scholarly journals Home peritoneal dialysis: interlocations between users and health care network services / Diálise peritoneal domiciliar: interlocuções entre usuários e serviços da rede de atenção à saúde

2021 ◽  
Vol 13 ◽  
pp. 1316-1322
Author(s):  
Denise Rocha Raimundo Leone ◽  
Beatriz Francisco Farah ◽  
Edna Aparecida Barbosa de Castro

Objetivo: compreender as interlocuções entre os usuários que realizam a diálise peritoneal domiciliar e os serviços da Rede de Atenção à Saúde. Método: pesquisa desenvolvida em um serviço de diálise e domicílios com 19 pessoas em tratamento dialítico distribuídas em três grupos amostrais conforme o método da Grounded Theory realizando-se observação participante e 23 entrevistas abertas. Análise através da codificação aberta, axial e seletiva. Resultado: o contexto assistencial estudado expõe a descontinuidade do cuidado dialítico nas esferas da atenção primária e hospitalar, analisada pela categoria “Realizando a Diálise Peritoneal no domicílio, estando inserido na Rede de Atenção à Saúde”. Conclusão: na ótica dos entrevistados a principal interlocução é com o serviço de terapia renal substitutiva, principal referência para o cuidado e intercorrências com a dialise domiciliar. As interlocuções com os outros pontos assistenciais da Rede visam obter serviços de apoio, não implicados com o procedimento de dialise peritoneal domiciliar.  

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Renata Evangelista Tavares Machado ◽  
Maria Cristina Pinto de Jesus ◽  
Vanessa Augusta Souza Braga ◽  
Daniel Rodrigues Machado ◽  
Deíse Moura de Oliveira ◽  
...  

ABSTRACT Objective: to understand the experiences and expectations of obese elderly people on the care they received in the primary health care network. Methods: phenomenological study, in which 16 obese elderly people living in a municipality in the state of Minas Gerais, Brazil, were interviewed. Their statements were organized into categories and analyzed according to Alfred Schütz’s social phenomenology and thematic literature. Results: the following categories emerged: “Care neglected to obese elderly people in the primary health care network”, “Group activities as a way to provide primary health care to obese elderly people: a present past”, and “Qualified longitudinal care, centered in the needs of obese elderly people”. Final considerations: offering comprehensive and longitudinal primary health care to obese older people was difficult, and there was instability in the consolidation of public policies, which pointed out the need for effective bonds between different healthcare network services and between professionals and users.


2021 ◽  
Vol 34 (2) ◽  
pp. 100-106
Author(s):  
Emily J. Follwell ◽  
Siri Chunduri ◽  
Claire Samuelson-Kiraly ◽  
Nicholas Watters ◽  
Jonathan I. Mitchell

Although there are numerous quality of care frameworks, little attention has been given to the essential concepts that encompass quality mental healthcare. HealthCare CAN and the Mental Health Commission of Canada co-lead the Quality Mental Health Care Network (QMHCN), which has developed a quality mental healthcare framework, building on existing provincial, national, and international frameworks. HealthCare CAN conducted an environmental scan, key informant interviews, and focus groups with individuals with lived experiences to develop the framework. This article outlines the findings from this scan, interviews and focus groups.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C S Cardoso ◽  
N R Baldoni ◽  
C F Melo ◽  
L O Rezende ◽  
K Noronha ◽  
...  

