Physicians' and nurses' perspective on chronic disease care practices in Primary Health Care in Brazil: a qualitative study.

Autor: Nunes Oliveira C; Master's Program in Collective Health, Multidisciplinary Health Institute, Federal University of Bahia, Vitória da Conquista, Bahia, Brazil., Galvão Oliveira M; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., Wildes Amorim W; Departament of Natural Science, State University of Southwest of Bahia, Vitória da Conquista, Bahia, Brazil., Nicolaevna Kochergin C; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., Mistro S; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., de Medeiros DS; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., Oliveira Silva K; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., Moraes Bezerra V; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., Honorato Dos Santos de Carvalho VC; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., Bispo Júnior JP; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., Louzado JA; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., Lopes Cortes M; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil., Arruda Soares D; Epidemiology and Collective Health Nucleus, Multidisciplinary Health Institute, Federal University of Bahia, Hormindo Barros Street, 58 - Candeias, Vitória da Conquista, Bahia, 45029-094, Brazil. danielaasoaresalves@gmail.com.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2022 May 19; Vol. 22 (1), pp. 673. Date of Electronic Publication: 2022 May 19.
DOI: 10.1186/s12913-022-08078-z
Abstrakt: Background: Primary health care-oriented systems provide better healthcare, especially for chronic diseases. This study analyzed the perspectives of physicians and nurses performing care for patients with chronic diseases in Primary Health Care in a Brazilian city.
Methods: A qualitative study was conducted in Vitória da Conquista, Bahia, Brazil, using semi-structured interviews with five physicians and 18 nurses. The interview included questions from an analytical matrix based on three dimensions of healthcare practices: organizational, technical care, and biopsychosocial, following a deductive approach. The interviews were fully transcribed and analyzed using a thematic categorical approach.
Results: The results indicated that the provision of chronic care occurs in a comprehensive way. Potentialities were identified in the diversification of access, offer of care actions and technologies, integration of teamwork, and bringing together social networks to foster autonomy and self-care. Weaknesses were mostly related to the high number of people in the teams, follow-up of several cases, high turnover of support teams, low integration of Primary Health Care with other levels, difficulties in intersectoral articulation and family participation in care.
Conclusion: The multidimensional assessment of health care practices aimed at individuals with chronic noncommunicable diseases was useful to portray the strengths and weaknesses of the services. It also ratifies the need to consider the importance of and investment in primary health care by offering the necessary technical, political, logistical and financial support to the units, to ensure the sustainability of the actions by nurses, doctors and entire team.
(© 2022. The Author(s).)
Databáze: MEDLINE
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