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https://www.readbyqxmd.com/read/29420660/contextual-and-individual-factors-associated-with-dental-services-utilisation-by-brazilian-adults-a-multilevel-analysis
#1
Fernando José Herkrath, Mario Vianna Vettore, Guilherme Loureiro Werneck
BACKGROUND: Inequalities in the utilisation of dental services in Brazil are remarkable. The aim of this study was to evaluate the association of contextual and individual factors with the utilisation of dental services by Brazilian adults using the Andersen's behavioural model. METHODS: Individual-level data from 27,017 adults residents in the State capitals who were interviewed in the 2013 Brazilian National Health Survey were pooled with contextual city-level data...
2018: PloS One
https://www.readbyqxmd.com/read/29412412/hospitalizations-for-diabetes-mellitus-and-the-family-health-strategy-paran%C3%A3-brazil-2000-2012
#2
Guilherme Oliveira de Arruda, Débora Berger Schmidt, Sonia Silva Marcon
The aim of this study was to identify trends in hospitalization for diabetes mellitus and their correlation with the Family Health Strategy (FHS) coverage in the state of Paraná, by Health District (HD), between 2000 and 2012. It is an ecological study based on secondary data from the Hospital Information System of the Brazilian Unified Health System and the Primary Care Department. There was downward trend for general admission rates (from 10.2 to 9.0/10,000 inhabitants), but upward trend for some HDs. No correlation was observed between admission rates and the FHS coverage for the state...
February 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29412323/contextual-and-individual-factors-associated-with-dissatisfaction-with-public-emergency-health-services-in-brazil-2011-2012
#3
Rafaela Soares Rech, Fernando Neves Hugo, Jessye Melgarejo do Amaral Giordani, Lúcia Gimenes Passero, Juliana Balbinot Hilgert
The Brazilian network of emergency care, in recent years, has shown significant progress. The objective was to evaluate contextual and individual factors associated with the satisfaction with public emergency health services. This was a cross-sectional multilevel study carried out between June 2011 and January 2012. Data were collected via telephone at the ombudsman's office of the Brazilian Unified National Health System (SUS). Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information about the municipalities...
February 5, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29412314/-association-between-socioeconomic-health-and-primary-care-conditions-and-hospital-morbidity-due-to-waterborne-diseases-in-brazil
#4
Roberta Fernanda da Paz de Souza Paiva, Marcela Fernanda da Paz de Souza
The current study aimed to assess the association between socioeconomic conditions, basic sanitation, and coverage by family health teams and hospitalizations for waterborne diseases. The analysis of socioeconomic conditions and sanitation was based on an ecological study with data from the Brazilian National Household Sample Survey (PNAD) and the Brazilian Health Informatics Departament (DATASUS) database (observations for the States and Federal District) for the year 2013. Associations between family health teams and hospitalization were assessed by simple regressions, with data from DATASUS and the Department of Primary Care of Ministry of Health from 1998 to 2014...
February 5, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29380500/validation-and-standardization-of-the-brazilian-version-of-the-medication-regimen-complexity-index-for-older-adults-in-primary-care
#5
Laís Ln Pantuzza, Maria das Graças B Ceccato, Micheline R Silveira, Isabela Vl Pinto, Adriano Max M Reis
AIM: To validate and standardize the Brazilian version of the Medication Regimen Complexity Index (MRCI) for older adults in primary healthcare. METHODS: A cross-sectional methodological study was carried out with elderly patients attending primary healthcare centers in southeastern Brazil. Convergent validity was tested by correlating MRCI scores with medication number. Divergent validity was tested by correlating MRCI scores with age, sex, cognition, and basic and instrumental activities of daily living...
