Atenção Básica e saúde do idoso: a importância dos profissionais para a implementação do paradigma da atenção integral  / Primary Care and Elderly Health: the importance of professionals for the implementation of the paradigm of comprehensive care

ABSTRACT Objective: To understand the care of elderly men with their own health. Method: A qualitative study with the participation of ten elderly men, through responses to the semi-structured interview guided by the “Tell me about your experiences of care with your health”, carried out in a basic health unit, during the period of October-December 2014. The speeches, after being transcribed were submitted to content analysis. Results: The ten interviewees were retired and had an average age of 67.3 years. From the analysis of the data, two categories have emerged: Elderly health care ways and health service as a supporter in the care (less) of the elderly, which revealed the restriction of health care to the triad: medicines, consultation to professionals and exams. Final considerations: Institutional and sociocultural barriers that need to be overcome so that the male population can be consolidated, guaranteeing care of their peculiarities, encouraging active behaviors for self-care.

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Evaluation of comprehensive care for older adults in primary care services

Revista de Saúde Pública ◽

10.11606/s1518-8787.2020054001370 ◽

2020 ◽

Vol 54 ◽

pp. 6 ◽

Cited By ~ 1

Author(s):

Nádia Placideli ◽

Elen Rose Lodeiro Castanheira ◽

Adriano Dias ◽

Pedro Alcântara Da Silva ◽

Josiane Lozigia Fernandes Carrapato ◽

...

Keyword(s):

Older Adults ◽

Primary Care ◽

Health Care ◽

Sao Paulo ◽

Service Performance ◽

Comprehensive Care ◽

Noncommunicable Diseases ◽

São Paulo ◽

Care Services ◽

Primary Care Services

OBJECTIVE: To evaluate the performance of comprehensive care for older adults in primary care services in the Brazilian Unified Health System in the state of São Paulo, Brazil. METHODS: A total of 157 primary care services from five health regions in midwestern São Paulo responded, from October to December 2014, the pre-validated 2014 questionnaire for primary care services assessment and monitoring. We selected 155 questions, based on national policies and guidelines on this theme. The responses indicate the service performance in older adults’ care, clustered into three areas of analysis: health care for active and healthy aging (45 indicators, d1), chronic noncommunicable diseases care (89 indicators, d2), and support network in aging care (21 indicators, d3). Performance was measured by the sum of positive (value 1) or negative (value 0) responses for each indicator. Services were clustered according to k-means of the performance scores of each domain. After weighting the domains (Z tests), we estimated the associations between the scores of each domain and independent management variables (typology, planning and evaluation of services), with simple and multiple linear regression. RESULTS: Chronic noncommunicable diseases care (d2) showed, for all clusters, better average performance (55.7) than domains d1 (35.4) and d3 (39.2). Service performance in the general area of planning and evaluation associates with the performance of older adults’ care. CONCLUSIONS: The evaluated services had incipient implementation of comprehensive care for older adults. The evaluation framework can contribute to processes to improve the quality of primary health care.

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National results of the implementation of a new Instrument that measures Comprehensive Care Model with a family and community's approach in Primary Care

Medwave ◽

10.5867/medwave.2016.6746 ◽

2016 ◽

Vol 16 (Suppl6) ◽

pp. 6746-6746

Author(s):

Bert Kaempfe ◽

Ximena Barros Rubio ◽

Margarita Barria Iroume

Keyword(s):

Primary Care ◽

Comprehensive Care ◽

Care Model ◽

New Instrument ◽

Comprehensive Care Model

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Primary Care Supplement

PEDIATRICS ◽

10.1542/peds.61.4.671a ◽

1978 ◽

Vol 61 (4) ◽

pp. 671-672

Author(s):

Frederick P. Rivara

Keyword(s):

Primary Care ◽

Health Care ◽

Ambulatory Care ◽

Difficult Problem ◽

Precise Definition ◽

Entry Point ◽

Comprehensive Care ◽

Preventative Care ◽

Definition Of ◽

Primary Care Pediatricians

I was very excited and pleased when I received my October 1977 issue of Pediatrics and found a supplement on primary care. However, with much disappointment I found that the articles included were, at best, focused on very narrow areas in pediatrics and, at worst, completely irrelevant to the current issues faced by primary care pediatricians in this country. The precise definition of primary care has been a difficult problem. One operative definition is a system of health care that provides for unselected problem care; comprehensive care; entry point care; preventative care; ambulatory care; and majority care.1

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Patient perception of quality of care provided by specialists and generalists

Multiple Sclerosis Journal ◽

10.1177/135245859800400505 ◽

1998 ◽

Vol 4 (5) ◽

pp. 426-432 ◽

Cited By ~ 19

Author(s):

Carolyn E Schwartz ◽

Sally Brotman ◽

Nicholas LaRocca ◽

Hang Lee

Keyword(s):

Primary Care ◽

Quality Of Care ◽

Medical Care ◽

Action Plan ◽

Patterns Of Care ◽

Comprehensive Care ◽

Cross Sectional Survey ◽

Pattern Of Care ◽

Patient Reported

Efforts to control medical care costs have focused on reducing the number of specialists directing patient care. This cross-sectional survey evaluated multiple sclerosis patient perceptions of the quality of care across three patterns of care: primary care (n=156), single specialty care (n=338), and comprehensive care (n=75). The pattern of medical care received by the patient was defined by: (1) whether the MS provider was a primary care physician or (2) a neurologist; (3) whether the patient reported using other specialty services, such as psychological, rehabilitation, or social work services. Process indicators of quality of care were measured by subscales for interpersonal aspects of care, access to care, and perceived action plan. The MSQOL-54 was used to measure health-related quality of life. Pattern of care was not related to the Interpersonal or Access dimensions of care, after adjusting for health status and sociodemographic characteristics. Patients in the Single Specialty and Comprehensive Care patterns of care were, however, more likely to report their MS provider having and implementing an action plan. We conclude that MS patients who receive Single Specialty and Comprehensive Care are more likely to get diagnostic and treatment-related tests, as well as immunotherapeutic and experimental treatments.

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