ANA CLAUDIA CAMARGO GONCALVES GERMANI
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Medicina Preventiva, Faculdade de Medicina - Docente
LIM/38 - Laboratório de Epidemiologia e Imunobiologia, Hospital das Clínicas, Faculdade de Medicina
LIM/38 - Laboratório de Epidemiologia e Imunobiologia, Hospital das Clínicas, Faculdade de Medicina
16 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 16
- Characterization of interprofessional education experiences in health education at the University of São Paulo(2023) COSTA, Jaqueline Bissolati; MAZZI, Nathalia Romeu de; PEDUZZI, Marina; GERMANI, Ana Claudia Camargo Gonsalves; SILVA, Jaqueline Alcantara Marcelino; AGRELI, Heloise Lima Fernandes; NASCIMENTO, Ariana Gomes; BELBER, Gisele Silvestre; LEONELLO, Valeria MarliObjective: To map the experiences of Interprofessional Education (IPE) in Health at the Sao Paulo campus of the University of Sao Paulo. Method: This is a descriptive, exploratory study with a quantitative approach and data collection through an online questionnaire addressed to teachers from eight teaching units and 14 health courses. The data was analyzed using absolute and percentage frequencies. Results: The majority of teachers do not take part in IPE experiences (70.4%). Most of the experiences are between six and ten years old, involving up to four teachers and small groups of students, mostly extracurricular or extension activities. The teaching and assessment strategies are diverse and open to students of all years. Conclusion: IPE experiences involve a small number of students and teachers and, although consolidated in terms of the time they have been offered, are limited to extracurricular spaces. Factors such as improvements in institutional support and teacher development are pointed out as important for making progress in strengthening IPE in the analyzed context.
- Knowledge gaps and acquisition about HPV and its vaccine among Brazilian medical students(2020) COSTA, Annielson de Souza; GOMES, Jessica Menezes; GERMANI, Ana Claudia Camargo Goncalves; SILVA, Matheus Reis da; SANTOS, Edige Felipe de Sousa; SOARES JUNIOR, Jose Maria; BARACAT, Edmund Chada; SORPRESO, Isabel Cristina EspositoObjective To analyze factors associated with knowledge gaps and acquisition about HPV and its vaccine among medical students. Method Cross-sectional and analytical study conducted at the University of Sao Paulo Medicine School, in 2016. A convenience sample of students completed a data collection instrument containing questions on knowledge about HPV and its vaccine, and vaccine acceptability. The level of knowledge and acceptability established as a ""good level"" was 80% of correct answers on the questionnaire. Internal validity was calculated with Cronbach's alpha value (alpha) = 0.74. Bivariate and multiple analyzes were performed using the Stata (R) program (Stata Corp, College Station, USA) 14.0. Results To evaluate the internal consistency of the instrument applied, the Cronbach's alpha equation was used, obtaining the alpha value (alpha) = 0.74 for this population. This value attests that the consistency of the answers obtained with this questionnaire is considered substantial and acceptable. Among the 518 medical students who completed the survey, the majority were men 312 (60.4%) with a mean age of 23 (+/- 2.8) years old; 199 (38.3%) of the students were in the final years of graduation (5th and 6th years). Students in the first, second and third year of study had a 51% higher risk of a knowledge gap when compared to students in the final years of graduation [PR 1.51 (1.3:1.8); p < 0.001]. Men were at 22% higher risk of unsatisfactory knowledge than women are [PR 1.22 (1.07: 1.39). There was no knowledge acquisition during medical school in the following questions (p < 0.05), indication of vaccine for individuals with HIV and contraindication in pregnant patients. Conclusion Male medical students, in the first year of medical school, and those who were not vaccinated had significant knowledge gaps about HPV. The novelty of the study includes the finding of non- acquisition of knowledge during the medical school graduation on safety and vaccination schedule and vaccine administration in specific populations.
