Ciencia & saude coletiva最新文献_第6页

Enhancing healthcare resilience: systemic medication errors debate in emergency departments with Soft System Methodology. 增强医疗弹性：用软系统方法讨论急诊科的系统性用药错误。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-21 DOI: 10.1590/1413-81232025306.20912024

Flávia Silva de Souza, Ana Carolina Sanches Zeferino, Rebecca Thaffenne Santos Oliveira Nunes, Célio Manso de Azevedo Junior, Níssia Carvalho Rosa Bergiante

{"title":"Enhancing healthcare resilience: systemic medication errors debate in emergency departments with Soft System Methodology.","authors":"Flávia Silva de Souza, Ana Carolina Sanches Zeferino, Rebecca Thaffenne Santos Oliveira Nunes, Célio Manso de Azevedo Junior, Níssia Carvalho Rosa Bergiante","doi":"10.1590/1413-81232025306.20912024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.20912024","url":null,"abstract":"The effective management of medications is a critical component of a resilient healthcare system, directly impacting patient health outcomes. However, its complexity can lead to errors, compromising patient safety and treatment efficacy. Through exploratory and qualitative action research, utilizing data from secondary sources and interviews with the medication management team, Soft Systems Methodology (SSM) was employed in three stages. Using CATWOE (Customers, Actors, Transformation, Worldview, Owner e Environmental) framework, seven transformations were defined, with systemic propositions developed for four of them, namely, improving prescription readability, adjusting the medication procurement process to demand, enhancing working conditions, and optimizing team experience. These propositions involved the analysis of their causes and mitigating measures. By emphasizing a collaborative approach and seeking integrated solutions, SSM proved to be instrumental in achieving system resilience.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e20912024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494947","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

Global health initiatives and the combat of HIV/AIDS on the African continent: a scoping review. 全球卫生倡议和非洲大陆防治艾滋病毒/艾滋病：范围审查。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-05-25 DOI: 10.1590/1413-81232025306.07182024

Amiry Monteiro Sanca, Nikole Martins de Figueiredo, Priscila Tadei Nakata Zago, Cristianne Maria Famer Rocha, Deise Lisboa Riquinho

{"title":"Global health initiatives and the combat of HIV/AIDS on the African continent: a scoping review.","authors":"Amiry Monteiro Sanca, Nikole Martins de Figueiredo, Priscila Tadei Nakata Zago, Cristianne Maria Famer Rocha, Deise Lisboa Riquinho","doi":"10.1590/1413-81232025306.07182024","DOIUrl":"10.1590/1413-81232025306.07182024","url":null,"abstract":"The aim is to identify, in the literature, the influence of Global Health Initiatives (GHI) on the HIV combat in Africa. A scoping review was carried out in March 2023 in the Web of Science Core Collection, Medical Literature Analysis and Retrieval System Online, Scopus, Excerpta Medica Data-base and Google Scholar databases. It included original articles published in English, Portuguese, Spanish and French that dealt specifically with the influence of GHI on this endeavour. 25 studies published between 2009 and 2019 were selected. The analysis resulted in two thematic categories: Contributions of GHI in combating the HIV epidemic; and Limitations of GHI in combating it. Despite the contributions that led to improvements in HIV indicators, based on the strengthening of local health systems and the work of NGOs and religious organisations, the GHI have limitations, which are related to factors that include or depend on the type of budget, the extent to which the proposed actions can be developed in line with the health needs of the population, and the reality of each health service.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e07182024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494951","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

[Prevalence of influenza vaccine before and during the COVID-19 pandemic in a city in Southern Brazil: population-based studies]. [巴西南部一个城市在COVID-19大流行之前和期间流感疫苗的流行情况：基于人群的研究]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-08 DOI: 10.1590/1413-81232025306.18352023

Renata Pizzolo Fontanella, Antônio Augusto Schäfer, Camila Dallazen, Fernanda Daminelli Eugênio, Fernanda Oliveira Meller

{"title":"[Prevalence of influenza vaccine before and during the COVID-19 pandemic in a city in Southern Brazil: population-based studies].","authors":"Renata Pizzolo Fontanella, Antônio Augusto Schäfer, Camila Dallazen, Fernanda Daminelli Eugênio, Fernanda Oliveira Meller","doi":"10.1590/1413-81232025306.18352023","DOIUrl":"https://doi.org/10.1590/1413-81232025306.18352023","url":null,"abstract":"This study aimed to evaluate the prevalence of influenza vaccination before and during the COVID-19 pandemic as well as its associated factors in the adult and elderly population in a city in southern Brazil. This is a cross-sectional study conducted with data from two population-based surveys carried out in Criciúma-SC. The sampling process was carried out in two stages: random selection of census tracts and households. We analyzed the prevalence of influenza vaccination coverage before and during the COVID-19 pandemic, as well as sociodemographic, health, and behavioral variables. A total of 820 individuals before the pandemic and 863 during the pandemic were studied. Most of them were female, white skin color and had no health insurance. The prevalence of influenza vaccination reduced by 18% during the pandemic. Before the pandemic, higher percentage of vaccination was observed in the elderly people. During the pandemic, besides elderly individuals, those with multimorbidity and who had health insurance also showed a higher prevalence. It was observed a reduction in the influenza vaccination coverage during the COVID-19 pandemic. The findings reinforce the need to develop public health strategies to increase the influenza vaccination coverage.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e18352023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494940","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 COVID-19 pandemic and food and nutritional insecurity in the Southeast region of Brazil: perspectives on the National School Feeding Program]. [2019冠状病毒病大流行以及巴西东南部地区的粮食和营养不安全：对国家学校供餐计划的看法]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-04-28 DOI: 10.1590/1413-81232025306.14842023

