Atención a la cronicidad: desafío estratégico, macrogestión y políticas de salud

Integration strategies for caring for chronic noncommunicable diseases: a case study

“…The nursing profession also evolves with such changes, and with them, new attributions are given to the nurse. In this sense, the priorities of health systems must be focused on strategies, with clear proposals for coordination and continuity of care; definitions of the roles of each professional, incorporation of tools and technologies; attention to scientific evidence with practical improvement; skills acquisition and involvement with decision-making (3) .…”

“…In this regard, considering also the need for mechanisms that favor coordination (7) , the insertion of nurses in this context of coping with CNCDs may be favorable. The coordination skills of care, inherent to their work process (3,(23)(24)(25)(26) can be a strategy for comprehensive care, with the potential to minimize barriers between care levels (11) .…”

“…This scenario is characterized by constant challenges, such as increased incidence of Chronic Noncommunicable Diseases (CNCDs), caused, among other aspects, by changes in the epidemiological profile resulting from the aging of the population. Fragmentation of care within a context where there is a scarcity of resources has required proactivity and flexibility of adaptation by health services (1)(2)(3)(4) . The restructuring of care and the reorganization of the system in Health Care Networks (RAS -Rede de Atenção à Saúde), with articulated health actions and services, can contribute to comprehensive care (1) , with emphasis on Primary Health Care (PHC) as a care provider.…”