- Structural determinants of health, race, gender, and social class: a scope review(2021) GALVAO, Anna Larice Meneses; OLIVEIRA, Elda; GERMANI, Ana Claudia Camargo Goncalves; LUIZ, Olinda do CarmoThis article aims at exploring and systematizing the knowledge about structural health determinants. For such purpose, we developed a scope review in the databases Web of Science, Cinahl, Scopus, Lilacs and PubMed; and in the journals International Journal of Epidemiology,Journal of Epidemiology and Community Health,American Journal of Public Health and American Journal of Epidemiology from 2005 to 2018. We used the search terms ""Social Determinants of health"", ""Health services"", ""health policies"", and""inequity"". We identified 1,164 articles, of which 19 were selected. The structural determinants, also called social markers, were race, gender, gender identity, migration and social class. Theoretical perspectives of these articles, directly or indirectly,assumed health as a right. The proposed health policies focused on the positive effect of planning functions, training of service providers, and reduction of barriers to access and participation of excluded groups on equity. We concluded that the scientific literature reinforces that every individual must have the capacity to reach a personal ideal state of health without any distinction of race, skin color, religion,language, nationality, socioeconomic resources, genre, sexual orientation, gender identity,physical, mental or emotional disability, or any other characteristic linked to discrimination or exclusion from social and political opportunities.
- A espiritualidade/religiosidade como desafio ao cuidado integral: aspectos regulatórios na formação médica brasileira(2021) TROFA, Gabrielle Cordeiro; GERMANI, Ana Claudia Camargo Gonçalves; OLIVEIRA, Janaine Aline Camargo de; ELUF NETO, JoseAbstract The aim of this study was to assess the quality of oral care provided in Brazilian primary care and identify associated contextual socioeconomic factors. This is a cross-sectional study whose unit of analysis was all the oral care teams that participated in an external assessment for the second cycle of the Access and Quality Improvement Program - Primary Care. Quality was measured in the following dimensions: access, resolution, work process, care coordination and infrastructure. The quality criteria of the external assessment were grouped into these dimensions and weighted using Item Response Theory. The indicator of oral care quality was the result of grouping latent variables. Descriptive analyses were performed by region and association between “Oral Care Quality” and the Municipal Human Development Index (HDI), with 5% significance. Only 25% of the oral care teams were considered good. The infrastructure dimension obtained the best results and care coordination the worst. There was no statistically significant difference between municipalities with high and low HDIs. Quality assessment is vital to ensure the continuous improvement of quality healthcare.
- The physiotherapy workforce in the Brazilian Unified Health Care System(2021) RODES, Carolina Hart; DARE, Joao Vitor Lovato; ARAUJO, Bruna Carolina de; GRACIANI, Leonardo; JOAO, Silvia Maria Amado; GERMANI, Ana Claudia Camargo Goncalves; SCHMITT, Ana Carolina BassoBackground Maintaining sufficient health care workforce is a global priority to achieve universal health coverage. Therefore this study addresses the availability of physiotherapists in Brazil. Objective To describe secular trends of the physiotherapy workforce-to-population ratio in the Unified Health System, considering public and private sector and care level (primary, secondary, tertiary) in Brazil and its regions. Method Descriptive exploratory quantitative study based on secondary sources. All data related to the distribution of physiotherapists between August 2007 and September 2016 regarding facilities types, location and public and private sectors was obtained from the Brazilian National Registry of Health Care Facilities. Data related to the population of Brazil was extracted from Brazilian Institute of Geography and Statistics. The physiotherapy workforce-to-population ratio was calculated by the number of physiotherapists per 1000 population (public and private sector and care level) by ANOVA test. The distribution trends are represented on maps. Annual growth rates were estimated with Prais-Winsten linear regression models, with a significance level of 0.05, autocorrelation was checked by the Durbin-Watson test. Results The physiotherapists ratio in Brazil was 0.22/1000 population in 2007 and 0.41 in 2016, showing growth of 86%, with an increasing trend of 0.5% on an annual average. The public sector had the biggest physiotherapy workforce in the country in 2007 and 2016. The primary health care had the smallest physiotherapy workforce-to-population ratio (2007: p > 0.001 and 2016: p = 0.003), even though it had the largest growth trend in annual average (0.9% p > 0.001), followed by public and private tertiary health care sectors (0.8% p > 0.001). The workforce in secondary health care was bigger in the private sector than in the public sector (0.6% p > 0.001 vs. 0.2% p = 0.004). Overall, all regions had greater growth of physiotherapy workforce-to-population ratio in public primary and tertiary health care sectors, and private secondary health care sector, mainly the Southeast, South and Central-West regions. Conclusion Although the physiotherapy workforce in Brazil is relatively small, there was a trend towards growth with differences among care levels, and public and private sectors. The physiotherapy workforce-to-population ratio is bigger in the private secondary health care sector, followed by public tertiary, secondary and primary health care sectors. Sub-national regions show similar trends to the national estimates, with minor variations by region.
