Scope Of Primary Health Care Research Articles

Evidências sobre fitoterapia para o tratamento da COVID-longa no âmbito da atenção primária à saúde do SUS

About 10% to 20% of patients considered cured of COVID-19 may have changes in the body that lead them to develop COVID-19. Therapeutic alternatives for treatment have been applied in post-COVID-19 clinical management, phytotherapy stands out as an important clinical path. The objective of this study was to carry out a descriptive analysis on the use and application of herbal medicines in the portion of the population affected by COVID-long. This is a narrative review, with data collection in an exploratory way by expertise in the clinical and phytotherapy area. The qualitative approach was carried out from the perspective of identifying and applying the use of herbal medicines within the scope of Primary Health Care (PHC) for the treatment of symptoms in COVID-long. The findings signal an important investigative niche for short- to medium-term treatments in long-term COVID-19. Uncaria tomentosa for cough treatment, Ginkgo biloba for cardiovascular involvement; Mangifera indica Linneaus for neuromuscular and Valeriana officinalis for the Central Nervous System. Some studies may suggest the standardization of herbal medicines in the Unified Health System for their use in PHC as an adjuvant to treatment associated with allopathic medicines.

Structure and process in primary health care for children and spatial distribution of infant mortality.

To identify the spatial patterns of the quality of the structure of primary health care services and the teams' work process and their effects on infant mortality in Brazil. An ecological study of spatial aggregates, using the 5,570 municipalities in Brazil as the unit of analysis. Secondary databases from the Programa Nacional de Melhoria do Acesso e Qualidade da Atenção Básica (PMAQ-AB - National Program for Improving Access and Quality of Primary Care), the Mortality Information System (SIM), and the Live Birth Information System (SINASC) were used. In 2018, the infant mortality rate was the outcome of the study, and the exposure variables were the proportion of basic health units (BHU) with adequate structure and work processes. Global and local Moran's indices were used to evaluate the degree of dependence and spatial autocorrelation. Spatial linear regression was used for data analysis. In 2018, in Brazil, the infant mortality rate was 12.4/1,000 live births, ranging from 10.6/1,000 and 11.2/1,000 in the South and Southeast, respectively, to 14.1/1,000 and 14.5/1,000 in the Northeast and North regions, respectively. The proportion of teams with an adequate work process (β = -3.13) and the proportion of basic health units with an adequate structure (β = -0.34) were associated with a reduction in the infant mortality rate. Spatial autocorrelation was observed between smoothed mean infant mortality rates and indicators of the structure of primary health care services and the team's work process, with higher values in the North and Northeast of Brazil. There is a relationship between the structure of primary health care services and the teams' work process with the infant mortality rate. In this sense, investment in the qualification of health care within the scope of primary health care can have an impact on reducing the infant mortality rate and improving child health care.

Sexual invisibility in individual registrations: a study with Community Health Agents

The debate on gender and sexuality is crucial in Primary Health Care (PHC), given its influence on the health-disease process. Its initial approach occurs in the Individual Registration Form, a tool used by Community Health Agents (CHAs), through optional questions about the resident's gender identity (GI) and sexual orientation (SO). In this sense, the present study aims to investigate the factors related to the act of questioning or not questioning GI and SO in a sample of CHAs. It is a cross-sectional, quantitative, and descriptive study, using a structured questionnaire directed to CHAs affiliated with Family Health Units of the Integrated Health Care Territories project in the city of Campo Grande/MS. With 118 participants, 22.9% could not indicate their GI, and 80.5% rarely inquire about GI and SO. The majority (72.8% and 61%) has limited knowledge about GI and SO. The analysis revealed a positive association between the frequent discussion of the topic with CHAs and the frequent questioning of GI and SO (OR=6.45; 95% CI: 1.33-31.21), p<0.05. Therefore, the results highlight the importance of ongoing health education to promote equity in the care of LGBTQIAP+ individuals within the scope of PHC.

