- Chronic Disease Management Strategies
- Health, Nursing, Elderly Care
- Public Health in Brazil
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Reforms
- Blood Pressure and Hypertension Studies
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Maternal and Neonatal Healthcare
- Healthcare Regulation
- Global Public Health Policies and Epidemiology
- Healthcare cost, quality, practices
- Healthcare Policy and Management
- Global Maternal and Child Health
- Health Education and Validation
- Male Reproductive Health Studies
- Medical Coding and Health Information
- Nutritional Studies and Diet
- Healthcare during COVID-19 Pandemic
- COVID-19 and Mental Health
- Cardiovascular Health and Disease Prevention
- Complementary and Alternative Medicine Studies
- Frailty in Older Adults
- Psychosomatic Disorders and Their Treatments
- Business and Management Studies
Universidade Federal de Goiás
2016-2025
Universidade de Brasília
2024
Secretaria da Saúde
2022-2024
Secretaria de Estado de Educação do Distrito Federal
2019-2024
Fundação de Apoio a Pesquisa do Estado de Goiás
2022-2023
Federal Police of Brazil
2023
Fundação Faculdade de Medicina
2014
Brazilian Medical Association
2011-2012
To evaluate the occurrence and factors associated with multimorbidity among Brazilians aged 50 years over.This is a cross-sectional study in nation-based cohort of non-institutionalized population Brazil. Data were collected between 2015 2016. Multimorbidity was assessed from list 19 morbidities, which categorized into ≥ 2 3 diseases. The analysis included calculation frequencies most frequent 10 pairs triplets combinations crude adjusted analyses evaluated demographic, socioeconomic,...
The study aims to evaluate the magnitude of multimorbidity in Brazilian adults, as well measure their association with individual and contextual factors stratified by states regions.A national-based cross-sectional was carried out 2013 adults. Multimorbidity evaluated a list 22 physical mental morbidities (based on self-reported medical diagnosis Patient Health Questionnaire-9 for depression). outcome analysed taking ≥2 ≥3 diseases cut-off points. Factor analysis (FA) used identify disease...
O objetivo deste trabalho foi medir a ocorrência de multimorbidade e estimar o número indivíduos na população brasileira com 50 anos ou mais em risco para COVID-19 grave. Estudo transversal base nacional dados do Longitudinal da Saúde dos Idosos Brasileiros (ELSI-Brasil), conduzido 2015-2016, 9.412 mais. A caracterizada como ≥ 2 condições crônicas uma lista 15 morbidades consideradas As análises incluíram cálculo prevalência estimativa absoluto pessoas risco. Autoavaliação estado saúde,...
Resumo Introdução: Doença renal crônica (DRC) é um importante problema de saúde pública que, no Brasil, tem como principais etiologias a hipertensão arterial (HA) e o diabetes mellitus (DM). O diagnóstico precoce possibilita implementação medidas preventivas que retardam ou mesmo interrompem progressão para os estágios mais avançados da DRC. Objetivo: Identificar prevalência fatores associados à DRC entre adultos atendidos pela Estratégia Saúde Família (ESF). Métodos: Estudo transversal com...
Background: The diagnosis, treatment and control of arterial hypertension are fundamental for a reduction in cardiovascular outcomes, especially the elderly. In Brazil, there few studies that specifically identified these rates elderly population. Objective: To verify prevalence, people living urban area Brazilian capital city. Methods: A cross-sectional, population-based, randomized, cluster-based study with 912 non-institutionalized individuals (≥ 60 years), areas city Goiania, Midwest...
To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors according to multimorbidity in Brazilian population aged 50 or over was objective this study. We used data from telephone surveys among participants ELSI-Brazil (Brazilian Longitudinal Study Aging), conducted between May June 2020. The use non-pharmacological prevention measures COVID-19, reasons leaving home presence variables were evaluated. 6,149 individuals. Multimorbidity more frequent females,...
Multimorbidity is highly prevalent in older adults and can lead to hospitalisation. We investigate the prevalence, associated factors, multimorbidity pattern hospitalisation, readmission, length of stay population aged 50 years older. analysed baseline data (2015-2016) from ELSI-Brazil cohort, a representative sample non-institutionalised Brazilians ≥ years. In total, 8807 individuals were included. Poisson regression with robust variance adjusted for confounders was used verify associations...
O presente documento traz diretrizes construídas conjuntamente pela Associação Brasileira de Educação Médica (ABEM) e a Sociedade Medicina Família Comunidade (SBMFC) com intenção apoiar as escolas médicas forma objetiva prática, na elaboração projetos político-pedagógicos no contexto da Atenção Primária à Saúde. Um marco reconhecido política educacional brasileira é publicação das Diretrizes Curriculares Nacionais, quais flexibilizam organizações curriculares, possibilitando construção...