- Interdisciplinaridade, interprofissionalidade e diversidade racial na formação antirracista do profissional de saúde: vozes e aprendizados(2022) GERMANI, Ana Claudia; FAVARATO, Maria Helena; OLIVA, Isabel Leme; GERALDO, Rafael Marques; OLIVEIRA, Júlio César de; AYRES, José Ricardo de Carvalho MesquitaABSTRACT This is a critical-reflective report on the experience of an elective course aimed at training health professionals in fighting racism. It was offered during the COVID-19 pandemic to undergraduate students from all the health subspecialties at the University of São Paulo. From the description and reflection on the proposed teaching and evaluation activities, we sought to recognize and learn/apprehend the contribution of the integration of knowledge (interdisciplinarity), professions (interprofessionality), and racial diversity in the teaching-learning process aimed at fighting racism. The perspectives of students, monitors, and teachers are reported. The support of guest teachers allowed this initiative to address racism and its influences on the health of black people, and the educational strategies encouraged students’ cultural production. The initiative proved to be a possibility for introducing changes in health education in favor of both comprehensive care and interprofessional collaboration in dismantling racism.
- The COVID-19 pandemic and teachers' work: perceptions of teachers from a public university in the state of Sao Paulo, Brazil(2023) MATIAS, Aline Bicalho; FALCAO, Marcia Thereza Couto; GROSSEMAN, Suely; GONCALVES, Ana Claudia Camargo; SILVA, Andrea Tenorio Correia daThe COVID-19 pandemic required the restructuring of educational models, including the rapid transition from face-to-face to remote education. The aim of this qualitative research was to understand the effect of the COVID-19 pandemic on undergraduate professors' work and health at a public university in the state of Sao Paulo. Semi-structured interviews were conduct-ed with 17 undergraduate faculty of humanities, biological and exact sciences form August to Sep-tember 2020. The interviews were recorded and transcribed. From the content analysis, four the-matic categories emerged: (1) changes in the work routine and their impacts, including adjustment to remote work and the difficulties in establishing boundaries between work and their personal life; (2) changes in the dynamics between faculty and students and the possibility of rethinking teach-ing practice; (3) the relationship between faculty and the university with emphasis on the deci-sion-making process, support for the transition to remote teaching, and concerns about the quality of teaching; and (4) anguish and fears related to the pandemic that added to the set of work -re-lated stressors. Our findings showed that actions towards the communicational dynamics, as well as actions towards faculties' mental health should be implemented.
