Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
dARK ID: | ark:/38995/00130000055gd |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/4075 |
Resumo: | Advances in educational and health sectors in the twentieth century have influenced the concepts and practices of health professionals, particularly in primary health care, emphasizing the importance of training and qualification for the improvement of health care based on realities and needs of the population. The present research aimed to examine the profile of training and qualification of the professionals of the Family Health Strategy (FHS) and factors associated with quality of Primary Health Care (PHC) services in the northwest Goiania. This is a cross-sectional study whose data were collected through a structured interview, including the application of the Primary Care Assessment Tool - PCA-Tool. The study included 48 doctors and 44 nurses from FHS teamwork. Data were analyzed using the U -test of Man-Whitney, chi-square or Fischer test, Student-t test and Poisson regression, with 5% significant level. The results showed significant differences (p <0.05) between the profile of training and qualifications of doctors and nurses. Doctors had higher turnover rates while nurses were the most experienced and trained as well as had a greater bond with the FHS. The evaluation of the PHC attributes indicated a low essential score (6.5) and a high non essential score (96.9), totalizing a high general PHC score (6.7). The analysis of the professional profiles associated with the quality of PHC services pointed out that the low turnover rates of doctors and the positive contribution of trainings for professional development were associated with better quality of services. However, this association did not remain in the final explanatory model. It is concluded that nurses have a professional profile more conducive to working on PHC and the training and skills of health professionals in the northwestern region of Goiânia are related to the quality of PHC. |
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Menezes, Ida Helena Carvalho Francescantoniohttp://lattes.cnpq.br/8722459243487573Sousa, Lucilene Maria deMenezes, Ida Helena Carvalho FrancescantonioNunes, Maria de FátimaRosso, Claci Fátima Weirichhttp://lattes.cnpq.br/9316815646104651Oliveira, Mariana Policena Rosa de2015-02-04T14:41:48Z2014-09-11OLIVEIRA, Mariana Policena Rosa de. Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde. 2014. 174 f. Dissertação (Mestrado em Ensino na Saúde) - Universidade Federal de Goiás, Goiânia, 2014.http://repositorio.bc.ufg.br/tede/handle/tede/4075ark:/38995/00130000055gdAdvances in educational and health sectors in the twentieth century have influenced the concepts and practices of health professionals, particularly in primary health care, emphasizing the importance of training and qualification for the improvement of health care based on realities and needs of the population. The present research aimed to examine the profile of training and qualification of the professionals of the Family Health Strategy (FHS) and factors associated with quality of Primary Health Care (PHC) services in the northwest Goiania. This is a cross-sectional study whose data were collected through a structured interview, including the application of the Primary Care Assessment Tool - PCA-Tool. The study included 48 doctors and 44 nurses from FHS teamwork. Data were analyzed using the U -test of Man-Whitney, chi-square or Fischer test, Student-t test and Poisson regression, with 5% significant level. The results showed significant differences (p <0.05) between the profile of training and qualifications of doctors and nurses. Doctors had higher turnover rates while nurses were the most experienced and trained as well as had a greater bond with the FHS. The evaluation of the PHC attributes indicated a low essential score (6.5) and a high non essential score (96.9), totalizing a high general PHC score (6.7). The analysis of the professional profiles associated with the quality of PHC services pointed out that the low turnover rates of doctors and the positive contribution of trainings for professional development were associated with better quality of services. However, this association did not remain in the final explanatory model. It is concluded that nurses have a professional profile more conducive to working on PHC and the training and skills of health professionals in the northwestern region of Goiânia are related to the quality of PHC.As mudanças