January 30, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29366345/perceptions-and-experiences-regarding-the-impact-of-race-on-the-quality-of-healthcare-in-southeast-brazil-a-qualitative-study
#6
Aneela Chauhan, Gilles de Wildt, Marcos da Cunha Lopes Virmond, Derek Kyte, Noemi Garcia de Almeida Galan, Renata Bilion Ruiz Prado, Vidya Shyam-Sundar
OBJECTIVE: To explore the impact of race on the quality of healthcare received by patients attending a primary care centre in Brazil. DESIGN: This was a qualitative study consisting of 19 semi-structured interviews conducted on patients from six racial groups (as defined in Brazil as white, yellow, brown, black and indigenous and one self-identified 'other' group). The interviews were analysed using thematic analysis. RESULTS: Four main themes were identified during analysis; factors affecting the access to healthcare, experiences regarding quality of healthcare, discrimination in healthcare and deep-rooted societal discrimination, which were categorised into a number of sub-themes...
January 24, 2018: Ethnicity & Health
https://www.readbyqxmd.com/read/29324277/readmission-in-psychiatry-inpatients-within-a-year-of-discharge-the-role-of-symptoms-at-discharge-and-post-discharge-care-in-a-brazilian-sample
#7
Fernanda Lucia Capitanio Baeza, Neusa Sica da Rocha, Marcelo Pio de Almeida Fleck
INTRODUCTION: Readmission into inpatient psychiatric beds is a useful outcome for patients, care providers, and policymakers. This study aims to investigate the role of level of symptoms at discharge and type of post-discharge care in determining readmissions after a year before a psychiatric admission. METHODS: We performed a prospective and observational study in a general hospital psychiatric facility. Patients were assessed at admission, discharge, and one year after discharge...
December 2, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29223430/rational-and-design-of-a-randomized-double-blind-multicenter-trial-to-evaluate-the-safety-and-tolerability-of-furosemide-withdrawal-in-stable-chronic-outpatients-with-heart-failure-the-rebic-1-trial
#8
RANDOMIZED CONTROLLED TRIAL
Priscila Raupp da Rosa, Luis E Rohde, Madeni Doebber, Antonio L P Ribeiro, Deborah P Prado, Eduardo G Bertoldi, Jose A Figueiredo Neto, Ilmar Kohler, Luis Beck-da-Silva, Luiz C Danzmann, Lidia Zytynski Moura, Marciane Rover, Marcus V Simões, Roberto T Sant'Anna, Andréia Biolo
AIMS: Furosemide is commonly prescribed for symptom relief in heart failure (HF) patients. Although few data support the continuous use of loop diuretics in apparently euvolemic HF patients with mild symptoms, there is concern about safety of diuretic withdrawal in these patients. The ReBIC-1 trial was designed to evaluate the safety and tolerability of withdrawing furosemide in stable, euvolemic, chronic HF outpatients. This multicenter initiative is part of the Brazilian Research Network in Heart Failure (ReBIC) created to develop clinical studies in HF and composed predominantly by university tertiary care hospitals...
December 2017: American Heart Journal
https://www.readbyqxmd.com/read/29216304/correction-the-impact-of-the-brazilian-family-health-on-selected-primary-care-sensitive-conditions-a-systematic-review
#9
Mayara Lisboa Bastos, Dick Menzies, Thomas Hone, Kianoush Dehghani, Anete Trajman
[This corrects the article DOI: 10.1371/journal.pone.0182336.].
2017: PloS One
https://www.readbyqxmd.com/read/29215691/evaluating-psychometric-properties-of-an-instrument-addressing-comprehensiveness-of-care-among-dentists
#10
Grazielle Christine Maciel Mattos, Juliana Vaz de Melo Mambrini, Jennifer Elizabeth Gallagher Mbe, Saul Martins Paiva, Mauro Henrique Nogueira Guimarães de Abreu
This study aimed to evaluate the psychometric properties of an instrument to assess comprehensiveness of care from dentists using a combination of classical test theory and item response theory. A 46-item instrument was developed and tested by a panel of experts, followed by a pilot test and administration to 187 primary care dentists in a large Brazilian city. The 46 items were evaluated using the following criteria: acceptability, internal consistency, temporal stability, inter-item correlation, and tetrachoric correlation...
