Medicina centrada no paciente e ensino médico: a importância do cuidado com a pessoa e o poder médico

Ribeiro, Maria Mônica Freitas; Amaral, Carlos Faria Santos

doi:10.1590/s0100-55022008000100012

Cited by 79 publications

(101 citation statements)

References 31 publications

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“…Data was obtained by interviewing, utilizing a structured, pre-coded questionnaire 10 . Two separate analyses compared the characteristics of treated with non-treated informants -among those who were aware of being hypertensive (previous doctor diagnosis) (Table 1) and hypertensive elderly with adequate blood pressure control (systolic blood pressure of < 140mmHg and/or diastolic blood pressure of < 90mmHg) -with those having higher arterial pressure (Table 2).…”

Section: Methodsmentioning

confidence: 99%

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Balking blood pressure "control" by older persons of Bambuí, Minas Gerais State, Brazil: an ethno-epidemiological inquiry

et al. 2011

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This ethno-epidemiological inquiry aims to comprehend hypertension-related experiences in the elderly population of Bambuí, in the State of Minas Gerais, Brazil. It combines ethnographic descriptions with statistical data. The subjective significance of factors associated with adequate arterial pressure control is explored. A baseline cohort of 26 people with hypertension, randomly selected from a total number of 1,494 residents over the age of 60, was interviewed utilizing signs, meanings and actions methodology. Multivariate analysis shows an association (p < 0.001) between female gender and monthly household income and treatment of hypertension and adequate blood pressure control. The number of doctor visits is associated with treatment but not with adequate blood pressure control. Conflicting cultural construction of "blood pressure problems" contributes to "non-adherence" to treatment. There is a fine line between blood pressure "control" and what is perceived as health professionals "controlling" patients' lives. Doctor-prescribed regimes are perceived as "prohibiting life's pleasures" and "controlling" personal liberty and free choice. Giving elderly people a voice regarding their social context can promote autonomy, well-being and happiness in later life.

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Section: Methodsmentioning

confidence: 99%

“…Approximately 43% of adults over the age of 25 have completed less than 4 years of schooling. The Human Development Index (HDI) is 0,70 10 .…”

Section: Bambuí: a Small Tropical Town In Transitionmentioning

confidence: 99%

Balking blood pressure "control" by older persons of Bambuí, Minas Gerais State, Brazil: an ethno-epidemiological inquiry

et al. 2011

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“…Some of them are the user-centered work process 11 , the person-centered clinical method centered/ patient-centered medicine 36 , comprehensive care 13 , Expanded Clinical Approach (ECA) 37 and the National Policy for Humane Care (NPHC), all of them based on the principle of comprehensive care 38,39 .…”

Section: National Contributions On Pccmentioning

confidence: 99%

Atenção centrada no paciente na prática interprofissional colaborativa

Agreli

Peduzzi

Silva

2016

Interface (Botucatu)

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The aim of this study is to describe key-elements of patient-centred care and its relationship with interprofessional collaborative practice in Primary Health Care, in the context of Unified Health System. Based on national and international review. The outcomes show that as professionals shift their focus towards patient centred care and patient's needs, their scope of view is broadened beyond the limits of their own professional activities. This shift is an enabler for changes in the current health care model towards comprehensive care and potentially impacting the quality of services.Keywords: Patient-centred care. Primary Health Care. Interprofessional relations. COMUNICAÇÃO SAÚDE EDUCAÇÃO 2016; 20(59):905-16 IntroductionThe present study analyzes patient-centered care (PCC) in interprofessional collaborative practice (ICP) following two leads: the first is a consequence of the emphasis of the health policies and of the research centers that are devoted to ICP [1][2][3][4] in PCC, highlighting its essential role in interprofessional collaboration. The current literature is also in agreement in considering the PCC as a key element in teamwork and ICP 5 .The second lead for this study comes from the fact that in spite of the agreement in the literature seeing the PCC as a competency domain of the ICP 1,6 and the existence of successful empirical outcomes related to PCC 7,8 , there is a lack of a consensual definition for PCC, hampering its implementation 9 and hindering the dialogue between national and international literature. This dialogue is central to understand how international contributions on PCC may be comparable to the user-centered approaches present in Brazilian literature.The academic publications on the issue represent PCC as a central domain for interprofessional collaboration and a core element in teamwork and ICP 5 . A PCC-oriented team is an indicator for differentiating three increasing levels of collaboration 5 (potential collaboration, collaboration in development, active collaboration and in this classification the denomination of a group as a "team" is restricted to those presenting "active collaboration", that guide their actions with the patients and their health needs in focus. MethodsTo identify the Brazilian contributions on this subject, a review was performed in BDENF, LILACS and SciELO, using as descriptor the Portuguese equivalent of "patient centered care" e.g. "assistência centrada no paciente" without timeline delimiters. The search was performed from September 2013 to February 2014, using as criteria: Studies dealing with PCC as main subject and freely available in full-text versions, excluding thesis, dissertations and books. From the search, a total of 14 articles were selected, adding later four more that came as references in the articles found in the search engines and that were previously known to the researchers 10-14 .The international literature search was performed in Medline, Scopus and CINAHL in the same period of time, using as descriptors "client centered car...

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“…Uma interpretação dos múltiplos olhares está relacionada à complexidade das relações humanas, em que a troca de saberes e de atitudes compartilhadas considera o outro e as diferentes ideias. Desse modo, por meio da sensibilidade, devem-se observar diferentes vértices para analisar cada fato da vida cotidiana 23 .…”

Section: Discussionunclassified