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1
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SIMONE LIGIA SOUSA TEIXEIRA
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Life Stories of individuals with Sickle Cell Disease: a training proposal for qualification and update for health professionals in Primary Care.
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Líder : JANE MARY DE MEDEIROS GUIMARAES
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MIEMBROS DE LA BANCA :
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ANTONIO JOSE COSTA CARDOSO
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GRASIELY FACCIN BORGES
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JANE MARY DE MEDEIROS GUIMARAES
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VANNER BOERE SOUZA
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Data: 28-sep-2021
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Ver Disertación/Tesis
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Resumen Espectáculo
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Sickle cell disease is a term used to name a group of genetic alterations characterized by the presence of a beta S globin gene and its variations. All these alterations have similar clinical manifestations ("anemias") and despite some particularities, their study is considered as a group. This disease is considered a public health problem declared by the World Health Organization (WHO) due to its high prevalence and severity of symptoms and complications. However, because it predominantly reaches the Afrodescendant population, research and intervention on sickle cell disease is historically neglected. The objective of this study is to implement the improvement course "Integral Care of the Person with Sickle Cell Disease", as a strategy of Permanent Education in Health, through active methodologies, which use the technique of Active Learnig Teams and Inverted Classroom, in 05 (five ) synchronous weekly meetings, and asynchronous meetings in WhatsApp groups . The target audience of this course will be the health professionals and workers of Primary Care and the students of the Interdisciplinary Bachelor Degree in Health and the Medical Course of the UFSB.
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2
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LAURA REGIA OLIVEIRA CORDEIRO
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Meanings of the Production of Care and Knowledge in Mental Health in the Context of the Family Health Strategy
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Líder : LINA RODRIGUES DE FARIA
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MIEMBROS DE LA BANCA :
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JANE MARY DE MEDEIROS GUIMARAES
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LINA RODRIGUES DE FARIA
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RAFAEL ANDRES PATINO OROZCO
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ROZEMERE CARDOSO DE SOUZA
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Data: 28-sep-2021
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Ver Disertación/Tesis
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Resumen Espectáculo
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In the psychosocial care model, care proposes a therapeutic itinerary that takes into account the historical construction of the subject and his relationship with the territory, in addition to comprehensive care practices. The perceptions of mental health care in the context of family health, identified in the literature, provide the need to rethink the humanization of care, comprehensiveness, universality and the guarantee 3/3 of equity. Despite the existence of movements in the health field in an attempt to implement this new way of thinking, there are obstacles to achieving dignified and comprehensive care. Such obstacles are related to inadequate communication between professionals in the care network services, the prevalence of care based on medicalization, the fragmentation of care, the fragility of the matrix support process, the lack of professional training and difficulties related to the training of these professionals. based on biomedical knowledge. In this sense, the defense of the expansion of therapeutic offers of the teams with psychosocial tools, as well as the training of health professionals to disseminate actions in mental health, aims to stimulate the construction of more effective therapeutic flows and projects in line with other services in the network of health. This is a way to achieve mental health care and promotion in the context of Family Health and in an integrated way to the care network within the proposal of the Brazilian Psychiatric Reform. In the words of Saraceno (1996), it is important to understand health care as a recognition of the subject beyond their disease, in the perspective of the unique meanings of their mental and physical suffering and their life processes as a whole, in all scenarios occupied by him (service/home/community). Mental Health (MH) in Primary Care (AB) faces major challenges in its daily life. Among them, there are those related to health workers to add resoluteness to mental health actions developed in the context of Primary Care, such as the little appreciation of the act of "listening" in everyday consultations. This research project aims to analyze the meanings of the production of mental health care in the context of the Family Health Strategy (FHS) and the reorientations of practices in the service, based on social