Guidelines for fighting the pandemic: use report in a municipality in Bahia
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Baiana de Saúde Pública (Online) |
DOI: | 10.22278/2318-2660.2021.v45.nEspecial_3.a3543 |
Texto Completo: | https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3543 |
Resumo: | The pandemic scenario caused by the novel coronavirus (SARS-CoV-2) brought the need for reorganizing health care networks in an attempt to implement appropriate and timely actions to provide the population with a comprehensive and resolutive care. Official estimates indicate that 80% of health problems should be solved in primary care (PC). Considering that, the PC Board of the State of Bahia promoted matrix-based/follow-up action of a small municipality through institutional support (IS) teams, aiming to organize the Chronic Care Line using the guide for coping with the pandemic. The guide was implemented using a three-stage pedagogical strategy: methodology agreement with management and municipal coordinators; weekly meetings to use instruments offered by the guide; and implementation of the care line of patients with chronic conditions in four pilot teams of the municipality. The results indicate flow development and implementation, follow-up instruments for patients with chronic conditions, reference and counter-reference sharing charts, and Telemonitoring Guiding Document. Being a collective construction of actions articulated between IS teams, municipal management, and workers, the guide proved to be a powerful tool in the process of reorganizing municipal network and work process of PC teams in face of COVID-19, serving as a model for other municipalities. |
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Guidelines for fighting the pandemic: use report in a municipality in BahiaGuía para enfrentar la pandemia: relato de uso en un municipio de Bahía, BrasilGuia orientador para o enfrentamento da pandemia: relato do uso em um município da BahiaPandemiaCoronavírusAtenção básicaPandemiaCoronavirusAtención primariaPandemicCoronavirusPrimary CareThe pandemic scenario caused by the novel coronavirus (SARS-CoV-2) brought the need for reorganizing health care networks in an attempt to implement appropriate and timely actions to provide the population with a comprehensive and resolutive care. Official estimates indicate that 80% of health problems should be solved in primary care (PC). Considering that, the PC Board of the State of Bahia promoted matrix-based/follow-up action of a small municipality through institutional support (IS) teams, aiming to organize the Chronic Care Line using the guide for coping with the pandemic. The guide was implemented using a three-stage pedagogical strategy: methodology agreement with management and municipal coordinators; weekly meetings to use instruments offered by the guide; and implementation of the care line of patients with chronic conditions in four pilot teams of the municipality. The results indicate flow development and implementation, follow-up instruments for patients with chronic conditions, reference and counter-reference sharing charts, and Telemonitoring Guiding Document. Being a collective construction of actions articulated between IS teams, municipal management, and workers, the guide proved to be a powerful tool in the process of reorganizing municipal network and work process of PC teams in face of COVID-19, serving as a model for other municipalities.La pandemia del nuevo coronavirus (SARS-CoV-2) puso de manifiesto la necesidad de reorganizar las Redes de Atención de Salud para implementar acciones adecuadas y oportunas a la población, ofreciéndole una atención integral y eficaz. Dado que la estimación oficial preveía que el 80% de los problemas de salud serían resueltos en la Atención Primaria (AP), el Directorio de APA del estado de Bahía (DAB), mediante los equipos de Apoyo Institucional (AI), promovió una acción de apoyo matricial/seguimiento en un municipio de pequeño porte para organizar la Línea de Cuidados Crónicos por medio del instrumento Guía para Enfrentar la Pandemia. La estrategia pedagógica para la implementación de la guía consistió en tres etapas: acuerdo de la metodología entre la gestión y la coordinación municipal; reuniones semanales para aplicar los instrumentos ofrecidos por la guía; e implementación de la línea de atención a pacientes en situaciones crónicas en cuatro equipos piloto del municipio. Los principales resultados alcanzados fueron: la elaboración e implementación de flujos, los instrumentos de seguimiento de pacientes en situaciones crónicas, los formularios de intercambio de referencias y contrarreferencias, y el Documento de Orientación para Telemonitorización, entre otros. La guía resultó ser una poderosa herramienta en el proceso de reorganización de la red municipal y en el proceso de trabajo de los equipos de AP en la lucha contra el covid-19, y es una construcción colectiva de acciones articuladas entre la AI, la gestión municipal y los trabajadores que debe servir de modelo para otros municipios.O cenário de pandemia pelo novo coronavírus (SARS-CoV-2) trouxe a necessidade de reorganização das Redes de Atenção à Saúde, objetivando a implementação de ações adequadas e oportunas, a fim de ofertar cuidado integral e resolutivo à população. Como as estimativas oficiais apontam que 80% dos problemas de saúde deverão ser resolvidos na Atenção Básica (AB), a Diretoria de AB do estado da Bahia (DAB), por meio das equipes de Apoio Institucional (AI), promoveu ação de matriciamento/acompanhamento de um município de pequeno porte, visando a organização da Linha de Cuidado dos Crônicos, utilizando o instrumento Guia Orientador para Enfrentamento da Pandemia. A estratégia pedagógica utilizada para a implantação do guia foi realizada em três momentos: pactuação da metodologia com a gestão e coordenações municipais; realização de reuniões semanais para utilização de instrumentos ofertados pelo guia; e implantação da linha de cuidado dos pacientes com condições crônicas em quatro equipes-piloto do município. Os principais resultados alcançados foram: elaboração e implementação de fluxos, instrumentos de acompanhamento de pacientes com condições crônicas, fichas de compartilhamento de referência e contrarreferência, Documento Orientador de Telemonitoramento, entre