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Introdução: O Serviço Nacional de Saúde é a estrutura do Estado português que assegura à população a prestação dos cuidados de saúde. Integradas nas Redes Nacionais de Cuidados de Saúde Primários e Cuidados de Saúde Hospitalares, as unidades que formam o Serviço Nacional de Saúde revelam-se locais privilegiados para a incorporação da prática profissional do nutricionista, pelo facto de a sua atuação se focar na promoção de saúde, na prevenção e no tratamento da doença, contribuindo para a reversão do cenário epidemiológico centrado na intensificação das doenças crónicas não transmissíveis e para o cumprimento das metas em saúde estabelecidas a nível nacional e internacional. Objetivos: Determinar o número de nutricionistas a exercer no Serviço Nacional de Saúde nos Cuidados de Saúde Primários e nos Cuidados de Saúde Hospitalares. Calcular o número de utentes e de camas atribuído a cada nutricionista integrado nas unidades que compõem, respetivamente, as Redes Nacionais de Cuidados de Saúde Primários e Cuidados de Saúde Hospitalares.Metodologia: Neste estudo descritivo obteve-se, por correio eletrónico e telefone, informação sobre o número de profissionais a exercer como “Dietista”, “Dietista estagiário”, “Nutricionista” e “Nutricionista estagiário”, de acordo com o Registo Nacional da Ordem dos Nutricionistas, nas instituições constituintes do Serviço Nacional de Saúde, Serviço de Saúde da Região Autónoma da Madeira e Serviço Regional de Saúde do Governo dos Açores. No final, a adequação dos rácios obtidos foi analisada com base em critérios emitidos pela Ordem dos Nutricionistas.Resultados: Verificou-se um total de 416 nutricionistas a exercer no Serviço Nacional de Saúde, dos quais 123 profissionais pertenciam aos Cuidados de Saúde Primários e 293 aos Cuidados de Saúde Hospitalares. Nos Cuidados de Saúde Primários identificou-se um rácio de 86.006 utentes por nutricionista e nos Cuidados de Saúde Hospitalares o rácio estimado foi de 97 camas por nutricionista.Conclusões: O número total de nutricionistas a exercer no Serviço Nacional de Saúde revelou-se manifestamente aquém do que se considera adequado, devendo-se reforçar a incorporação de nutricionistas no Serviço Nacional de Saúde.
Introduction: The National Health Service is the state structure in Portugal that ensures to the population the provision of health care. Integrated into the Primary Health Care Network and into Hospital Health Care Network, the units that make up the National Health Service prove to be privileged places for the incorporation of professional nutritionist practice, due to the fact that their work focuses on the health promotion, prevention and treatment, contributing to the reversal of the epidemiological scenario focused on the intensification of chronic noncommunicable diseases and to meet the health goals established at national and international level.Objectives: Determine the number of nutritionists practicing in the Primary Health Care and in Hospital Health Care of National Health Service. Calculate the number of users and beds assigned to each nutritionist integrated on the units that comprise, respectively, Primary Health Care Network and Hospital Health Care Network.Methodology: In this descriptive study, was obtained, by e-mail and phone, information about the number of professionals that practiced as “dietitian”, “trainee dietitian”, “nutritionist” and “trainee nutritionist”, according to the National Registry of the Portuguese Council of Nutritionists, in the constituent institutions of the National Health Service, the Health Service of the Autonomous Region of Madeira and the Regional Health Service of the Government of Azores. In the end, the adequacy of the ratios obtained was analyzed based on criteria transmitted by the Portuguese Council of Nutritionists.Results: There were a total of 416 nutritionists working in the National Health Service, of which 123 professionals belonged to Primary Health Care and 293 to Hospital Health Care. In the Primary Health Care was identified a ratio of 86.006 users per nutritionist and in the Hospital Health Care the estimated ratio was of 97 beds per nutritionist. Conclusions: The total number of nutritionists practicing in the National Health Service was clearly below what is considered appropriate, so the incorporation of nutritionists in the National Health Service should be strengthened.
Introduction: The National Health Service is the state structure in Portugal that ensures to the population the provision of health care. Integrated into the Primary Health Care Network and into Hospital Health Care Network, the units that make up the National Health Service prove to be privileged places for the incorporation of professional nutritionist practice, due to the fact that their work focuses on the health promotion, prevention and treatment, contributing to the reversal of the epidemiological scenario focused on the intensification of chronic noncommunicable diseases and to meet the health goals established at national and international level.Objectives: Determine the number of nutritionists practicing in the Primary Health Care and in Hospital Health Care of National Health Service. Calculate the number of users and beds assigned to each nutritionist integrated on the units that comprise, respectively, Primary Health Care Network and Hospital Health Care Network.Methodology: In this descriptive study, was obtained, by e-mail and phone, information about the number of professionals that practiced as “dietitian”, “trainee dietitian”, “nutritionist” and “trainee nutritionist”, according to the National Registry of the Portuguese Council of Nutritionists, in the constituent institutions of the National Health Service, the Health Service of the Autonomous Region of Madeira and the Regional Health Service of the Government of Azores. In the end, the adequacy of the ratios obtained was analyzed based on criteria transmitted by the Portuguese Council of Nutritionists.Results: There were a total of 416 nutritionists working in the National Health Service, of which 123 professionals belonged to Primary Health Care and 293 to Hospital Health Care. In the Primary Health Care was identified a ratio of 86.006 users per nutritionist and in the Hospital Health Care the estimated ratio was of 97 beds per nutritionist. Conclusions: The total number of nutritionists practicing in the National Health Service was clearly below what is considered appropriate, so the incorporation of nutritionists in the National Health Service should be strengthened.
Description
Keywords
Cuidados de saúde hospitalares Cuidados de saúde primários Doenças crónicas não transmissíveis Nutricionista Serviço Nacional de Saúde Hospital health care Primary health care Noncommunicable diseases Nutritionist National Health Service