que aconteceram nos setores da Educação e da Saúde no século XX influenciaram as concepções e práticas dos profissionais de saúde, em especial na Atenção Primária à Saúde. Entre essas práticas, destaca-se a importância da formação e da qualificação profissional para o aperfeiçoamento do cuidado em saúde, a partir das realidades sociais e das necessidades da população. A presente pesquisa buscou analisar o perfil de formação e qualificação dos profissionais da Estratégia Saúde da Família (ESF) e os fatores associados com a qualidade dos serviços de Atenção Primária à Saúde da região noroeste de Goiânia. Trata-se de um estudo transversal, onde a coleta de dados ocorreu pela realização de entrevista estruturada, incluindo a aplicação do Instrumento de Avaliação da Atenção Primária - PCA-Tool. Participaram do estudo 48 médicos e 44 enfermeiros das equipes da ESF. Os dados foram analisados por meio dos testes U de Man-Whitney, qui-quadrado ou de Fischer, teste t de Student e regressão de Poisson, com nível de significância de 5%. Os resultados apontaram diferenças significativas (p<0,05) entre o perfil de formação e qualificação de médicos e enfermeiros, sendo que os médicos apresentaram maior rotatividade no serviço e os enfermeiros maior experiência e qualificação profissional, bem como maior vínculo com a ESF . A avaliação dos atributos da APS indicou baixo escore essencial (6,5) e alto escore não essencial 96,9), resultando em Alto Escore Geral de APS (6,7). A análise do perfil dos profissionais com a qualidade dos serviços da APS indicou que a menor rotatividade de médicos e a contribuição positiva das capacitações para o aperfeiçoamento profissional associaram-se à melhor qualidade dos serviços. Contudo essa associação não permaneceu no modelo explicativo final. Conclui-se que os enfermeiros possuem um perfil profissional mais favorável ao trabalho na APS e que a formação e a qualificação dos profissionais de saúde da região noroeste de Goiânia estão relacionadas à qualidade dos serviços de Atenção Primária.Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2015-02-02T09:27:13Z No. of bitstreams: 2 Dissertação - Mariana Policena Rosa de Oliveira - 2014.pdf: 5719811 bytes, checksum: 8c34eafff4b446aad234bc6aa99473fb (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-02-04T14:41:48Z (GMT) No. of bitstreams: 2 Dissertação - Mariana Policena Rosa de Oliveira - 2014.pdf: 5719811 bytes, checksum: 8c34eafff4b446aad234bc6aa99473fb (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2015-02-04T14:41:48Z (GMT). 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dc.title.eng.fl_str_mv |
Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde |
dc.title.alternative.eng.fl_str_mv |
Training and qualification of health professionals: factors associated with Quality-of the primary care services to health |
title |
Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde |
spellingShingle |
Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde Oliveira, Mariana Policena Rosa de Atenção primária à saúde Avaliação de serviços de saúde Educação permanente Saúde da família Permanent education in health Primary health care Family health Health services evaluation CIENCIAS DA SAUDE |
title_short |
Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde |
title_full |
Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde |
title_fullStr |
Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde |
title_full_unstemmed |
Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde |
title_sort |
Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde |
author |
Oliveira, Mariana Policena Rosa de |
author_facet |
Oliveira, Mariana Policena Rosa de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Menezes, Ida Helena Carvalho Francescantonio |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8722459243487573 |
dc.contributor.advisor-co1.fl_str_mv |
Sousa, Lucilene Maria de |
dc.contributor.referee1.fl_str_mv |
Menezes, Ida Helena Carvalho Francescantonio |
dc.contributor.referee2.fl_str_mv |
Nunes, Maria de Fátima |
dc.contributor.referee3.fl_str_mv |
Rosso, Claci Fátima Weirich |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9316815646104651 |
dc.contributor.author.fl_str_mv |
Oliveira, Mariana Policena Rosa de |
contributor_str_mv |
Menezes, Ida Helena Carvalho Francescantonio Sousa, Lucilene Maria de Menezes, Ida Helena Carvalho Francescantonio Nunes, Maria de Fátima Rosso, Claci Fátima Weirich |
dc.subject.por.fl_str_mv |
Atenção primária à saúde Avaliação de serviços de saúde Educação permanente Saúde da família |
