Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Trabalho, Educação e Saúde (Online) |
Texto Completo: | https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/515 |
Resumo: | Latin America has become one of the epicenters of the COVID-19 pandemic, with a health and humanitarian crisis. The objective of the article is to analyze the strategies implemented by countries in the Region to face the pandemic and the role of Primary Health Care, considering obstacles and potential. The cases of Bolivia, Brazil, Chile, Colombia, Cuba, Uruguay and Venezuela were analyzed. The seven countries have adopted diverse social distancing strategies with varying degrees of sustainability. The responses emphasized hospital care more than surveillance, case identification, contact tracking, and enabling adequate conditions for isolation. In almost all cases studied, the capacity of primary care services in the territory was underestimated. Even so, primary care initiatives with a territorial and community focus sought to integrate health surveillance with promotion, prevention and care, despite partial implementation. In this context, comprehensive and integrated primary care takes on new meaning and requires new developments in order to contribute to the recovery of the balance between society and the environment. The pandemic showed the need to rethink health care systems and the importance of primary care for comprehensive and integrated health. |
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Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?¿Es la atención primaria de salud integral parte de la respuesta a la pandemia de Covid-19 en Latinoamérica?A atenção primária à saúde integral é parte da resposta à pandemia de Covid-19 na América Latina?atenção primária à saúdeCovid-19sistemas de saúdevigilância em saúdeprimary health careCOVID-19health systemshealth surveillanceatenção primária à saúdeCovid-19sistemas de saúdevigilância em saúdeLatin America has become one of the epicenters of the COVID-19 pandemic, with a health and humanitarian crisis. The objective of the article is to analyze the strategies implemented by countries in the Region to face the pandemic and the role of Primary Health Care, considering obstacles and potential. The cases of Bolivia, Brazil, Chile, Colombia, Cuba, Uruguay and Venezuela were analyzed. The seven countries have adopted diverse social distancing strategies with varying degrees of sustainability. The responses emphasized hospital care more than surveillance, case identification, contact tracking, and enabling adequate conditions for isolation. In almost all cases studied, the capacity of primary care services in the territory was underestimated. Even so, primary care initiatives with a territorial and community focus sought to integrate health surveillance with promotion, prevention and care, despite partial implementation. In this context, comprehensive and integrated primary care takes on new meaning and requires new developments in order to contribute to the recovery of the balance between society and the environment. The pandemic showed the need to rethink health care systems and the importance of primary care for comprehensive and integrated health.América Latina se ha convertido en uno de los epicentros de la pandemia de Covid-19, con una crisis sanitaria y humanitaria. El objetivo del artículo es analizar las medidas para enfrentar la pandemia en países de la Región y el rol de la Atención Primaria de Salud, discutiendo obstáculos y potencialidades. Son analizados los casos de Bolivia, Brasil, Chile, Colombia, Cuba, Uruguay y Venezuela. Los siete países adoptaran medidas de aislamiento social de diferentes alcances, con grados distintos de sostenibilidad. El énfasis de las respuestas estuvo más en la atención hospitalaria que en la vigilancia de la salud, identificación de casos y contactos y disposición de condiciones adecuadas para el confinamiento. En casi todos los países, se subestimó la capacidad de los servicios de atención primária en el territorio. No obstante, iniciativas de enfoque territorial y comunitario buscaron integrar la vigilancia de la salud con actividades de promoción, prevención y cuidado, aunque con alcance parcial. En este contexto la Atención Primaria Integral e integrada toma nuevo sentido y reclama desarrollos que contribuyan a recobrar el equilibrio entre sociedad y medio ambiente. Es necesario repensar los sistemas de salud y la importancia de la atención primaria de salud integrada e integral.A América Latina tornou-se um dos epicentros da pandemia de Covid-19, com uma crise sanitária e humanitária. O objetivo do artigo é analisar as estratégias implementadas por países da Região para enfrentar a pandemia e o papel da Atenção Primária à Saúde, ponderando obstáculos e potencialidades. Foram analisados os casos de Bolívia, Brasil, Chile, Colômbia, Cuba, Uruguai e Venezuela. Os sete países adotaram estratégias de distanciamento social diversas com diferentes graus de sustentabilidade. As respostas enfatizaram mais a assistência hospitalar do que a vigilância, a identificação de casos, o rastreamento dos contatos e a viabilização de condições adequadas para isolamento. Em quase todos os casos estudados, foi subestimada a capacidade dos serviços de atenção primária no território. Ainda assim, iniciativas de atenção primária com enfoque territorial e comunitário buscaram integrar a vigilância à saúde com a promoção, prevenção e cuidado, apesar de implantação parcial. Nesse contexto, uma atenção primária integral e integrada adquire novo significado e requisita novos desenvolvimentos de forma a contribuir para a recuperação do equilíbrio entre a sociedade e o meio ambiente. A pandemia mostrou a necessidade de repensar os sistemas de atenção à saúde e a importância da atenção primária à saúde integral e integrada.