Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.18162023
Elaine Lopes Pedrosa Bomfim, Pedro Bezerra Cavalcante Soares, Grayce Alencar Alburquerque, Regina Glaucia Lucena Aguiar Ferreira, Andréa Sílvia Walter de Aguiar, Ivana Cristina Holanda Cunha Barreto, Maria Vieira de Lima Saintrain, Sharmênia de Araújo Soares Nuto, Anya Pimentel Gomes Fernandes Vieira-Meyer
{"title":"[Care for patients with leprosy: how do doctors and dentists in Primary Health Care work?]","authors":"Elaine Lopes Pedrosa Bomfim, Pedro Bezerra Cavalcante Soares, Grayce Alencar Alburquerque, Regina Glaucia Lucena Aguiar Ferreira, Andréa Sílvia Walter de Aguiar, Ivana Cristina Holanda Cunha Barreto, Maria Vieira de Lima Saintrain, Sharmênia de Araújo Soares Nuto, Anya Pimentel Gomes Fernandes Vieira-Meyer","doi":"10.1590/1413-812320242911.18162023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.18162023","url":null,"abstract":"<p><p>Quantitative, cross-sectional study, analyzing knowledge and performance in the care and control of leprosy in primary health care in Fortaleza. Among the 366 professionals (222 doctors and 144 dentists), the majority were public servants (n=191; 52.1%), revealed that they developed their knowledge of leprosy during graduation (n=275; 75.1%) and that there is no permanent education on the subject in the municipality (n=297; 81.2%). Public servants and/or participants in government programs were those who most attended to leprosy patients and received the most training on the subject. 255 professionals considered this a health problem in their area (69.7%), 286 (78.1%) did not participated in epidemiological data analysis and 256 (69.9%) informed to be unaware of educational activities aimed at leprosy. In medical consultations, 364 (99.4%) professionals questioned patients about the use of leprosy medication, 297 (81.2%) provided self-care guidance and 210 (57.4%) did not adequately monitor contacts. Despite actions to control the disease, there are deficits in actions to assess disabilities and combat leprosy reactions. Dentists report unpreparedness for assistance, not suspecting the problem during consultations (n=138; 95.8%) and not knowing the disease's connection with Dentistry (n=129; 89.6%). There are weaknesses in planning actions to control and care for the disease, which may impact the reduction of transmission and sequelae of the disease.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e18162023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.14202023
Maria Aparecida Bonelli, Aline Oliveira Silveira, Glauber Weder Dos Santos Silva, Diene Monique Carlos, Lígia Bruni Queiroz, Monika Wernet
{"title":"Adolescence adjusting the circumstances imposed by the pandemic: grounded theory.","authors":"Maria Aparecida Bonelli, Aline Oliveira Silveira, Glauber Weder Dos Santos Silva, Diene Monique Carlos, Lígia Bruni Queiroz, Monika Wernet","doi":"10.1590/1413-812320242911.14202023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.14202023","url":null,"abstract":"<p><p>The aim is to understand adolescence in the context of the Covid-19 pandemic. Study guided by Grounded Theory in the post-positivist aspect under the framework of Symbolic Interactionism. The theoretical sample consisted of 23 adolescents who were interviewed in depth in 2021. The analysis using open, axial and selective coding led to a theorization of these adolescents. Intersected by the imposed isolation and the meaning of social interactions for adolescence, the participants sought relational choices to adjust and pursue their projects. They got involved in cyberspace to rescue interactions with peers and, simultaneously, managed family relationships perceived as dual, close, intense, but conflicting. Thus, the conflict required dealing with sentiments and being open to new things. They advanced in autonomy, recognition of themselves and others. On the understanding that there are significant connections for the continuity of their project and development process, adolescents adjusted to the social context imposed through interactional choices.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e14202023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.03992023
Alessandra Rodrigues Araújo, Patrícia Ferreira de Sousa Viana, Ana Caroline Ramos Brito
