A workshop on asthma management programs and centers in Brazil: reviewing and explaining concepts

Abstract

Objective: To report the results of a workshop regarding asthma management programs and centers (AMPCs) in Brazil, so that they can be used as a tool for the improvement and advancement of current and future AMPCs. Methods: The workshop consisted of five presentations and the corresponding group discussions. The working groups discussed the following themes: implementation of asthma management strategies; human resources needed for AMPCs; financial resources needed for AMPCs; and operational maintenance of AMPCs. Results: The workshop involved 39 participants, from all regions of the country, representing associations of asthma patients (n = 3), universities (n = 7), and AMPCs (n = 29). We found a direct relationship between a lack of planning and the failure of AMPCs. Based on the experiences reported during the workshop, the common assumptions about AMPCs in Brazil were the importance of raising awareness of managers; greater community participation; interdependence between primary care and specialized care; awareness of regionalization; and use of medications available in the public health system. Conclusions: Brazil already has a core of experience in the area of asthma management programs. The implementation of strategies for the management of chronic respiratory disease and their incorporation into health care system protocols would seem to be a natural progression. However, there is minimal experience in this area. Joint efforts by individuals with expertise in AMPCs could promote the implementation of asthma management strategies, thus speeding the creation of treatment networks, which might have a multiplier effect, precluding the need for isolated centers to start from zero.

Avaliação do controle da asma em crianças e adolescentes do Programa Respirar da cidade de Ipatinga, Minas Gerais, Brasil

“…A capacitação contínua de todas as categorias de profissionais da saúde em todos os níveis da atenção se faz necessária, assim como do paciente e seus familiares 27 .…”

Global Alliance against Chronic Respiratory Diseases (GARD) Brazil success case: overcoming barriers

“…With the support of GINA in Brazil, two national seminars on asthma programmes took place bringing together some 30 regional leaders to discuss health policy on CRDs. The report of the first meeting, which took place in 2014, has been published (21). Two experiences on introducing structured lessons on CRDs for schoolers, based on specific publications to facilitate the process, have taken place in Brazil and were presented briefly in GARD General Meeting 2015.…”

Produção Do Cuidado E a Rede De Atenção a Pessoa Com Doença Respiratória Crônica: Um Estudo De Revisão

“…A falta de planejamento nas ações de saúde é algo histórico em nossa realidade; a rede de cuidados de forma organizada e capaz de ser resolutiva, ainda é algo que estamos longe de perceber; e a integralização dos sujeitos nos diferentes equipamentos é algo que precisa ser discutido e aprimorado, para entender que o processo saúde/doença necessita ser dimensionado de forma mais ampla no cotidiano dos serviços de saúde 21 .…”

“…Os doentes, os familiares e a comunidade envolvida no processo deve também fazer parte deste momento de educação permanente. É papel da Atenção Primária coordenar o cuidado em saúde, ampliar a sua atuação e também estabelecer uma articulação eficaz entre os centros de referência e da atenção especializada 21 .…”

“…Destarte, este cuidador também precisa de um olhar diferenciado, pois normalmente ocorre redução da sua qualidade de vida propiciada pela sobrecarga que a doença oferece, como consequência, poderá interferir na qualidade da atenção dada ao doente 21 .…”