Work of community health agents in the Family Health Strategy: meta-synthesis
Work of community health agents in the Family Health Strategy: meta-synthesis
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DOI：
10.11606/s1518-8787.2018052000395
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Duarte, Francisco José de Castro Moura
中科院分区：
文献类型：
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作者：
Alonso, Carolina Maria do Carmo;Béguin, Pascal Daniel;Duarte, Francisco José de Castro Moura
目的：要系统化和分析的证据，定性研究，解决巴西社区卫生代理人对他们的work.METHODS的看法：这是一个系统的审查，从虚拟健康图书馆使用描述符“社区卫生代理人”和“Trabalho”，在葡萄牙语的社区卫生代理人的工作的综合类型。该策略是通过交叉描述符，使用布尔运算符“AND”，并过滤2004年至2014年发表的巴西文章，从而识别出129篇文章。我们删除了定量或定量-定性研究文章、论文、辩论、文献综述、经验报告和不包括巴西社区卫生代理人作为受试者的研究。使用这些标准，我们选择和分析了33项研究，使我们能够确定共同的主题和它们之间的差异，组的主要结论，分类科目，并解释content.RESULTS：分析结果在三个主题单位：社区卫生代理人的工作特点，社区卫生代理人的工作相关的问题，和积极的方面社区卫生代理人的工作。在特点上，我们可以看到，社区卫生工作者的工作是渗透的政治和社会层面的卫生工作，并占主导地位的使用轻技术。主要投入是这一专业人员通过与家庭接触获得的知识，这些知识是通过家访发展起来的。在社区卫生服务人员工作中存在的问题，主要表现在：工作职责不明确、工作条件差、与社区和团队的关系障碍、专业培训薄弱、官僚作风等。积极的方面，我们确定的工作的认可，家庭，决议，债券，与同行的工作，工作near to home.CONCLUSIONS：本次审查提供了一个概述的困难和积极的方面，目前在日常工作中的社区卫生代理。有鉴于此，我们提出了两个挑战。第一个是指公共政策制定者需要如何利用研究成果，第二个是指需要投资于旨在为社区卫生工作者在工作中面临的困难提供解决方案的研究。
OBJECTIVE: To systematize and analyze the evidence from qualitative studies that address the perception of Brazilian Community Health Agents about their work.METHODS: This is a systematic review of the meta-synthesis type on the work of community health agents, carried out from the Virtual Health Library using the descriptors "Agente Comunitario de Saude" and "Trabalho", in Portuguese. The strategy was constructed by crossing descriptors, using the Boolean operator "AND", and filtering Brazilian articles, published from 2004 to 2014, which resulted in 129 identified articles. We removed quantitative or quanti-qualitative research articles, essays, debates, literature reviews, reports of experiences, and research that did not include Brazilian Community Health Agents as subjects. Using these criteria, we selected and analyzed 33 studies that allowed us to identify common subjects and differences between them, to group the main conclusions, to classify subjects, and to interpret the content.RESULTS: The analysis resulted in three thematic units: characteristics of the work of community health agents, problems related to the work of community health agents, and positive aspects of the work of community health agents. On the characteristics, we could see that the work of the community health agents is permeated by the political and social dimensions of the health work with predominant use of light technologies. The main input is the knowledge that this professional obtains with the contact with families, which is developed with home visits. On the problems in the work of community health agents, we could identify the lack of limits in their attributions, poor conditions, obstacles in the relationship with the community and teams, weak professional training, and bureaucracy. The positive aspects we identified were the recognition of the work by families, resolution, bonding, work with peers, and work close to home.CONCLUSIONS: This review provided an overview of the difficulties and positive aspects that are present in the daily work of community health agents. Given this, we have raised two challenges. The first one refers to how public policy makers need to appropriation the research results and the second one refers to the need to invest in studies that are designed to generate solutions for the difficulties faced by community health agents in their work.