Acolhimento às crianças na atenção primária à saúde: um estudo sobre a postura dos profissionais das equipes de saúde da família Reception of children in primary health care: a study on attitudes by family health team members

Trata-se de estudo descritivo transversal, realizado com 384 responsáveis por crianças cadastradas em seis equipes de saúde da família. Foi utilizado o Instrumento de Avaliação da Atenção Primária (PCATool). Em relação às crianças, 52,9% eram do sexo feminino, 55,5% menores de 3 anos, 71,6% viviam com o pai e a mãe. O serviço de referência para o atendimento foi a unidade de saúde da família 77,6%. Em relação ao acolhimento/postura, 74,2% consideram que o profissional entende o que ele diz e pergunta, e 79,2% respondem da forma que o cuidador da criança entende. Para 77,2% dos responsáveis sempre que precisam conversar com o profissional eles conseguem, e 73,8% se sentem à vontade para falar com o profissional. A partir destes resultados pode-se inferir que o acolhimento/postura nestes serviços tem permitido uma interação usuário- profissional satisfatória, imprescindível para um atendimento à saúde com qualidade.<br>This was a descriptive cross-sectional study with parents and guardians (n = 384) of children enrolled under six family health teams, using the Primary Care Assessment Tool (PCATool). Characteristics of the children were: 52.9% girls; 55.5% < 3 years of age; and 71.6% living with both parents. For 77.6%, the reference service for health care was the family health facility. In relation to reception and attitudes, 74.2% of parents reported that the health professional understood their complaints and questions, and 79.2% reported that the health professional responded in such a way that parents could understand. A total of 77.2% of the parents/guardians stated that they were always able to talk to the health professional when needed, and 73.8% felt comfortable about this dialogue. These results indicate that the family health team's reception of children and their attitudes in these services have allowed satisfactory user-provider interaction, an indispensable factor for quality health care

Cardiovascular mortality in Brazil during the COVID-19 pandemic: a comparison between underlying and multiple causes of death

Objectives: The COVID-19 pandemic has differentially impacted cardiovascular disease (CVD) mortality worldwide. Causes of death misclassification may be one of the reasons. We evaluated the impact of the pandemic on CVD mortality in Brazil, comparing underlying causes (UCs) and multiple causes (MCs) of death.// Study design: Ecological time-series study.// Methods: An ecological, time-series study was conducted analysing age-standardised death rates for CVD, from epidemiological week (EW) 10/2020 to 39/2021, using data from the Mortality Information System, Brazil. CVD was defined using the International Classification of Diseases (ICD-10) coding, if reported as UC or MC of death. Observed and expected data (mean for the same EW, 2017–2019) were compared. Risk ratios (RiRs) were analysed, and 95% confidence intervals (CIs) were calculated.// Results: Age-standardised mortality rate for CVD as UC of death was 165.8 (95%CI: 165.4–166.3) per 100,000 inhabitants, similar to what was expected (165.6/100,000, 95%CI: 165.2–166.1, RiR = 1.00). There was increased out-of-hospital mortality (RiR = 1.18; 95%CI: 1.17–1.19) and deaths of ill-defined causes (RiR = 1.43; 95%CI: 1.42–1.44). The increase in out-of-hospital deaths was more pronounced in the North (RiR = 1.33; 95%CI 1.30–1.36) region, with a less resilient health system. Conversely, as MCs of death, there was a 10% increase in CVD mortality (observed: 243.2 [95%CI: 242.7–243.7], expected: 221.6 [95%CI: 221.1–222.1] per 100,000). An increase also occurred in the North and Central West regions (RiR = 1.16; 95%CI: 1.15–1.18), among men (RiR = 1.11; 95%CI: 1.11–1.12) and individuals aged ≥60 years (RiR = 1.11; 95%CI: 1.10–1.11).// Conclusions: During the pandemic, mortality rates for CVD as MCs of death increased in Brazil, whereas as UC mortality rates did not change. Higher out-of-hospital mortality, misclassification, and competing causes of death may explain this pattern

Pessoas acima de 50 anos com aids: implicações para o dia-a-dia Personas con más de 50 años que tienen sida: implicaciones para el cotidiano People with more than 50 years old with aids: implications to everyday life

Este estudo caracteriza-se por ser uma pesquisa qualitativa que objetivou descrever as implicações relacionadas ao dia-a-dia de pessoas acima de 50 anos que têm a síndrome da imunodeficiência adquirida. A pesquisa foi realizada num hospital de ensino na região sul do Brasil. A produção dos dados foi desenvolvida com a dinâmica de criatividade e sensibilidade Mapa Falante, por um grupo de cinco participantes. Para a análise, foi aplicada a técnica de análise temática do conteúdo. Das produções artísticas e depoimentos, emergiram os efeitos decorrentes da descoberta do diagnóstico; da compreensão de que tem uma vida normal apesar da doença; da fé em Deus; do preconceito e discriminação e do silêncio da condição sorológica. Conclui-se que as ações de cuidado devem contemplar as dimensões biológicas, clínica, social e subjetiva de modo corresponsável vislumbrando a autonomia para o cuidado com a sua saúde e para as escolhas de sua vida.<br>Investigación cualitativa que tuvo por objetivo describir las implicaciones relacionadas al cotidiano de personas con más de 50 años de edad que tienen el síndrome de inmunodeficiencia adquirida. Realizada en hospital de enseñanza en la región sur de Brasil. La producción de los datos fue desarrollada con dinámica de creatividad y sensibilidad mapa hablante, por un grupo de cinco participantes. Para el análisis, fue aplicada la técnica de análisis temático del contenido. De las producciones artísticas y declaraciones emergieron los efectos decurrentes de la descubierta del diagnóstico; de la comprensión de que tiene una vida normal a pesar de la enfermedad; de la fe en Dios; del prejuicio y discriminación y del silencio de la condición serológica. Se concluye que las acciones de cuidado deben contemplar las dimensiones biológicas, clínica, social y subjetiva de modo co-responsable vislumbrando la autonomía para el cuidado con su salud y para las elecciones de su vida.<br>It is a qualitative research that aimed to describe the implications related to everyday life of people with more than 50 years old who acquired immunodeficiency syndrome. It was carried out at a training hospital in the southern Brazil. The data were generated by a dynamic technique using the creativity and sensibility dynamic Speaker Map, with five participants in the group. The data were submitted to a content thematic analysis. From ar tistic productions and reports, emerged the effects from diagnosis discovered; the comprehension that they have a normal life in spite of disease; the faith in God; the prejudice and discrimination; and the silence about the serologic condition. We concluded that the care actions must consider the biological, clinical, social and subjective dimensions in a co-responsibility way in the perspective to their autonomy to health care and to choices of their life

Assessing the care of children under one year old in Primary Health Care

OBJECTIVE: to analyze the presence and extent of Primary Health Care attributes and the strength of affiliation of children under one year old in a Family Health Unit. METHOD: cross-sectional, descriptive study conducted between October 25, 2010 and May 14, 2011 with 44 mothers, using the Primary Care Assessment Tool to collect data. Data were analyzed by calculating the Essential Primary Health Care and General Primary Health Care scores. RESULTS: mothers recognized and experienced aspects of accessibility, comprehensive care and coordination of care, as well as community guidance, marked by a concern and involvement on the part of the health team in the children's care, their families and community. CONCLUSION: The Primary Health Care team makes efforts to approach the community and meet their health needs, seeking instruments that aid the promotion of qualified care to children