Ciencia & saude coletiva最新文献_第5页

INPAKTS: Platform for managing and monitoring the impact of external interventions and events in DATASUS time series. INPAKTS：在DATASUS时间序列中管理和监测外部干预和事件影响的平台。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-28 DOI: 10.1590/1413-81232025306.03562025

Eniuce Menezes, Karla Horrana Tenorio Sacani, Gabriel Domingues Justo, João Ricardo Nickenig Vissoci

{"title":"INPAKTS: Platform for managing and monitoring the impact of external interventions and events in DATASUS time series.","authors":"Eniuce Menezes, Karla Horrana Tenorio Sacani, Gabriel Domingues Justo, João Ricardo Nickenig Vissoci","doi":"10.1590/1413-81232025306.03562025","DOIUrl":"https://doi.org/10.1590/1413-81232025306.03562025","url":null,"abstract":"The aim is to present the INPAKTS platform, an innovative online simplified management tool that allows monitoring, visualization, and projection of the impact of external events, such as public policies or pandemics, on health indicators constructed with data from DATASUS. Ecological study where segmented linear models are constructed for interrupted time series that allow estimating temporal trends and their changes after interventions. From descriptive analysis and proportion comparison tests, several associated factors can be analyzed in addition to the spatial distribution of trend changes after interventions. Analyzing the impact of the pandemic and vaccination against COVID-19 on maternal mortality in the state of Paraná, a significant increase in maternal mortality was found that during the pandemic. However, this trend reversed after the start of vaccination, leading to fewer deaths. INPAKTS allows managers to learn from the past and prepare to respond to external events by making the most assertive decisions, contributing to the health system's resilience.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e03562025"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494952","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}

引用次数: 0

Pandemic: a limited concept for dealing with the public health emergencies that lie ahead. 大流行：处理未来突发公共卫生事件的一个有限概念。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-05-25 DOI: 10.1590/1413-81232025306.04722024

Rosana Onocko-Campos, Tiago Correia

引用次数: 0

Resilience and vulnerability in women's health care during the COVID-19 pandemic: an integrative review. COVID-19大流行期间妇女保健的复原力和脆弱性：一项综合审查。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-03-08 DOI: 10.1590/1413-81232025306.03792025

Rocío Fernandez Santos Viniegra, Aluísio Gomes da Silva-Junior

{"title":"Resilience and vulnerability in women's health care during the COVID-19 pandemic: an integrative review.","authors":"Rocío Fernandez Santos Viniegra, Aluísio Gomes da Silva-Junior","doi":"10.1590/1413-81232025306.03792025","DOIUrl":"https://doi.org/10.1590/1413-81232025306.03792025","url":null,"abstract":"This study seeks to identify the concept of resilience and reflect on factor that made women's heath vulnerable and protected (at personal level and in health services) during the COVID-19 pandemic. This is an integrative review of the literature, carried out in the SciELO, BVS, PubMed and LILACS databases, using the descriptors resilience, women's health, gynecology, obstetrics, COVID-19 and pandemic, covering the years 2020 to 2022, in Portuguese and English. 43 articles were included and analyzed in 4 thematic areas: concept of resilience, impacts of the pandemic on health services, stressors and personal resilience factors, and impacts of the pandemic on women' lives. Highlights difficulties in adapting the health network to the crisis stand out, as well as losses in access to services and information, leading to physical and mental harm, especially for the most vulnerable population. Factors that promote resilience were physical activity, interpersonal support, routine, education, income and maintenance of some services. Resilience in healthcare is a new, complex and promising field, which should be encouraged, as it contributes to strategies for improving and adapting healthcare systems and people's lives, preventively, during and after crises.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e03792025"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494969","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}

引用次数: 0

The impact of performance variability on access to healthcare: an analysis of Regional Referral Centers' Resilience. 绩效可变性对获得医疗保健的影响：对区域转诊中心弹性的分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-03-18 DOI: 10.1590/1413-81232025306.04542025

Maria Cecilia Bruzi, Rodrigo Arcuri, Hugo Cesar Bellas, Jaqueline Vianna, Luiza Dos Santos, Anna Sophia Moraes