Consultation analysis of dementia triads in Portuguese general prac-tice: exploratory study

Introduction: Despite policy recommendations worldwide, too often dementia remains outside the scope of primary health care. In the context of Portuguese primary health care services, our group previously explored the experiences of people with dementia, carers, general practitioners (GPs), and other professionals, together with their perspectives on barriers to dementia care. However, we know little about triadic consultations that involve a patient, their carer, and their GP. Objective: To explore dementia care in triadic consultations in general practice. Methods: Analysis of ten consultations with dementia triads across six Portuguese practices from different social contexts. Purposive sampling was used to recruit nine GPs, ten patients, and ten carers. Triadic consultations were digitally recorded, transcribed, and analysed. The analytical framework combined codes derived from the transcripts with codes from the available literature. Themes focused on the corollaries of dementia (e.g. need for information), and coordination of services. Results: Dementia-related content took up only 30% of consultations, despite their length (median 27 min). The GPs did not seem engaged in dementia management, their assessments lacked breadth and person-centredness, and interventions were limited. Carers facilitated GPs’ assessment of dementia consequences, but their needs were poorly assessed. Patients’ self-expression was limited by communication patterns within the triad. Conclusion: It is challenging for GPs to assess dementia among other conditions in a context of fragmented care. Strategies for improving family carers’ assessments are needed. The analysis of triadic consultations may provide potential process measures for assessing the quality of clinical practice and consultation training in general practice, but this requires further study.

Economic evaluation of the cost-utility of remote monitoring in children with obese in rural zone

Background: Obesity is a risk factor that triggers other chronic diseases such as cardiovascular, respiratory and diabetes mellitus, among others. However, this scenario can be improved with the use of remote monitoring technologies bringing economic benefits, clinical effectiveness and a better follow-up of users. Objective: Conduct a cost-utility economic assessment of the impact of remote monitoring technology for biomedical signals in preventing obesity in children, within the scope of primary health care, in rural areas. Methods: The study was based on assistance with remote monitoring of 296 children. An economic evaluation was carried out based on health costs, clinical utilities and quality-adjusted life years (QALYs). The cost-utility analysis (CUA) was obtained from the direct costs divided by the QALYs. To check if there is a statistically significant difference in clinical utility between the conventional system and the use of Free Living Energy Expenditure Monitoring System® (FLEEM System®), the Kolmogorov-Smirnov normality test (p <0.05) and the Wilcoxon test were applied. Results: The direct annual cost to care for a child using remote monitoring was R$ 541.31 (US$ 137.25) against the conventional practice of R$ 801.96 (US$ 203.34). The average value of 0.06 for the utility and 3.72 QALYs gained from the intervention. CUA was R$ -70.07 (US$ -17.77) per QALY gained from the perspective of remote monitoring. Conclusions: Remote monitoring represents a 32.50% economic gain for the health system, the negative CUA result means that the FLEEM System® can save R$ 70.07 (US$ 17.77) per QALY gained.

Registration with Primary Health Care and COVID-19 mortality: cohort of diabetics from five administrative health regions in the city of Rio de Janeiro, Brazil, 2020-2021.

The present study carried out an analysis of survival according to the status of registration with Primary Health Care (PHC) and of factors associated with death from COVID-19, in cases residing in Programmatic Area 3.1 (PA3.1) with a diagnosis of diabetes (in the notification form or in the electronic medical record), of the Municipality of Rio de Janeiro (RJ), Brazil, in 2020-2021. A probabilistic linkage of databases was performed based on information on cases notified as COVID-19 and data from the electronic medical records of people living with diabetes. A survival analysis was carried out, using the Cox regression model stratified by age group and adjusted for confounding variables. Individuals registered with the PHC of PA3.1 had almost twice the risk of death from COVID-19 (adjusted hazard ratio [HRadj]=1.91) when compared to those unregistered. This association was stronger in individuals aged 18 to 59 years registered with the PHC (HRadj=2.82) than in individuals aged 60 years or over (HRadj=1.56). Surveillance strategies for identifying and adequately monitoring higher-risk groups, among individuals living with diabetes, within the scope of Primary Health Care, can contribute to reducing mortality from COVID-19.

