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  1. Article ; Online: Educational Strategies to Reduce Physician Shortages in Underserved Areas: A Systematic Review.

    Figueiredo, Alexandre Medeiros de / Labry Lima, Antonio Olry de / Figueiredo, Daniela Cristina Moreira Marculino de / Neto, Alexandre José de Melo / Rocha, Erika Maria Sampaio / Azevedo, George Dantas de

    International journal of environmental research and public health

    2023  Volume 20, Issue 11

    Abstract: The shortage of physicians in rural and underserved areas is an obstacle to the implementation of Universal Health Coverage (UHC). We carried out a systematic review to analyze the effectiveness of initiatives in medical education aimed to increase the ... ...

    Abstract The shortage of physicians in rural and underserved areas is an obstacle to the implementation of Universal Health Coverage (UHC). We carried out a systematic review to analyze the effectiveness of initiatives in medical education aimed to increase the supply of physicians in rural or underserved areas. We searched for studies published between 1999 and 2019 in six databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Interventional or observational controlled studies were defined as inclusion criteria. A total of 955 relevant unique records were selected for inclusion, which resulted in the identification of 17 articles for analysis. The admission of students from rural areas associated with a rural curriculum represented 52.95% of the interventions. Medical practice after graduation in rural or underserved areas was the most evaluated outcome, representing 12 publications (70.59%). Participants of these educational initiatives were more likely to work in rural or underserved areas or to choose family medicine, with significant differences between the groups in 82.35% of the studies. Educational strategies in undergraduate and medical residencies are effective. However, it is necessary to expand these interventions to ensure the supply of physicians in rural or urban underserved areas.
    MeSH term(s) Humans ; Medically Underserved Area ; Physicians ; Family Practice ; Curriculum ; Students ; Rural Health Services
    Language English
    Publishing date 2023-05-29
    Publishing country Switzerland
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20115983
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Effects of the economic recession on suicide mortality in Brazil: interrupted time series analysis.

    Figueiredo, Daniela Cristina Moreira Marculino de / Sanchéz-Villegas, Pablo / Figueiredo, Alexandre Medeiros de / Moraes, Ronei Marcos de / Daponte-Codina, Antonio / Schmidt Filho, Ricardo / Vianna, Rodrigo Pinheiro de Toledo

    Revista brasileira de enfermagem

    2022  Volume 75Suppl 3, Issue Suppl 3, Page(s) e20210778

    Abstract: Objectives: to analyze trends in suicide rates in Brazil in the period before and after the start of the economic recession.: Methods: interrupted time series research using national suicide data recorded in the period between 2012 and 2017 with ... ...

    Abstract Objectives: to analyze trends in suicide rates in Brazil in the period before and after the start of the economic recession.
    Methods: interrupted time series research using national suicide data recorded in the period between 2012 and 2017 with socioeconomic subgroups analyses. Quasi-Poisson regression model was employed to analyze trends in seasonally adjusted data.
    Results: there was an abrupt increase in the risk of suicide after economic recession in the population with less education (12.5%; RR = 1.125; 95%CI: 1.027; 1.232) and in the South Region (17.7%; 1.044; 1.328). After an abrupt reduction, there was a progressive increase in risk for the black and brown population and for those with higher education. In most other population strata, there was a progressive increase in the risk of suicide.
    Conclusions: the Brazilian economic recession caused different effects on suicide rates, considering social strata, which requires health strategies and policies that are sensitive to the most vulnerable populations.
    MeSH term(s) Brazil/epidemiology ; Economic Recession ; Educational Status ; Humans ; Interrupted Time Series Analysis ; Suicide
    Language Portuguese
    Publishing date 2022-06-10
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 731983-6
    ISSN 1984-0446 ; 0034-7167
    ISSN (online) 1984-0446
    ISSN 0034-7167
    DOI 10.1590/0034-7167-2021-0778
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3392: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic.

    Figueiredo, Alexandre Medeiros de / Figueiredo, Daniela Cristina Moreira Marculino de / Gomes, Luciano Bezerra / Massuda, Adriano / Gil-García, Eugenia / Vianna, Rodrigo Pinheiro de Toledo / Daponte, Antonio

    Revista brasileira de enfermagem

    2020  Volume 73, Issue Suppl 2, Page(s) e20200673

    Abstract: Objective: To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.: Methods: Ecological study with variables extracted from databases, ... ...

    Abstract Objective: To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.
    Methods: Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman's correlation coefficient and multiple regression analysis.
    Results: In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country's variations in federal units.
    Conclusion: Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.
    MeSH term(s) Betacoronavirus ; Brazil/epidemiology ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/mortality ; Epidemiologic Studies ; Humans ; Incidence ; Income ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/mortality ; Regression Analysis ; SARS-CoV-2 ; Social Determinants of Health ; Socioeconomic Factors ; Statistics, Nonparametric
    Keywords covid19
    Language Portuguese
    Publishing date 2020-11-13
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 731983-6
    ISSN 1984-0446 ; 0034-7167
    ISSN (online) 1984-0446
    ISSN 0034-7167
    DOI 10.1590/0034-7167-2020-0673
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3392: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Relação entre oferta de diagnóstico e tratamento da sífilis na atenção básica sobre a incidência de sífilis gestacional e congênita.