constructionism, according to Mary's Social Psychology Jane Spink . Professionals from specialized mental health services (Biopsychosocial Care Centers and Ambulatory) and professionals from the territories covered by ESF's, in the municipality of Vitória da Conquista, Bahia, Brazil participated in the study. Data collection took place from July 2020 to March 2021. The semi-structured interview technique was used, in a meta-presential situation, with the consent of the participants signing the consent form. The script was previously prepared and tested for this purpose - based on the theoretical framework of Social Constructionism; the interpretative repertoires found in the bibliographical survey on the subject; and the validated scales - Work Impact Assessment Scale in Mental Health Services (IMPACTO-BR) and Family Satisfaction Assessment Scale with Mental Health Services (SATIS-BR) (BANDEIRA, PITTA & MERCIER, 2000, 2000, p. 105-115). The contents of the dialogues were analyzed from the identification of the interpretative repertoires of the contents of the speeches and their intertwining with the investigated literature and the interpretation of the researchers. It was observed that this research provided two main lines of categories. The first focused on the meanings about the conceptualization of mental health care processes in their entirety: “The meanings of mental health care processes”. This theme made it possible to start the reflection on the second line of meanings aimed at the main objective of the research: “The meanings of mental health care practices in the context of the Family Health Strategy”. The analysis of these categories allowed the reflection that the process of consolidation of care in the SUS must occur through the strengthening of care based on dialogic listening between professionals and the community. Since, the promotion of mental health privileges care centered on the person and the community and attention to the meanings attributed by the subjects to their health processes; that is, it deals with the emotions, perceptions and meanings of everyday life and, consequently, strengthens actions to promote the subjects' integral health.
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3
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MARCELO RIBEIRO DA SILVA
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PROJECT IN FAMILY AND COMMUNITY MEDICINE RESIDENCE IN THE MUNICIPALITY OF PORTO SEGURO/BA: CHALLENGES AND ADVANCES
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Líder : MARCIO FLORENTINO PEREIRA
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MIEMBROS DE LA BANCA :
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ANTONIO JOSE COSTA CARDOSO
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MARCIO FLORENTINO PEREIRA
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RAQUEL SIQUEIRA DA SILVA
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Data: 28-sep-2021
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Ver Disertación/Tesis
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Resumen Espectáculo
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The SUS Network – School, as a collaborative space for the formation of individuals, collaborative exchanges, qualified listening, meeting with reality, stimulus of knowledge by previous experience and others, tends to be a fundamental strategy for the consolidation of workers with a profile of professional competence and human. This work deals with the challenges and advances found in the implementation of Residency Programs in Family and Community Medicine in the daily services and inter-physician relations, through the experience of articulation and construction of the Residency Project in Family Medicine and Community in the Municipality of Porto Seguro in the South of Bahia. In the context of reporting an experience, the work comprehends as challenges the condition of the Health Primary Attention network as a space of low density, that is, of low use of hard technologies and, considering the high emphasis given by medical sciences to technicality, demarcator of hard technologies. It considers that medical professionals, in their training processes, are very little prepared to work with subjectivities, which are the result of conditioning and determining factors in the cultural and social relationships of the individuals and that directly imply the health-disease relationship. It also considers that the model of historical, curricular and fragmenting training, aimed at training specialists for the labor market, has not yet qualified the medical professional for teamwork, with this skill being a fundamental requirement for the quality of work in the Primary Care, especially in family health teams. Considering that, although the new formations excel by the use of active methodologies and by bringing the medical student closer to the social and historical reality of the subjects, most preceptors/tutors still protect the traditional and vertical model in their practices. And finally, despite the structure of the Municipal Network comprising the Project, the policy management factors at national and local level, which compromised the execution of the proposal presented and approved.
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4
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AUGUSTO ROBERTO VIDREIRA BATISTA
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Medical Residency Programs in Family and Community Medicine: Potentialities and Fragilities, in the Reality of the Municipality of Salvador-Bahia.
