https://repositorio.ufpb.br/jspui/handle/tede/8895 PPGSF Sun, 01 Nov 2026 03:20:05 GMT 2026-11-01T03:20:05Z http://repositorio.ufpb.br:443/jspui/retrieve/37451/ https://repositorio.ufpb.br/jspui/handle/tede/8895 https://repositorio.ufpb.br/jspui/handle/123456789/39631 Título: Acesso e acessibilidade à estratégia de saúde da família : um estudo de caso Autor(es): Santana, Marília Gabriela Silva Orientador: Brito, Geraldo Eduardo Guedes de Abstract: Primary Health Care (PHC) is recognized as the main gateway to health systems and plays a fundamental role in organizing care, promoting health, and coordinating actions within Health Care Networks. In Brazil, the creation of the Unified Health System (SUS) and the implementation of the Family Health Strategy (FHS) have contributed to expanding access to health services and improving health indicators. However, significant challenges remain regarding access and accessibility to Primary Health Care services, especially in territories marked by social inequalities and structural limitations. Access to health services is understood by Aday and Andersen (1974) as a dimension related to both population characteristics and the organization of health services, while accessibility refers to the ease with which individuals are able to use these services, as proposed by Donabedian (1988). In this context, this study aimed to analyze access and accessibility to services provided by a Family Health Unit located in the municipality of Camaragibe, Pernambuco, Brazil. This is a qualitative case study using Bardin’s content analysis technique. The study participants included health professionals from the team and users registered at the unit, who took part through semi-structured interviews. The results showed that welcoming practices, the bond established between professionals and users, and the work of Community Health Workers constitute important strategies for mediating and organizing access within the studied unit. On the other hand, limitations related to infrastructure, availability of professionals, organization of the health care network, and territorial barriers that hinder timely access to services were also identified. It is concluded that, although there have been advances in the organization of care and in expanding access to services, structural and organizational challenges remain, requiring interventions aimed at strengthening Primary Health Care and improving the Health Care Network in order to promote equity and improve the quality of care provided to the population. Editor: Universidade Federal da Paraíba Tipo: Dissertação Mon, 27 Apr 2026 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/39631 2026-04-27T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/39619 Título: Avaliação da Política Nacional de Humanização no município de Maceió : um olhar para Atenção Primária em Saúde Autor(es): Prata, Luzia Maria da Guia Malta Orientador: Soares, Gabriella Barreto Abstract: Introduction: The PNH, more than a formally established policy, is configured as a practice that materializes within the scope of the micropolitics of health work, being permanently crossed by disputes, tensions, and different management and care projects. In primary health care, its implementation implies the reorganization of work and care practices, aiming for a more ethical, inclusive system centered on the needs of users. Research question: How was the implementation of the PNH carried out in the PHC of Maceió and what structural and political-institutional challenges impacted its effectiveness and sustainability? Objectives: Evaluate the implementation of the PNH in primary health care in Maceió (2003–2023), analyzing its historical trajectory, its process of institutionalization, and the perceptions of the municipal management of the PNH and primary health care workers regarding its effectiveness. Methodology: Evaluative, exploratory case study with a qualitative approach, carried out in two stages. Initially, a documentary analysis of management instruments and institutional records of the policy (2009–2025) was conducted. Subsequently, 13 semi-structured interviews were carried out with PNH managers and APS workers in Maceió, between June and December 2024, defined by theoretical saturation. The analysis combined Donabedian's normative evaluation with Minayo's hermeneutic-dialectical approach, integrating the normative dimension with the experiences of the subjects. Results: The results indicate that the implementation of the PNH in Maceió (2003–2023) was marked by advances and weaknesses. The training of supporters, the creation of spaces for co-management and the engagement of PHC workers stand out, favoring the reorganization of work and the expansion of access. However, implementation remains partial and uneven, with structural and organizational weaknesses, such as precarious bonds, limitations in the environment, absence of institutional spaces for listening, and low effectiveness of participatory management. The insufficiency of political- institutional support, the discontinuity of actions and interfederative conflicts compromise the sustainability of the policy at the municipal level. Final considerations: The study reveals that PNH in Maceió has advanced in the process dimension, with the training of supporters, expansion of co-management, and incorporation of humanizing practices in primary health care. Weaknesses persist in the structure dimension, such as precarious employment ties, managerial turnover, and limited political-institutional support. In terms of results, there are improvements in care quality and in the protagonism of workers, still conditioned by management instability. The consolidation of the policy requires structural strengthening and institutional continuity. Applicability in Family Health: The study supports the planning and evaluation of the PNH in the SUS, strengthening the management of work and permanent education. Based on the structure–process–outcome model, it offers a replicable methodology and shows that the consolidation of humanization in PHC depends on the alignment between structure, management, and quality of care. Editor: Universidade Federal da Paraíba Tipo: Tese Wed, 25 Mar 2026 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/39619 2026-03-25T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/39605 