    Figueiredo, Daniela Cristina Moreira Marculino de / Figueiredo, Alexandre Medeiros de / Souza, Tanise Kely Bezerra de / Tavares, Graziela / Vianna, Rodrigo Pinheiro de Toledo

    Cadernos de saude publica

    2020  Volume 36, Issue 3, Page(s) e00074519

    Abstract: Brazil has reported an increase in the incidence of both gestational and congenital syphilis, posing a serious public health problem in the country. The study aimed to analyze the relationship between the supply of syphilis diagnosis and treatment in ... ...

    Title translation Relationship between the supply of syphilis diagnosis and treatment in primary care and incidence of gestational and congenital syphilis.
    Abstract Brazil has reported an increase in the incidence of both gestational and congenital syphilis, posing a serious public health problem in the country. The study aimed to analyze the relationship between the supply of syphilis diagnosis and treatment in primary care and the incidence rates of gestational and congenital syphilis. An ecological study analyzed these incidence rates and the coverage of diagnostic and therapeutic measures in primary care. The study sample consisted of municipalities (counties) with population over 20,000, with coverage by primary care over 50%, and where the majority of the teams were assessed in the second cycle of the National Program for Improvement of Access and Quality of Basic Care. Analysis of the effectiveness of detection and treatment measures was based on the development of the Index of Variation in Vertical Syphilis Transmission. The administration of penicillin and application of the rapid test in these municipalities showed median rates of 41.9% and 67.14%, respectively, with regional differences. Median incidence of gestational syphilis was 6.24 (IQR: 2.63-10.99) in municipalities with a higher supply of the rapid test and 3.82 (IQR: 0.00-8.21) in those with a lower supply, indicating an increase in detection capacity. Municipalities with a reduction in vertical transmission showed higher median rates of teams with supply of rapid testing and (83.33%; IQR: 50.00-100.00) and administration of penicillin (50.00%; IQR: 11.10-87.50), demonstrating a relationship between these measures and the reduction in congenital syphilis. The findings indicate the need to expand these services and to reinforce the importance of reducing vertical transmission.
    MeSH term(s) Brazil ; Female ; Humans ; Incidence ; Infectious Disease Transmission, Vertical ; Pregnancy ; Pregnancy Complications, Infectious ; Prenatal Care ; Primary Health Care ; Syphilis ; Syphilis, Congenital
    Language Portuguese
    Publishing date 2020-03-23
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 1115730-6
    ISSN 1678-4464 ; 0102-311X
    ISSN (online) 1678-4464
    ISSN 0102-311X
    DOI 10.1590/0102-311X00074519
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4981: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Quality of Primary Health Care in Brazil: patients'view.

    Figueiredo, Daniela Cristina Moreira Marculino de / Shimizu, Helena Eri / Ramalho, Walter Massa / Figueiredo, Alexandre Medeiros de / Lucena, Kerle Dayana Tavares de

    Revista brasileira de enfermagem

    2018  Volume 71, Issue suppl 6, Page(s) 2713–2719

    Abstract: Objective: To describe the evaluation of patients that participated in the National Program for Improving the Access and Quality in Primary Health Care (Programa Nacional de Melhoria do Acesso e da Qualidade na Atenção Básica) for the comprehensive ... ...

    Abstract Objective: To describe the evaluation of patients that participated in the National Program for Improving the Access and Quality in Primary Health Care (Programa Nacional de Melhoria do Acesso e da Qualidade na Atenção Básica) for the comprehensive healthcare, the bond and the coordination of care in the country's macro-regions.
    Method: A descriptive, transversal study, from interviews with 65,391 patients of Primary Health Care, in 3,944 municipalities regarding the use of health services.
    Results: The professionals seek to solve the patients' problems in their unit (73.1%) but focused mainly on the scope of the appointment (65.6%) and offering care away from the population's reality (69.4%). Difficulties in the rescue of clinical history were referred (50.3%) and in the care performed in other health services (29.2%).
    Conclusion: The comprehensive health care, the bond and the coordination of care remain challenges to the Primary Health Care in the country, requiring reflections on the implementation of national policies, especially considering the regional diversities in Brazil.
    MeSH term(s) Adult ; Brazil ; Female ; Humans ; Male ; Middle Aged ; Patient Satisfaction ; Patients/psychology ; Primary Health Care/methods ; Primary Health Care/standards ; Quality of Health Care/standards ; Surveys and Questionnaires
    Language Portuguese
    Publishing date 2018-07-04
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 731983-6
    ISSN 1984-0446 ; 0034-7167
    ISSN (online) 1984-0446
    ISSN 0034-7167
    DOI 10.1590/0034-7167-2017-0656
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3392: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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