Atenção primária à saúde e coordenação do cuidado nas regiões de saúde: perspectiva de gestores e usuários

Bousquat, Aylene; Giovanella, Lígia; Campos, Estela Márcia Saraiva; Almeida, Patty Fidélis de; Martins, Cleide Lavieri; Mota, Paulo Henrique dos Santos; Mendonça, Maria Helena Magalhães de; Medina, María Guadalupe; Viana, Ana Luiza d’Ávila; Fausto, Márcia Cristina Rodrigues; Paula, Daniel Baffini de

doi:10.1590/1413-81232017224.28632016

Cited by 102 publications

(126 citation statements)

References 25 publications

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“…Other studies in these regions [2324] have confirmed the regional institution as the main service organizer in this area.…”

Section: Discussionmentioning

confidence: 52%

“…While making therapeutic itineraries with stroke patients in the same regions, Bousquat et al [23] reported similar results with no communication between services and professionals at different levels of assistance. They confirmed through interviews with patients in this clinical state that there are no mechanisms of continuity of care and care flow or vertical integration.…”

Section: Discussionmentioning

confidence: 98%

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Integration between Primary Health Care and Emergency Services in Brazil: Barriers and Facilitators

Uchimura

Silva

Viana

2018

International Journal of Integrated Care

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Introduction:Characteristics of primary health care and emergency services may hamper their integration and, therefore, reduce the quality of care and the effectiveness of health systems. This study aims to identify and analyse policy, structural and organizational aspects of healthcare services that may affect the integration between primary health and emergency care networks.Theory and Methods:We conducted a qualitative research study based on grounded theory that included: (1) interviews with 30 health care leaders; and (2) documental analysis of the summaries of Regional Interagency Committee meetings from two regions in the state of Sao Paulo, Brazil.Results:The integration between primary health and emergency care network is inefficient. The barriers that contributed to this situation are as follows: (1) policy: the municipal health department is responsible for providing primary health care and the regional health department provides emergency care, but there is a lack of space for the integration of services; (2) structural: distinct criteria for planning mechanisms; and (3) organizational: ineffective point of interaction between different levels of the health system.Conclusions and discussion:Our findings have implications for health management and planning in low-and middle-income countries (LMICs) with suggestions for interventions for overcoming the aforementioned barriers.

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“…Other studies in these regions [2324] have confirmed the regional institution as the main service organizer in this area.…”

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 98%

Integration between Primary Health Care and Emergency Services in Brazil: Barriers and Facilitators

Uchimura

Silva

Viana

2018

International Journal of Integrated Care

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“…This research confirms findings of previous studies the very own regionalization process, which marks the low of coordination and planning actions, especially from the APS, [26][27][28] as well as other more recent studies that test the fragility of the articulation between the levels of care in regional networks, a recognized fact by managers themselves in another health region in São Paulo State. 29 It should be noted that the presence of the University Hospital in the region is a critical component for the patients' care who were affected by AVE. With all the obstacles in care present in the therapeutic itineraries analyzed in this study, the University Hospital of Traumas has allowed the access of the interviewed healthcare users who arrive at the emergency department, through formal or informal ways, from the two macro-regions that link the interstate health region.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network

Fausto

Campos

Almeida

et al. 2017

Rev. Bras. Saude Mater. Infant.

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“…At most, they have the support of the COSEMS, who are unable to effectively and regularly respond to the needs and difficulties of the small municipalities. This appears to be a relevant point in the debate on the difficulties in effectively implementing a basic health care network 45,46 .…”

Section: Second Note: the Mismatch Between The Policy's Formulation Amentioning

confidence: 99%

Apontamentos sobre os desafios (ainda) atuais da atenção básica à saúde

Cecílio

Chioro

2018

Cad. Saúde Pública

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In recent decades, Brazil has witnessed a proposal to create an extensive basic health care network as the main portal of entry to a universal public health system. Based on the recognition of consistent strides in that direction, the article addresses four issues on some important challenges for the consolidation of the basic health care proposal: (1) the use of the term "basic health care" as opposed to the usual, hegemonic concept of "primary health care"; (2) the disconnect or mismatch between the policy's wording and its real-life implementation, underscoring the need for a review of the Brazilian National Basic Health Care Policy (PNAB), which centralizes and standardizes rules and routines for the entire country while overlooking Brazil's continental dimensions, heterogeneity, and wide local diversity; (3) the isolation of basic health care and its peripheral position in the health system, pointing to the need for more complex arrangements in the coordination of care, not left merely under the organization and responsibility of basic health care; and (4) the lack of health policymakers, administrators, and professionals who are prepared and aligned with a project aimed at transforming the country's prevailing health care model.

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Atenção primária à saúde e coordenação do cuidado nas regiões de saúde: perspectiva de gestores e usuários

Abstract: Abstract

Cited by 102 publications

References 25 publications

Integration between Primary Health Care and Emergency Services in Brazil: Barriers and Facilitators

Integration between Primary Health Care and Emergency Services in Brazil: Barriers and Facilitators

Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network

Apontamentos sobre os desafios (ainda) atuais da atenção básica à saúde

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