The aim of this study was to investigate a productivity measurement at the South African Minting Company and evaluate the relationship between productivity and quality. Special emphasis was given to profit-linked total factor model as the tool for measurement. This was encouraged by their ability to separate productivity, profitability and price recovery. Three models were selected and evaluated. These models American Productivity Center (APC) Model, “Profitability = productivity + price recovery” (PPP) model and multi-factor productivity measurement model (MFPMM). APC model was selected as the suitable model because of its simplicity, easy to set up, its ability to produce both financial and non financial data, and allow for route cause analysis with expert system, and more insight for the manager with Microsoft Excels’ What if analysis “Goal seek”. APC model was set up for four periods, from 1 April 2004 to 30 September 2007. The overall profitability results of the circulation coins profit center show an overall positive contribution. There was a break-even of the price recovery for 2006 financial year (period 2). In 2007 financial year (period 3), there was a negative contribution, and this improved to almost break-even in the six month period during this 2008 financial year (period 4). This means there was much more inflation on input resources and the recovery was not fully realised in the price of goods sold. Individual input costs show that the negative price recovery is culminating from material, labour and energy costs contributions. There is a plausible explanation for material and labour, but not for energy. The metal volatility is the underlying cause of the price variation. Labour variation was a company strategy to adjust employee to higher percentiles. Productivity was always positive with the highest contribution in the current financial year (period 4). This means that the profitability at SA Mint has been driven by productivity in the past two financial years. iv Survey of the questionnaire shows average scores for productivity and quality. It is noteworthy, that the lowest mean score for productivity is for the statement “Products are produced in error-free process”. This is a productivity quality measure. In addition, the same variable shows r2 value of 0.42. A conclusion is that even though productivity and quality are highly correlated and show a highly positive relationship, there is a concern on quality in the company. A link can be made that low price recovery becomes more difficult when the quality is not always good. Defective product is a cost, because the product does not reach the customer and if the product is reworked it is still a cost, though low, but more importantly it decreases the available capacity. This study was successful in setting up APC model and producing data that is worthy to the company and academic world. Finally, this study was successful in its quest to establish the relationship between productivity and quality.

No description available.

No description available.

Este artículo explora las consideraciones tomadas en cuenta para efectuar una propuesta de mejora de procesos en una empresa del sector metal mecánico peruano. El documento resume el marco teórico básico que define a los tipos de sistemas de producción, las técnicas para identificación de problemas y mejoramiento continuo de procesos; posteriormente pasa describir las pautas que rigieron la selección de uno de los procesos de la empresa, donde se centro detenidamente el estudio. En la última parte se detallan las conclusiones resultantes del estudio de mejora, donde se puede encontrar muchas vinculadas a la parte operativas del proceso, al estudio en sí y a la parte organizativa y metas que se maneja dentro la empresa.

Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T17:59:06Z No. of bitstreams: 1 DIS_MARIELE_CUNHA_RIBEIRO_PARCIAL.pdf: 672571 bytes, checksum: 27c2bd20182f999e450542417e172b4e (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T17:59:13Z (GMT) No. of bitstreams: 1 DIS_MARIELE_CUNHA_RIBEIRO_PARCIAL.pdf: 672571 bytes, checksum: 27c2bd20182f999e450542417e172b4e (MD5) / Made available in DSpace on 2017-06-30T17:59:20Z (GMT). No. of bitstreams: 1 DIS_MARIELE_CUNHA_RIBEIRO_PARCIAL.pdf: 672571 bytes, checksum: 27c2bd20182f999e450542417e172b4e (MD5) Previous issue date: 2017-03-10 / Objective: to evaluate the theoretical and practical knowledge of the inhaled technique of asthmatic children and their parents, in an outpatient clinic setting, and the association with control of disease. Methods: a cross-sectional and