Covingtonacosta6446

The elderly population is vulnerable to the risks of the use of medications, especially those considered potentially inappropriate medications (PIMs), in which the risks outweigh the benefits. The study sought to evaluate the PIMs prescribed in Primary Health Care (PHC) and associated factors. A cross-sectional, analytical study was carried out from March to December 2019 in PHC in Campina Grande, Paraíba, through interviews with 458 elderly individuals. The independent variables included socioeconomic characteristics, health status and the use of medications, and the outcome was classified as PIM by the Brazilian Consensus on Potentially Inappropriate Medications. There was a prescription of at least one PIM for 44.8% of the elderly and the majority affecting the Central Nervous System (54.4%). In the adjusted model, depression (PR=2.01; 95%CI 1.59-2.55), using other medications in addition to those prescribed (PR=1.36; 95%CI 1.08-1.72) and polypharmacy (PR=1.80; 95%CI 1.40-2.33) remained an associated factor, and self-reporting systemic arterial hypertension became a protective factor (PR=0.65; 95%CI 0.49-0.87). This reveals the need for actions to monitor closely the use of PIMs by the elderly to ensure access in conjunction with safety.The scope of this article is to evaluate the structure and work processes of Family Health Strategy teams related to the nutritional care of children. It involved an assessment survey of 136 health teams in 45 municipalities in the State of Paraíba. The data on structure (availability of anthropometric equipment, supplements and technical documents) and processes (management, intersectoriality and activities of the Brazilian Breastfeeding and Feeding Strategy) were summarized in scores and classified as incipient, intermediate or advanced. Analyses were performed according to contextual characteristics of the municipality (population size and human development) and the health team (whether from the Programa Mais Médicos or conventional teams, and whether accompanied by a nutritionist or not). Nutritional care was classified at the intermediate level, with the availability of technical documents, the use of SISVAN or the e-SUS and the implementation of the Brazilian Breastfeeding and Feeding Strategy being the most deficient items. Large municipalities and expanded health teams with nutritionists had better structure and process conditions, respectively. The fragmented implementation of nutritional care calls for improvements in structure and processes for due fitness for purpose.The scope of this article is to compare the assessment of users of health services who participated in the PMAQ-AB on child health in the states of the Brazilian Northeast. It is a cross-sectional study conducted with secondary data based on interviews with 5,116 users of 4,190 Family Health Teams in the nine states of the Northeast macroregion. Fourteen questions on the medical monitoring of children from 0 to 2 years old were evaluated. Proportions and 95% confidence intervals were calculated for each Unit of the Federation of the Brazilian Northeast. The indicators with the highest proportions were the Guthrie PKU test performed within seven days of life (84.4%), children always accompanied by the same professionals (79.1%), monitoring expected growth and development for age (84.9%), dietary guidance (86.3%) and up-to-date vaccination (95.3%). https://www.selleckchem.com/products/p5091-p005091.html The indicators with the lowest proportions were guidance on the best position for the child to sleep in (45.7%) and whether or not the child's health handbook (46.9%) was received. In all indicators, there were significant differences between the states analyzed. There are differences in the quality of child health care on offer according to the evaluation of users participating in the PMAQ-AB between states in the Northeast.This paper aims to describe the indicators related to planning and support in the work process reported by the Family Health Teams, from the 3rd cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) in the Brazilian Northeast. This cross-sectional study employed secondary data from the external evaluation of the 3rd cycle of the PMAQ-AB. Sixteen indicators were used to ascertain the teams' work process actions, and 14,489 family health teams that adhered to the program were evaluated. Among the indicators assessed, we found that the teams held a meeting and planned actions and self-evaluated, monitored, and analyzed health indicators to reorganize the work process, highlighting the determining and conditioning factors. Health surveillance and the Extended Family Health Center (NASF) stand out in the indicators of institutional support and multidisciplinary support for solving complex cases. We identified improvements in the work process of the teams in the Northeast region, but the reality of fragmented and vertical work still requires a change to promote an outlook of shared teamwork, directly influencing the work process.The Family Health Strategy (FHS) of the Unified Health System (SUS) is the revised model that governs health care and the work processes adopted in Brazil. This article analyzes the perceptions of FHS professionals regarding mental health and the care provided in a health center in a Basic Care Unit in the Brazilian Northeast. It involved qualitative research aligned with a critical interpretative approach conducted through interviews, straightforward observation and documentary analysis that led to a series of considerations organized into two main groups a) "Mental Health" from the perspective of professionals of the FHS; and b) Care in "Mental Health" in the context of practices of primary care. The results of the study reveal conceptions about mental health limited to a view aligned with a project of institutionalization and medicalization. With respect to the dimension of care, gaps are revealed in relation to shared experiences in mental health, through the incipient partnership between professionals of the FHS and the Nucleus of Support in Family Health (NSFH). The challenge remains to reconstruct a vision aligned with the precepts of Brazilian psychiatric reform, teamwork and the creation of spaces that enable discussion and agreements in the daily routine of the FHS.