{"title":"[Des-reorganization of the work processes of the dentist in the family health strategy in times of the COVID-19 pandemic].","authors":"Alessandra Rodrigues Araújo, Patrícia Ferreira de Sousa Viana, Ana Caroline Ramos Brito","doi":"10.1590/1413-812320242911.03992023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.03992023","url":null,"abstract":"<p><p>The COVID-19 pandemic led the Unified Health System (SUS), coordinated by Primary Health Care, to redesign itself. In this sense, the Municipal Health Foundation of Teresina-PI established the Dental Care Protocol in the Context of the COVID-19 Pandemic. This study aimed to analyze the work process of dental surgeons (DC) of the Family Health Strategy (ESF) of Teresina-PI. This is a study with a qualitative approach, supported by the theory of Complex Thinking, whose data production took place through semi-structured interviews with CDs who work at the ESF in Teresina-PI. The participants were chosen for convenience, the theoretical saturation criterion was adopted to delimit the sample and Content Analysis was used for data processing. The results showed that confronting the pandemic required substantial changes in the way health care was provided and reorganization of the entire care network. It was possible to capture elements that permeated the adaptations of the ESF CD work process due to the COVID-19 pandemic. The work of this professional on several fronts in the fight against the virus was commendable and contributed to strengthening the network in this fight.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e03992023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.18182023
Nair Tavares Milhem Ygnatios, Bruno de Souza Moreira, Íris Stefanie de Souza Vieira, Luciana de Souza Braga, Maria Fernanda Lima-Costa, Juliana Lustosa Torres
{"title":"[Prevalence and factors associated with abdominal obesity in a nationally representative sample of older adults (ELSI-Brasil)].","authors":"Nair Tavares Milhem Ygnatios, Bruno de Souza Moreira, Íris Stefanie de Souza Vieira, Luciana de Souza Braga, Maria Fernanda Lima-Costa, Juliana Lustosa Torres","doi":"10.1590/1413-812320242911.18182023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.18182023","url":null,"abstract":"<p><p>The objectives were to evaluate the prevalence of abdominal obesity (total and by sex), associated sociodemographic and health characteristics, and the potential modifying effect of sex in older Brazilians. Cross-sectional data from 5,466 participants from the 2nd wave of the Brazilian Longitudinal Study of Aging (ELSI-Brazil, 2019-2021) were used. Abdominal obesity was defined by waist circumference (≥88cm for women and ≥102cm for men). The analyses were based on Poisson regression with robust variance and interaction terms. The prevalence of abdominal obesity was 55.1%, higher among women (71.5%) than among men (34.7%). After adjustments, the analyses revealed a positive association between abdominal obesity and multimorbidity, and negative associations between abdominal obesity and male gender, age ≥80 years, rural residence, and smoking. An interaction was observed between area of residence and gender (p-value = 0.002) and multimorbidity and gender (p-value = 0.007). The results reinforce the relevance of intersectoral actions in combating abdominal obesity, with integrated approaches that consider preventing and controlling chronic conditions in men and women.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e18182023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.14762023
Camilla de Godoy Maciel, Eliane Maria Ribeiro de Vasconcelos, Belvania Ramos Ventura da Silva Cavalcanti, Emilly Nascimento Pessoa Lins, Anna Karla de Oliveira Tito Borba
{"title":"[Factors associated with acute kidney injury in hospitalized elderly: an integrative review].","authors":"Camilla de Godoy Maciel, Eliane Maria Ribeiro de Vasconcelos, Belvania Ramos Ventura da Silva Cavalcanti, Emilly Nascimento Pessoa Lins, Anna Karla de Oliveira Tito Borba","doi":"10.1590/1413-812320242911.14762023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.14762023","url":null,"abstract":"<p><p>The scope of this study was to identify factors associated with acute kidney injury (AKI) in hospitalized elderly people. An integrative review was carried out in the PubMed, LILACS, Web of Science, Embase and Scopus databases, with no time or language restrictions, using the search key \"Aged\" or \"Aged, 80 and over\" and \"Acute Kidney Injury\" and \"Hospitalization\". A total of 20 articles were selected to make up the final sample, after applying the eligibility criteria. Cohort (n=18) and case-control (n=2) studies with level of evidence IV were predominant. Factors associated with acute kidney injury in hospitalized elderly people included male gender, age group between 70 and 80 years, systemic arterial hypertension, cardiovascular disease/heart failure, estimated blood loss/major bleeding, peri-procedural blood transfusion, estimated glomerular filtration rate < 70 and low perioperative serum albumin. The conclusion drawn was that acute kidney injury in hospitalized elderly people is a multifactorial syndrome associated with sociodemographic, clinical, surgical and laboratory factors, requiring personalized and preventive strategies to mitigate the risks associated with its occurrence. This is essential to promote a holistic and effective approach to caring for these vulnerable individuals.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e14762023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.01522024