prospective study was carried out to evaluate the knowledge of inhaled technique in children and adolescents with asthma and their parents, in two outpatient clinics from Southern Brazil. Questionnaires assessing control of the disease and adherence to treatment, and evaluation of inhaled technique were applied. Results: 119 children and their parents were included. Only 24/119 (20%) of the parents reached the expected levels of theoretical knowledge about inhaled technique. In the practical evaluation of the inhalation technique by metered-dose inhaler (MDI), 31/59 (53%) of the parents reached satisfactory knowledge levels, and, of the 57 children evaluated by ID technique, only 9/57 (16%) of the children evaluated with MDI reached satisfactory knowledge levels, and only 11/28 (39%) of the children assessed with dry powder devices scored satisfactorily. In general, the evaluation of inhaled technique reached satisfactory levels in only 44/119 (37%) of the patients. There was no significant association between asthma control and knowledge levels of inhaled technique. Conclusion: Our results demonstrate that children and their parents have reduced mastery of inhalation techniques. This basic problem of managing childhood asthma needs to be reviewed in the strategies used for disease education in real-life clinical settings. / Objetivo: avaliar o conhecimento te?rico-pr?tico da terapia inalat?ria de pais e pacientes com asma, em acompanhamento ambulatorial, e sua rela??o com controle da doen?a. M?todos: foi realizado um estudo transversal, para avaliar o dom?nio das t?cnicas inalat?rias em crian?as com asma e seus pais, em acompanhamento em dois centros ambulatoriais no sul do Brasil. Foram aplicados question?rios incluindo avalia??o do controle da doen?a e ades?o ao tratamento, e avalia??o te?rico-pr?tica da t?cnica inalat?ria. Resultados: foram inclu?das 119 crian?as e respectivos pais. Deste total, apenas 24 (20%) dos pais alcan?aram os n?veis esperados de conhecimento te?rico sobre inaloterapia. Na avalia??o pr?tica da t?cnica inalat?ria por inalador dosimetrado (ID), 31/59 (53%) dos pais alcan?aram n?veis satisfat?rios, e na avalia??o pr?tica aplicada ?s crian?as (ID e p? seco), 9/57 (16%) das crian?as usando ID alcan?aram n?veis satisfat?rios e 11/28 (39%) das crian?as usando p? seco obtiveram pontua??o satisfat?ria. No geral, apenas 44/119 (37%) dos pacientes pontuaram de forma satisfat?ria na avalia??o da t?cnica inalat?ria. N?o houve associa??o significativa entre o controle da asma e n?veis de conhecimento em inaloterapia. Conclus?o: nossos resultados demonstram que crian?as e seus pais apresentam reduzido dom?nio das t?cnicas inalat?rias. Este problema b?sico de manejo da asma infantil necessita ser revisado nas estrat?gias utilizadas para educa??o da doen?a em cen?rios cl?nicos de vida real.

Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T18:50:43Z No. of bitstreams: 1 DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf: 433423 bytes, checksum: d92b2b78aff1d6d8d7d70ef28db3ccef (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T18:50:50Z (GMT) No. of bitstreams: 1 DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf: 433423 bytes, checksum: d92b2b78aff1d6d8d7d70ef28db3ccef (MD5) / Made available in DSpace on 2017-06-30T18:50:59Z (GMT). No. of bitstreams: 1 DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf: 433423 bytes, checksum: d92b2b78aff1d6d8d7d70ef28db3ccef (MD5) Previous issue date: 2016-08-31 / Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPq / Introduction: asthma is a chronic disease that affects about of 20,000,000 people in Brazil, representing the third cause of hospitalization in the country. Disease impact data are scarce in the country, but are essential for better management in public health with consequent better control of the disease in the population. Objective: The aim of our study is to present a longitudinal official data about the impact of asthma in Brazil from 2008 to 2013. Methods: We performed a descriptive study from a Brazilian government database (DATASUS), analyzing hospitalizations, the number of deaths from asthma (between 2008 and 2013), and cost of admissions, with a geographical sub-analysis. Results: In the last year analyzed, 2047 people died from asthma in Brazil (5 deaths/day), with more than 120 000 hospitalizations/year. In the whole period analyzed, the absolute number of deaths and hospitalizations decreased 10% and 36%, respectively. However, the mortality rate in hospitalized patients increased by approximately 25% in this period. Analyzing the different regions of the