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Líder : JANE MARY DE MEDEIROS GUIMARAES
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MIEMBROS DE LA BANCA :
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CATHARINA LEITE MATOS SOARES
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ITA DE OLIVEIRA E SILVA
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JANE MARY DE MEDEIROS GUIMARAES
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MARCIO FLORENTINO PEREIRA
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Data: 29-sep-2021
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Resumen Espectáculo
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The medical training in Brazil has been undergoing significant changes to be able to meet the demands from the Brazilian society and the Unified National Health System (SUS). The primary health care (APS) is set to be the gateway to the SUS, so that is where approximately 80% of the health issues are expected to be resolved. Therefore, it is important that there are 4/3 practitioners at the family health units (USF) with extensive education on that field of action. Despite the restructuring of the medical education, motivated by the new curricular guidelines from 2014, little is found in the literature about the changes and impacts on the education and the experiences about the APS as a field of action. For that reason, the aim of this paper is to compare the Medical Residency Program in Medicine of Family and Community (PRMMFC) in the context of the redesign of the medical education and the reorientation of its scenarios of practice brought by the curricular restoration and the Mais Médicos Program, in Salvador – Bahia. A study will be developed, with qualitative approach, to directly observe each PRMMFC through workshops ran with the supervisors of each program. The workshop-like interview will be made for the systematization of the main potentialities and weaknesses that influence the achievement of the residency’s goals on the services networks of the municipal APS through the creation of a SWOT matrix (acronym for Strengths, Weaknesses, Opportunities and Threat). Moreover, a documentary analysis will be made, based on the available guidelines, in order to create historical lines of the creation of the programs in Bahia in the last ten years to understand the reflection of the incentive public policies to the education of new practitioners, specialists, that can meet the SUS needs. Similarly, a documentary survey will be conducted to provide understanding of the five programs of residency in medicine of family and community (MFC) in the city of Salvador in 2020. Therefore, the results will indicate in what scenario the residencies in MFC in Salvador are in, and what are the relations with other situations experienced and described in the literature. Finally, this paper will point out the impacts that the public policies brought to the improvement of the medical professional on this specialty.
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5
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CARLA TAVARES CERQUEIRA
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Electronic instrument for identifying the risk of diabetic foot: a proposal for the Family Health Strategy
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Líder : ROCIO ELIZABETH CHAVEZ ALVAREZ
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MIEMBROS DE LA BANCA :
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JANE MARY DE MEDEIROS GUIMARAES
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PAULA HAYASI PINHO
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ROCIO ELIZABETH CHAVEZ ALVAREZ
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Data: 29-sep-2021
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Resumen Espectáculo
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Diabetes Mellitus (DM) is an important and growing public health problem for all countries, regardless of their level of development. Among the most frequent complications, there is the diabetic foot, which can severely compromise a person's life, from physical disability caused by non-traumatic amputation, to death. The objective is to evaluate the proposed use of the electronic instrument for identifying the risk of diabetic foot (e-Ped) in the routine consultations of professionals of the Family Health Strategy, in the city of Porto Seguro (BA). This is a quantitative and qualitative research, with doctors and nurses from two Family 3/3 Health Units in the city. The e-Ped proposal was used and brought as results, in addition to the importance of technology in prevention and care, the need for the commitment of professionals and continuing education so that technology can contribute positively to identifying the risk of this complication in patients affected by the disease.
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6
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INARA RUSSONI DE LIMA LAGO
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The Health of Riverside Communities: Situational Analysis ande Acess to Primary Care Services
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Líder : LINA RODRIGUES DE FARIA
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MIEMBROS DE LA BANCA :
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WANESKA ALEXANDRA ALVES
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CARLOS HENRIQUE ASSUNÇÃO PAIVA
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LINA RODRIGUES DE FARIA
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VANNER BOERE SOUZA
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Data: 29-sep-2021
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Resumen Espectáculo
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Health territories transcend spatial, geographic and environmental demarcations that are living spaces permeated by cultural, economic, political, social and health conditions and determinants. Territorial analysis requires information that reflects the reality of populations, favoring the operationalization of decisions and social actions, in addition to strategic public policies. These dynamic territories are home to traditional populations such as riverside dwellers, whose collective identity is the result of decades of construction. It is necessary to understand these populations as subjects of rights, especially with regard to public services considered essential for a dignified life. Primary Health Care must play the role of welcoming the demands of these populations, favoring access to health and minimizing problems caused by the inefficiency of public policies in these regions. The objective of the research is to carry out a situational analysis and understand how communities have access to Primary Care services in seven riverside communities in the Vale do Rio de Ondas, located in the western region of Bahia, in the municipality of Barreiras. The research was guided by the Socio-Demographic Inventory (ISD), a collection instrument that facilitates contact and building relationships between the researcher and the community. Data collection took place through semi-structured interviews with residents and key actors from seven riverside communities. The emphasis of the research was on: the history of the communities, geographic accessibility, housing conditions, basic sanitation, community leadership, education, religiosity and mental health of riverside populations during a pandemic period. Thus, it was possible to know the local conditions, contribute to the strengthening of the identities of the populations that inhabit the territories and sensitize managers and public authorities of the need to implement a Health Unit in the region and improve the quality of access to public services that interfere in the physical and mental health of the population.