Care of People with Post-COVID-19 Sequelae in the Scope of Primary Health Care: Scoping Review Protocol.

The sequelae of COVID-19 disease significantly impact the quality of life of people, requiring long-term longitudinal care for recovery and rehabilitation. Primary health care is fundamental in the reception, monitoring, and multi-professional follow-up of post-COVID-19 symptoms and complications. This study proposes a scoping review protocol to identify and map the care process of monitoring and multi-professional follow-up of post-COVID-19 sequelae within the scope of primary health care worldwide. This protocol was based on the Joanna Briggs Institute Manual and guided by PRISMA-ScR. Articles, theses, dissertations, and official documents searched in several databases (MEDLINE/PubMed, Scopus, LILACS, Web of Science, Embase, and gray literature) will be included. Two independent reviewers will organize and select studies according to inclusion and exclusion criteria using the Rayyan software. The selected publications will be organized and summarized using a checklist proposed by the PRISMA-ScR. Simple descriptive statistics will analyze the quantitative data, while thematic analysis will be used for the qualitative data. The final scoping review will present the main findings, challenges, limitations, and potential research gaps related to the care of people with post-COVID-19 sequelae.

Risk factors for early neonatal sepsis: retrospective Cohort in the brazilian amazon

Objective: to analyze risk factors for neonatal sepsis in a capital of the Brazilian Amazon region. Methods: Retrospective cohort of 411 mothers and their newborns assisted at the municipal maternity hospital from December 2019 to February 2020. Sociodemographic information, history of prenatal care, childbirth type and characteristics of the newborn were collected from the medical records of the binomial mother-child. To estimate the gross and adjusted Relative Risk and 95% confidence intervals, Poisson Robust Regression using Stata®, version 16.0 was used. Result: The incidence of sepsis was 75.42 per 1,000 live births. The risk factors for neonatal sepsis were previous infectious disease (RR: 2.40; 95% CI: 1.21; 4.76), APGAR score less than seven in the first minute (RR: 2.96; 95% CI:1.17; 7.47) and low birth weight (RR: 5.60 CI; 95%: 1.69; 18.50). Conclusion: The identification of predictors for the outcome and early monitoring of pregnant women in prenatal care are important actions to minimize the occurrence of neonatal sepsis. For future studies, it is suggested research in the scope of primary health care and maternity for the qualification of professionals working in the line of care for pregnant women and their families.

Vulnerabilities of Arab refugees in primary health care: a scoping review.

ABSTRACTOBJECTIVETo map and analyze the vulnerabilities of Arab refugees in the context of primary health care.METHODScoping review in which studies published in English, Spanish and Portuguese languages from 2011 onwards were reviewed. The following databases were surveyed: Cochrane, Scopus, Health System Evidence, MedLine-PubMed, CINAHL, Embase, Lilacs, Web of Science, SciELO, NYAM Grey Literature, BVS, Capes Thesis and Dissertation Database, Refworld and Journal of Refugee Studies. Data were analyzed in light of the concept of vulnerability.RESULTSOf the 854 studies identified, 40 articles were held for analysis and extraction of vulnerability indicators in the individual, social and programmatic dimensions. Regarding the individual dimension, the main indicators identified were unemployment, unstable and overcrowded housing, lack of sanitation and access to water, mental disorders, communicable and chronic noncommunicable diseases, etc. In the programmatic dimension, were identified, mainly, health teams with work overload, lack of preparation to deal with cultural and linguistic barriers, and delays in providing care. In relation to the social dimension, lack of access to schools, to information about health programs in the host countries, and to rights, among others, were found.CONCLUSIONVulnerabilities found highlight the disadvantage of refugees regarding health programs, services and system in host countries, in addition to highlighting the deep inequalities that affect this group. It is pointed out the need for programs and policies that promote actions, within the scope of primary health care, which recognize and respond to the health needs of refugees.

