Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil

Detalhes bibliográficos
Autor(a) principal: Melchior, Regina
Data de Publicação: 2006
Outros Autores: Nemes, Maria Ines Battistella, Basso, Cáritas Relva, Castanheira, Elen Rose Lodeiro, Britto e Alves, Maria Teresa Soares de, Buchalla, Cássia Maria, Donini, Angela Aparecida
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/31994
Resumo: OBJECTIVE: In the context of universal access to antiretroviral treatment, the results of the Brazilian AIDS Program will depend on the quality of the care provided. The aim of the present study was to evaluate the healthcare provided by outpatient services for the treatment of AIDS patients. METHODS: The present study was carried out in seven Brazilian States between 2001 and 2002. We evaluated the quality of the care provided to AIDS patients from the standpoint of resource availability and care process organization. A questionnaire comprising 112 structured questions addressing these aspects was sent to 336 services. RESULTS: Response rate was 95.8% (322). Greater adequacy is seen for indicators of resource availability than for those of work organization. The supply of antiretroviral medication is sufficient in 95.5% of services. CD4 and viral load tests are available at adequate amounts in 59 and 41% of services, respectively. In 90.4% of services there is at least one non-medical professional (psychologist, nurse, or social worker). As to work organization, 80% scheduled the date but not the time of medical appointments; 40.4% scheduled more than 10 appointments per period; 17% did not have exclusive managers; and 68.6% did not hold systematic staff meetings. CONCLUSIONS: The results indicate that, in addition to ensuring the more homogeneous distribution of resources, the program must invest in the training and dissemination of care management skills, as confirmed by the results of care process organization.
id USP-23_3b27d1f946b67f0bbd4fb52b59763860
oai_identifier_str oai:revistas.usp.br:article/31994
network_acronym_str USP-23
network_name_str Revista de Saúde Pública
repository_id_str
spelling Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil Avaliação da estrutura organizacional da assistência ambulatorial em HIV/Aids no Brasil Avaliação de programas de saúde^i1^sATratamento^i1^squimioterapia ou agentes anti-Tratamento^i1^sprovisão & distribuiQualidade dos cuidados em saúdeHealth programs evaluation^i2^sADrug therapy or anti-HIV agents^i2^ssupply & provisQuality of health care OBJECTIVE: In the context of universal access to antiretroviral treatment, the results of the Brazilian AIDS Program will depend on the quality of the care provided. The aim of the present study was to evaluate the healthcare provided by outpatient services for the treatment of AIDS patients. METHODS: The present study was carried out in seven Brazilian States between 2001 and 2002. We evaluated the quality of the care provided to AIDS patients from the standpoint of resource availability and care process organization. A questionnaire comprising 112 structured questions addressing these aspects was sent to 336 services. RESULTS: Response rate was 95.8% (322). Greater adequacy is seen for indicators of resource availability than for those of work organization. The supply of antiretroviral medication is sufficient in 95.5% of services. CD4 and viral load tests are available at adequate amounts in 59 and 41% of services, respectively. In 90.4% of services there is at least one non-medical professional (psychologist, nurse, or social worker). As to work organization, 80% scheduled the date but not the time of medical appointments; 40.4% scheduled more than 10 appointments per period; 17% did not have exclusive managers; and 68.6% did not hold systematic staff meetings. CONCLUSIONS: The results indicate that, in addition to ensuring the more homogeneous distribution of resources, the program must invest in the training and dissemination of care management skills, as confirmed by the results of care process organization. OBJETIVO: No contexto de acesso universal à terapia antiretroviral, os resultados do Programa de Aids dependem da qualidade do cuidado prestado. O objetivo do estudo foi avaliar a qualidade do cuidado dos serviços ambulatoriais que assistem pacientes de Aids. MÉTODOS: Estudo realizado em sete Estados brasileiros, em 2001 e 2002. Foi avaliada a qualidade do atendimento a pacientes com Aids quanto à disponibilidade de recursos e a organização do trabalho de assistência. Um questionário com 112 questões estruturadas abordando esses aspectos, foi enviado a 336 serviços. RESULTADOS: A taxa de resposta foi de 95,8% (322). Os indicadores de disponibilidade de recursos mostram uma adequação maior do que os indicadores de organização do trabalho. Não faltam antiretrovirais em 95,5% dos serviços, os exames de CD4 e Carga Viral estão disponíveis em quantidade adequada em 59 e 41% dos serviços, respectivamente. Em 90,4% dos serviços há pelo menos um profissional não médico (psicólogo, enfermeiro ou assistente social). Quanto à organização, 80% não agendavam consulta médica com hora marcada; 40,4% agendavam mais que 10 consultas médicas por período; 17% não possuíam gerentes exclusivos na assistência e 68,6% não realizavam reuniões sistemáticas de trabalho com a