Incremento de la participación de Atención Primaria en la asistencia al virus de la inmunodeficiencia humana: opinan los profesionales de las unidades hospitalarias

Abstract

Physicians perceive difficulties in following up HIV patients in Primary Care, even for those patients with a good control of their disease. Nurses and nursing assistants are more open to this possibility due to the proximity to home and health promotion in Primary Care.

Care for the Person Who Lives With Hiv/Aids in Primary Health Care

“…Thus, the disease assumed characteristics of a chronic condition, with a therapeutic control facilitated and more accessible to People Living with HIV/AIDS (PLWHA). 2 As such, HIV/AIDS care requires a different perspective on the issue, leading to holistic approach, service coordination and focus on Primary Health Care (PHC). 3 In this sense, the Ministry of Health of Brazil turns to the importance and discusses this new conjuncture.…”

“…3,[6][7] Although there are significant potentialities that point towards the reorganization of HIV/AIDS care model, there are significant difficulties in implementing this proposal, such as: the level of training of professionals in the of HIV/AIDS field; the risk of breach of confidentiality; and, the managerial problems of PHC, namely: excess of demand, human resources deficit and difficulties of articulation in the Care Network. 2 In order to elucidate how PLWHA care occurs in the reality of PHC, in its potentialities and fragilities, as well as to problematize ways to a positive change, it was sought to investigate the issue from the perspective of nurses working in PHC network. A capital of southern Brazil, considered the Brazilian capital with the best performance in the National Program for Improving Access and Quality of Basic Care (PMAQ).…”