The QualiRede intervention: improving the performance of care continuum in HIV, congenital syphilis, and hepatitis C in health regions.

Autor:	Nemes MIB; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Castanheira ERL; School of Medicine of Botucatu, São Paulo State University - Botucatu (SP), Brazil., Alves AM; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Adania CSS; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Loch AP; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Monroe AA; School of Nursing of Ribeirão Preto, University of São Paulo - Ribeirão Preto (SP), Brazil., Souza RA; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Gianna MC; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Caminada S; State Program of Viral Hepatitis, Epidemiological Surveillance Center, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Farias NSO; State Program of Viral Hepatitis, Epidemiological Surveillance Center, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Sousa POE; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Domingues CSB; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Silva MHD; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Cervantes V; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Yamashiro J; State Program of Viral Hepatitis, Epidemiological Surveillance Center, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Caraciolo JMM; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Silva FLD; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Nemes Filho A; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Jesus GL; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Helena ETS; Graduate Program in Public Health, Regional University of Blumenau - Blumenau (SC), Brazil., Albiero JFG; Graduate Program in Public Health, Regional University of Blumenau - Blumenau (SC), Brazil., Lima MSS; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Bellenzani R; Federal University of Mato Grosso do Sul - Paranaíba (MS), Brazil., Kehrig RT; Institute of Public Health, Federal University of Mato Grosso - Cuiabá (MT), Brazil., Vale FCD; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Nunes LO; School of Medicine of Botucatu, São Paulo State University - Botucatu (SP), Brazil., Mendonça CS; School of Medicine of Botucatu, São Paulo State University - Botucatu (SP), Brazil., Zarili TFT; School of Medicine of Botucatu, São Paulo State University - Botucatu (SP), Brazil., Vilela MC; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Dantas JCO; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Paula I; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Tayra Â; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Coelho DM; State Program of Viral Hepatitis, Epidemiological Surveillance Center, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Santos GPD; School of Nursing of Ribeirão Preto, University of São Paulo - Ribeirão Preto (SP), Brazil., Quevedo DC; Epidemiological Surveillance Board, State Secretariat of Health of Santa Catarina - Florianópolis (SC), Brazil., Silva MAD; Epidemiological Surveillance Board, State Secretariat of Health of Santa Catarina - Florianópolis (SC), Brazil., Silva IBD; Coordination of Primary Health Care, State Secretariat of Health of Santa Catarina - Florianópolis (SC), Brazil., Nasser MA; Department of Preventive Medicine, São Paulo School of Medicine, Federal University of São Paulo - São Paulo (SP), Brazil., Andrade MC; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Santos MA; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Mercuri J; School of Medicine, University of São Paulo - São Paulo (SP), Brazil., Trindade KV; State Program of STD/AIDS, Center for Referral and Training in STD/AIDS, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Neves MATD; Epidemiological Surveillance Center, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Toledo RVA; Epidemiological Surveillance Center, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Almeida MCR; Epidemiological Surveillance Center, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil., Lima IN; Epidemiological Surveillance Center, State Secretariat of Health of São Paulo - São Paulo (SP), Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2019 Sep 26; Vol. 22Suppl 1 (Suppl 1), pp. e190010. Date of Electronic Publication: 2019 Sep 26 (Print Publication: 2019).
DOI:	10.1590/1980-549720190010.supl.1
Abstrakt:	Introduction: Care continuum models have supported recent strategies against sexually transmitted diseases, such as HIV and Hepatitis C (HCV). Methods: HIV, HCV, and congenital syphilis care continuum models were developed, including all stages of care, from promotion/prevention to clinical control/cure. The models supported the intervention QualiRede, developed by a University-Brazilian National Health System (SUS) partnership focused on managers and other professionals from six priority health regions in São Paulo and Santa Catarina. Indicators were selected for each stage of the care continuum from the SUS information systems and from the Qualiaids and QualiAB facility's process evaluation questionnaires. The indicators acted as the technical basis of two workshops with professionals and managers in each region: the first one to identify problems and to create a Regional Technical Group; and the second one to design action plans for improving regional performance. Results: The indicators are available at www.qualirede.org. The workshops took place in the regions of Alto Tietê, Baixada Santista, Grande ABC, and Registro (São Paulo) and of Foz do Rio Itajaí (Santa Catarina), which resulted in regional action plans in São Paulo, but not in Santa Catarina. A lack of awareness was observed regarding the new HIV and HCV protocols, as well as an incipient use of indicators in routine practices. Conclusion: Improving the performance of the care continuum requires appropriation of performance indicators and coordination of care flows at local, regional, and state levels of management.
Databáze:	MEDLINE
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