country, the North/Northeast and Southeast regions have the highest rates of hospitalizations for asthma and deaths of hospitalized patients, respectively. When we evaluated representative states of the regions, we also observed discrepancies in hospitalization numbers and percentage of deaths among patients hospitalized. Finally, in the studied period, hospitalizations cost US$ 170 million to the public health system. Conclusions: Although the number of hospitalizations for asthma has decreased in Brazil since 2009, mortality rates have increased, with high budget costs, showing the importance of the burden of asthma in middle-income countries. / Introdu??o: a asma ? uma doen?a cr?nica que acomete cerca de 20 milh?es de pessoas no Brasil, representando a terceira causa de hospitaliza??es no pa?s. Dados de impacto da doen?a s?o escassos no pa?s, mas s?o essenciais para melhor gest?o em sa?de p?blica com consequente melhor controle da doen?a na popula??o. Com isso, o objetivo deste estudo ? apresentar os dados oficiais longitudinais sobre o impacto da asma no Brasil a partir de 2008 a 2013. M?todos: Realizamos um estudo descritivo de um banco de dados do governo brasileiro (DATASUS), analisando as hospitaliza??es, o n?mero de mortes por asma (entre 2008 e 2013) e custo de admiss?es, com uma sub-an?lise geogr?fica. Resultados: No ?ltimo ano analisado, 2047 pessoas morreram de asma no Brasil (5 mortes/dia), com mais de 120 000 hospitaliza??es/ano. Em todo o per?odo analisado, o n?mero absoluto de mortes e interna??es diminuiu 10% e 36%, respectivamente. No entanto, a taxa de mortalidade de pacientes hospitalizados aumentou cerca de 25% neste per?odo. Analisando as diferentes regi?es do pa?s, as regi?es norte/nordeste e sudeste apresentam as maiores taxas de hospitaliza??es por asma e mortes de pacientes hospitalizados, respectivamente. Quando avaliamos os estados, das regi?es, observou-se tamb?m discrep?ncias nos n?meros de hospitaliza??o e a porcentagem de mortes entre pacientes hospitalizados. Finalmente, no per?odo estudado, as interna??es custaram US$ 170 milh?es para o Sistema de Sa?de P?blica. Conclus?es: Embora o n?mero de interna??es por asma tem diminu?do no Brasil desde 2009, as taxas de mortalidade aumentaram, com elevados custos no or?amento, mostrando a import?ncia da carga da asma em pa?ses em desenvolvimento.

Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-07-07T17:48:39Z No. of bitstreams: 1 DIS_BIBIANA_ALTENBERND_PARCIAL.pdf: 82302 bytes, checksum: 53d8ea8d7c1c65969a50b1494ac3a889 (MD5) / Made available in DSpace on 2017-07-07T17:48:39Z (GMT). No. of bitstreams: 1 DIS_BIBIANA_ALTENBERND_PARCIAL.pdf: 82302 bytes, checksum: 53d8ea8d7c1c65969a50b1494ac3a889 (MD5) Previous issue date: 2017-06-09 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / In the professions intended to care exercise, the worker?s subjectivity can be specially driven to other?s demand, as it happens in the urgency and emergency hospital context. This Dissertation aims to comprehend the nurse?s experience in this labor scenario, wich is marked by complex tensioning between the work conditions offered to the professional and what is demanded to the subject to an appropriate realization of the urgency and emergency care to the other. For this purpose, this study is formed by two Sections. The Theoretical Section includes the discussion about the care experience done in this context characterized by the precarious work conditions and marked by particular requirements of the ready reception of the population?s urgency and emergency necessities. Psychoanalysis offers the theoretical foundations to problematize the care to the caregiver, as it articulates the indispensable subjective and psychic conditions present in the work scenario and inherent aspects to the care exercise, which extrapolate the technic skills. To correspond the population?s assistance demands, the constantly request of readiness in work and a strict performance of their technical expertise concern to the nurses. Among the obstacles which characterize this work context, the precarious work condition and the difficulties of its structural complexity are highlighted. To offer care in this circumstances, the work experience extrapolates the exclusive technical preparation and restrict to the focus of prescriptions compliance. Within this perspective, it is crucial that the professional take care of himself and accept being cared to handle his attributions and can offer to another one a genuine care, free of excess and impositions. In the Empirical Section, many ways of work rhythms that make the care