Machine learning algorithms are being increasingly used in healthcare settings but their generalizability between different regions is still unknown. This study aims to identify the strategy that maximizes predictive performance of identifying risk death by COVID-19 a large and unequal country. multicenter cohort with data collected from patients positive RT-PCR test for March August 2020 (n = 8477) 18 hospitals, covering all five Brazilian regions. Of during period, 2356 (28%) died. Eight...
Abstract Background Generalized Anxiety Disorder (GAD) is a prevalent mental health condition, characterized by excessive anxiety and worry that interferes with daily life. Many individuals GAD do not receive timely appropriate treatment, which can lead to chronic symptoms diminished quality of In addition its psychological burden, associated multiple physical symptoms, including tremors, muscle twitches, pain, nervousness, sweating, diarrhea, palpitations shortness breath. As result, it...
O objetivo deste estudo foi medir a ocorrência de multimorbidade e estimar o número indivíduos na população brasileira com 50 anos ou mais em risco para COVID-19 grave. Estudo transversal utilizando dados da linha base do Longitudinal Saúde dos Idosos Brasileiros (ELSI), conduzido 2015–2016, 9.412 mais. desfecho baseando-se uma lista 17 morbidades consideradas grave operacionalizado duas formas: ≥1 ≥2 condições. Avaliou-se gravidade situação saúde por meio autoavaliação estado saúde,...
To analyze rates of hospitalization due to primary care-sensitive cardiovascular conditions.This ecological study on 237 municipalities in the state Goiás, Central-West Brazil, between 2000 and 2008, used data from Hospital Information System Primary Care System. The were calculated as ratio number hospitalizations conditions population over age 40 years. evaluated three-year periods A (2000-2002), B (2003-2005) C (2006-2008), according sex, group, size, whether individual belonged...
Abstract Uncontrolled hypertension has a high prevalence and is related to numerous negative health outcomes. This study aimed investigate the factors associated with lack of blood pressure control in hypertensive Brazilians treated public private services. an analytical, multicentric, national cross‐sectional study, carried out adult patients, monitored 45 outpatient clinics (September 2013 October 2015) prospective record interview, clinical, anthropometric assessment. Outcome variables...
O presente documento traz diretrizes construídas conjuntamente pela Associação Brasileira de Educação Médica (ABEM) e a Sociedade Medicina Família Comunidade (SBMFC) com intenção apoiar as escolas médicas forma objetiva prática, na elaboração projetos político-pedagógicos no contexto da Atenção Primária à Saúde. Um marco reconhecido política educacional brasileira é publicação das Diretrizes Curriculares Nacionais, quais flexibilizam organizações curriculares, possibilitando construção...
Secondary Outpatient Care (SOC) is a subject seldom studied in the literature, but of great importance for strengthening Primary Health (PHC) and structuring Network. After increase PHC coverage following Family Strategy (FHS) model, through "CONVERTE APS" project, State Secretariat Federal District (SHS-DF) identified need to organize this level care throughout District. SHS-DF has, as its Planning basis, knowledge experienced one regions, addition theoretical framework produced...
An increase in body mass index (BMI) is strongly associated with the occurrence of multimorbidity, and overweight obesity are contributing factors for morbidities. Thus, present study aimed to evaluate multimorbidity Brazilian adults without or obesity.This was a cross-sectional population-based data from National Health Survey (2013) including individuals aged 18 years older. Multimorbidity defined as having ≥2 diseases list 15 morbidities on self-reported questionnaire (self-reported...
In aging populations, multimorbidity (MM) is a significant challenge for health systems, however there are scarce evidence available in Low- and Middle-Income Countries, particularly Brazil. A national cross-sectional study was conducted with 11,177 Brazilian older adults to evaluate the occurrence of MM related clusters Brazilians aged ≥ 60 years old. assessed by list 16 physical mental morbidities it defined considering 2 morbidities. The frequencies its associated factors were analyzed....
Since its creation in 1988, major changes have been made to Brazil's public health system response the epidemiological transition and country's changing economic context demographics. This article describes recent healthcare reform implemented federal district's hospital system. Guided by evidence-based management a series of regulatory instruments, organized emergency services secondary outpatient care, regulated services, remodeled organizational structure Department Health. These were...
The integration among levels of care is a continuous challenge even in consolidated and high performance health systems. reform public system Distrito Federal, based on the strengthening primary associated to reconfiguration specialized attention (ambulatory hospital) its urgency emergence network brought, as challenge, need for between these levels. Thus, became necessary create an instrumentto perform role gatekeeper, leading equanimous, transparent safe access hospital care. Regulatory...