September 2017: Brazilian Dental Journal
https://www.readbyqxmd.com/read/29208614/association-between-hospitalisation-for-ambulatory-care-sensitive-conditions-and-primary-health-care-physician-specialisation-a-cross-sectional-ecological-study-in-curitiba-brazil
#11
Marcelo P D Afonso, Helena E Shimizu, Edgar Merchan-Hamann, Walter M Ramalho, Tarcisio Afonso
INTRODUCTION: Hospitalisation for ambulatory care-sensitive conditions (HACSCs) is frequently used as an indicator of the quality and effectiveness of primary healthcare (PHC) services around the world. The aim of the present study was to evaluate whether the PHC model (family health strategy (FHS) x conventional) and the availability of specialised PHC physicians is associated or not with total hospitalisation or HACSCs in the National Health System (SUS) of the municipality of Curitiba, Paraná state (PR), Brazil...
December 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/29204229/assessment-of-primary-health-care-in-the-treatment-of-tuberculosis-in-a-brazilian-locality-of-the-international-triple-frontier
#12
Reinaldo Antonio Silva-Sobrinho, Anneliese Domingues Wysocki, Lúcia Marina Scatena, Erika Simone Galvão Pinto, Aline Ale Beraldo, Rubia Laine Paula Andrade, Adriana Zilly, Rosane Meire Munhak da Silva, Michela Prestes Gomes, Paulo César Morales Mayer, Antonio Ruffino-Netto, Tereza Cristina Scatena Villa
Objective: To evaluate the performance of Primary Health Care (PHC) in treatment of TB patients in a triple international border municipality. Methods: The present study was an evaluative survey of cross-sectional and quantitative approach conducted with 225 PHC healthcare professionals. Data was collected through a structured and validated instrument, which provided five indicators of "structure" and four indicators of "process" classified as unsatisfactory, regular or satisfactory...
2017: Open Nursing Journal
https://www.readbyqxmd.com/read/29194844/older-brazilian-caregivers-and-their-lived-experiences-of-caring-a-hermeneutic-phenomenological-study
#13
Larissa Chaves Pedreira, Acylene Maria Cabral Ferreira, Gilberto Thadeu Reis Silva, Rosana Maria de Oliveira Silva, Carolina Marques Freitas
OBJECTIVE: To understand the lived experiences of older Brazilian carers. BACKGROUND: For many caregivers, the practice of caregiving becomes their daily lives, embedding in their care and the experiences, beliefs, learning, and techniques that contribute to the meanings these caregivers attach to their world. Studies have reported on the experiences of caregivers in general; however, few studies have addressed the unique characteristics of older caregivers. METHOD: Phenomenological research was conducted in the homes of these persons who were registered in a public program of home care...
November 30, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29194346/dental-procedures-in-primary-health-care-of-the-brazilian-national-health-system
#14
Suellen R Mendes, Renata C Martins, Antônio T G M Matta-Machado, Grazielle C M Mattos, Jennifer E Gallagher, Mauro H N G Abreu
The aim of this study was to examine the procedures of primary dental health care performed by oral health teams (OHTs) adhering to the second cycle of the 'National Programme for Improving Access and Quality of Primary Care' (PMAQ-AB) in Brazil. A cross-sectional descriptive analysis was performed, across 23 dental procedures comprising preventive, restorative/prosthetic, surgical, endodontic and oral cancer monitoring. Descriptive analysis shows that most of the oral health teams carry out basic dental procedures...