Quality of the diet of pregnant women in the scope of Primary Health Care

ABSTRACT Objective To evaluate the quality of the diet of the pregnant women monitored by the Family Health Strategy teams and associated factors. Methods This is a population-based cross-sectional study, carried out with 1244 pregnant women between 2018 and 2019. The Diet Quality Index Adapted for Pregnant Women was used to measure the quality of the diet and associate it with risk factors (sociodemographic, obstetric, clinical, behavioral, nutritional status) during the pregnancy. A hierarchical model composed of three blocks was used. A multinomial logistic regression was applied. Results The general average of this Diet Quality Index was 72.75 points, the average of the 1st tercile was 56.06 points, the average of the 2nd tercile was 73.71 points and the average of the 3rd was 88.51 points. The worst diet quality was related to pregnant women with lower education (OR=2.36; 95% CI=1.39-4.01), sedentary women (OR=1.37; 95% CI=1.17-2, 61), those who had a negative self-perception of food (OR=2.00; 95% CI=1.45-2.76) and who had 3 to 5 meals a day (OR=1.83; 95% CI=1.26-2.77), and less than 3 (OR=2.64; 95% CI=1.13-6.18). Conclusion The present study identified that pregnant women with less education, sedentary, and with inadequate nutritional characteristics presented worse diet qualities.

Low-grade albuminuria in adult and elderly individuals with diabetes mellitus and arterial hypertension accompanied by Primary Health Care

Diabetes mellitus (DM) and arterial hypertension (AH) are the two main clinical conditions related to Chronic Kidney Disease (CKD); disease also identify by the levels of low-grade albuminuria (LGA). Few studies have simultaneously investigated the associations of glycated hemoglobin (HbA1c) and fasting plasma glucose (FPG) with LGA. Our study aimed to investigate and compare the association of HbA1c and FPG with the probability of LGA in adult and elderly individuals with DM and AH, within the scope of Primary Health Care (PHC). Cross-sectional study involving 737 Brazilians individuals previously diagnosed with hypertension and/or diabetes. Tests for HbA1c, FPG and LGA were performed. LGA was defined as the highest quartile of albumin urinary (≥ 13 mg/g) among individuals with urinary LGA < 30 mg / g. A significant increase in the prevalence of LGA was found with increasing levels of HbA1c (p < 0.001). There was a significant association of HbA1c with LGA (p < 0.001) and increased probability of LGA for participants with HbA1c ≥ 6.5% compared to those with Hba1c < 5.7% (OR [95% CI]: 2.43 [1.32–4.46], p < 0.05), after adjusting for confounding factors, except when adjusted for FPG (p = 0.379 and p = 0.359, respectively). HbA1c and FPG were significantly associated in a collinear manner with an increased probability of LGA in adult and elderly individuals with DM and AH.

