Challenges in children's health care by physicians in the Family Health Strategy

• Autor(a) principal: Pfeilsticker, Francis Jardim
• Data de Publicação: 2021
• Outros Autores: Silva, Everton Edjar Atadeu da, Quintino, Sara Toledo, Hattori, Wallisen Tadashi
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2634
• topic: Estratégia Saúde da Família; Médicos de Família; Assistentes de Pediatria; Assistência Integral à Saúde.; Family Health Strategy; Family Physicians; Pediatric Assistants; Comprehensive Health Care.; Estrategia de Salud Familiar; Médicos de Familia; Asistentes de Pediatría; Atención Integral de Salud.

Introduction: Child health care by physicians of the Family Health Strategy (FHS) is based on recommendations of the Ministry of Health and the Brazilian Society of Family and Community Medicine. Objective: It is necessary to identify the difficulties of the physicians of the FHS to assist in Child Health in the municipality of Patos de Minas/MG, since the assistance in Primary Care (PC) is provided by the FHS in almost all the territory of this municipality. Methods: A structured questionnaire was applied to the 42 physicians who work at the FHS, with specific questions related to the professional profile and the FHS team in which it is inserted, and regarding child health care actions in the anamnesis, physical examination, laboratory tests, orientations. Results: Answered the questionnaire 32 physicians (76%). The main reason to be in the FHS was interest in the work of PC (78%). The most frequent difficulties were the lack of fulfillment of childcare groups (41%) and the absence of childcare shared with the nurse (41%). Pointed out that clinical skills and family approach are factors that make it difficult to perform childcare appointments. The difficulties presented were related to the skills in the physical examination of the newborn, mainly eye examination (59%), hearing (63%) and neurological evaluation (53%). Among ophthalmologic tests, the difficulty ranged from 69% for visual acuity to 94% for the coverage test. Difficulties related to inadequate physical structure and/or lack of equipment occurred for the Eye Test (34%) and for the blood pressure measurement (69%). Difficulties due to ignorance of recommendations of the Ministry of Health occurred with anemia screening (16%) and lipid profile (41%). Regarding the orientations, 16% of physicians do not address Body Mass Index (BMI) curves with families, and 19% do not approach issues related of violence in childhood. The difficulties identified in physicians regarding clinical skills, may be related to the quality of undergraduate training, as well as the absence or ineffectiveness of permanent education during professional practice. Conclusions: Childcare in Patos de Minas presents flaws, which are related to the frailties of physicians, the physical structure and equipment and the teams of Family Health Strategy.