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Brazilian primary care

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/29160464/use-of-medicines-by-patients-of-the-primary-health-care-of-the-brazilian-unified-health-system
#14
Clarisse Melo Franco Neves Costa, Micheline Rosa Silveira, Francisco de Assis Acurcio, Augusto Afonso Guerra, Ione Aquemi Guibu, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mario Soeiro, Silvana Nair Leite, Ediná Alves Costa, Renata Cristina Rezende Macedo do Nascimento, Vânia Eloísa de Araújo, Juliana Álvares
OBJECTIVE: To characterize the use of medicines by patients of the primary health care of the Brazilian Unified Health System (SUS). METHODS: This is a cross-sectional, exploratory, and descriptive study, part of 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). Interviews were carried out with patients present in the services by semi-structured questionnaires...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160463/access-to-medicines-by-patients-of-the-primary-health-care-in-the-brazilian-unified-health-system
#15
Juliana Álvares, Augusto Afonso Guerra, Vânia Eloisa de Araújo, Alessandra Maciel Almeida, Carolina Zampirolli Dias, Bruna de Oliveira Ascef, Ediná Alves Costa, Ione Aquemi Guibu, Orlando Mario Soeiro, Silvana Nair Leite, Margô Gomes de Oliveira Karnikowski, Karen Sarmento Costa, Francisco de Assis Acurcio
OBJECTIVE: To evaluate the access to medicines in primary health care of the Brazilian Unified Health System (SUS), from the patients' perspective. METHODS: This is a cross-sectional study that used data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Services, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines), conducted by interviews with 8,591 patients in cities of the five regions of Brazil...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160462/access-to-medicines-relations-with-the-institutionalization-of-pharmaceutical-services
#16
Rafael Damasceno de Barros, Ediná Alves Costa, Djanilson Barbosa Dos Santos, Gisélia Santana Souza, Juliana Álvares, Augusto Afonso Guerra, Francisco de Assis Acurcio, Ione Aquemi Guibu, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mario Soeiro, Silvana Nair Leite
OBJETIVE: To analyze the relationship between access to medicines by the population and the institutionalization of pharmaceutical services in Brazilian primary health care. METHODS: This study is part of 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), a cross-sectional, exploratory, and evaluative study composed of an information survey in a representative sample of cities, stratified by Brazilian regions...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160460/polypharmacy-a-challenge-for-the-primary-health-care-of-the-brazilian-unified-health-system
#17
Renata Cristina Rezende Macedo do Nascimento, Juliana Álvares, Augusto Afonso Guerra, Isabel Cristina Gomes, Micheline Rosa Silveira, Ediná Alves Costa, Silvana Nair Leite, Karen Sarmento Costa, Orlando Mario Soeiro, Ione Aquemi Guibu, Margô Gomes de Oliveira Karnikowski, Francisco de Assis Acurcio
OBJECTIVE: To characterize the polypharmacy in primary health care patients and to identify its associated factors. METHODS: This is a cross-sectional, exploratory, and evaluative study, part of 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). The variable of interest was polypharmacy, defined as the use of five or more medicines...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160459/characterization-of-the-institutionalization-of-pharmaceutical-services-in-brazilian-primary-health-care
#18
Gisélia Santana Souza, Ediná Alves Costa, Rafael Damasceno de Barros, Marcelo Tavares Pereira, Joslene Lacerda Barreto, Augusto Afonso Guerra, Francisco de Assis Acurcio, Ione Aquemi Guibu, Juliana Álvares, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mario Soeiro, Silvana Nair Leite
OBJECTIVE: To characterize the current stage of the institutionalization of pharmaceutical services in Brazilian cities. METHODS: This study is part 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), a cross-sectional, exploratory, and evaluative study composed by an information survey in a representative sample of cities, stratified by Brazilian regions...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160458/health-related-quality-of-life-of-patients-of-brazilian-primary-health-care
#19
Bruna de Oliveira Ascef, João Paulo Amaral Haddad, Juliana Álvares, Augusto Afonso Guerra, Ediná Alves Costa, Francisco de Assis Acurcio, Ione Aquemi Guibu, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mario Soeiro, Silvana Nair Leite, Micheline Rosa Silveira
OBJECTIVE: To analyze the Health-Related Quality of Life (HRQoL) of patients of the primary health care of the Brazilian Unified Health System (SUS) and its associated factors. METHODS: This is a cross-sectional study with data 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). Data were collected with a questionnaire that included the EuroQol 5 Dimensions (EQ-5D) instrument...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160456/infrastructure-of-pharmacies-of-the-primary-health-care-in-the-brazilian-unified-health-system-analysis-of-pnaum-services-data
#20
Silvana Nair Leite, Fernanda Manzini, Juliana Álvares, Augusto Afonso Guerra, Ediná Alves Costa, Francisco de Assis Acurcio, Ione Aquemi Guibu, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mário Soeiro, Mareni Rocha Farias
OBJECTIVE: To characterize the infrastructure of the primary health care pharmacies of the Brazilian Unified Health System, aiming at humanizing the offered services. METHODS: This is a cross-sectional study, of quantitative approach, from data obtained in the Pesquisa Nacional de 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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