experience and the routine of nurses who work in urgency and emergency sectors of a hospital in Rio Grande do Sul are noted. By the Interpretative Analysis Method, the narratives of eight participants who had been interviewed are analyzed. From the obtained data in the interviews, it is highlighted the relevance of the institutional implication to work appreciation and to the recognition of the pertinence of taking care of the caregiver. The accomplishment of this study, having the contribution of the foundations of psychoanalytical theory concerning the facts that embrace the care practice, has provided further comprehension to aspects involved in care experience work directed to other?s urgency and emergency. Taking in consideration that the workers subjectivity is requested to solve the work impasses, when the prescribed action is not enough, the resources of the own subject appears and allow the care realization from creative and sensible solutions to other?s demand. For this purpose, it is essential that the professional suffer can be legitimated, as well as his work appreciated and noted. Therefore, it is indispensable an offer of reflexion spaces in work context in order to host the worker singularity, taking place, from this process, the effective implementation of implicit conditions to mutual care. / Nas profiss?es destinadas ao exerc?cio do cuidado, a subjetividade do profissional pode estar especialmente voltada ?s demandas do outro, como ocorre no contexto hospitalar de urg?ncia e emerg?ncia. Nesta Disserta??o, objetiva-se a compreens?o acerca da experi?ncia de enfermeiros neste cen?rio laboral marcado por complexos tensionamentos entre as condi??es de trabalho oferecidas ao profissional e o que ? demandado do sujeito para a adequada efetiva??o do cuidado ?s urg?ncias e emerg?ncias do outro. Para tanto, este estudo ? composto por duas Se??es. Na Se??o Te?rica, contempla-se a discuss?o sobre a experi?ncia de cuidado realizada neste contexto marcado pela precariedade das condi??es de trabalho e por exig?ncias pr?prias para o pronto acolhimento das necessidades de urg?ncia e emerg?ncia da popula??o. A Psican?lise oferece os alicerces te?ricos para a problematiza??o do cuidado voltado ao cuidador, ao articular as imprescind?veis condi??es subjetivas e ps?quicas presentes no cen?rio laboral e aspectos inerentes ao exerc?cio do cuidado, os quais extrapolam as aptid?es t?cnicas. Para corresponder ?s demandas de assist?ncia a popula??o, sobre os enfermeiros incidem as exig?ncias de constante prontid?o no trabalho e o desempenho rigoroso de sua expertise t?cnica. Dentre os entraves que caracterizam este ambiente de trabalho, ressalta-se a precariedade das condi??es laborais e as dificuldades advindas de sua complexidade estrutural. Para a oferta de cuidado nessas circunst?ncias, a experi?ncia laboral extrapola o preparo exclusivamente t?cnico e o restrito foco no cumprimento das prescri??es. Nesta perspectiva, ? imprescind?vel o profissional cuidar-se e aceitar ser cuidado para dar conta de suas atribui??es e oferecer a outro um cuidado genu?no, livre de excessos e imposi??es. Na Se??o Emp?rica, constatam-se as diversas modalidades de ritmos laborais que comp?em a experi?ncia de cuidado e a rotina dos enfermeiros que trabalham nos setores de urg?ncia e emerg?ncia em um hospital do Rio Grande do Sul. Por meio do M?todo An?lise Interpretativa, s?o analisadas as narrativas de oito participantes entrevistados. A partir dos dados obtidos nas entrevistas, destaca-se a relev?ncia da implica??o institucional para a valoriza??o do trabalho e para o reconhecimento da pertin?ncia do cuidado voltado ao cuidador. A realiza??o deste estudo, tendo como aporte os fundamentos da teoria psicanal?tica a respeito de fatores que envolvem a pr?tica do cuidado, propiciou o aprofundamento da compreens?o de aspectos implicados na experi?ncia do trabalho de cuidado voltado ?s urg?ncias e emerg?ncias do outro. Tendo em vista que a subjetividade do profissional ? convocada a resolver os impasses do trabalho, quando a a??o prescrita ? insuficiente, os recursos pr?prios do sujeito entram em cena e permitem a efetiva??o do cuidado a partir de solu??es criativas e sens?veis ? demanda do outro. Para tanto, ? essencial que o sofrimento do profissional seja legitimado, assim como o seu trabalho seja valorizado e reconhecido. Conclui-se, assim, ser imprescind?vel a oferta de espa?os de reflex?o no ambiente laboral a fim de que ocorra o acolhimento ? singularidade do profissional, decorrendo deste processo a efetiva implementa??o de condi??es impl?citas ? mutualidade de cuidado.