equipe. CONCLUSÕES: Os resultados apontam que além de garantir a distribuição mais homogênea de recursos, o programa precisa investir no treinamento e disseminação do manejo do cuidado, conforme evidenciado nos resultados da organização de trabalho. Universidade de São Paulo. Faculdade de Saúde Pública2006-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3199410.1590/S0034-89102006000100022Revista de Saúde Pública; Vol. 40 No. 1 (2006); 143-151 Revista de Saúde Pública; Vol. 40 Núm. 1 (2006); 143-151 Revista de Saúde Pública; v. 40 n. 1 (2006); 143-151 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/31994/34010https://www.revistas.usp.br/rsp/article/view/31994/34011Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMelchior, ReginaNemes, Maria Ines BattistellaBasso, Cáritas RelvaCastanheira, Elen Rose LodeiroBritto e Alves, Maria Teresa Soares deBuchalla, Cássia MariaDonini, Angela Aparecida2012-07-08T22:56:20Zoai:revistas.usp.br:article/31994Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T22:56:20Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil
Avaliação da estrutura organizacional da assistência ambulatorial em HIV/Aids no Brasil
title Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil
spellingShingle Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil
Melchior, Regina
Avaliação de programas de saúde^i1^sA
Tratamento^i1^squimioterapia ou agentes anti-
Tratamento^i1^sprovisão & distribui
Qualidade dos cuidados em saúde
Health programs evaluation^i2^sA
Drug therapy or anti-HIV agents^i2^ssupply & provis
Quality of health care
title_short Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil
title_full Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil
title_fullStr Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil
title_full_unstemmed Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil
title_sort Evaluation of the organizational structure of HIV/AIDS outpatient care in Brazil
author Melchior, Regina
author_facet Melchior, Regina
Nemes, Maria Ines Battistella
Basso, Cáritas Relva
Castanheira, Elen Rose Lodeiro
Britto e Alves, Maria Teresa Soares de
Buchalla, Cássia Maria
Donini, Angela Aparecida
author_role author
author2 Nemes, Maria Ines Battistella
Basso, Cáritas Relva
Castanheira, Elen Rose Lodeiro
Britto e Alves, Maria Teresa Soares de
Buchalla, Cássia Maria
Donini, Angela Aparecida
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Melchior, Regina
Nemes, Maria Ines Battistella
Basso, Cáritas Relva
Castanheira, Elen Rose Lodeiro
Britto e Alves, Maria Teresa Soares de
Buchalla, Cássia Maria
Donini, Angela Aparecida
dc.subject.por.fl_str_mv Avaliação de programas de saúde^i1^sA
Tratamento^i1^squimioterapia ou agentes anti-
Tratamento^i1^sprovisão & distribui
Qualidade dos cuidados em saúde
Health programs evaluation^i2^sA
Drug therapy or anti-HIV agents^i2^ssupply & provis
Quality of health care
topic Avaliação de programas de saúde^i1^sA
Tratamento^i1^squimioterapia ou agentes anti-
Tratamento^i1^sprovisão & distribui
Qualidade dos cuidados em saúde
Health programs evaluation^i2^sA
Drug therapy or anti-HIV agents^i2^ssupply & provis
Quality of health care
description OBJECTIVE: In the context of universal access to antiretroviral treatment, the results of the Brazilian AIDS Program will depend on the quality of the care provided. The aim of the present study was to evaluate the healthcare provided by outpatient services for the treatment of AIDS patients. METHODS: The present study was carried out in seven Brazilian States between 2001 and 2002. We evaluated the quality of the care provided to AIDS patients from the standpoint of resource availability and care process organization. A questionnaire comprising 112 structured questions addressing these aspects was sent to 336 services. RESULTS: Response rate was 95.8% (322). Greater adequacy is seen for indicators of resource availability than for those of work organization. The supply of antiretroviral medication is sufficient in 95.5% of services. CD4 and viral load tests are available at adequate amounts in 59 and 41% of services, respectively. In 90.4% of services there is at least one non-medical professional (psychologist, nurse, or social worker). As to work organization, 80% scheduled the date but not the time of medical appointments; 40.4% scheduled more than 10 appointments per period; 17% did not have exclusive managers; and 68.6% did not hold systematic staff meetings. CONCLUSIONS: The results indicate that, in addition to ensuring the more homogeneous distribution of resources, the program must invest in the training and dissemination of care management skills, as confirmed by the results of care process organization.
publishDate 2006
dc.date.none.fl_str_mv 2006-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31994
10.1590/S0034-89102006000100022
url https://www.revistas.usp.br/rsp/article/view/31994
identifier_str_mv 10.1590/S0034-89102006000100022
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31994/34010
https://www.revistas.usp.br/rsp/article/view/31994/34011
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 40 No. 1 (2006); 143-151
Revista de Saúde Pública; Vol. 40 Núm. 1 (2006); 143-151
Revista de Saúde Pública; v. 40 n. 1 (2006); 143-151
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
_version_ 1800221784506630144