Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemic

Detalhes bibliográficos
Autor(a) principal: Costa, Waldemir de Albuquerque
Data de Publicação: 2022
Outros Autores: Carvalho, Natalia de Campos, Coelho, Pedro Alexandre Barreto, Silva, Karoline Medeiros Jacomel de Oliveira
Tipo de documento: Artigo
Idioma: por
Título da fonte: Cadernos Ibero-Americanos de Direito Sanitário (Online)
Texto Completo: https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/934
Resumo: Objective: to discuss the challenges of building public policy on patient safety in Brazilian primary health care (PHC) considering the increase in burnout syndrome among health professionals. Methods: bibliographic and documentary research on patient safety and burnout among PHC staff using Maslach and Jackson's human rights framework and theoretical matrix. Results: burnout has serious health consequences for PHC professionals and affects the work process of teams, damaging patient safety policies and strategies. Patient safety and worker health policies in Brazil are dialogic and complementary, but they are not sufficient to affect the burnout scenario in PHC, given the stagnation and setbacks that have recently been experienced at this level of care. Conclusion: the institutional response to dealing with burnout syndrome in PHC is unsatisfactory. In addition to the policy framework already in place, urgent changes are needed in PHC funding and in the contribution of multidisciplinary teams to improve working conditions, which will ultimately impact patient safety in the primary network.
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spelling Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemicBurnout y seguridad del paciente en la Atención Primaria de Salud: aspectos jurídico-sanitarios en tiempos de la pandemia del COVID-19Burnout e a segurança do paciente na Atenção Primária à Saúde: aspectos jurídico-sanitários em tempos de pandemia de COVID-19Segurança do PacienteEsgotamento ProfissionalAtenção Primária à SaúdeCOVID-19Seguridad del PacienteAgotamiento ProfesionalAtención Primaria de SaludCOVID-19Patient SafetyBurnoutPrimary Health CareCOVID-19Objective: to discuss the challenges of building public policy on patient safety in Brazilian primary health care (PHC) considering the increase in burnout syndrome among health professionals. Methods: bibliographic and documentary research on patient safety and burnout among PHC staff using Maslach and Jackson's human rights framework and theoretical matrix. Results: burnout has serious health consequences for PHC professionals and affects the work process of teams, damaging patient safety policies and strategies. Patient safety and worker health policies in Brazil are dialogic and complementary, but they are not sufficient to affect the burnout scenario in PHC, given the stagnation and setbacks that have recently been experienced at this level of care. Conclusion: the institutional response to dealing with burnout syndrome in PHC is unsatisfactory. In addition to the policy framework already in place, urgent changes are needed in PHC funding and in the contribution of multidisciplinary teams to improve working conditions, which will ultimately impact patient safety in the primary network.Objetivo: discutir los desafíos para la construcción de una política pública sobre seguridad del paciente en la Atención Primaria de Salud (APS) brasileña frente al crecimiento del síndrome de burnout entre sus profesionales. Metodología: investigación bibliográfica y documental sobre seguridad del paciente y burnout en trabajadores de la APS utilizando el marco de los derechos humanos y la matriz teórica de Maslach y Jackson. Resultados: el burnout tiene graves implicaciones para la salud de los profesionales de la APS y afecta el proceso de trabajo de los equipos, perjudicando las acciones y estrategias de seguridad del paciente. Las políticas de seguridad del paciente y salud del trabajador en Brasil son dialógicas y complementarias, pero insuficientes para impactar el escenario de burnout en la APS frente al estancamiento y retroceso experimentado recientemente en ese nivel de atención. Consideraciones finales: la respuesta institucional al abordaje del síndrome de burnout en APS ha sido insatisfactoria. Además del marco de política preexistente, es urgente realizar cambios en el financiamiento de la APS y en la contribución de los equipos multidisciplinarios para mejorar las condiciones de trabajo y que, en última instancia, reflejen la seguridad del paciente en la red primaria.Objetivo: discutir os desafios para a construção de uma política pública de segurança do paciente na Atenção Primária à Saúde (APS) brasileira frente ao crescimento da síndrome de burnout entre seus profissionais. Metodologia: pesquisa bibliográfica e documental sobre a segurança do paciente e o burnout entre trabalhadores da APS utilizando o referencial dos direitos humanos e a matriz teórica de Maslach e Jackson. Resultados: o burnout possui implicações sanitárias severas nos profissionais da APS e repercute sobre o processo de trabalho das equipes, gerando prejuízos nas ações e estratégias de segurança do paciente. As políticas de segurança do paciente e de saúde do trabalhador no Brasil são dialógicas e complementares, mas mostram-se insuficientes para impactar o cenário do burnout na APS frente à estagnação e retrocessos vivenciados recentemente nesse nível de atenção. Considerações finais: a resposta institucional para a abordagem da síndrome de burnout na APS tem sido insatisfatória. Para além do arcabouço das políticas preexistentes, mostra-se urgente a realização de mudanças no financiamento da APS e no aporte de equipes multiprofissionais para a melhoria das condições de trabalho que, em última instância, refletem na segurança do paciente na rede primária.Fundação Oswaldo Cruz Brasília2022-09-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/93410.17566/ciads.v11i3.934Iberoamerican Journal of Health Law; Vol. 11 No. 3 (2022): (JUL./SEPT. 2022); 133-147Cuadernos Iberoamericanos de Derecho