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7
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RODRIGO SILVA SANTOS
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Young doctor project in an Anisian university: an extension proposal for teaching-service-community integration
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Líder : JANE MARY DE MEDEIROS GUIMARAES
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MIEMBROS DE LA BANCA :
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JANE MARY DE MEDEIROS GUIMARAES
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LILIANA SANTOS
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LINA RODRIGUES DE FARIA
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ROCIO ELIZABETH CHAVEZ ALVAREZ
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Data: 30-sep-2021
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Resumen Espectáculo
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Education is a unique tool regarding the act of transmitting knowledge and modifying practices, providing the population with knowledge based on scientific information. In this context, it is emphasized that for learning to be effective, it is necessary that the experience of the communication process is 4/3 bidirectional, that is, that the biopsychosocial scenario is considered and that individual experiences are respected in order to ensure that knowledge is assimilated. Based on this assumption, the Young Doctor Project makes individuals protagonists in the process of building learning, sharing information regarding health promotion and disease prevention. Regarding the SARS-Cov-2 pandemic, the originality of the pathology associated with digital technologies, resulted in the dissemination of information that did not have scientific proof, the Fake News; which hindered the measures to combat the transmission of the new coronavirus. In this sense, this study had as general objective to implement the Young Doctor Project at the Federal University of Southern Bahia in what concerns the fight against the SARS-Cov-2 pandemic; being organized in the following specific objectives: to carry out bibliographic reviews on education, social networks, active learning teams and the new coronavirus pandemic; enable a more active participation of medical students in socio-educational actions about the pandemic in the community under the supervision of teachers; enhance the form of transmission of knowledge on health-related topics, from the integration of technological resources; disseminate important knowledge for promoting health and fighting the pandemic with elementary school students and teachers. The methodology used was the use of systematic reviews for the consolidation of research from theoretical references and the implementation of the Young Doctor Project in Teixeira de Freitas, which included methodological strategies aimed at the integration between teaching, service and community. The results obtained were 5/3 organized into four chapters: “Permanent education as a multiplier tool in Health: an integrative review from the perspective of professionals who make up health”; “The participation of social networks in the fight against the Covid-19 pandemic”; “Active learning teams in health education: teaching-servicecommunity in the prevention of contamination by Covid-19”; “Young Doctor Project as a health education tool in the fight against the Covid-19 pandemic: an experience report”. From this perspective, it was possible to address extremely important topics for confronting the SARS-Cov-2 pandemic and all 28 actors involved in this study reported satisfaction in being able to discuss and resolve doubts on this topic. It is considered, therefore, that the debate between different educational levels, based on interactive content and with scientific proof, were crucial for the information to be assimilated and understood and for new multipliers in health to be formed, enabling truthful information to be shared in the community.