- Five-year review of an international clinical research-training program(2015) SUEMOTO, Claudia Kimie; ISMAIL, Sherine; CORREA, Paulo Cesar Rodrigues Pinto; ZAINA, Fabio; JERVES, Teodoro; PESANTEZ, Laura; GERMANI, Ana Claudia Camargo Goncalves; ZAINA, Fabio; SANTOS JUNIOR, Augusto Cesar Soares dos; FERREIRA, Ricardo Jorge de Oliveira; SINGH, Priyamvada; PAULO, Judy Vicente; MATSUBAYASHI, Suely Reiko; VIDOR, Liliane Pinto; ANDRETTA, Guilherme; TOMAS, Rita; ILLIGENS, Ben M. W.; FREGNI, FelipeThe exponential increase in clinical research has profoundly changed medical sciences. Evidence that has accumulated in the past three decades from clinical trials has led to the proposal that clinical care should not be based solely on clinical expertise and patient values, and should integrate robust data from systematic research. As a consequence, clinical research has become more complex and methods have become more rigorous, and evidence is usually not easily translated into clinical practice. Therefore, the instruction of clinical research methods for scientists and clinicians must adapt to this new reality. To address this challenge, a global distance-learning clinical research-training program was developed, based on collaborative learning, the pedagogical goal of which was to develop critical thinking skills in clinical research. We describe and analyze the challenges and possible solutions of this course after 5 years of experience (2008-2012) with this program. Through evaluation by students and faculty, we identified and reviewed the following challenges of our program: 1) student engagement and motivation, 2) impact of heterogeneous audience on learning, 3) learning in large groups, 4) enhancing group learning, 5) enhancing social presence, 6) dropouts, 7) quality control, and 8) course management. We discuss these issues and potential alternatives with regard to our research and background.
- Health promotion competencies: focus on users of The Beach Without Barriers project(2022) CAHU, Fabiana Gonsalves de Mello; MIRANDA, Fellipe Eugenio Soares; APOSTOLICO, Maira Rosa; GERMANI, Ana Claudia Camargo Gonsalves; PINA-OLIVEIRA, Alfredo AlmeidaCarrying out university extension actions on beaches represents an innovative opportunity to promote the health of people with disabilities or reduced mobility. This article aims to analyze the understanding of users of the Beach Without Barriers (PSB, Praia sem Barreiras) Project about the Health Promotion practices developed by undergraduate students in the health area. Qualitative, descriptive and exploratory study, based on interviews with ten PSB users in Recife, Pernambuco, Brazil. A thematic analysis of content was carried out anchored on Developing Competencies and Professional Standards for Health Promotion Capacity Building in Europe. Six empirical categories emerged: Dedication of students working in the PSB, Technical qualification of students in the PSB, Emotion during contact with the sea, Mental health improvement, User guidance to students as future professionals and Opinions about the PSB. The qualification of students as agents of change in the local reality, effective communication and strategic partnerships were demonstrated. Actions that transcend bodily limitations and assess the participants??? health needs should be valued in undergraduate school.
- Interprofessional education at a Brazilian public university: A document analysis(2023) MAZZI, Nathalia Romeu de; BARBOSA, Stela Beatriz Moreira; VASCONCELOS, Raissa Ottes; SOUZA, Camila Mendes da Silva; BLANCO, Vanessa Moreno; GERMANI, Ana Claudia Camargo Goncalves; LEONELLO, Valeria MarliBackground: Interprofessional Education is considered a necessary approach to develop skills for collaborative work in the training of professionals in order to improve the quality of health care. The curricula are the guiding documents for training and should explain how Interprofessional Education is adopted in undergraduate health courses. Objective: To analyze curricula of undergraduate health courses, from the perspective of Inter-professional Education, in a Brazilian public university. Design: Qualitative study of document analysis. Settings: Undergraduate health courses at a Brazilian public university. Methods: 13 undergraduate health courses were analyzed. Data collection was conducted based on an adapted quality assessment script for Interprofessional Education. From the thematic content analysis, three analytical categories emerged. Results: In the category ""Curriculum organization and interprofessionality"", the courses do not make free periods available in the curriculum, and each of the courses provide space for elective subjects at different times. In the category ""Training guided by social reality and health needs"" the courses propose training based on the health needs of patients from the Brazilian public health system. In the category ""Learning for interprofessional action"", the term ""multiprofessional"" characterizes learning for teamwork, with a discrete number of interprofessional disciplines. Conclusions: The theoretical bases of IPE and organizational goals are necessary to establish training objectives, specific shared times, and mutual interests that are directed to inter-professionality. Interprofessional Education can be expanded from activities that already exist in the curricula of undergraduate courses.