| |  | Campos, Carlos E. | Estratégias de avaliação e melhoria contínua da qualidade no contexto da Atenção Primária à Saúde read moreAbstract: Recent governmental initiatives allowed for quality assessment proposals to Primary Healthcare in Brazil. This is a new field but a priority in the current strengthening of Family Health strategy following a decade of expansion and consolidation. This article focuses on assessment and quality improvement strategies in the context of Primary Healthcare. | 2005 |
| | | Maciel-Lima, Sandra M. | Acolhimento solidário ou atropelamento? A qualidade na relação profissional de saúde e paciente face à tecnologia informacional read moreAbstract: In the services sector, the product of labor is not a commodity that can be traded easily. What is sold is a specialized service, basically through an exchange of information to meet the client's needs and expectations. What emerge are thus the social relations between individuals: professionals and clients/consumers. This article presents evidence that the introduction of information technology undermines the quality of the relationship between the health professional and the patient. The article begins by discussing concepts pertaining to quality in the health sector. The health professional-patient relationship is then discussed through a brief review of the health/disease concept and specifically the physician-patient relationship. Analysis of primary data shows some indication that technological, physical, and management changes in health care units are undermining the quality of health care: many technological changes, but few operational changes, and many machines, but few professionals to treat patients. | 2004 |
| | | Mandú, Edir N. | Intersubjetividade na qualificação do cuidado em saúde read moreAbstract: Esta producción teórica, basada en formulaciones presentes en el debate académico sobre procesos asistenciales en salud, ofrece elementos para apoyar la calificación del cuidado individualizado. Se argumenta a favor del rescate de la intersubjectividad en la atención, enfocando aspectos socioculturales y psíquicoafectivos de la interacción, tomados como dimensión esencial en la construcción de una nueva relación con los sujetos del cuidado y de un abordaje amplia de sus vivencias y necesidades en salud. | 2004 |
| | | Ramos, Donatela D. | Acesso e acolhimento aos usuários em uma unidade de saúde de Porto Alegre, Rio Grande do Sul, Brasil read moreAbstract: This study focuses on users' views of factors influencing quality of care at a health care unit in the city of Porto Alegre, relating to access and receptivity. The data were collected using a semi-structured interview and participatory observation and treated using thematic analysis. The results compare ease and difficulties in geographic, economic, and functional access. Organization of services and professional competency were determinant factors in ease of reception, leading to user satisfaction. Poor reception and unsatisfactory professional performance were identified as difficulties. The study concluded that there is a need to increase the professional staff, train them in receiving users, implement a complementary modality for dental care, open the facility earlier for scheduling appointments, and prioritize care for residents of the catchment area. | 2003 |
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