社区参与家庭健康战略:其实施的历史,理论和方法方面
Pedro José Santos Carneiro Cruz1, Maria Helena Magalhães de Mendonça2, Márcia Guimarães de Mello Alves3
1Universidade Federal da Paraíba. Campus I Lot., Cidade Universitaria. 58051-900 João Pessoa PB Brasil. pedrojosecruzpb@yahoo.com.br.
社区参与初级卫生保健 (PHC) 对家庭健康战略 (ESF) 和统一卫生系统 (SUS) 至关重要. 克服资源短缺和专业专注等挑战是建立共同健康议程的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 健康的社会决定因素
背景情况:
- 初级卫生保健 (PHC) 模式,包括统一卫生系统 (SUS) 内的家庭健康战略 (ESF),越来越强调社区参与.
- 历史和社会背景揭示了整合社区参与医疗保健服务的不断变化的方法.
研究的目的:
- 审查PHC的社区参与方法.
- 通过分析社区参与,批判性地重建ESF和SUS的护理模式.
- 确定阻碍社区有效参与PHC的挑战.
主要方法:
- 评估性研究的审查,重点关注用户和卫生专业人士的观点.
- 分析社区参与PHC的历史和社会背景.
- 识别和综合报告的社区参与的挑战.
主要成果:
- 关键的挑战包括公众对SUS和健康作为权利的有限知识.
- 健康疾病过程的社会决定因素可能会破坏人口参与.
- 资源的局限性,员工的时间限制,管理层缺乏支持,专业专注于临床护理阻碍了参与.
结论:
- 社区参与对于ESF促进合作议程至关重要.
- 提供者,管理层和居民之间的共同议程是必不可少的.
- 动员社区参与肯定了生活,福祉和可持续的领土.
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