Exemplos brasileiros de programas de controle de asma

Abstract

The aim of this study was to determine which Brazilian programs demonstrate experience in asthma management. Data on and characteristics of those programs were obtained by electronic mail. The variables studied were related to the program itself, its patients and staff. Descriptive statistics were used in the study, which evaluated 17 programs. All programs received public funding, produced educational/training materials and had specialized physicians on staff. We concluded that the experience accumulated by all the programs can be used as one of the pillars of a national program for the control of asthma in Brazil.

The Impacts of Educational Asthma Interventions in Schools: A Systematic Review of the Literature

“…Thus, access to treatment and services has been promoted for various health disorders, including asthma. In this context, the availability of asthma medication in our country has favored the creation and consolidation of programs for the control of asthma, and many of these programs have been successful [ 47 ]. These initiatives are isolated and not standardized for age or the degree of severity of the disease and include multidisciplinary monitoring and information on asthma in addition to distributing antiasthma inhaled medication [ 47 , 48 ].…”

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

“…It is also clear from the results that awareness of and decision making by public managers are determining factors for the success or failure of program activities. This is a characteristic of Brazilian society and is not related directly to health, but rather to politics, ( 20 ) especially since the asthma interventions in the community that are mentioned in the present study ( 5 ) were designed in state or municipal departments of health or in public universities. It is essential to understand that the role of the programs is both technical and political, which requires knowledge of legislation, system organization, public health strategies, etc.…”

“…Since 2003, the number of AMPCs in operation has remained virtually unchanged. Although this is not a phenomenon occurring just in Brazil, ( 16 ) the national experience of AMPCs is sufficiently mature and has a critical mass of experienced professionals to come up with proposals ( 5 ) for change.…”

“…Examples of asthma programs in Brazil were obtained in 2008, by analyzing the responses to the forms sent to BTA members and members of the Brazilian Association of Allergists and Immunologists. ( 5 ) Of 55 services that reported having a systematized program, 11 (20%) did not respond to the structural questions and 27 (49%) were excluded from the analysis (17 treated severe asthma and 10 had had the program for less than two years). All 17 programs analyzed received public funding for their maintenance: 4 (23%) received state funding exclusively, whereas 13 (77%) received state and municipal funding.…”

“…In addition, 47% provided home visits by nurses, and 41% adopted public health strategies, such as family health care, outreach, humanizing practices, and visits by community health care agents. That study ( 5 ) showed that, from 2003 onward, the number of programs increased significantly, as a result of the availability of full public funding for the purchase of asthma medications.…”