Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network
| Autor: | Aline Silva Jerônimo, Ligia Giovanella, Angela Carneiro, Estela Márcia Saraiva Campos, Maria Guadalupe Medina, Gabriela Almeida Borges, Aylene Bousquat, Márcia Cristina Rodrigues Fausto, Patty Fidelis de Almeida, Paulo Henrique dos Santos Mota, Ítalo Ricardo Santos Aleluia |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Regionalization medicine.medical_treatment Primary health care lcsh:Gynecology and obstetrics Market fragmentation Health policies 03 medical and health sciences Health services 0302 clinical medicine Health systems Health care medicine 030212 general & internal medicine lcsh:RG1-991 030505 public health Rehabilitation business.industry Public health medicine.disease Hospital care REGIONALIZAÇÃO Warning signs Medical emergency 0305 other medical science business |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Revista Brasileira de Saúde Materno Infantil, Vol 17, Iss suppl 1, Pp S63-S72 Repositório Institucional da UFJF Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF Revista Brasileira de Saúde Materno Infantil v.17 suppl.1 2017 Revista Brasileira de Saúde Materno Infantil Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) instacron:IMIPFF |
| Popis: | Objectives: to analyze the itineraries of patients with cerebrovascular accident (CVA) in the Interstate health region in San Francisco Valley. Methods: this study uses the qualitative approach through the construction of Therapeutic Itineraries (IT). In the IT mapping the observation was prioritized on the different points and forms to access health service in search of care. Results: sixteen semi-structured interviews with healthcare users were conducted. There were diverse forms to access and provide services at the Rede Interestadual de Atenção à Saúde do Vale do Médio São Francisco-PEBA (Interstate Healthcare Network Region in the San Francisco Valley), which could be characterized by disorganized and uncoordinated care in the analyzed cases, despite the guarantee of hospital care. The Primary Health Care (APS) teams are present at a care point with most of the patients' itineraries, however, little integration to the regionalized network and they were unable to perform their functions and coordinate the care. It is observed pilgrimage assistance, fragmented care and difficulties in receiving care after post hospitalization which is essential for the patients’ rehabilitation. Conclusions: traces of fragments of the regional health system are important warning signs that points out fragility in PEBA and demonstrate persistent gaps in the public health system to fulfil the responsibility and guarantee individuals’ right for health. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|