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2021-10-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/51510.1590/1981-7746-sol00310Trabalho, Educação e Saúde; v. 19 (2021); 281981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/515/15https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGiovanella, Ligia Vega, Román Tejerina-Silva, Herland Acosta-Ramirez, Naydú Parada-Lezcano, Mario Ríos, Gilberto Iturrieta, Daisy Almeida, Patty Fidelis deFeo, Oscar 2022-09-02T17:25:39Zoai:ojs.pkp.sfu.ca:article/515Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:00:45.923160Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America? ¿Es la atención primaria de salud integral parte de la respuesta a la pandemia de Covid-19 en Latinoamérica? A atenção primária à saúde integral é parte da resposta à pandemia de Covid-19 na América Latina? |
title |
Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America? |
spellingShingle |
Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America? Giovanella, Ligia atenção primária à saúde Covid-19 sistemas de saúde vigilância em saúde primary health care COVID-19 health systems health surveillance atenção primária à saúde Covid-19 sistemas de saúde vigilância em saúde |
title_short |
Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America? |
title_full |
Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America? |
title_fullStr |
Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America? |
title_full_unstemmed |
Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America? |
title_sort |
Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America? |
author |
Giovanella, Ligia |
author_facet |
Giovanella, Ligia Vega, Román Tejerina-Silva, Herland Acosta-Ramirez, Naydú Parada-Lezcano, Mario Ríos, Gilberto Iturrieta, Daisy Almeida, Patty Fidelis de Feo, Oscar |
author_role |
author |
author2 |
Vega, Román Tejerina-Silva, Herland Acosta-Ramirez, Naydú Parada-Lezcano, Mario Ríos, Gilberto Iturrieta, Daisy Almeida, Patty Fidelis de Feo, Oscar |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Giovanella, Ligia Vega, Román Tejerina-Silva, Herland Acosta-Ramirez, Naydú Parada-Lezcano, Mario Ríos, Gilberto Iturrieta, Daisy Almeida, Patty Fidelis de Feo, Oscar |
dc.subject.por.fl_str_mv |
atenção primária à saúde Covid-19 sistemas de saúde vigilância em saúde primary health care COVID-19 health systems health surveillance atenção primária à saúde Covid-19 sistemas de saúde vigilância em saúde |
topic |
atenção primária à saúde Covid-19 sistemas de saúde vigilância em saúde primary health care COVID-19 health systems health surveillance atenção primária à saúde Covid-19 sistemas de saúde vigilância em saúde |
description |
Latin America has become one of the epicenters of the COVID-19 pandemic, with a health and humanitarian crisis. The objective of the article is to analyze the strategies implemented by countries in the Region to face the pandemic and the role of Primary Health Care, considering obstacles and potential. The cases of Bolivia, Brazil, Chile, Colombia, Cuba, Uruguay and Venezuela were analyzed. The seven countries have adopted diverse social distancing strategies with varying degrees of sustainability. The responses emphasized hospital care more than surveillance, case identification, contact tracking, and enabling adequate conditions for isolation. In almost all cases studied, the capacity of primary care services in the territory was underestimated. Even so, primary care initiatives with a territorial and community focus sought to integrate health surveillance with promotion, prevention and care, despite partial implementation. In this context, comprehensive and integrated primary care takes on new meaning and requires new developments in order to contribute to the recovery of the balance between society and the environment. The pandemic showed the need to rethink health care systems and the importance of primary care for comprehensive and integrated health. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-08 |
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.tes.epsjv.fiocruz.br/index.php/tes/article/view/515 10.1590/1981-7746-sol00310 |
url |
https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/515 |
identifier_str_mv |
10.1590/1981-7746-sol00310 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/515/15 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Trabalho, Educação e Saúde; v. 19 (2021); 28 1981-7746 reponame:Trabalho, Educação e Saúde (Online) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Trabalho, Educação e Saúde (Online) |
collection |
Trabalho, Educação e Saúde (Online) |
repository.name.fl_str_mv |
Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
revtes@fiocruz.br |
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