|
Problems
|
Suggestions
|
(%)
|
Consensus
|
|
Relationship between user and profesionals
|
1. The professionals’ proximity and ties with users make it difficult to maintain professionalism within the relationship. |
Professionalism |
37,5% |
The professionals’ proximity and ties with users make it difficult to maintain impartiality in the relationship. |
|
Impartiality
|
62,5%
|
| 2. The ESF team prejudges the users and their family on the basis of prejudice and stigma. |
The Team |
28,6% |
If the ESF’s team prejudges the users and their family on the basis of prejudice and stigma. |
|
If the team
|
71,4%
|
| 5. Professionals prescribe medications which users cannot afford to buy.
|
Buy |
18,8% |
Professionals prescribe medications which users cannot afford to buy when there isn’t another option to prescribe.
|
|
Buy when there isn’t another option to prescribe
|
62,5%
|
| Buy only the medication which is proven the most effective. |
18,8% |
| Require |
37,5% |
| 10. The community health agent (ACS) discloses information about the family and the couple’s intimacy to the Health team. |
Information |
12,5% |
The community health agent (ACS) discloses unnecessary information about the family and the couple’s intimacy to the Health team. |
|
Unnecessary information
|
87,5%
|
| Due to the geographic situation and intellectual level of the community. |
0,0% |
| 13. Professional discloses information about the health of one of the family members who is being seen by him to other members of the family.
|
Information |
0,0% |
Professional discloses informationabout the health of one of the family members who is being seen by him to other members of the family when the patient cannot manage self care and exposes himself to risk.
|
| Unnecessary information |
11,1% |
| Family without authorization |
11,1% |
|
Family, when patient cannot manage self care and exposes himself to risk
|
66,6%
|
| Family, in case of serious or NCDs diseases |
11,1% |
| 16. Minors go to UBS and request medication and other procedures of the health team without the parents authorization and/or knowledge |
Procedures |
0,0% |
Minors go to UBS and request from the team exams, medication and other procedures unforeseen by the Statute of the Child and Adolescentwithout the parents authorization and/or knowledge |
|
Procedures, unforeseen by the Statute of the Child and Adolescent
|
100%
|
| 18. The team discussthe users health condition in his presence, without his participation. |
Discuss |
33,4% |
The team have an interdisciplinary discussion about the user’s health condition in his presence, without his participation. |
|
Have an interdisciplinary discussion
|
66,6% |
| Involvement, trampling on people’s rights |
25,0% |
| ESF team share the same space |
37,5% |
| ESF’s team interfere with Professional’s conduct. |
42,9% |
|
Relationship between user and profesionals
|
22. The team’s professionals are unprepared to work at ESF. |
Unprepared |
12,5% |
The team’s professionals don’t have the ideal profile to work at ESF. |
|
Don’t have the ideal profile
|
87,5%
|
| 23. It is difficult to define in practice and on paper all the responsibilities shared by each family health team Professional. |
Define |
12,5% |
It is difficult to fulfill, in practice and on paper, all the responsibilities shared by each family health team Professional. |
|
To fulfil
|
87,5%
|
| 25. Users request from one of the family health team members that other members don’t have access to some information related to their health. |
To their health |
14,3% |
Users request from one of the family health team members that other members don’t have access to some information related to their health even though in some cases it is necessary that the family takes part in their care.
|
|
To their health even though in some cases it’s necessary that the family takes part in their care.
|
85,7%
|
| 26. UBS Employees raise doubts about the prescription of an ESF team’s doctor. |
Prescription |
0,0% |
UBS Employees raise doubts about the Professional conduct of an ESF team’s doctor. |
|
Professional conduct.
|
100%
|
|
Relação com o sistema de health
|
28. ESF team professionals feel a lack of support of inter sector actions to discuss and resolve ethical problems encountered in the work place. |
Inter-sectorial |
37,5% |
ESF team professionals feel a lack of support of inter sectoractions which depend on organization and management of the system, to discuss and resolve ethical problems encountered in the work place. |
|
Inter sector actions which depend on organization and management of the system.
|
62,5%
|
| Professionals , when they affect the whole group. |
37,5% |
| 31. ESF’ doctor refuses to see users that don’t have a medical appointment for that particular day, as a result they limit the access of users to the UBS. |
UBS |
11,4% |
ESF’ doctor refuses to see users that don’t have a medical appointment for that particular day, as a result they limit the access of users to the UBS but they are always taken in.
|
| To UBS, not emergency cases |
34,3% |
|
To UBS, but they are always taken in.
|
57,1%
|
| Don’t accept |
42,9% |