{"title":"The impact of performance variability on access to healthcare: an analysis of Regional Referral Centers' Resilience.","authors":"Maria Cecilia Bruzi, Rodrigo Arcuri, Hugo Cesar Bellas, Jaqueline Vianna, Luiza Dos Santos, Anna Sophia Moraes","doi":"10.1590/1413-81232025306.04542025","DOIUrl":"https://doi.org/10.1590/1413-81232025306.04542025","url":null,"abstract":"This study aims to identify and analyze performance variability in the referral prioritization process for ambulatory care at the regional level in Rio de Janeiro state, Brazil. Exploratory cross-section study with observation sessions and semi-structured interviews, conducted in three public Regional Referral Centers (CREG). After transcription of field notes and preliminary coding, the referral process was modeled and analyzed using the Functional Resonance Analysis Method (FRAM) within the theoretical framework of Resilience Engineering. Forty-one functions were described, of which eight were critical for patient referrals. Completing the referral prioritization process depends on effectively managing variability in these eight critical functions. Among these eight functions, 13 potential instances of variability were identified, some of those being present in all three CREGs while others found in one or two CREGs. The results evidence the health system's vulnerability regarding the referral prioritization process. They show that emergent variability compels workers to devise compensation mechanisms to successfully mitigate issues that may otherwise compromise access to healthcare.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e04542025"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494972","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}

引用次数: 0

The Political Dimension of Health Systems Resilience: Brazil's Health Sector Reform Movement and the Unified Health System. 卫生系统复原力的政治层面：巴西卫生部门改革运动和统一卫生系统。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-27 DOI: 10.1590/1413-81232025306.21022024

Sonia Fleury, Jamilli Silva Santos, Ana Ester Maria Melo Moreira, Munyra Barreto

{"title":"The Political Dimension of Health Systems Resilience: Brazil's Health Sector Reform Movement and the Unified Health System.","authors":"Sonia Fleury, Jamilli Silva Santos, Ana Ester Maria Melo Moreira, Munyra Barreto","doi":"10.1590/1413-81232025306.21022024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.21022024","url":null,"abstract":"The scientific production on health systems resilience reveals a major debate as to the concept, its dimensions and applications, as well as criticisms of, for example, the distance separating studies of the topic from those addressing Brazil's health reform sector movement, the Movimento da Reforma Sanitária Brasileira (MRSB). This article aims to close that gap and also to bring political analysis to bear on a study of health systems resilience. It takes a qualitative approach, first offering a brief review of the literature on resilience, exploring its dimensions as regards health systems and Brazil's national health system, the Sistema Único de Saúde (SUS), and then identifying the critical conjunctures in which the MRSB has operated, to form a case study of this movement's political action as a precondition for a resilient SUS. The results point to various moments at which the presence, organisation and collective action of the MRSB were crucial to increasing the SUS's resilience: the MRSB has been fundamental as a component in the construction and maintenance of the SUS, from its very conception, in resistance to attempts at dismantling the public system, through to its ability to learn and innovate.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e21022024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494973","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}

引用次数: 0

[Fiscal austerity, COVID-19 and metropolises: a case study on the funding resilience of public health actions and services in Brazil]. [财政紧缩、COVID-19和大都市：巴西公共卫生行动和服务资金弹性案例研究]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-12-14 DOI: 10.1590/1413-81232025306.21872024

Nilson do Rosário Costa, Raphael Costa Pinto, Alessandro Jatobá

引用次数: 0

[Physical activity and costs with medicines in hypertensive attended in different primary care approaches]. [在不同的初级保健方法中参加高血压的身体活动和药物费用]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-08 DOI: 10.1590/1413-81232025306.04992023

Juziane Teixeira Guiça, Dayane Cristina Queiroz Correia, Charles Rodrigues Junior, Romulo Araújo Fernandes, Maria Carolina Castanho Saes Norberto, Glória de Lima Rodrigues, Jamile Sanches Codogno

