Author:
Nunes Oliveira Carolinny,Galvão Oliveira Marcio,Wildes Amorim Welma,Nicolaevna Kochergin Clavdia,Mistro Sóstenes,de Medeiros Danielle Souto,Oliveira Silva Kelle,Moraes Bezerra Vanessa,Honorato dos Santos de Carvalho Vivian Carla,Bispo Júnior José Patrício,Louzado José Andrade,Lopes Cortes Matheus,Arruda Soares Daniela
Abstract
Abstract
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.
Publisher
Springer Science and Business Media LLC
Cited by
1 articles.
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