“FALTÔMETRO”: ESTRATÉGIA PARA O ENFRENTAMENTO DO ABSENTEÍSMO NO ÂMBITO DA ATENÇÃO BÁSICA

Introdução: A garantia de um acesso universal, integral e equânime é um dos desafios da Atenção Básica, onde o absenteísmo se configura como obstáculo e, ao mesmo tempo, um analisador sobre a organização do cuidado do serviço de saúde. Dessa forma, necessitando de intervenções para o enfrentamento. Objetivo: Narrar a experiência da construção do “Faltômetro” e refletir sobre o desafio de implementar novas estratégias para o enfrentamento de antigos problemas nos serviços de saúde. Metodologia: Trata-se estudo descritivo do tipo relato de experiência, realizado numa Estratégia de Saúde da Família (ESF), no município de Vitória de Santo Antão - PE, com o Núcleo Ampliado de Saúde da Família e Atenção Básica (NASF-AB) de referência, entre junho e outubro de 2019. A experiência foi realizada em três etapas: monitoramento das demandas do NASF-AB; construção do “Faltômetro” e sala de espera com os usuários. Resultados: Por meio da experiência, foi identificada a fragilidade no registro de faltas; a importância do Agente Comunitário de Saúde (ACS); a necessidade de identificação das causas das faltas; e a necessidade de repensar a organização do processo de trabalho. Conclusões: O “Faltômetro” e a sala de espera foram estratégias fundamentais para o debate sobre o absenteísmo no âmbito da Atenção Básica. No entanto, faz-se necessário o desenvolvimento de processos de Educação em Saúde com a população, permitindo um diálogo horizontal, para a compreensão das possíveis causas das faltas. Além disso, os profissionais em saúde necessitam romper com o discurso de culpabilização dos usuários, reconhecendo a existência de barreiras de acesso no território.&#x0D; Palavras-Chave: Absenteísmo; Atenção Primária à Saúde; Educação em saúde; Sistema Único de Saúde.

Family and community guidance in adolescence: assessment in the family health strategy.

Objective:to evaluate family and community guidance in adolescence, within the scope of Primary Health Care.Method:an evaluative and descriptive study with a quantitative approach, developed through the application of the Primary Care Assessment Instrument (PCATool), with 70 professionals from the Family Health Strategy and 140 adolescents from the widerange areas. Data collection took place in Basic Health Units and in the adolescents’ homes in a municipality of southern Brazil, from May to September 2019. The data were analyzed using descriptive and inferential statistics using ANOVA and Tukey’s test, performed using the R Studio software.Results:there was divergence in the assessment of the attributes of family and community guidance between users and responsible professionals, showing weaknesses in the communication process and in the formation of the care bond in this reality, with impacts on quality of care.Conclusion:there was a need for continued assessment of the care practice in primary health care, as well as for permanent education with a focus on increasing qualification of care for adolescents.

Análise de prescrições de medicamentos em unidades de atenção básica à saúde no município de Itaguaí, Rio de Janeiro

Estudo transversal retrospectivo das segundas vias das receitas de Unidades Básicas de Saúde (UBS) e unidades de Estratégia de Saúde da Família (ESF) de Itaguaí, empregando indicadores de prescrição propostos pela Organização Mundial da Saúde. Avaliou-se também o cumprimento da legislação sanitária em relação às prescrições e a disponibilidade de cópias da Relação Municipal de Medicamentos Essenciais (REMUME) nas unidades de saúde. Foram analisadas 7.502 prescrições (média de 2,78 medicamentos/prescrição). A maioria (74,38%) dos medicamentos estava na denominação genérica e 85,56% constavam na REMUME. Em 22,38% das prescrições havia ao menos um antibiótico prescrito. No geral, a análise dos indicadores de prescrição apresentou resultados melhores para a ESF. A divulgação da REMUME se mostrou insuficiente. Este estudo pode auxiliar nas ações da assistência farmacêutica municipal, sobretudo no âmbito da Atenção Básica à Saúde (ABS), direcionando esforços gerenciais e educativos com foco na promoção do uso racional de medicamentos.

Contribuições técnicas e socioculturais da prevenção quaternária para a atenção primária à saúde