Título: O trabalho do fisioterapeuta na atenção primária à saúde em um município de médio porte Autor(es): Albuquerque, João Paulo Maciel Cavalcanti de Orientador: Brito, Geraldo Eduardo Guedes de Abstract: Primary Health Care (PHC) is the main entry point to the health system and is responsible for delivering comprehensive and longitudinal care. With the implementation of Multidisciplinary Teams in PHC (eMulti), the inclusion of different professional categories has expanded, including physiotherapy, with the potential to strengthen health promotion, prevention, and continuity of care. This study aimed to analyze the work of physiotherapists in PHC in the municipality of Caruaru, Pernambuco, based on recorded service output, by identifying temporal trends between 2013 and 2024, characterizing the types of procedures performed, and examining aspects of the work process from professionals’ perceptions. This was a mixed- methods case study. In the quantitative component, secondary data from the Primary Care Health Information System (SISAB) were analyzed, and temporal trends were assessed using joinpoint regression. In the qualitative component, interviews were conducted with physiotherapists working in PHC and were analyzed through Content Analysis. Results showed a predominance of individual consultations, accounting for 89.58% of the total recorded production between 2013 and 2024, with higher frequencies of scheduled consultations (33.85%), same-day consultations (28.12%), and walk-in demand/initial assessment (25.06%). Collective activities represented a smaller share, with Group care (4.85%), Collective assessment/Procedure (2.96%), and Health education (1.45%) standing out, as well as very low frequencies of Social mobilization (0.51%) and Intersectoral meetings (0.26%). Interviews indicated an expanded understanding of the physiotherapist’s role in PHC, including territory- based care, relationship-building, qualified listening, and health promotion; however, this was constrained by high demand, the centrality of individual care, and working conditions that limit the feasibility of collective actions. In conclusion, physiotherapists’ work in PHC in Caruaru- PE is consolidating but remains strongly oriented toward individual practices, indicating the need to reorganize the work process, improve record keeping, and strengthen strategies to expand collective and educational activities. Editor: Universidade Federal da Paraíba Tipo: Dissertação Mon, 30 Mar 2026 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/39605 2026-03-30T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/39453 Título: O programa de educação pelo trabalho para a saúde e a indução de mudanças na formação e no trabalho em saúde por meio da interprofissionalidade: estudo de caso na UFPB Autor(es): Braga, Cristiane Costa Orientador: Forte, Franklin Delano Soares Abstract: Interprofessional education is a strategy that improves the production of care by proposing that two or more professions learn together, through dialogue and interaction with each other, about each other, and among themselves, enabling effective collaboration and improved health outcomes. The objective of this study was to analyze the contributions of the Education through Work for Health Program (PET-Saúde) to inducing changes in health education at the Federal University of Paraíba (UFPB) and in health work through interprofessionalism. This was a single case study, of an exploratoryinterpretative type, with a quantitative-qualitative approach and a comprehensive character. The research was divided into two stages. In Stage 1, documentary analyses of the UFPB/2008-2023 PET-Saúde Projects and the Lattes Curricula of the coordinators and tutors of the UFPB/2008-2023 PET-Saúde Projects were carried out. In Stage 2, an analysis was conducted of the perceptions of graduates, preceptors, and tutors/coordinators participating in the PET-Saúde/UFPB/2008-2023 program. In the analysis of the PET-Saúde/UFPB/2008-2023 projects, data collection was carried out using a single Analysis Matrix for all projects, and the data were interpreted using Content Analysis, considering the Teaching-Service-Community Integration in the development of interprofessional competencies and practices. In the analysis of the Lattes Curricula, data were collected through a systematic search, followed by statistical and descriptive analysis of the curricula of the coordinators and tutors of the PET-Saúde/UFPB (2008- 2023), characterizing the academic production in relation to interprofessionality and Interprofessional Collaborative Practices (PCI). In the analysis of the participants' perceptions, data collection was carried out through semi-structured interviews. Thirtytwo subjects (graduates, preceptors, and tutors/coordinators) who participated in the editions of the PET-Saúde/UFPB program, within the time frame of 2008-2023, took part. The data were interpreted from a comprehensive perspective of Hermeneutics-Dialectics, seeking to understand interprofessionality in the development of interprofessional identity, in training, and in work in health. The results revealed that the PET-Saúde/UFPB Projects encouraged work-based learning through interaction between different training/professions, with a proposal for intersectoral communication. Community participation was encouraged; however, the methods of this collaboration were not explained. The analysis of the Lattes Curricula described several academic productions (articles, book chapters, abstracts) with characteristics associated with interprofessionalism in health training and care. Participants reported shifts from predominantly single-profession identities to an interprofessional identity. This movement became more explicit when the theme was incorporated into government agendas and PET-Saúde, at the national level, began to include IPE in its proposals. The sustainability of IPE requires effective curricular integration, committed institutional leadership, and coordination between academic management and the needs of the health system. Finally, the results of this thesis contribute to the strengthening of health education and health care. Editor: Universidade Federal da Paraíba Tipo: Tese Wed, 11 Mar 2026 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/39453 2026-03-11T00:00:00Z