Sanitario; Vol. 11 Núm. 3 (2022): (JUL./SEPT. 2022); 133-147Cadernos Ibero-Americanos de Direito Sanitário; v. 11 n. 3 (2022): (JUL./SET. 2022); 133-1472358-18242317-839610.17566/ciads.v11i3reponame:Cadernos Ibero-Americanos de Direito Sanitário (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/934/909Copyright (c) 2022 Waldemir de Albuquerque Costa, Natalia de Campos Carvalho (Autor); Pedro Alexandre Barreto Coelho; Karoline Medeiros Jacomel de Oliveira Silva (Autor)https://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessCosta, Waldemir de Albuquerque Carvalho, Natalia de CamposCoelho, Pedro Alexandre BarretoSilva, Karoline Medeiros Jacomel de OliveiraCosta, Waldemir de Albuquerque Carvalho, Natalia de CamposCoelho, Pedro Alexandre BarretoSilva, Karoline Medeiros Jacomel de OliveiraCosta, Waldemir de Albuquerque Carvalho, Natalia de CamposCoelho, Pedro Alexandre Barreto Silva, Karoline Medeiros Jacomel de Oliveira2023-03-08T15:00:48Zoai:ojs.cadernos.prodisa.fiocruz.br:article/934Revistahttp://www.cadernos.prodisa.fiocruz.brPUBhttp://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/oaicadernos.direitosanitario@fiocruz.br2358-18242317-8396opendoar:2023-03-08T15:00:48Cadernos Ibero-Americanos de Direito Sanitário (Online) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemic
Burnout y seguridad del paciente en la Atención Primaria de Salud: aspectos jurídico-sanitarios en tiempos de la pandemia del COVID-19
Burnout e a segurança do paciente na Atenção Primária à Saúde: aspectos jurídico-sanitários em tempos de pandemia de COVID-19
title Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemic
spellingShingle Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemic
Costa, Waldemir de Albuquerque
Segurança do Paciente
Esgotamento Profissional
Atenção Primária à Saúde
COVID-19
Seguridad del Paciente
Agotamiento Profesional
Atención Primaria de Salud
COVID-19
Patient Safety
Burnout
Primary Health Care
COVID-19
title_short Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemic
title_full Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemic
title_fullStr Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemic
title_full_unstemmed Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemic
title_sort Burnout and patient safety in Primary Health Care: legal-sanitary aspects in times of the COVID-19 pandemic
author Costa, Waldemir de Albuquerque
author_facet Costa, Waldemir de Albuquerque
Carvalho, Natalia de Campos
Coelho, Pedro Alexandre Barreto
Silva, Karoline Medeiros Jacomel de Oliveira
Silva, Karoline Medeiros Jacomel de Oliveira
author_role author
author2 Carvalho, Natalia de Campos
Coelho, Pedro Alexandre Barreto
Silva, Karoline Medeiros Jacomel de Oliveira
Silva, Karoline Medeiros Jacomel de Oliveira
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Costa, Waldemir de Albuquerque
Carvalho, Natalia de Campos
Coelho, Pedro Alexandre Barreto
Silva, Karoline Medeiros Jacomel de Oliveira
Costa, Waldemir de Albuquerque
Carvalho, Natalia de Campos
Coelho, Pedro Alexandre Barreto
Silva, Karoline Medeiros Jacomel de Oliveira
Costa, Waldemir de Albuquerque
Carvalho, Natalia de Campos
Coelho, Pedro Alexandre Barreto
Silva, Karoline Medeiros Jacomel de Oliveira
dc.subject.por.fl_str_mv Segurança do Paciente
Esgotamento Profissional
Atenção Primária à Saúde
COVID-19
Seguridad del Paciente
Agotamiento Profesional
Atención Primaria de Salud
COVID-19
Patient Safety
Burnout
Primary Health Care
COVID-19
topic Segurança do Paciente
Esgotamento Profissional
Atenção Primária à Saúde
COVID-19
Seguridad del Paciente
Agotamiento Profesional
Atención Primaria de Salud
COVID-19
Patient Safety
Burnout
Primary Health Care
COVID-19
description Objective: to discuss the challenges of building public policy on patient safety in Brazilian primary health care (PHC) considering the increase in burnout syndrome among health professionals. Methods: bibliographic and documentary research on patient safety and burnout among PHC staff using Maslach and Jackson's human rights framework and theoretical matrix. Results: burnout has serious health consequences for PHC professionals and affects the work process of teams, damaging patient safety policies and strategies. Patient safety and worker health policies in Brazil are dialogic and complementary, but they are not sufficient to affect the burnout scenario in PHC, given the stagnation and setbacks that have recently been experienced at this level of care. Conclusion: the institutional response to dealing with burnout syndrome in PHC is unsatisfactory. In addition to the policy framework already in place, urgent changes are needed in PHC funding and in the contribution of multidisciplinary teams to improve working conditions, which will ultimately impact patient safety in the primary network.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-20
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.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/934
10.17566/ciads.v11i3.934
url https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/934
identifier_str_mv 10.17566/ciads.v11i3.934
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/934/909
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Fundação Oswaldo Cruz Brasília
publisher.none.fl_str_mv Fundação Oswaldo Cruz Brasília
dc.source.none.fl_str_mv Iberoamerican Journal of Health Law; Vol. 11 No. 3 (2022): (JUL./SEPT. 2022); 133-147
Cuadernos Iberoamericanos de Derecho Sanitario; Vol. 11 Núm. 3 (2022): (JUL./SEPT. 2022); 133-147
Cadernos Ibero-Americanos de Direito Sanitário; v. 11 n. 3 (2022): (JUL./SET. 2022); 133-147
2358-1824
2317-8396
10.17566/ciads.v11i3
reponame:Cadernos Ibero-Americanos de Direito Sanitário (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos Ibero-Americanos de Direito Sanitário (Online)
collection Cadernos Ibero-Americanos de Direito Sanitário (Online)
repository.name.fl_str_mv Cadernos Ibero-Americanos de Direito Sanitário (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos.direitosanitario@fiocruz.br
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