Guidelines for fighting the pandemic: use report in a municipality in Bahia

Detalhes bibliográficos
Autor(a) principal: Cerqueira, Alessandra Vasconcelos dos Santos
Data de Publicação: 2022
Outros Autores: Pinheiro, Ana Paula Torres
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Baiana de Saúde Pública (Online)
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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spelling 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
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
title_full_unstemmed 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
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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10.22278/2318-2660.2021.v45.nEspecial_3.a3543
url https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3543
identifier_str_mv 10.22278/2318-2660.2021.v45.nEspecial_3.a3543
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3543/2901
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv SESAB
publisher.none.fl_str_mv SESAB
dc.source.none.fl_str_mv 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
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reponame_str Revista Baiana de Saúde Pública (Online)
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