Maria Clara Marinho Rabello, Juliana Márcia Macedo Lopes, Michele Pereira Netto, Renata Maria Souza Oliveira E Silva, Eliane Rodrigues de Faria

{"title":"[The COVID-19 pandemic and food and nutritional insecurity in the Southeast region of Brazil: perspectives on the National School Feeding Program].","authors":"Maria Clara Marinho Rabello, Juliana Márcia Macedo Lopes, Michele Pereira Netto, Renata Maria Souza Oliveira E Silva, Eliane Rodrigues de Faria","doi":"10.1590/1413-81232025306.14842023","DOIUrl":"https://doi.org/10.1590/1413-81232025306.14842023","url":null,"abstract":"The COVID-19 pandemic has put the food and nutritional security of students assisted by the National School Meal Program at risk, due to the suspension of in-person classes. This study consisted of analyzing how PNAE actions were guided by public bodies and institutions in the capitals of the southeast region and how this may have contributed to the increase in food insecurity during the pandemic period. A documentary review was carried out, with analysis of official documents from the three spheres of government (federal, state and municipal) covering the southeast region, published in 2020 and 2021, on strategies aimed at continuing the National School Meal Program. The research results highlighted government measures that were late and contrary to the program's guidelines, which may have had an impact on the increase in food and nutritional insecurity in the southeast region in 2022 and a possible reflection of the guidelines that guided the continuity of the National School Food Program.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e14842023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494942","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

Advances, challenges, and prospects for the Unified Health System (SUS) resilience. 统一卫生系统（SUS）弹性的进展、挑战和前景。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-21 DOI: 10.1590/1413-81232025306.22072024

Marco Antonio Catussi Paschoalotto, Eduardo Alves Lazzari, Marcia C Castro, Rudi Rocha, Adriano Massuda

引用次数: 0

Effects of workforce volatility, determinants of infant deaths and resilience in SUS Primary Care. 劳动力波动的影响，婴儿死亡的决定因素和单一保健系统初级保健的复原力。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-28 DOI: 10.1590/1413-81232025306.03572025

Paula de Castro Nunes, Alessandro Jatobá, Paloma Palmieri, Patrícia Passos Simões, Omara Machado Araujo de Oliveira, Paulo Victor Rodrigues de Carvalho

{"title":"Effects of workforce volatility, determinants of infant deaths and resilience in SUS Primary Care.","authors":"Paula de Castro Nunes, Alessandro Jatobá, Paloma Palmieri, Patrícia Passos Simões, Omara Machado Araujo de Oliveira, Paulo Victor Rodrigues de Carvalho","doi":"10.1590/1413-81232025306.03572025","DOIUrl":"https://doi.org/10.1590/1413-81232025306.03572025","url":null,"abstract":"This article aims to analyze the effects of the volatility of the Primary Health Care (PHC) workforce in the Unified Health System (SUS) on the resilience of services and the reduction in infant deaths. We used the relationship between the PHC workforce and child-sensitive indicators: vaccination (poliomyelitis and measles) and infant deaths. This ecological time series study adopted indicators relating to the workforce, vaccination coverage, and infant deaths from preventable causes from all Brazilian states between 2017 and 2022, totaling a balanced panel with 162 pieces of information in 11 variables. For the data analysis, a fixed effects panel regression model was estimated, demonstrating the existence of significant statistical significance in the association between the workforce of primary health care and the reduction of infant deaths, with doctors being the most contributing factor to this reduction, followed by nurses. Regarding vaccination coverage, the quadruple measles vaccine significantly reduced infant deaths.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e03572025"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494946","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

For a resilient performance. 为了弹性性能。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 DOI: 10.1590/1413-81232025306.04482025

Alessandro Jatobá, Paula de Castro Nunes, Paulo Victor Rodrigues de Carvalho

引用次数: 0

Resilience and health systems performance: admissions for ambulatory care-sensitive chronic conditions. 韧性和卫生系统绩效：对门诊护理敏感的慢性病的入院情况。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-21 DOI: 10.1590/1413-81232025306.21422024

Marla Presa Raulino Schilling, Margareth Crisóstomo Portela, Mariana Vercesi de Albuquerque, Mônica Martins

