Cadernos de saude publica最新文献

{"title":"[Care regulation and regional governance in viral hepatitis microelimination strategies].","authors":"Josué Souza Gleriano, Carlise Krein, Claudia Beatriz Cunha de Oliveira, Stella Giansante, Marcia Oliveira de Souza, Gessé Duque Ferreira de Oliveira, Regina Mary da Silva Nascimento, Lucieli Dias Pedreschi Chaves","doi":"10.1590/0102-311XPT104125","DOIUrl":"10.1590/0102-311XPT104125","url":null,"abstract":"<p><p>This study aimed to evaluate the management of care regulation in the health care network and the process of elaboration and consensus of strategic actions to cope with viral hepatitis based on regional governance. This qualitative action research was carried out in a Mato Grosso Health Region, Brazil, with 45 professionals working in surveillance, care, regulation, management, and social control. The focus group enabled the joint analysis of coping strategies and the formulation of regional consensus and collegiate agreement. The results show the political-institutional absence of strategies to address care gaps, the centralization of regulation, and the fragility of computerization processes. Organizational difficulties in horizontal integration stand out, including a fragmented network and limited capacity for decentralized clinical support. Practices still show failures in intersectoral articulation, informality in care flows, and frail primary health care (PHC) in post-diagnosis monitoring. The consensual action plan included four strategic lines: expanding access to prevention actions, strengthening specialized care articulated with PHC, expanding laboratory diagnostic capacity, and consolidating health surveillance by inter-institutional agreements. Eliminating viral hepatitis requires systemic actions guided by social justice and the construction of collective solutions that meet regional needs and produce continuous monitoring to achieve the global goals by 2030.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00104125"},"PeriodicalIF":2.1,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13313155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148367013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Family Health Strategy and new horizons for the quality of primary care in Brazil.","authors":"Claunara Schilling Mendonça, Ana Luiza Ferreira Rodrigues Caldas","doi":"10.1590/0102-311XEN051226","DOIUrl":"10.1590/0102-311XEN051226","url":null,"abstract":"","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00051226"},"PeriodicalIF":2.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persevering with the Family Health Strategy's comprehensive community-based approach.","authors":"Ligia Giovanella, Maria Helena Magalhães de Mendonça, Estela Márcia Saraiva Campos, Ana Luiza Queiroz Vilasbôas, Rosana Aquino, Luiz Augusto Facchini","doi":"10.1590/0102-311XEN077226","DOIUrl":"10.1590/0102-311XEN077226","url":null,"abstract":"","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00077226"},"PeriodicalIF":2.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thirty years of the Family Health Strategy in the Brazilian Unified National Health System: milestones, advances, setbacks and challenges.","authors":"Ligia Giovanella, Maria Helena Magalhães de Mendonça, Estela Márcia Saraiva Campos, Ana Luiza Queiroz Vilasbôas, Rosana Aquino, Luiz Augusto Facchini","doi":"10.1590/0102-311XEN206025","DOIUrl":"10.1590/0102-311XEN206025","url":null,"abstract":"<p><p>This essay examines the trajectory and persistent challenges faced by Brazil's Family Health Strategy (FHS), stemming from concerns regarding the prospects for the full implementation this territory-based community-oriented approach to the delivery of primary health care within the Brazilian Unified National Health System. We look at the development of the strategy and provide a critical overview of the main institutional milestones over the last 30 years, focusing on the following: federal funding associated with the process of the municipalization of care; the expansion of multidisciplinarity in the work of health professionals in basic health units (BHU) and the local community; improvements in quality associated with the evaluation of team structure and work processes and performance-based funding; and emergency medical staffing in underserved areas and professional training. We outline how the expansion of FHS coverage and the adoption of practices centered on individuals, families and communities has impacted population health and access to care. Setbacks between 2016 and 2022 are critically addressed, including the undermining of the multidisciplinary community-based approach and threats to universality and comprehensiveness. We then go on to discuss the reprioritization of the FHS by the Federal Government in 2023. Data from the 2024 national BHU Census are used to illustrate the current status of the FHS. Challenges to implementing effective change in the care model and achieving universal FHS coverage include the following: ensuring adequate funding, employment stability, professional training and interprofessional collaboration; addressing the risks of commodification in primary health care (PHC); improving coordination of care and the strengthening the role of PHC in patient access management; and reducing geographical, social and racial inequalities in access to care.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00206025"},"PeriodicalIF":2.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A reflection on 30 years of the Family Health Strategy.","authors":"James Macinko","doi":"10.1590/0102-311XEN006226","DOIUrl":"10.1590/0102-311XEN006226","url":null,"abstract":"","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00006226"},"PeriodicalIF":2.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ERRATUM: Água, saneamento e higiene (WASH): um estudo das escolas públicas rurais de Ensino Fundamental brasileiras.","authors":"","doi":"10.1590/0102-311XER128025","DOIUrl":"10.1590/0102-311XER128025","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/0102-311XPT128025].</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"eER128025"},"PeriodicalIF":2.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13318304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural requirements for strengthening the Family Health Strategy and care coordination.","authors":"Natalia Houghton, Ernesto Bascolo","doi":"10.1590/0102-311XEN027926","DOIUrl":"10.1590/0102-311XEN027926","url":null,"abstract":"","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00027926"},"PeriodicalIF":2.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Family Health Strategy as a policy of the State: trajectory, institutional capacity and the current primary health care agenda.","authors":"Dirceu Klitzke","doi":"10.1590/0102-311XEN271325","DOIUrl":"10.1590/0102-311XEN271325","url":null,"abstract":"","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00271325"},"PeriodicalIF":2.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A strategy lacking policy?","authors":"Luciano Bezerra Gomes","doi":"10.1590/0102-311XEN020026","DOIUrl":"10.1590/0102-311XEN020026","url":null,"abstract":"","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00020026"},"PeriodicalIF":2.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception of the impact of oral issues on the quality of life of Indigenous populations of Espírito Santo, Brazil.","authors":"Deise Berger Velten, José Geraldo Mill, Lorrayne Cesario Maria, Maria Helena Monteiro de Barros Miotto","doi":"10.1590/0102-311XEN159825","DOIUrl":"10.1590/0102-311XEN159825","url":null,"abstract":"<p><p>The disparities in oral health between Indigenous and non-Indigenous people can be seen as unfair. Although researchers have documented the precarious oral health of Indigenous people, some authors argue that there should be better research. This study evaluated the impact of oral issues on the quality of life and the association of sociodemographic characteristics, use of dental services, and need for removable dentures in the Indigenous population of the municipality of Aracruz, Espírito Santo State, Brazil. In this cross-sectional study, the perceived quality of life of 1,084 Guarani and Tupiniquim individuals was evaluated by the Oral Health Impact Profile (OHIP). Other variables were assessed by an adapted questionnaire. The associations between each independent variable and OHIP dimensions were assessed using the chi-squared and Fischer's exact tests. The strength of these associations was assessed by odds ratio. This study found that 495 Indigenous individuals reported an impact on their quality of life (a 45.7% prevalence). Physical pain and psychological discomfort had the highest percentages of impact. Individuals aged up to 50 years, with a self-reported need for removable partial dentures, and without a need for removable total dentures reported a greater perception of the impact of oral issues on their quality of life. The prevalence of impact of oral issues on quality of life of Indigenous individuals exceeded that of non-Indigenous ones in Aracruz, which shows this population's vulnerable oral health.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00159825"},"PeriodicalIF":2.1,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13224956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}