Brazilian adults and the elderly's qualitative experiences of tooth loss, encompassing their underlying factors and results, were examined and meticulously systematized. A systematic examination of the literature related to qualitative research methodologies resulted in a meta-synthesis of the gathered data. In Brazil, the subjects of this study were individuals over 18, along with the elderly. The research involved a search strategy spanning the following databases: BVS, PubMed, Scopus, Web of Science, BBO, Embase, EBSCO, and SciELO. The thematic synthesis produced 8 analytical categories that address the causes of tooth loss, and 3 categories for its ensuing effects. Factors driving the decision to extract teeth encompassed dental pain, care model selection, financial constraints, and the patient's wish for prosthetic rehabilitation. Oral care negligence was acknowledged, and tooth loss's association with advancing years was noted. Dental deficiencies led to both psychological and physiological distress. The need to ascertain the permanence of tooth loss-inducing factors, and to measure their effect on extraction choices within the current young and adult populations, cannot be overstated. Modifying the current care model requires the inclusion and validation of oral healthcare for young and elderly adults; otherwise, the trend of dental mutilation and the acceptance of tooth loss will remain unchanged.
The community health agents (CHAs) formed the frontline workforce of health systems, playing a crucial role in combating COVID-19. The research investigated the structural elements influencing the organization and characterization of CHA work within three municipalities in northeastern Brazil throughout the pandemic. Multiple case studies were undertaken with a qualitative approach. In the course of the study, twenty-eight subjects participated, including community agents and municipal managers. Document analysis provided the assessment of data production, based on the interviews. Structural conditions and the characteristics of activities were the operational categories that were discovered through the data analysis. Health units lacked sufficient structural provisions, as evidenced by the study. The pandemic necessitated impromptu alterations to interior spaces. The work environment within health units emphasized bureaucratic processes, reducing their capacity for effective local collaborations and community mobilization efforts. In sum, alterations to their professional tasks act as a barometer for the instability of the health system, and explicitly, the primary care segment.
In this study, municipal managers in different Brazilian regions detailed their perspectives on how the COVID-19 pandemic influenced the management of hemotherapy services (HS). Between September 2021 and April 2022, semi-structured interviews were conducted to gather qualitative data from HS managers in three Brazilian capital cities, chosen to reflect diverse regional landscapes. Utilizing Iramuteq, a freely accessible software program, the interview transcripts underwent lexicographic textual analysis. The descending hierarchical classification (DHC) analysis of managers' perspectives established six classes: the availability of resources to facilitate work development; the operational capacity of services; strategies and challenges related to attracting blood donors; employee safety and hazard assessment; crisis response measures; and communication approaches for engaging potential donors. programmed necrosis Management's employed tactics, as scrutinized, exposed constraints and obstacles within the HS organizational framework, further amplified by the pandemic.
An examination of ongoing health education programs is needed to evaluate their lasting effect on Brazil's national and state COVID-19 contingency plans.
The 54 plans in the initial and final versions of the documentary research were published from January 2020 to May 2021. Proposals addressing healthcare worker training, workflow optimization, and physical and mental health care were meticulously examined and categorized through a content analysis.
To train workers effectively, the actions emphasized flu-related understanding, controlling infection risks, and acquiring proficiency in biosafety procedures. Few plans comprehensively tackled the teams' work schedules, procedures, advancement prospects, and mental health support, notably in the context of hospital environments.
Permanent educational initiatives in contingency plans, presently lacking depth, need to be incorporated into the strategic plans of the Ministry of Health and State/Municipal Health Secretariats, providing worker expertise to address present and future epidemics. Within the scope of the SUS, the adoption of health protection and promotion measures is proposed as a part of daily health work management practices.
To improve contingency plans, the superficiality of permanent education initiatives must be rectified. This means integrating actions into the Ministry of Health's and state/municipal health secretariats' strategic agendas. Further, the qualification of workers to deal with epidemics, both present and future, is paramount. To improve daily health work management, the adoption of health protection and promotion measures is proposed, within the constraints of the SUS.
