waiting times and barriers to care. More developed regions with better infrastructure offer more accessible healthcare services, reflecting the historical centralization of resources in these areas. Editor: Universidade Federal da Paraíba Tipo: Dissertação

Sob a lupa da segurança : uma investigação transversal sobre a farmacovigilância e a atuação do farmacêutico

Mon, 30 Mar 2026 00:00:00 GMT

Título: Sob a lupa da segurança : uma investigação transversal sobre a farmacovigilância e a atuação do farmacêutico Autor(es): Freitas, Alana Sophia dos Santos Lira Orientador: Freitas, Gabriel Martins de Abstract: Introduction: Pharmacovigilance is strategic for patient safety and the rational use of medicines, with adverse drug reaction (ADR) reporting as its core component. In Brazil, Law No. 13,021/2014 sets out pharmacists’ ethical–legal duties in this process.Objective: To assess Brazilian pharmacists’ knowledge of pharmacovigilance and identify barriers to ADR reporting.Methods: Analytical, cross- sectional epidemiological study including 390 pharmacists from multiple practice settings (community, hospital, management/academia, industry/compounding, and public services). Data were collected via an online form between July 2024 and May 2025. Analyses were performed in SPSS v26.0 using descriptive statistics, the Kruskal–Wallis test followed by Dunn’s post hoc test, and the likelihood-ratio test (p<0.05).Results: A notable mismatch emerged between declared knowledge and practice. Although 89.5% reported understanding “pharmacovigilance” and 84.4% recognized “ADR,” only 30.5% correctly classified the “rare” ADR frequency, and 59.4% showed insufficient knowledge of causality algorithms. A gap between identification and reporting was evident: 45.2% stated they identify ADRs at least monthly, yet only 14.6% report with that frequency; 85.4% rarely or never report. Only 18.7% submitted any report in the previous 12 months, despite the legal mandate established by Law No. 13,021/2014. Training deficits were evident: 40.5% received no undergraduate training and 61.5% lacked in-service training; only 7.4% felt fully prepared. The most cited barriers were lack of time (52.6%), absence of a safety culture (51.8%), and process-knowledge gaps (29.0%), with significant variation across practice settings.Conclusion: ADR underreporting among pharmacists in Brazil is multifactorial, involving operational, institutional, and educational constraints. Priorities include continuous capacity-building, simplification of reporting workflows and platforms, and strengthening a non-punitive safety culture—consolidating pharmacists as central agents in patient protection. Editor: Universidade Federal da Paraíba Tipo: Dissertação

Produção do cuidado pelo/a acompanhante : um estudo autoetnográfico

Mon, 27 Jan 2025 00:00:00 GMT

Título: Produção do cuidado pelo/a acompanhante : um estudo autoetnográfico Autor(es): Silva, Railane do Carmo da Orientador: Gomes, Luciano Bezerra Abstract: This dissertation does not seek to provide ready answers, but rather to present the journey of a researcher seeking to transform her experience as a companion into an object of analysis. The presentation will be developed in essay format, with the aim of problematizing the presence of a companion in the process of providing care during a hospital stay. To achieve this goal, I used autoethnography, memory resources, and literature review as my methodological approach. The resources were organized in a digital and physical field diary and underwent individual and collective readings and reflections. The findings point to the companion as a subject who reinforces mechanisms of humanization of care, but who has to deal with the scarcity of hospital infrastructure and hierarchical care practices. In addition, it presents the strategies that they develop to provide care. Furthermore, I leave open the question of whether the figure of the companion is someone who expands care or is vigilant. Editor: Universidade Federal da Paraíba Tipo: Dissertação