{"title":"[Physical activity and costs with medicines in hypertensive attended in different primary care approaches].","authors":"Juziane Teixeira Guiça, Dayane Cristina Queiroz Correia, Charles Rodrigues Junior, Romulo Araújo Fernandes, Maria Carolina Castanho Saes Norberto, Glória de Lima Rodrigues, Jamile Sanches Codogno","doi":"10.1590/1413-81232025306.04992023","DOIUrl":"https://doi.org/10.1590/1413-81232025306.04992023","url":null,"abstract":"The aim is to compare the level of physical activity and medication expenditures of hypertensive patients treated in different types of primary health care in the city of Presidente Prudente. People of both sexes participated, aged ≥ 40 years, registered in three health different approaches: Primary Care, Primary Care+ e Primary Care+PE. Data on physical activity, illness and medication expenditures was obtained by telephone interview and consultation of the electronic medical record. The chi-square test, Kruskal-Wallis and linear regression were used. The statistical significance adopted was 5%. A total of 659 people were evaluated, with a mean age of 62 years. It was observed that between the modalities, the presence of diseases was higher in patients attended by the Primary Care+PE. Analyzing physical activity and medication expenses, a negative relationship can be observed in the Primary Care+ (r = -0.149; CI = -0.277 to -0.016) and Primary Care+PE (r = -0.210; CI = -0.334 to -0.079), after adjusting for gender, age, body mass index and sum of diseases, only the Primary Care+PE modality remained significant. The Primary Care+PE was the only modality to present lower expenses with medication for more physically active patients, even after adjusting for confounding variables.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e04992023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494939","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}

引用次数: 0

Modeling the COVID-19 vaccination process using the FRAM Method. 使用FRAM方法对COVID-19疫苗接种过程进行建模。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-26 DOI: 10.1590/1413-81232025306.03302025

Arlindo Souza Amaral Neto, Nathália Miranda do Nascimento, Alessandra Barrias Loureiro, Mônica Ferreira da Silva, Claudia Araújo, Maria Del Pilar Anto Rubio, Sildenir Alves Ribeiro

引用次数: 0

Moral distress experienced by healthcare workers in COVID-19 triage centers, Blumenau-SC, 2021. 2019冠状病毒病分诊中心医护人员的道德困境，布鲁梅瑙- sc， 2021年。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-09 DOI: 10.1590/1413-81232025306.08292023

Jaqueline Marcos Dos Santos, Marta Verdi

{"title":"Moral distress experienced by healthcare workers in COVID-19 triage centers, Blumenau-SC, 2021.","authors":"Jaqueline Marcos Dos Santos, Marta Verdi","doi":"10.1590/1413-81232025306.08292023","DOIUrl":"https://doi.org/10.1590/1413-81232025306.08292023","url":null,"abstract":"The COVID-19 pandemic has highlighted new ethical problems that trigger moral distress in daily healthcare work that deserve to be addressed in addition to being a serious public health problem. The aim is to understand the experience of moral distress by healthcare workers when carrying out their work to combat the COVID-19 pandemic in triage centers in the microregion of Blumenau, Santa Catarina, Brazil. This is a qualitative study carried out with 31 healthcare workers through virtual interviews during the pandemic. Content analysis was carried out with the help of ATLAS-ti software. Based on Wilkinson's framework, the analysis revealed that the moral distress of these workers was constituted by the dimensions of the experience and effect. In experience, the main threats to moral integrity were moral harassment and moral impediment, in addition to other reasons that lead to moral distress. As an effect of this process, feelings were experienced that brought physical and psychological consequences of moral anguish and ineffective coping strategies. The study made it possible to understand the process of experiencing moral distress, indicating to moral deliberation as a coping strategy.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e08292023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494956","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}

引用次数: 0

Search for information on food and nutrition and its intersections with eating behavior and body image. 搜索有关食物和营养及其与饮食行为和身体形象的关系的信息。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-21 DOI: 10.1590/1413-81232025306.00292024

Keila Priscila Dos Santos Avelar, Maria Fernanda Laus

{"title":"Search for information on food and nutrition and its intersections with eating behavior and body image.","authors":"Keila Priscila Dos Santos Avelar, Maria Fernanda Laus","doi":"10.1590/1413-81232025306.00292024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.00292024","url":null,"abstract":"This quantitative study associated the search for information about food and nutrition with body image and eating behavior in men and women. An online survey was conducted from December 2021 to March 2022, with 518 adults participating via social media and email invites. The survey included demographic questions, information-seeking behavior, beauty ideals, media influence, body satisfaction, investment in appearance, and disordered eating. Two-way ANOVAs and Path analysis were used. Most participants were women, white, heterosexual, and single, with an average age of 31 years and body mass index (BMI) of 25.9 kg/m². Most participants looked up information about food and nutrition (81.7%; n = 423) and used Google® as their primary source (45.2%; n = 191). Path analysis revealed that searching for information is positively associated with satisfaction with appearance, BMI, media pressure, and time spent on social networks. Conversely, there is a negative relationship between satisfaction with appearance and seeking information and between investment in appearance and searching for such information.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e00292024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494970","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}

引用次数: 0