Matheus Santos Cordeiro, Irene Carolina Sousa Justiniano, Adriana Lúcia Meireles, Natália Caldeira de Carvalho, Raquel de Deus Mendonça, Mariana Carvalho de Menezes
{"title":"Food environment as an aggravating factor of food insecurity among Brazilian public school students: ESANP study.","authors":"Matheus Santos Cordeiro, Irene Carolina Sousa Justiniano, Adriana Lúcia Meireles, Natália Caldeira de Carvalho, Raquel de Deus Mendonça, Mariana Carvalho de Menezes","doi":"10.1590/1413-812320242911.01522024","DOIUrl":"https://doi.org/10.1590/1413-812320242911.01522024","url":null,"abstract":"<p><p>The social restriction measures of the COVID-19 pandemic have impacted the families' access to food. This study aims to describe the relationship between perception of access to fruits and vegetables (FV) and ultra-processed foods (UPF) sold in the neighborhood of municipal public school students, and the prevalence of food insecurity (FI) during suspension of classes in two Brazilian municipalities. A cross-sectional study with a representative sample was conducted through telephone interviews. FI was assessed using the Brazilian Scale of Food Insecurity (EBIA) and the food environment through questions about the perception of access to FV and UPF. Among the 475 households investigated, 69.7% were experiencing FI. The majority demonstrated a positive perception regarding the ease of acquisition (64.0%), quality (67.6%), and variety (57.9%) of FV sold in the neighborhood. Regarding cost, 73.1% disagreed that FV were cheap, with this prevalence being higher in households with FI and lower income. In contrast, the majority agreed that it is easy to buy UPF (85.9%) and that those are available in a wide variety (78.9%).</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e01522024"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.18932023
Alessandro Rocha Milan de Souza, Davi da Silveira Barroso Alves, Glenda Corrêa Borges de Lacerda, Paulo Henrique Godoy
{"title":"Ischemic and hemorrhagic cerebrovascular disease in Brazil: mortality trends and correlation with socioeconomic index over 20 years.","authors":"Alessandro Rocha Milan de Souza, Davi da Silveira Barroso Alves, Glenda Corrêa Borges de Lacerda, Paulo Henrique Godoy","doi":"10.1590/1413-812320242911.18932023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.18932023","url":null,"abstract":"<p><p>The article analyzes mortality trends due to cerebrovascular disease (CBVD) in Brazil. regions and federation units. from 2000 to 2019. and its correlation with the municipal human development index (MHDI) and social vulnerability index (SVI). It has an ecological design and describes-time series of deaths. The codes for DCBV. according to ICD-10. were divided into three groups: ischemic (CBVDI). hemorrhagic (CBVDH) and unspecified (CBVDU). The Southeast had the highest total number of deaths. In the stratified analysis.-general decreasing trend was observed in Brazil for CBVDH and CBVDU with an increase in the North and Northeast in CBVDI and CBVDH. For the MHDI. there was-strong positive correlation between AAPC (annual percentage change of the total period) and mortality trends rate for CBVDH from 40 years of age and for CBVDI in those over 80 years of age. There was no correlation between the AAPC of the SVI and mortality trends rate between the disease groups. It is concluded that the trend towards an increase in deaths from CBVDI and CBVDH in the North and Northeast is possibly related to economic and social inequality in these regions. The decrease in CBVDU seems to reflect an increase in CBVDI. which could mean an improvement in mortality registrations.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e18932023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.16242023ESP
Dulcina Guadalupe Soto-Romero, Carolina Valdez-Montero, Alma Angélica Villa-Rueda
{"title":"[Gender-based analysis of experiences of caregivers for autistic infants based on a gender perspective].","authors":"Dulcina Guadalupe Soto-Romero, Carolina Valdez-Montero, Alma Angélica Villa-Rueda","doi":"10.1590/1413-812320242911.16242023ESP","DOIUrl":"https://doi.org/10.1590/1413-812320242911.16242023ESP","url":null,"abstract":"<p><p>Upon receiving the diagnosis of autism, family dynamics are reconfigured based on caregiving, and gender stereotypes and roles become more visible, attributing a greater workload to women in caregiving activities. The objective of this study was to analyze the experiences of primary caregivers related to the care of autistic infants in Culiacán, Sinaloa, Mexico, from the perspective of gender as a critical category. This was a qualitative