Abstract Background Health assessments are necessary for the (re) formulation of effective public policies and to guarantee the quality of care offered. This study aim to evaluate the perception of health professionals concerning the institutional capacity of the health system to care for Chronic Conditions (CC) after intervention in a medium-sized municipality in Minas Gerais, Brazil. Methods It is a panel study with evaluation before, during and after an intervention in the health system with a focus on three CC, i.e., i) diabetes; ii) hypertension; and iii) pregnant women. Health care professionals from primary and specialized care units were interviewed using the Assessment of Chronic Illness Care (ACIC) scale, which was applied in nine focal groups organized by health care unit. Results A total of 240 professionals participated of this evaluation, being 94, 63 and 82 participants in 2013, 2015 and 2018 respectively. The ACIC scores showed an positive evolution in the capacity of the health system to care for CC over the years. In the first wave the global score was 5.40 (basic capacity), while in the third wave the score was 9.38 (optimal capacity), with a significant increase in the scores (p < 0.01). Conclusions An important gain in the institutional capacity of the municipality was evidenced for the care of chronic conditions after intervention in the health system. Such an enhancement of the health system to operate in the CC might be sustainable over the time. Furthermore, its impact may directly reflect on the health indicators of the population. Key messages The results showed a strengthening of the local health system. These findings can subsidize other municipalities with a similar reality in the organization of the health care network and, consequently improve the care provided to chronic conditions.


2013 ◽  
Vol 71 (Suppl 3) ◽  
pp. 717.11-717
Author(s):  
Y.-M. Pers ◽  
S. Lacombe ◽  
S. Fabre ◽  
J.-P. Daures ◽  
J. Rouviere ◽  
...  

Author(s):  
Zeinab Bagheri ◽  
Tahereh Dehdari ◽  
Masoud Lotfizadeh

Abstract Objective: Emergency Risk Communication (ERC) is known as 1 of the important components of an effective response to public health emergencies. In this study, we aimed to investigate the preparedness of the Primary Health Care Network (PHCN) of Iran in terms of the ERC. Methods: This study was conducted in 136 Primary Health Care Facilities (PHCFs) affilated to Shahrekord University of Medical Sciences, Chaharmahal and Bakhtiari Province, Iran. Data in terms of ERC were collected using a checklist developed by the Center of Disease Control and Prevention (CDC). Results: The findings of the study revealed that 65.9% of the PHCFs had low preparedness in terms of the ERC, 33.3% had a moderate level and 0.8% had high preparedness in this regard. There was a significant difference between the level of ERC and the history of crisis in the past year, PHCF type, and the education level of the responsible employees in the crisis unit in the PHCF. Conclusions: The results showed that the PHCFs studied need to increase their capacity and capability in the field of ERC. Further efforts to provide ERC components may increase the preparedness of PHCN in Iran in terms of the ERC.


2012 ◽  
Vol 10 (3) ◽  
pp. 176-176
Author(s):  
L. Solberg ◽  
G. Simon ◽  
D. Price ◽  
A. Beck ◽  
A. Ahmed ◽  
...  

Public Health ◽  
2017 ◽  
Vol 153 ◽  
pp. 9-15 ◽  
Author(s):  
T.A.H. Rocha ◽  
N.C. da Silva ◽  
P.V. Amaral ◽  
A.C.Q. Barbosa ◽  
J.V.M. Rocha ◽  
...  

2020 ◽  
Vol 19 ◽  
pp. e209984
Author(s):  
Alessandra de Oliveira Lippert ◽  
Fernanda de Freitas Mendonça ◽  
Brígida Gimenez Carvalho ◽  
Pablo Guilherme Caldarelli

The National Oral Health Policy (NOHP) arose as an alternativefor the improvement of oral healthcare to all Brazilians. On theperspective of specialized care, Dental Specialties Centers(DSC) were implemented. Aim: The aim of this manuscriptwas the analysis the role of the DSC for the organization of theOral Health Care Network (OHCN) in the 20th Regional HealthSection (RHS) of Paraná. Methods: It is a qualitative study,which analyzed the role performed by the regional DSC TypeIII, a reference for 18 municipalities. The data were collectedthrough interviews carried out in the period between Marchand April 2019. Fourteen professional dentist-surgeons, ninefrom Basic Health Units (BHU) and five from the DSC wereinterviewed. For data analysis, speech analysis was used.Results: An active role of the regional DSC was identified inthis healthcare region, as it acts as a fundamental point in thestrengthening of the network, in the process of regionalizationand in the integrality of care. Conclusions: However, theimportance of broadening the access to specialized careneeds to be highlighted, to guarantee the continuity of carestarted at the BHU.


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