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-02-28T19:37:57Z No. of bitstreams: 1 KUMMER_SIMONE_ STOCHERO_TESE.pdf: 14951492 bytes, checksum: 35bf21205050fb9f9520769b18f05ad9 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-03-06T14:33:08Z (GMT) No. of bitstreams: 1 KUMMER_SIMONE_ STOCHERO_TESE.pdf: 14951492 bytes, checksum: 35bf21205050fb9f9520769b18f05ad9 (MD5) / Made available in DSpace on 2018-03-06T14:41:14Z (GMT). No. of bitstreams: 1 KUMMER_SIMONE_ STOCHERO_TESE.pdf: 14951492 bytes, checksum: 35bf21205050fb9f9520769b18f05ad9 (MD5) Previous issue date: 2017-10-18 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / INTRODUCTION: the progressive aging of the population brings with it changes in the needs of the social organization in which we all live, demanding a better understanding of this epidemiological transition and of all the ways to lead a healthy longevity. Changes in age structure and the consequences of population aging make the prevalence of chronic-degenerative diseases more significant, a process that requires a Public System prepared to deal with disease prevention issues and ongoing health promotion. OBJECTIVE: compare the frequency and costs of the hospitalization of the elderly in the municipalities of the 10th Region of Health. METODOLOGIA: The quantitative part is transversal type, with the analysis carried out from the elements collected in the DATASUS database. These part was complemented by a qualitative part, with the opinions of their health system managers, in order to provide elements that help improve health care and management with more quality, data were collection from the year 2014. In the qualitative part with longitudinal type, there were used questionnaires with open questions to the managers, a pre-analysis was carried out, and a spreadsheet was created in Excel, which was changed and/or complemented in the three preliminary meetings of the Pilot Project. Subsequently these data were used as a subsidy for the focus group discussions, which consisted of six health managers (or their representatives), who participated in seven meetings, in which six studies were carried out on the health situation, one for each County. RESULTS: a quantitative value of ICSAP was found among the residents of the 10th Region in the State and other Health Regions of the state, with a total of 52,94 hospitalizations per 1000 resident elderly residents, while the total Of ICSAP among the elderly in the State of Rio Grande do Sul was 64,58. However, in relation to the ICSAP of the diagnostic group L, skin and subcutaneous tissue diseases, Region 10 had 0.56 hospitalizations per 1000 elderly inhabitants, while in the whole state, in this diagnostic group, 0,48. The same occurs in the diagnostic group N, diseases of the genitourinary system: in the 10th Region of Health there were 4,27 ICSAP per 1000 elderly inhabitants, while in the whole state of Rio Grande do Sul were 3,94, with 3,86 hospitalizations for every 1000 elderly people in other health regions. Health Education issues for SUS users and health professionals, focusing on the specific needs of the elderly, were pointed out as a resolution to 72,4% of health problems of the Region 10. The implementation and expansion of home care services, according to a better at Home Program, were indicated in the intention of better accompanying the outpatients of hospital discharges, with a view to considering not only dehospitalization, but effectively reducing hospital readmissions. FINAL CONSIDERATIONS AND PERSPECTIVES: The cross-referencing of demographic, socioeconomic, epidemiological and morbidity and mortality data provides a more solid, critical and supported view for the construction of opinions favorable or unfavorable to health actions and the use of public resources. In addition, the development of the skills of collecting and analyzing these data stands out as something that should also be disseminated among health professionals and management representatives who participate in the decision-making processes, be it meetings of Regional Interagency Commissions (CIRs). The Bipartite Interagency Committee (CIB) or the Municipal or State Health Councils. The list of sensitive conditions to Primary Care should function as an indicator of indirect measures of the functioning and resolving capacity of Primary Health Care. This study may be of great importance and value to the managers involved with basic care, and can act as another indicator of their quality, being included in the contributions for the evaluation of the implementation and implementation of health