{"title":"Resilience and health systems performance: admissions for ambulatory care-sensitive chronic conditions.","authors":"Marla Presa Raulino Schilling, Margareth Crisóstomo Portela, Mariana Vercesi de Albuquerque, Mônica Martins","doi":"10.1590/1413-81232025306.21422024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.21422024","url":null,"abstract":"Anchored in the concern to strengthen the resilience of the Unified Health System (SUS), this study aimed to develop a methodology for comparing Brazilian municipalities based on the standardized ratio of hospitalizations for chronic primary care-sensitive conditions (HPCSC). This cross-sectional study was based on data from the SUS hospital production. We adopted multilevel modeling for each Brazilian region. The ratio of observed to predicted hospitalizations, estimated by risk adjustment, was used to classify municipalities by level of occurrence of HPCSC (higher than expected, at the expected level, or lower than expected). The relationship between primary health care (PHC) coverage and HPCSC varied across Brazilian regions, with a lower percentage of municipalities with poorer performance in those with the highest availability of work hours of doctors and nurses. Due to its scope and role as a care coordinator in the healthcare network, PHC serves as the basis for building SUS resilience across various fields. Thus, the proposed methodology contributes to the continuous monitoring of PHC, an essential skill for resilience, enabling the timely guidance of actions and strategies in stress and crisis.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e21422024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494959","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

[Socio-environmental disaster and popular health surveillance: oil spill in fishing territories in Bahia]. [社会环境灾难和大众健康监测：巴伊亚渔区的石油泄漏]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-05 DOI: 10.1590/1413-81232025306.14932023

Ana Angélica Martins da Trindade, Tiala Santana Santos, Maria do Carmo Soares de Freitas, Mônica Angelim Gomes de Lima, Luiza Monteiro Barros, Marta Cristiane Ferreira Dos Santos, Rita de Cassia Lopes Gomes, Verônica Moitinho Sena, Paulo Gilvane Lopes Pena

{"title":"[Socio-environmental disaster and popular health surveillance: oil spill in fishing territories in Bahia].","authors":"Ana Angélica Martins da Trindade, Tiala Santana Santos, Maria do Carmo Soares de Freitas, Mônica Angelim Gomes de Lima, Luiza Monteiro Barros, Marta Cristiane Ferreira Dos Santos, Rita de Cassia Lopes Gomes, Verônica Moitinho Sena, Paulo Gilvane Lopes Pena","doi":"10.1590/1413-81232025306.14932023","DOIUrl":"https://doi.org/10.1590/1413-81232025306.14932023","url":null,"abstract":"Socio-environmental disasters occur cyclically in colonial contexts of neoliberal capitalism. People who work in artisanal fishing are directly affected and live with changes in their ways of life and work on a daily basis. In this study we seek to understand the main socio-environmental problems, and community actions, caused by the oil spill in Brazil in 2019, based on the version of artisanal fishermen from Bahia. This is a descriptive, analytical study with a qualitative approach, supported by a collaborative and non-extractive perspective. The results pointed to the following categories of analysis: i) socio-environmental problems and ii) community health and environmental actions: popular surveillance in the territories. It is noted that the arrival of oil in fishing communities caused racialized bodies and territorial bodies to become ill, intensifying fear, hunger, despair and racist practices. The daily life of losses was transformed into absences. However, community initiatives strengthened what can be considered decolonial attitudes of popular vigilance over health and the environment when facing the effects of the disaster, even in the face of government helplessness.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e14932023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494941","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

Machine Learning and Simulation: pathways to efficient emergency care in Brazil. 机器学习和模拟：巴西实现高效急救护理的途径。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-27 DOI: 10.1590/1413-81232025306.03522025

Arthur Pinheiro de Araújo Costa, Vitor Pinheiro de Araújo Costa, Daniel Augusto de Moura Pereira, Igor Pinheiro de Araújo Costa, Miguel Ângelo Lellis Moreira, Gioliano de Oliveira Braga, Marcos Dos Santos, Carlos Francisco Simões Gomes

{"title":"Machine Learning and Simulation: pathways to efficient emergency care in Brazil.","authors":"Arthur Pinheiro de Araújo Costa, Vitor Pinheiro de Araújo Costa, Daniel Augusto de Moura Pereira, Igor Pinheiro de Araújo Costa, Miguel Ângelo Lellis Moreira, Gioliano de Oliveira Braga, Marcos Dos Santos, Carlos Francisco Simões Gomes","doi":"10.1590/1413-81232025306.03522025","DOIUrl":"https://doi.org/10.1590/1413-81232025306.03522025","url":null,"abstract":"Modeling and Simulation (M&S) allows for reproducing medical procedures and services, understanding disease progression, and predicting treatment responses without risks to real patients. This study aims to simulate the ambulance service system of the Mobile Emergency Care Service (SAMU) in a Brazilian region, using the Arena software and Machine Learning (ML). The quantitative methodology combines mathematical modeling and a case study to analyze variables such as the number of ambulances, patient arrivals, waiting times, and workload. Using the Manchester Protocol as a reference, the Arena results feed a regression model to relate waiting times and the number of ambulances. Integrating these techniques allowed for predictions regarding the impact of different resource configurations. Based on real data, the numerical results indicated reduced waiting times with increased ambulances and streamlined resource allocation. Thus, by contributing to the operational efficiency of mobile emergency services, the findings also strengthen the resilient performance of the Unified Health System (SUS) in the face of adversities.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e03522025"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494954","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