topic |
Atenção primária à saúde Avaliação de serviços de saúde Educação permanente Saúde da família Permanent education in health Primary health care Family health Health services evaluation CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Permanent education in health Primary health care Family health Health services evaluation |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Advances in educational and health sectors in the twentieth century have influenced the concepts and practices of health professionals, particularly in primary health care, emphasizing the importance of training and qualification for the improvement of health care based on realities and needs of the population. The present research aimed to examine the profile of training and qualification of the professionals of the Family Health Strategy (FHS) and factors associated with quality of Primary Health Care (PHC) services in the northwest Goiania. This is a cross-sectional study whose data were collected through a structured interview, including the application of the Primary Care Assessment Tool - PCA-Tool. The study included 48 doctors and 44 nurses from FHS teamwork. Data were analyzed using the U -test of Man-Whitney, chi-square or Fischer test, Student-t test and Poisson regression, with 5% significant level. The results showed significant differences (p <0.05) between the profile of training and qualifications of doctors and nurses. Doctors had higher turnover rates while nurses were the most experienced and trained as well as had a greater bond with the FHS. The evaluation of the PHC attributes indicated a low essential score (6.5) and a high non essential score (96.9), totalizing a high general PHC score (6.7). The analysis of the professional profiles associated with the quality of PHC services pointed out that the low turnover rates of doctors and the positive contribution of trainings for professional development were associated with better quality of services. However, this association did not remain in the final explanatory model. It is concluded that nurses have a professional profile more conducive to working on PHC and the training and skills of health professionals in the northwestern region of Goiânia are related to the quality of PHC. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014-09-11 |
dc.date.accessioned.fl_str_mv |
2015-02-04T14:41:48Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
OLIVEIRA, Mariana Policena Rosa de. Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde. 2014. 174 f. Dissertação (Mestrado em Ensino na Saúde) - Universidade Federal de Goiás, Goiânia, 2014. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/4075 |
dc.identifier.dark.fl_str_mv |
ark:/38995/00130000055gd |
identifier_str_mv |
OLIVEIRA, Mariana Policena Rosa de. Formação e qualificação dos profissionais de saúde: fatores associados à qualidade dos serviços de atenção primária à saúde. 2014. 174 f. Dissertação (Mestrado em Ensino na Saúde) - Universidade Federal de Goiás, Goiânia, 2014. ark:/38995/00130000055gd |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/4075 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
513421144313530010 |
dc.relation.confidence.fl_str_mv |
600 600 600 600 |
dc.relation.department.fl_str_mv |
1545772475950486338 |
dc.relation.cnpq.fl_str_mv |
8765449414823306929 |
dc.relation.sponsorship.fl_str_mv |
-961409807440757778 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Ensino na Saúde (FM) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Medicina - FM (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/40c30444-8197-41e4-a575-bacdca623862/download http://repositorio.bc.ufg.br/tede/bitstreams/7d0309e2-91c2-4d45-95ff-552de338995d/download http://repositorio.bc.ufg.br/tede/bitstreams/780a3974-a6e0-4971-aaee-1c215fb736d2/download http://repositorio.bc.ufg.br/tede/bitstreams/c52a5a7d-cd5d-4596-a295-6855513d1e29/download http://repositorio.bc.ufg.br/tede/bitstreams/e30e9963-151c-4c02-abe4-a9bfec77a5ac/download http://repositorio.bc.ufg.br/tede/bitstreams/ea5e2e12-0094-4a15-86da-d97c871eb5c3/download http://repositorio.bc.ufg.br/tede/bitstreams/91444feb-e438-4852-a43f-7eb22acae9dd/download |
bitstream.checksum.fl_str_mv |
bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f 29b9d5e95be03707f9d4a2e110421c11 9da0b6dfac957114c6a7714714b86306 8c34eafff4b446aad234bc6aa99473fb 946c2f439d39e8470e35dfefb5c5d6b2 98c90bee7e9c8f4de088cd43961ca8d2 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1815172564382646272 |