policies. Considering that all health action requires the availability of resources, it is suggested to think of a National Health Policy for the Elderly that binds costing with the fulfillment of goals, in order to meet its end-goals. / O progressivo envelhecimento da popula??o vem trazendo consigo modifica??es das necessidades na organiza??o social em que vivemos, exigindo uma melhor compreens?o desta transi??o epidemiol?gica e de todas as formas de conduzir uma longevidade saud?vel. As mudan?as na estrutura et?ria e as consequ?ncias do envelhecimento populacional tornam mais significativa a preval?ncia de doen?as cr?nico-degenerativas, processo que exige um sistema p?blico preparado para lidar com quest?es de preven??o da doen?a e permanente promo??o da sa?de. Este trabalho teve por objetivo comparar frequ?ncia e custos de interna??es de idosos dos munic?pios da 10? Regi?o de Sa?de, complementando com opini?es de seus gestores, para disponibilizar elementos que auxiliem a melhora desse atendimento e a gest?o das a??es de Sa?de. Foi realizado um estudo quanti-qualitativo, sendo a parte quantitativa do tipo transversal, com coleta de dados referentes ao ano de 2014, e a parte qualitativa do tipo longitudinal. Realizada an?lise a partir dos elementos colhidos no banco de dados DATASUS, complementados com a realiza??o de question?rios com perguntas aos gestores, sendo realizada uma pr?-an?lise, montada uma planilha no excel, que foi alterada e/ou complementada nos tr?s encontros preliminares do projeto piloto e, posteriormente, utilizada como subs?dio para as discuss?es do grupo focal, o qual constituiu-se dos seis gestores de sa?de (ou seus representantes), que participaram de sete encontros, em que foram realizados seis estudos de caso acerca da situa??o de sa?de, no que se refere ? aten??o ? pessoa idosa, um estudo de caso para cada um dos munic?pios pesquisados. Resultados: Percebeu-se entre os mun?cipes da 10? Regi?o, um quantitativo de ICSAP abaixo dos valores no Estado e de outras Regi?es de Sa?de do estado, apresentando um total de 52,94 interna??es a cada 1000 habitantes idosos residentes, enquanto que o total geral de ICSAP entre os idosos de todo o Estado do Rio Grande do Sul foi de 64,58. No entanto, no que se refere ?s ICSAP do grupo diagn?stico L, doen?as da pele e do tecido subcut?neo, a Regi?o 10 apresentou 0,56 interna??es a cada 1000 habitantes idosos, enquanto que em todo o Estado, nesse grupo diagn?stico, ocorreram 0,48. O mesmo se repetiu para o grupo diagn?stico N, doen?as do aparelho geniturin?rio: na 10? Regi?o de Sa?de ocorreram 4,27 ICSAP a cada 1000 habitantes idosos, enquanto que em todo o Estado do Rio Grande do Sul ocorreram 3,94, com 3,86 interna??es a cada 1000 idosos nas outras regi?es de Sa?de. As quest?es de Educa??o em Sa?de aos usu?rios do SUS e aos profissionais da sa?de, sob o enfoque das necessidades espec?ficas do idoso, foram apontadas como resolu??o para 72,4% de problem?ticas em sa?de da Regi?o 10. A implementa??o e amplia??o de servi?os de interna??o domiciliar, conforme o Programa Melhor em Casa, foram indicadas na inten??o de melhor acompanhar os pacientes egressos de altas hospitalares, vislumbrando comtemplar n?o apenas a desospitaliza??o, mas efetivamente a redu??o das reinterna??es hospitalares. Considera??es finais e perspectivas: O cruzamento de dados demogr?ficos, socioecon?micos, epidemiol?gicos e de morbimortalidade proporciona uma vis?o mais s?lida, cr?tica e respaldada para a constru??o de pareceres favor?veis ou desfavor?veis ?s a??es de sa?de e ? utiliza??o dos recursos p?blicos. Al?m de que o desenvolvimento de habilidades de coleta e de an?lise desses dados, destaca-se como algo que merece ser disseminado tamb?m entre os profissionais da sa?de e representantes da gest?o que participam dos processos decis?rios, seja em reuni?es de Comiss?es Intergestores Regionais (CIR), Comiss?o Intergestores Bipartite (CIB) ou dos Conselhos Municipais ou Estadual de Sa?de. A lista de condi??es sens?veis ? Aten??o Prim?ria deve funcionar como um indicador de medidas indiretas do funcionamento e da capacidade resolutiva da aten??o prim?ria ? sa?de, este estudo pode ser de grande valia aos gestores envolvidos com a aten??o b?sica, podendo funcionar como mais um balizador de sua qualidade, sendo inclu?do nas contribui??es para a avalia??o da implanta??o e da implementa??o das pol?ticas de sa?de. Considerando que toda a a??o de sa?de exige a disponibiliza??o de recursos, sugere-se pensar em uma Pol?tica Nacional de Sa?de da Pessoa Idosa que vincule custeio com o cumprimento de metas, em prol de atender seus objetivos-fim.