Managers' expertise and the resilience of health systems were put to the ultimate test by the COVID-19 pandemic. Amidst challenges confronting the Brazilian Unified Health System (SUS) and health surveillance (HS), the pandemic took root in Brazil. The study examines, through the eyes of capital city managers in three Brazilian regions, the profound effects of COVID-19 on the organizational structures, employment settings, leadership methodologies, and efficiency levels of HS entities. Exploratory, descriptive research utilizing qualitative analysis is the focus of this study. Iramuteq software was employed to analyze the textual dataset using descending hierarchical classification, yielding four classes pertaining to HS work during the pandemic: HS work characteristics (399%), HS organizational and working conditions during the pandemic (123%), pandemic impact on work (344%), and worker/population health protection (134%). HS's remote work implementation, coupled with expanded shifts and diversified actions, showcased a proactive approach to modernizing operations. Nonetheless, the project encountered problems related to its workforce, its physical facilities, and a lack of adequate training. The current investigation also highlighted the possibility of collaborative efforts regarding HS.
In the context of hospital operations during the COVID-19 pandemic, it is vital to recognize the critical role that nonclinical support staff, such as stretcher bearers, cleaning staff, and administrative assistants, played in the smooth functioning of the work process. medicine information services This article presents an analysis of initial findings from a larger research endeavor, centered on workers at a COVID-19 hospital reference unit located in Bahia. To explore the work experiences of stretcher-bearers, cleaning agents, and administrative assistants, three semi-structured interviews were selected, leveraging the frameworks of ethnomethodology and ergonomics. The analysis focused on the visibility aspects of their respective tasks. This study demonstrated the workers' invisibility, a result of the scarce social recognition of their activities and educational background, despite the existing circumstances and workload. Importantly, it revealed the indispensable services provided, stemming from the mutual dependence between support and care, which is crucial for maintaining patient and team safety. Strategies are necessary to properly recognize the social, financial, and institutional value of these workers, based on the conclusion drawn.
This analysis delves into the state-level management of primary healthcare in Bahia, specifically in response to the COVID-19 pandemic. A qualitative case study examined government projects and capacity via interviews with managers and scrutinizing regulatory documentation. The Bipartite Intermanagerial Commission and the Public Health Operational Emergency Committee convened to deliberate on the state PHC proposals. The PHC project's scope encompassed detailed actions for managing the health crisis in partnership with each municipality. The state's support for municipalities' contingency plans, training, and technical standards, fundamentally affected inter-federative relations, proving decisive in this process. State government ability was a function of the level of autonomy granted to municipalities and the presence of state technical guidance in the various regional settings. The state's commitment to institutional partnerships for dialogue with municipal managers was demonstrated, yet the establishment of pathways to federal collaboration and social control remained unaddressed. This study investigates how states' involvement in the development and enforcement of PHC actions is influenced by inter-federative connections, specifically in the emergency public health domain.
The purpose of this research was to analyze the design and growth of primary health care and surveillance systems, incorporating the normative standards and the implementation of local healthcare initiatives. Qualitative descriptive analysis of three municipalities in Bahia state was carried out via a multiple-case study. We carried out 75 interviews and a detailed analysis of documents. mTOR activator The findings were categorized based on two dimensions of pandemic response: how organizations reacted and the development of local care and surveillance programs. Municipality 1 demonstrated a clear understanding of integrating health and surveillance for efficient team-based operations. Nonetheless, the health districts' technical capabilities for supporting surveillance efforts were not bolstered by the municipality. In the M2 and M3 healthcare systems, a delay in adopting Primary Health Care (PHC) as the primary access point coupled with the prioritization of a centrally managed telemonitoring service run by the municipal health surveillance department exacerbated the fragmentation of the response, effectively limiting the contribution of PHC services during the pandemic.