outros. O guia mostrou ser uma potente ferramenta no processo de reorganização da rede municipal e do processo de trabalho das equipes de AB frente à Covid-19, sendo uma construção coletiva de ações articuladas entre o AI, a gestão municipal e os trabalhadores, que deverá servir como modelo para outros municípios.SESAB2022-01-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/354310.22278/2318-2660.2021.v45.nEspecial_3.a3543Revista Baiana de Saúde Pública; v. 45 n. especial 3 (2021); 65-702318-26600100-023310.22278/2318-2660.2021.v45.NEspecial_3reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3543/2901Copyright (c) 2021 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessCerqueira, Alessandra Vasconcelos dos SantosPinheiro, Ana Paula Torres2023-02-15T19:00:40Zoai:ojs.pkp.sfu.ca:article/3543Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-03-06T12:58:21.052640Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false |
dc.title.none.fl_str_mv |
Guidelines for fighting the pandemic: use report in a municipality in Bahia Guía para enfrentar la pandemia: relato de uso en un municipio de Bahía, Brasil Guia orientador para o enfrentamento da pandemia: relato do uso em um município da Bahia |
title |
Guidelines for fighting the pandemic: use report in a municipality in Bahia |
spellingShingle |
Guidelines for fighting the pandemic: use report in a municipality in Bahia Guidelines for fighting the pandemic: use report in a municipality in Bahia Cerqueira, Alessandra Vasconcelos dos Santos Pandemia Coronavírus Atenção básica Pandemia Coronavirus Atención primaria Pandemic Coronavirus Primary Care Cerqueira, Alessandra Vasconcelos dos Santos Pandemia Coronavírus Atenção básica Pandemia Coronavirus Atención primaria Pandemic Coronavirus Primary Care |
title_short |
Guidelines for fighting the pandemic: use report in a municipality in Bahia |
title_full |
Guidelines for fighting the pandemic: use report in a municipality in Bahia |
title_fullStr |
Guidelines for fighting the pandemic: use report in a municipality in Bahia Guidelines for fighting the pandemic: use report in a municipality in Bahia |
title_full_unstemmed |
Guidelines for fighting the pandemic: use report in a municipality in Bahia Guidelines for fighting the pandemic: use report in a municipality in Bahia |
title_sort |
Guidelines for fighting the pandemic: use report in a municipality in Bahia |
author |
Cerqueira, Alessandra Vasconcelos dos Santos |
author_facet |
Cerqueira, Alessandra Vasconcelos dos Santos Cerqueira, Alessandra Vasconcelos dos Santos Pinheiro, Ana Paula Torres Pinheiro, Ana Paula Torres |
author_role |
author |
author2 |
Pinheiro, Ana Paula Torres |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Cerqueira, Alessandra Vasconcelos dos Santos Pinheiro, Ana Paula Torres |
dc.subject.por.fl_str_mv |
Pandemia Coronavírus Atenção básica Pandemia Coronavirus Atención primaria Pandemic Coronavirus Primary Care |
topic |
Pandemia Coronavírus Atenção básica Pandemia Coronavirus Atención primaria Pandemic Coronavirus Primary Care |
description |
The pandemic scenario caused by the novel coronavirus (SARS-CoV-2) brought the need for reorganizing health care networks in an attempt to implement appropriate and timely actions to provide the population with a comprehensive and resolutive care. Official estimates indicate that 80% of health problems should be solved in primary care (PC). Considering that, the PC Board of the State of Bahia promoted matrix-based/follow-up action of a small municipality through institutional support (IS) teams, aiming to organize the Chronic Care Line using the guide for coping with the pandemic. The guide was implemented using a three-stage pedagogical strategy: methodology agreement with management and municipal coordinators; weekly meetings to use instruments offered by the guide; and implementation of the care line of patients with chronic conditions in four pilot teams of the municipality. The results indicate flow development and implementation, follow-up instruments for patients with chronic conditions, reference and counter-reference sharing charts, and Telemonitoring Guiding Document. Being a collective construction of actions articulated between IS teams, municipal management, and workers, the guide proved to be a powerful tool in the process of reorganizing municipal network and work process of PC teams in face of COVID-19, serving as a model for other municipalities. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-14 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3543 10.22278/2318-2660.2021.v45.nEspecial_3.a3543 |
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https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3543 |
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10.22278/2318-2660.2021.v45.nEspecial_3.a3543 |
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https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3543/2901 |
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Copyright (c) 2021 Revista Baiana de Saúde Pública info:eu-repo/semantics/openAccess |
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Copyright (c) 2021 Revista Baiana de Saúde Pública |
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openAccess |
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SESAB |
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Revista Baiana de Saúde Pública; v. 45 n. especial 3 (2021); 65-70 2318-2660 0100-0233 10.22278/2318-2660.2021.v45.NEspecial_3 reponame:Revista Baiana de Saúde Pública (Online) instname:Secretaria da Saúde do Estado da Bahia (Sesab) instacron:IBICT |
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Secretaria da Saúde do Estado da Bahia (Sesab) |
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IBICT |
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IBICT |
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Revista Baiana de Saúde Pública (Online) |
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Revista Baiana de Saúde Pública (Online) |
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Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab) |
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1822181246098210816 |
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10.22278/2318-2660.2021.v45.nEspecial_3.a3543 |