study with a descriptive-analytical and interpretive design, based on the life story as a source of the biographical method. Snowball sampling was used, and semi-structured interviews were applied to 10 primary caregivers. The interviews were coded using Atlas.ti software, and a thematic analysis of the findings was developed. Two themes were identified, the first being the conflicts of the parents regarding the diagnosis, which are generated from the different perceptions they had about motherhood and fatherhood. The second is the reconstruction of maternity and paternity in relation to disability, where overprotection is perceived as an anticipated reaction to the uncertain future of their autistic sons and daughters. The study indicated that it is important to acknowledge care as a practice that should be addressed by social policies.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e16242023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.16592023
Patrícia de Sousa Fernandes Queiroz, Leonardo de Paula Miranda, Pâmela Scarlatt Durães Oliveira, Maria Luíza Oliveira Silva, Ricardo Jardim Neiva, Marise Fagundes Silveira, João Felício Rodrigues Neto
{"title":"[Alcoholism in men living in quilombola communities in North of Minas Gerais, Brazil].","authors":"Patrícia de Sousa Fernandes Queiroz, Leonardo de Paula Miranda, Pâmela Scarlatt Durães Oliveira, Maria Luíza Oliveira Silva, Ricardo Jardim Neiva, Marise Fagundes Silveira, João Felício Rodrigues Neto","doi":"10.1590/1413-812320242911.16592023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.16592023","url":null,"abstract":"<p><p>The objective of this article is to estimate the prevalence and factors associated with alcohol use disorder in men living in rural quilombola communities located in the north of Minas Gerais, Brazil. This is a cross-sectional study carried out in 2019 based on structured interviews and application of the Alcohol Use Disorder Identification Test (AUDIT). Binary logistic regression was conducted. It was found that 21,3% of respondents had risky consumption, harmful use and probable alcohol dependence. There was a greater chance of alcohol use disorder among quilombola men aged between 18 and 39 years old (OR= 3,98 - 95%CI 1,65;9,57) and 40 to 59 years old (OR= 3,62 - 95%CI 1,53-8,57), who suffered discrimination in health services (OR=3,38 - 95%CI 1,00-11,71) and self-reported depression (OR=2,79 - 95%CI 1,24-6,27). The overlapping vulnerabilities reveal the importance of health interventions that meet these demands and that dialogue with the local culture. It is necessary that training curricula incorporate discussions about the health of traditional communities and that health policies and programs enter rural spaces so that they can be implemented with equity.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e16592023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-10-20eCollection Date: 2025-01-01DOI: 10.1590/1413-812320242911.16652023
Joyce Minami, Mara Lisiane de Moraes Dos Santos, Dinaci Ranzi, Daniel Soranz, Rodrigo Balejo, André Ulian Dall Evedove, Melina Raquel Theobald, Alessandro Diogo De-Carli
{"title":"[Innovation strategies in Primary Healthcare: A comparative study of indicators from the Previne Brazil Program].","authors":"Joyce Minami, Mara Lisiane de Moraes Dos Santos, Dinaci Ranzi, Daniel Soranz, Rodrigo Balejo, André Ulian Dall Evedove, Melina Raquel Theobald, Alessandro Diogo De-Carli","doi":"10.1590/1413-812320242911.16652023","DOIUrl":"https://doi.org/10.1590/1413-812320242911.16652023","url":null,"abstract":"<p><p>Established in 2019, the Previne Brasil Program (PBP), the current financing model for Primary Health Care by the Ministry of Health, consists of four payment criteria. The municipality of Campo Grande (MS) implemented the Primary Health Care Innovation Laboratory (PHCIL) seeking strategies to improve the performance of Family Health Units (FHUs), consequently increasing financial allocation. The aim of this study was to comparatively assess the performance and the potential for resource mobilization of participating and non-participating FHUs in the PHCIL regarding the PBP, from 2021 to 2022. This is a quantitative, analytical, cross-sectional study based on secondary information from 63 FHUs in the municipality. All analyses were conducted in the R program, with a significance level of p <0.05. In 2022, there was a statistically significant association, with the PHCIL outperforming other units, suggesting the need for innovation in FHUs. However, both groups showed potential for performance improvement and increased resource mobilization, requiring the enhancement of their work processes and care management.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 2","pages":"e16652023"},"PeriodicalIF":1.2,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}