2008
DOI: 10.1590/s0102-311x2008001300014
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"É muito dificultoso!": etnografia dos cuidados a pacientes com hipertensão e/ou diabetes na atenção básica, em Manaus, Amazonas, Brasil

Abstract: O texto analisa os resultados de pesquisa avaliativa da Atenção Básica à Saúde do paciente com hipertensão e/ou diabetes em Manaus, Amazonas, Brasil. A abordagem etnográfica utilizou, como categorias analíticas centrais, o acesso aos serviços e a integralidade do cuidado, comparando-se as práticas sanitárias desenvolvidas em unidade do Programa Saúde da Família (PSF) e em unidade básica de saúde não-PSF. A facilitação do acesso à unidade de saúde da família implantada em comunidade carente é limitada pela prec… Show more

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Cited by 20 publications
(39 citation statements)
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“…13 Additionally, when the complexity of the cases goes beyond the level of primary care, it is clear that there is no linkage mechanism at this level with more specialized levels of care, which results in poor solutions to meet the demands of health service users. 14 The lack of preventive and promotional health by professionals slips into a curative attention yet, limiting the possibility of a qualified hearing, bond and accountability, which are essential for an effective practice of adherence to therapy. 13 Other authors 14 corroborate the above model and point-dressing emergency as unable to produce personalized attention and create bond with the patient so that it can feel safe and motivated to adhere to treatment.…”
Section: The Historical Process Of Building What Is Now Known As the mentioning
confidence: 99%
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“…13 Additionally, when the complexity of the cases goes beyond the level of primary care, it is clear that there is no linkage mechanism at this level with more specialized levels of care, which results in poor solutions to meet the demands of health service users. 14 The lack of preventive and promotional health by professionals slips into a curative attention yet, limiting the possibility of a qualified hearing, bond and accountability, which are essential for an effective practice of adherence to therapy. 13 Other authors 14 corroborate the above model and point-dressing emergency as unable to produce personalized attention and create bond with the patient so that it can feel safe and motivated to adhere to treatment.…”
Section: The Historical Process Of Building What Is Now Known As the mentioning
confidence: 99%
“…In this scenario, nursing is configured as a health profession more tied to medicine in the field of public health and also the most subordinate. 14 In contrast, other aspects argue that the role of the nurse is to empower his team of helpers in carrying out activities, consultations and to identify risk factors for non-adherence forwarding to the doctor when needed. 15 In both situations, may be found to limit the scope of practice of the team should be called team integration, but in practice nothing but a team grouping, since little is the articulation of the actions and interactions of agents, ethical commitment and respect each other.…”
Section: The Historical Process Of Building What Is Now Known As the mentioning
confidence: 99%
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“…Em relação a esse último aspecto, os participantes indicaram a necessidade de adotar estratégias como "agradar as pessoas", "não brigar" e "não reclamar", como forma de viabilizar os atendimentos. No que se refere à abordagem adotada pelos profissionais nas consultas, os relatos indicaram que, assim como comprovado por Souza & Garnelo 25 , não eram valorizadas as dimensões do adoecer de ordem não biológica, incluindo os significados atribuídos pelos usuá-rios aos sintomas, bem como, os problemas de ordem familiar ou financeira que pudessem impactar sobre o seu estado de saúde. Além disso, não se incentivava a autonomia do indivíduo ou seu poder de tomar decisões em questões inerentes à sua saúde.…”
Section: Interação Com O Sistema Formal De Saúdeunclassified
“…As dificuldades no manejo envolvem a pouca adesão, aspectos psicológicos e sociais relacionados aos serviços (organização, estrutura, acesso e características da relação médico-paciente) e outras razões (ausência de sintomas, normalização da pressão, consumo de álcool, etc.) [2][3][4][5] .…”
Section: Introductionunclassified