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8
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SALES SILVA NASCIMENTO
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User embracement in the health work process in a city in the State of Bahia
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Líder : LUIZ ANTONIO DE CASTRO SANTOS
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MIEMBROS DE LA BANCA :
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LINA RODRIGUES DE FARIA
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MARCOS MONTANI CASEIRO
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ROCIO ELIZABETH CHAVEZ ALVAREZ
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Data: 30-sep-2021
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Ver Disertación/Tesis
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Resumen Espectáculo
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In the work process of a family health team, user embracement is essential for the organization of services, favoring greater access to users, qualified listening, and adequate addressing of problems. This 3/3 research aimed to analyze the reception of users of primary care in a municipality in the state of Bahia, understanding the facilities and difficulties in this process from the perceptions of health professionals and users. The research had a descriptive and exploratory character with a qualitative approach. Regarding the technical procedure, a field study was carried out in which there was direct observation of the activities of the studied groups and interviews with informants to capture their perceptions about the analyzed process. At first, a bibliographic study was carried out on concepts such as welcoming, humanization, vulnerabilities, Family Health Strategy, Primary Health Care, work process and social participation, as well as the analysis of municipal documents on welcoming in health. Subsequently, systematic observation and application of two semi-structured interview scripts with health professionals and users. This work did not seek to exhaust the subject, but to understand the reception in the work process, alerting to its weaknesses in service and in user satisfaction and improvement of these services.
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9
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AUGUSTO CÉSAR COSTA D'AFONSECA
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EXPERIENCES OF A FAMILY DOCTOR IN HOSPITAL CARE DURING THE COVID-19 PANDEMIC IN A MUNICIPALITY IN THE INTERIOR OF BAHIA.
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Líder : ANTONIO JOSE COSTA CARDOSO
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MIEMBROS DE LA BANCA :
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ANTONIO JOSE COSTA CARDOSO
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GABRIELA ANDRADE DA SILVA
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AUGUSTO CÉSAR COSTA CARDOSO
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Data: 30-sep-2021
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Resumen Espectáculo
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In order to ensure the completeness of care, the Single Health System (SUS) is structured at different levels of health care that provide services with different care technologies through health care networks (SAN). In order for patient care in these service networks to be resolute, effective communication among the health services that comprise them is necessary. This study aims to evaluate the quality of communication between health professionals at different levels of care in the city of Itabuna, from the analysis of interviews conducted with a sample of adult users referred by Primary Health Care (PHC) to the Outpatient Cardiology Unit of the Calixto Midlej Filho Hospital, attending physicians, referral reports and medical records of these services. The interviewees must sign an Informed Consent Form (TCLE). The analysis of the content of all collected material will be performed, seeking to identify the patients' therapeutic itinerary and the problems of the SUS reference and counter-reference system, as well as possible solutions. The Project will be submitted to evaluation by the Research Ethics Committee through the Brazil Platform.
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10
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ANTÔNIO JOÃO DE ARAÚJO XAVIER
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Health and care situation of homebound elders in Family Health Strategy at Vitória da Conquista (BA)
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Líder : ROCIO ELIZABETH CHAVEZ ALVAREZ
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MIEMBROS DE LA BANCA :
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LEONARDO CANÇADO MONTEIRO SAVASSI
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MARCIA MARIA DOS SANTOS DE MORAES
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ROCIO ELIZABETH CHAVEZ ALVAREZ
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SORAYA DANTAS SANTIAGO DOS ANJOS
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Data: 08-oct-2021
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Resumen Espectáculo
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Population aging has brought new challenges to health systems. The presence of chronic conditions, accompanied by multimorbidity, fragility and functional disability in a considerable part of this elderly population has limited the opportune and continued access of these individuals to health services or even restricting them to the home. 3/3 Care for the elderly at home, therefore, tends to be episodic and fragmented, increasing the risk of iatrogenesis. Family Health teams work close to the communities where these elderly people live, having the possibility to offer continuity and coordination of care from home, but have difficulty recognizing the characteristics and needs of this vulnerable population group and how to reorganize themselves for the provision this care. Thus, studies that seek to characterize the vulnerabilities and health needs of this population group and how care is organized for these individuals become relevant. This study is based on the theoretical framework of Dorothea Orem's Self-Care Deficit Theory to seek to better understand such care needs, as well as the care arrangements to meet them by the Family Health teams.
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