December 1, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29176460/primary-care-and-the-hypertension-care-continuum-in-brazil
#15
James Macinko, Daniel G P Leventhal, Maria Fernanda Lima-Costa
This study provides estimates of hypertension prevalence, awareness, treatment, and control in Brazil and assesses how well different modes of primary care delivery achieve each of these outcomes. Over one-third of the Brazilian adult population had measured hypertension or prior diagnosis. Nearly 90% of these had recent contact with the health system, but only 65% were aware of their condition. Only 62% of these regularly sought care for hypertension, but of these 92% received treatment. Hypertension control was 33% overall, but increased to 57% among those who received all levels of care...
January 2018: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/29166484/assessing-the-role-of-appropriate-primary-health-care-on-the-use-of-dental-services-by-brazilian-low-income-preschool-children
#16
Márcia Helena Baldani, Juliana Schaia Rocha, Cristina Berger Fadel, Antonio Carlos Nascimento, José Leopoldo Ferreira Antunes, Samuel Jorge Moysés
This cross-sectional study aimed to assess the association between the quality of primary health care (PHC) and the use of dental services by preschoolers served by the Family Health Strategy (FHS), controlling for socio-demographic determinants and perceived need. The sample encompassed 438 children aged 3-5 years, enrolled in 19 FHS facilities in Ponta Grossa, Paraná State, Brazil. Individual level variables were collected by interviewing parents or caregivers at home. They answered a questionnaire on socioeconomic conditions, oral hygiene habits and use of dental services...
November 21, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29166477/regional-differences-in-infection-control-conditions-in-a-sample-of-primary-health-care-services-in-brazil
#17
Mauro Henrique Nogueira Guimarães de Abreu, Vera Lúcia Silva Resende, Kyu Ha Lee, Antônio Thomaz Gonzaga da Matta-Machado, Jacqueline Rose Starr
International guidelines have pointed out the importance of the physical environment of health care facilities in preventing and controlling infection. We aimed to describe the physical environment of dental care facilities in Brazil in 2014, focusing on characteristics designed to control infections. Exactly 16,202 dental offices in the Brazilian Unified National Health System (SUS) participated in this survey. Trained researchers extracted information about the infection control characteristics of health facilities by using a structured instrument...
November 21, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29160467/pharmaceutical-services-in-primary-health-care-interfederative-agreement-in-the-development-of-pharmaceutical-policies-in-the-brazilian-unified-health-system-sus
#18
Karen Sarmento Costa, Noêmia Urruth Leão Tavares, José Miguel do Nascimento, Sotero Serrate Mengue, Juliana Álvares, Augusto Afonso Guerra, Francisco de Assis Acurcio, Orlando Mario Soeiro
No abstract text is available yet for this article.
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160466/pharmaceutical-services-in-the-primary-health-care-of-the-brazilian-unified-health-system-advances-and-challenges
#19
Karen Sarmento Costa, Noêmia Urruth Leão Tavares, José Miguel do Nascimento, Sotero Serrate Mengue, Juliana Álvares, Augusto Afonso Guerra, Francisco de Assis Acurcio, Orlando Mario Soeiro
This study is a synthesis of the main results of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines), Evaluation Component of the Basic Pharmaceutical Services. Based on the critical narrative of the elements of Brazil's pharmaceutical policies, we discuss aspects related to the structure of the pharmaceutical services, the medicines' sanitary state, human resources, access to medicines, rational use and management...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160465/patient-satisfaction-with-pharmaceutical-services-in-brazilian-primary-health-care
#20
Orlando Mario Soeiro, Noêmia Urruth Leão Tavares, José Miguel do Nascimento, Augusto Afonso Guerra, Ediná Alves Costa, Francisco de Assis Acurcio, Ione Aquemi Guibu, Juliana Álvares, Margô Gomes de Oliveira Karnikowski, Silvana Nair Leite, Karen Sarmento Costa
OBJECTIVE: To evaluate patient satisfaction with pharmaceutical services in Brazilian primary health care. METHODS: This is a cross-sectional, exploratory, and evaluative study on a representative sample from the five Brazilian geopolitical regions resulting from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines - Services, 2015)...
November 13, 2017: Revista de Saúde Pública
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