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Humanization policy in primary health care: a systematic review

OBJECTIVE: To analyze humanization practices in primary health care in the Brazilian Unified Health System according to the principles of the National Humanization Policy. METHODS: A systematic review of the literature was carried out, followed by a meta-synthesis, using the following databases: BDE...

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Autores principales: Nora, Carlise Rigon Dalla, Junges, José Roque
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206092/
https://www.ncbi.nlm.nih.gov/pubmed/24626556
http://dx.doi.org/10.1590/S0034-8910.2013047004581
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author Nora, Carlise Rigon Dalla
Junges, José Roque
author_facet Nora, Carlise Rigon Dalla
Junges, José Roque
author_sort Nora, Carlise Rigon Dalla
collection PubMed
description OBJECTIVE: To analyze humanization practices in primary health care in the Brazilian Unified Health System according to the principles of the National Humanization Policy. METHODS: A systematic review of the literature was carried out, followed by a meta-synthesis, using the following databases: BDENF (nursing database), BDTD (Brazilian digital library of theses and dissertations), CINAHL (Cumulative Index to nursing and allied health literature), LILACS (Latin American and Caribbean health care sciences literature), MedLine (International health care sciences literature), PAHO (Pan-American Health Care Organization Library) and SciELO (Scientific Electronic Library Online). The following descriptors were used: Humanization; Humanizing Health Care; Reception: Humanized care: Humanization in health care; Bonding; Family Health Care Program; Primary Care; Public Health and Sistema Único de Saúde (the Brazilian public health care system). Research articles, case studies, reports of experiences, dissertations, theses and chapters of books written in Portuguese, English or Spanish, published between 2003 and 2011, were included in the analysis. RESULTS: Among the 4,127 publications found on the topic, 40 studies were evaluated and included in the analysis, producing three main categories: the first referring to the infrastructure and organization of the primary care service, made clear the dissatisfaction with the physical structure and equipment of the services and with the flow of attendance, which can facilitate or make difficult the access. The second, referring to the health work process, showed issues about the insufficient number of professionals, fragmentation of the work processes, the professional profile and responsibility. The third category, referring to the relational technologies, indicated the reception, bonding, listening, respect and dialog with the service users. CONCLUSIONS: Although many practices were cited as humanizing they do not produce changes in the health services because of the lack of more profound analysis of the work processes and ongoing education in the health care services.
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spelling pubmed-42060922015-01-07 Humanization policy in primary health care: a systematic review Nora, Carlise Rigon Dalla Junges, José Roque Rev Saude Publica Reviews OBJECTIVE: To analyze humanization practices in primary health care in the Brazilian Unified Health System according to the principles of the National Humanization Policy. METHODS: A systematic review of the literature was carried out, followed by a meta-synthesis, using the following databases: BDENF (nursing database), BDTD (Brazilian digital library of theses and dissertations), CINAHL (Cumulative Index to nursing and allied health literature), LILACS (Latin American and Caribbean health care sciences literature), MedLine (International health care sciences literature), PAHO (Pan-American Health Care Organization Library) and SciELO (Scientific Electronic Library Online). The following descriptors were used: Humanization; Humanizing Health Care; Reception: Humanized care: Humanization in health care; Bonding; Family Health Care Program; Primary Care; Public Health and Sistema Único de Saúde (the Brazilian public health care system). Research articles, case studies, reports of experiences, dissertations, theses and chapters of books written in Portuguese, English or Spanish, published between 2003 and 2011, were included in the analysis. RESULTS: Among the 4,127 publications found on the topic, 40 studies were evaluated and included in the analysis, producing three main categories: the first referring to the infrastructure and organization of the primary care service, made clear the dissatisfaction with the physical structure and equipment of the services and with the flow of attendance, which can facilitate or make difficult the access. The second, referring to the health work process, showed issues about the insufficient number of professionals, fragmentation of the work processes, the professional profile and responsibility. The third category, referring to the relational technologies, indicated the reception, bonding, listening, respect and dialog with the service users. CONCLUSIONS: Although many practices were cited as humanizing they do not produce changes in the health services because of the lack of more profound analysis of the work processes and ongoing education in the health care services. Faculdade de Saúde Pública da Universidade de São Paulo 2013-12 /pmc/articles/PMC4206092/ /pubmed/24626556 http://dx.doi.org/10.1590/S0034-8910.2013047004581 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Reviews
Nora, Carlise Rigon Dalla
Junges, José Roque
Humanization policy in primary health care: a systematic review
title Humanization policy in primary health care: a systematic review
title_full Humanization policy in primary health care: a systematic review
title_fullStr Humanization policy in primary health care: a systematic review
title_full_unstemmed Humanization policy in primary health care: a systematic review
title_short Humanization policy in primary health care: a systematic review
title_sort humanization policy in primary health care: a systematic review
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206092/
https://www.ncbi.nlm.nih.gov/pubmed/24626556
http://dx.doi.org/10.1590/S0034-8910.2013047004581
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