Introdução: No contexto do Sistema Único de Saúde, o conceito da prevenção quaternária adentra timidamente os níveis de atenção à saúde, no entanto, sofre expansão significativa no âmbito da atenção primária à saúde. Objetivo: Identificar por meio da sistematização de evidências científicas, as contribuições técnicas e socioculturais da prevenção quaternária no âmbito da atenção primária à saúde no Brasil. Métodos: Trata-se de uma revisão integrativa de estudos presentes nas bases de dados científicas da Scientific Electronic Library Online, Biblioteca Virtual em Saúde, biblioteca virtual da Comissão de Aperfeiçoamento de Pessoal do Nível Superior e MEDLINE via PubMed com a utilização dos descritores “prevenção quaternária” e “atenção primária à saúde”, em inglês e português. Resultados: O corpus de análise foi composto por 22 artigos, sendo que a produção científica sobre o tema se deu de forma mais intensa a partir do ano de 2015 e, em sua maioria, possuíam como abordagem metodológica ensaios teóricos. Dentre as contribuições técnicas destacaram-se a introdução do ensino da prevenção quaternária de modo continuado aos graduandos e profissionais; a construção de protocolos e documentos de amparo profissional; a utilização de modelos explicativos dinâmicos na socialização do quadro clínico; a conduta profissional com os usuários e as contribuições socioculturais envolvendo mudanças na percepção profissional e comunitária sobre o fenômeno saúde-doença, assim como o incentivo a práticas de desmedicalização sociocultural em relação à dor, incapacidade, desconforto, envelhecimento, nascimento e morte. Conclusão: Apesar do reconhecimento das potencialidades da prevenção quaternária, faz-se necessário fortalecer estratégias que possibilitem o desenvolvimento de políticas públicas para fomentar e gerenciar alianças estratégicas com tomadores de decisão, profissionais de saúde e cidadãos, para fomentar a redução de diagnósticos e tratamentos excessivos, contribuindo com a qualidade do cuidado.

Qualitative analysis of the health promotion work in a Academia da Saúde programme's unit

The Academia da Saúde programme has been considered an important health promotion strategy in the scope of primary health care in Brazil. However, there is little evidence on what and how professional practices have been developed as a means to enact health promotion processes in the programme. The study´s purpose was to analyse the health promotion work in a Academia da Saúde programme´s unit from Lajeado city, Brazil. The study employed a qualitative approach and grounded theory research method. Participants included a female Health and Physical Education professional (aged 32y), a female health centre coordinator (aged 41y) and eight users (2 men, 6 women, aged 30-69y). Data were collected through condensed fieldwork, involving interviews and non-participant observation of group sessions. Using salutonegesis theory, qualitative analysis generated key findings on the elements of the health promotion work, namely: holistic care, use of diversification into cognitive, psychosocial and physical activities, development of skills and capacities that served as health resources, and the occurrence of resistance and challenges in the programme. Furthermore, the findings offered practical examples of possibilities to enact health promotion process, which represents a significant contribution to knowledge on health work. The study may support both future interventions and professional education, indicating alternative pathways for practitioners and undergraduate students to widen the scope of health promotion actions beyond the biophysical dimension.

Programa saúde na escola: ação educativa promovendo a cultura preventiva no ambiente escolar: relato de experiência

Objetivo relatar as vivências de acadêmicos de enfermagem, odontologia, e da equipe multiprofissional em saúde na realização das atividades do Programa Saúde na Escola no âmbito da atenção básica a saúde. Métodos: Trata-se de um estudo descritivo, do tipo de relato de experiência, realizado no mês de maio do ano de 2019, por acadêmicos das áreas de enfermagem e odontologia de instituições de ensino superior privadas da cidade de Teresina, ambos em atividade de estágio supervisionado no campo a Atenção Primária à Saúde. O cenário escolhido para relatar está vivência é compreendido por uma escola atendida pela equipe de saúde da família na qual tivemos a oportunidade de realizar a prática de estágio, esta escola conta com 500 alunos que estudam em tempo integral o ensino fundamental menor, localizada na zona leste de Teresina capital do Piauí. Considerações Finais: O resultado deste estudo permitiu conhecer melhor as especificidades contidas nas atividades de educação e saúde proposta pelo Programa Saúde na Escola, permitindo troca de saberes entre a comunidade e os acadêmicos.