Submitted by PPG Psicologia (psicologia-pg@pucrs.br) on 2018-06-08T22:45:19Z No. of bitstreams: 1 PAOLA_FAGUNDES_PASE_DIS.pdf: 3507257 bytes, checksum: 3962861ace5ba60d09e35f9c3a1f0c89 (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-06-20T12:53:08Z (GMT) No. of bitstreams: 1 PAOLA_FAGUNDES_PASE_DIS.pdf: 3507257 bytes, checksum: 3962861ace5ba60d09e35f9c3a1f0c89 (MD5) / Made available in DSpace on 2018-06-20T13:03:20Z (GMT). No. of bitstreams: 1 PAOLA_FAGUNDES_PASE_DIS.pdf: 3507257 bytes, checksum: 3962861ace5ba60d09e35f9c3a1f0c89 (MD5) Previous issue date: 2018-03-21 / This dissertation aimed to discuss gender issues in prison health professionals? discourse. These professionals work in a female prison in Rio Grande do Sul state. The specific objectives were: reflect on institutional aspects related to health attention to imprisoned women, verify gender aspects in prison and health policies that consider it, question health education considering gender and sexual diversity. A book chapter to be released with thoughts on gender and sexual diversity in prison and a presentation of results from 2 studies in the field was the theoretical part of this work. Practical section was developed through a qualitative article with the analysis method of thematic analysis of the theme gender in the participants? speech excerpts in five matrix support meetings. Analyzed data in the article are part of a bigger project developed and executed from 2013 to 2015 by Rio Grande do Sul?s state prison health department in partnership with Instituto de Criminologia de Sevilha, Funda??o Escola Superior do Minist?rio P?blico (FMP), Universidade Federal do Rio Grande do Sul (UFRGS) ? Educa Sa?de. FAPERGS (PPSUS) financed this project. In this dissertation, the chosen results were organized in three subthemes from the main theme: pregnancy and babies staying in prison, body norms and health and transgender people social names. The discussion of these results followed theoretical aspects of feminist and queer criminology, gender and sexual diversity and collective health. The article mainly addressed the right to integral health care in prison, specifically to women and LGBT population, and also the issue of pregnancy and babies staying in this institution. Another important topic is the role of health education about these themes in order to reduce prejudice and to qualify health attention. / O objetivo principal desta disserta??o foi discutir sobre os aspectos de g?nero a partir dos discursos de profissionais da sa?de que trabalham em uma penitenci?ria feminina do Rio Grande do Sul. Os objetivos espec?ficos foram: refletir sobre os aspectos institucionais vinculados ? aten??o ? sa?de e o cuidado das mulheres privadas de liberdade, verificar o recorte de g?nero no contexto prisional e as pol?ticas de sa?de que o considerem, problematizar a educa??o em sa?de considerando os recortes de diversidade sexual e de g?nero. Um cap?tulo de livro a ser publicado com reflex?es te?ricas sobre diversidade sexual e de g?nero no sistema prisional e a apresenta??o de resultados de dois estudos no campo integrou a parte te?rica da disserta??o. A sess?o emp?rica foi desenvolvida por meio de um artigo qualitativo com a an?lise tem?tica do tema g?nero a partir das falas presentes em cinco encontros de Apoio Matricial. Os dados analisados no artigo constituem uma parte do material coletado durante um projeto maior executado durante os anos de 2013 a 2015 pela Coordena??o Estadual de Sa?de Prisional do RS, financiado pela FAPERGS (edital PPSUS), em parceria com o Instituto de Criminologia de Sevilha, a Funda??o Escola Superior do Minist?rio P?blico (FMP) e a Universidade Federal do Rio Grande do Sul (UFRGS) ? Educa Sa?de. Os resultados foram organizados em 3 subtemas como desdobramentos do tema principal: gesta??o e perman?ncia dos beb?s na pris?o, normas corporais e sa?de e nome social de pessoas trans. A discuss?o dos resultados seguiu referenciais das ?reas da criminologia feminista e quer, diversidade sexual e de g?nero e sa?de coletiva. O artigo abordou principalmente a necessidade do direito ? sa?de integral da popula??o encarcerada e, especificamente, de mulheres e popula??o LGBT em geral, al?m da quest?o da gesta??o e perman?ncia de beb?s nesse espa?o. Outro assunto importante foi o papel da educa??o para profissionais de sa?de considerando essa tem?tica e a import?ncia desse processo para a redu??o do preconceito e qualifica??o no atendimento ? sa?de dessas pessoas.