Factors that hinder of integrality in dialysis care

Abstract

This study analyzes the factors, which from the perspective of the health team and users, hinder the implementation of integrality in care provided by a dialysis facility. This qualitative study collected data through semi-structured interviews held with 16 health professionals and eight users from a university hospital in Rio Grande do Sul, Brazil. Data were analyzed through thematic content analysis. Among the factors that hinder the implementation of integrality in hemodialysis care, the following were highlighted: a deficient service network, delay in accessing diagnostic exams and consultations with specialists, and a reduced number of professionals in the support team. The conclusion is that the health services network needs to be expanded and an effective interface between such networks and dialysis services needs to be established in order to overcome the reported difficulties and contribute to the implementation of integrality in dialysis care. Fatores que dificultam a integralidade no cuidado em hemodiáliseEste artigo teve como objetivo analisar, sob a ótica da equipe de saúde e dos usuários, os fatores que podem dificultar a prática da integralidade do cuidado em uma unidade de hemodiálise. Trata-se de pesquisa qualitativa, cujos dados foram coletados por meio de entrevista semiestruturada, com dezesseis profissionais de saúde e oito usuários de um hospital de ensino do Rio Grande do Sul, tendo sido, posteriormente, feita a análise de conteúdo temática. Essa análise sugeriu que, dentre os fatores que dificultam a prática da integralidade no cuidado em hemodiálise, se destacaram deficiências na rede de serviços, demora no acesso a exames diagnósticos e a consultas com médicos especialistas e reduzido número de profissionais nas equipes de apoio. Concluiu-se, então, que a ampliação na rede de serviços de saúde e o estabelecimento de interface efetiva entre os serviços de hemodiálise e essa rede poderão representar a superação das dificuldades apontadas, e, assim, contribuir para a integralidade no cuidado em hemodiálise.Descritores: Unidades Hospitalares de Hemodiálise; Necessidades e Demandas de Serviços de Saúde; Assistência Integral à Saúde. Factores que dificultan la integralidad del cuidado en hemodiálisisEste artículo tuvo como objetivo analizar, bajo la óptica del equipo de salud y de los usuarios, los factores que pueden dificultar la práctica de la integralidad del cuidado en una unidad de hemodiálisis. Se trata de investigación cualitativa, cuyos datos fueron recolectados, por medio de entrevista semiestructurada, con dieciséis profesionales de salud y ocho usuarios de un hospital de enseñanza de Rio Grande del Sur, habiendo sido, posteriormente, hecho el análisis de contenido temático. Ese análisis sugiere que, entre los factores que dificultan la práctica de la integralidad en el cuidado en hemodiálisis, se destacaron deficiencias en la red de servicios, demora en el acceso a exámenes de diagnóstico y a consultas con médicos especialistas, y reducido número de profesionales en los equipos d...

A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers

“…This is the reason why patients unwilling to wait and able to pay will go to the private health system in opposition to those without resources. Similar results have been reported in other studies focused on hemodialysis treatment in Brazil (Fujii & Oliviera, ). Such findings lead to formulate other questions; one being whether such situation exacerbates existing social inequalities in countries like Brazil, especially in times of economic and political crisis; or if it is helping to consolidate the private health sector (Gramani, ).…”

Nursing Care For Patients Experiencing Clinical Complications During Haemodialysis

“…Fujii and Oliveira (2011) [20] highlighted several factors that hinder cohesion in the treatment of patients with CKD, among them the reduced number of professionals in the multidisciplinary team (psychologists, nutritionists, social workers). This support team assists the nurse in the care of these patients, providing the range of care and adaptations required in the daily life of this population.…”

Integrality: life principle and right to health

“…Among these are the delay in getting perform diagnostic tests and the excessive waiting time to consult with specialist doctors. 11 Keeping the notion of universality, the subject is intended to discuss the participative and inclusive perspective of citizens in health care, such as that which holds the right to health: the UHS is a right for all. In the informant's domain, "the sense of right is understood as something universal, held by all, which is characterized by integrality.…”