Diagnóstico, tratamento e seguimento da mola hidatiforme: uma revisão bibliográfica

Esse artigo buscou analisar, por meio de uma revisão de literatura, a produção científica acerca da abordagem aos pacientes com doença trofoblástica gestacional (DTG), a fim de discutir os conhecimentos atuais sobre seu diagnóstico e tratamento. As DTGs constituem-se um grupo de tumores relacionados à gestação, e que apresentam em comum, uma hiperproliferação trofoblástica. Dentre as DTGs, a condição mais frequentemente observada é a mola hidatiforme (MH). A MH apresenta desafios para a realização do diagnóstico precoce, tratamento imediato, controle de complicações iniciais e tardias, e seguimento pós-molar adequado. O diagnóstico na maioria das vezes é feito através do exame clínico, da dosagem do hormônio beta hCG e da avaliação ultrassonográfica, mas em alguns casos pode ser necessário o exame histopatológico, considerado padrão ouro. É fundamental no segmento pós gestação molar, uma anticoncepção eficaz e avaliação do risco de transformação maligna, se fazendo de extrema importância no segmento das pacientes com mola hidatiforme, identificar aquelas que apresentam persistência da doença.

A educação em saúde como ferramenta no combate ao câncer de mama: relato de experiência

No Brasil, o câncer de mama ocupa a segunda colocação no que tange as neoplasias do público feminino. As medidas preventivas incluem ações primárias e secundárias, sendo as primárias referentes a um estilo de vida saudável e as secundárias apresentam-se mais específicas, estando ligada ao autoexame, avaliações periódicas da mama e realização de exames específicos, visando o diagnóstico precoce e o aumento na chance de cura. Dessa forma, este estudo objetivou relatar uma ação de educação em saúde ocorrida no âmbito da atenção primária de saúde, cuja proposta perpassava pela prevenção do câncer de mama a partir do reconhecimento prévio de suas manifestações, bem como da manutenção de hábitos saudáveis, visando a promoção da saúde dessas mulheres. Este estudo caracteriza-se como descritivo com abordagem qualitativa, do tipo relato de experiência, a partir da utilização da Teoria da Problematização fundamentada na metodologia do Arco de Charles Maguerez. Como principais resultados alcançados enfatiza-se que foi possível sensibilizar as mulheres sobre a importância do autocuidado adequado, além de oportunizar a participação ativa e ofertar um suporte adequado sobre os aspectos que permeiam a doença e suas chances de cura através do diagnóstico prévio. Ademais, conclui-se que a ação desenvolvida serviu como mecanismo consolidador dos aspectos que constituem a educação em saúde, reiterando a função fundamental da enfermagem no processo do cuidar.

Disparidades em saúde da população LGBTQIA+: a atuação médica frente a este cenário

O presente estudo buscou analisar, por meio de uma revisão de literatura, a qualidade do atendimento médico à população de lésbicas, gays, bissexuais e transsexuais (LGBTQIA+) sob a perspectiva da assistência humanizada, e destacou as demandas por uma assistência à saúde abrangente e equitativa a esse público. O artigo analisa os aspectos que determinam a não inclusão dessa minoria aos serviços de saúde, as situações de vulnerabilidade pelas quais a comunidade LGBTQIA+ é submetida, além de avaliar a qualificação profissional no atendimento à essa população, principalmente no âmbito da Atenção Primária à Saúde. Verificou-se que este grupo permanece sujeito a cuidados de saúde estereotipados e com base no sistema binário de sexualidade, o que leva a um atendimento preconceituoso e tendencioso por parte dos profissionais da saúde. Portanto, apesar dos avanços em relação à demanda do público LGBTQIA+, o profissional deve estar preparado para oferecer serviços à essa minoria, e é importante que seja introduzido durante a graduação. Também é essencial prestar assistência livre de crenças pessoais e viés ideológico para que seja possível disponibilizar um cuidado equitativo, acessível e centrado na pessoa e sua família, assim como determina os princípios do Sistema Único de Saúde.