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2018-07-17T22:34:56Z No. of bitstreams: 1 DISSERTA??O FINAL Fernanda Q. R. S. Lopes.pdf: 1329128 bytes, checksum: dac4a50b26ea0110c0e0066f268f6a9a (MD5) / Made available in DSpace on 2018-07-17T22:34:56Z (GMT). No. of bitstreams: 1 DISSERTA??O FINAL Fernanda Q. R. S. Lopes.pdf: 1329128 bytes, checksum: dac4a50b26ea0110c0e0066f268f6a9a (MD5) Previous issue date: 2018-04-16 / This study aimed to analyze the national and international scientific productions produced on health workers Health Agents (AS), from 2007 to 2017. It is an integrative review of literature, conducted in index databases , covering the period from 2007 to 2017. The integrative review was carried out through six stages, starting with the definition of the theme and guiding question, establishment of inclusion and exclusion criteria, identification of selected and pre-selected studies, categorization, interpretation and synthesis of the studies. What is known about the working and health conditions of health workers? What recommendations and interventions are proposed for the protection and promotion of the health of health workers? The searches occurred between October and December 2017, using descriptors: primary health care, occupational health, health personnel, community health workers. After submission to the selection criteria, 26 studies were eligible and extracted the characteristics and categories submitted to the content analysis method. The results are presented in two articles entitled: Article 1: "Working conditions and health of health workers: an integrative review", which found that working conditions are inadequate and, as a result, ASs suffer from problems mental disorders, dermatological alterations, vocal complaints and diseases of the musculoskeletal system. Article 2: "Protection and promotion of health in the work of AS: an integrative review" it was observed that the actions of protection and health promotion of AS are in the field of ideas and protection measures need to be directed according to the context of the work. Conclusion: Workers' health actions for AS need to be fostered in collective spaces, intersectorial action, seeking to understand the barriers to implementation and to enable strategies to overcomethem. / Este estudo teve como objetivo analisar as produ??es cient?ficas nacionais e internacionais produzidas sobre a sa?de dos trabalhadores Agentes de Sa?de (AS), no per?odo de 2007 a 2017. Trata-se de um estudo de revis?o integrativa de literatura, realizada em bases de dados indexadas, referentes ?s publica??es do per?odo de 2007 a 2017. A revis?o integrativa foi realizada percorrendo seis etapas, iniciando pela defini??o do tema e quest?o norteadora, estabelecimento dos crit?rios de inclus?o e exclus?o, identifica??o dos estudos selecionados e pr?-selecionados, categoriza??o, interpreta??o e s?ntese dos estudos. O que se conhece sobre as condi??es de trabalho e sa?de dos/as trabalhadores/as agentes de sa?de? Quais as recomenda??es e interven??es propostas para a prote??o e promo??o da sa?de dos agentes de sa?de? As buscas ocorreram entre outubro e dezembro de 2017, utilizando descritores: primary health care, occupational health, health personnel, community health workers, em ingl?s. Ap?s a submiss?o aos crit?rios de sele??o, ficaram como eleg?veis 26 estudos e deles extraiu-se as caracter?sticas e categorias submetidas ao m?todo de an?lise do conte?do. Os resultados s?o apresentados em dois artigos intitulados de: artigo 1: ?Condi??es de trabalho e sa?de dos agentes de sa?de: uma revis?o integrativa?, em que se verificou que as condi??es de trabalho s?o inadequadas e, com isso, os AS adoecem de problemas mentais, altera??es dermatol?gicas, queixas vocais e doen?as do sistema osteomuscular. O artigo 2: ?Prote??o e promo??o da sa?de no trabalho dos AS: uma revis?o integrativa? observou-se que as a??es de prote??o e promo??o ? sa?de dos AS est?o no campo das ideias e as medidas de prote??o precisam ser direcionadas de acordo com o contexto do trabalho. Conclus?o: As a??es em sa?de do trabalhador para os AS precisam ser fomentadas em espa?o coletivos, a??o intersetorial, buscando compreender os entraves para implementa??o e viabilizar estrat?gias para super?- los.