Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital Discharge

Detalhes bibliográficos
Autor(a) principal: Tricarico, Carolina Cardoso
Data de Publicação: 2023
Outros Autores: Schreider, Erika, Chaves, Ana Raquel de Mello
Tipo de documento: Artigo
Idioma: por
eng
spa
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/3923
Resumo: Introduction: This article is part of the research “Health and Oncology Network: the challenges of access to home care and health transport in the city of Rio de Janeiro”. Objective: To analyze the articulation process with the health network for patients at the neurosurgery clinic who live in the city of Rio de Janeiro and who need home care and/or health transportation services. Method: Based on exploratory and qualitative research, a case study methodological strategy was utilized. This is a single case study addressing the theoretical debate on the health network, dehospitalization and comprehensive care, according to two key issues: home care and transportation for access to health. Results: After critical analysis, weaknesses were found in the articulation process with the health network in the context of home care and transportation for access to health. Delay in accessing services, a tendency to judicialization to access transportation, difficulty in the de-hospitalization process to carry out the continuity of the care and accountability of the family were found. Conclusion: Through a single case, it was possible to articulate the theory to the daily life of the caregiver and user, identifying weaknesses and strengths in the health network. The importance of future studies on this topic is highlighted.
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spelling Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital DischargeRed de Salud y Deshospitalización: Desafíos para la Atención Integral en Salud después del Alta HospitalariaRede de Saúde e Desospitalização: Desafios para Integralidade do Cuidado em Saúde após a Alta Hospitalarserviços de saúdeintegralidade em saúdeserviços de assistência domiciliarhealth Servicesintegrality in healthhome care servicesservicios de saludintegralidad en saludervicios de atención de salud a domicilioIntroduction: This article is part of the research “Health and Oncology Network: the challenges of access to home care and health transport in the city of Rio de Janeiro”. Objective: To analyze the articulation process with the health network for patients at the neurosurgery clinic who live in the city of Rio de Janeiro and who need home care and/or health transportation services. Method: Based on exploratory and qualitative research, a case study methodological strategy was utilized. This is a single case study addressing the theoretical debate on the health network, dehospitalization and comprehensive care, according to two key issues: home care and transportation for access to health. Results: After critical analysis, weaknesses were found in the articulation process with the health network in the context of home care and transportation for access to health. Delay in accessing services, a tendency to judicialization to access transportation, difficulty in the de-hospitalization process to carry out the continuity of the care and accountability of the family were found. Conclusion: Through a single case, it was possible to articulate the theory to the daily life of the caregiver and user, identifying weaknesses and strengths in the health network. The importance of future studies on this topic is highlighted.Introducción: Este artículo es parte integral de la investigación “Red de Salud y Oncología: los desafíos del acceso a la atención domiciliaria y al transporte sanitario en la ciudad de Río de Janeiro”. Objetivo: Analizar el proceso de articulación con la red de salud de los pacientes de la clínica de neurocirugía que viven en la ciudad de Río de Janeiro y que necesitan atención domiciliaria y/o transporte sanitario. Método: Se utilizó una estrategia metodológica de estudio de caso, basada en una investigación exploratoria y cualitativa. Se trata de un estudio de caso único que contempla el debate teórico sobre la red de salud, la deshospitalización y la atención integral, a partir de dos ejes fundamentales: la atención domiciliaria y el transporte para el acceso a la salud. Resultados: A partir de un análisis crítico se encontraron debilidades en el proceso de articulación con la red de salud en el contexto de atención domiciliaria y transporte para el acceso a la salud. Hubo retraso en el acceso a los servicios, tendencia a la judicialización para el acceso al transporte, dificultad en el proceso de deshospitalización para realizar la continuidad del cuidado y la rendición de cuentas de la familia. Conclusión: A través de un caso único, fue posible articular la teoría con el cotidiano del cuidador y usuario, identificando debilidades y fortalezas en la red de salud. Se destaca la importancia de futuros estudios sobre este tema.Introdução: O presente artigo é parte integrante da pesquisa “Rede de Saúde e Oncologia: os desafios do acesso à atenção domiciliar e ao transporte sanitário na cidade do Rio de Janeiro”. Objetivo: Analisar o processo de articulação com a rede de saúde para os pacientes da clínica de neurocirurgia que residem na cidade do Rio de Janeiro e que necessitem do cuidado domiciliar e/ou transporte sanitário. Método: Utilizou-se a estratégia metodológica de estudo de caso, elaborada por pesquisa exploratória e qualitativa. Trata-se de estudo de caso único que contempla o debate teórico sobre rede de saúde, desospitalização e integralidade do cuidado, a partir de duas questões-chave: atenção domiciliar e transporte para acesso à saúde. Resultados: A partir de análise crítica, verificaram-se fragilidades no processo de articulação com a rede de saúde no âmbito da atenção domiciliar e no transporte para acesso aos serviços de saúde. Observaram-se morosidade para acesso aos serviços, tendência à judicialização para acesso ao transporte, dificuldade no processo de desospitalização para efetivação da continuidade do cuidado e responsabilização da família. Conclusão: Por meio de caso único, foi possível articular a teoria ao cotidiano da cuidadora e usuária, identificando fragilidades e potencialidades na rede de saúde. Destaca-se a importância de estudos futuros sobre essa temática.INCA2023-06-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/392310.32635/2176-9745.RBC.2023v69n3.3923Revista Brasileira de Cancerologia; Vol. 69 No. 3 (2023): July/Aug./Sept.; e-023923Revista Brasileira de Cancerologia; Vol. 69 Núm. 3 (2023): jul./ago./sept.; e-023923Revista Brasileira de Cancerologia; v. 69 n. 3 (2023): jul./ago./set.; e-0239232176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporengspahttps://rbc.inca.gov.br/index.php/revista/article/view/3923/2942https://rbc.inca.gov.br/index.php/revista/article/view/3923/3337https://rbc.inca.gov.br/index.php/revista/article/view/3923/3179https://rbc.inca.gov.br/index.php/revista/article/view/3923/2948Copyright (c) 2023 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessTricarico, Carolina CardosoSchreider, ErikaChaves, Ana Raquel de Mello2024-01-18T14:01:09Zoai:rbc.inca.gov.br:article/3923Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2024-01-18T14:01:09Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital Discharge
Red de Salud y Deshospitalización: Desafíos para la Atención Integral en Salud después del Alta Hospitalaria
Rede de Saúde e Desospitalização: Desafios para Integralidade do Cuidado em Saúde após a Alta Hospitalar
title Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital Discharge
spellingShingle Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital Discharge
Tricarico, Carolina Cardoso
serviços de saúde
integralidade em saúde
serviços de assistência domiciliar
health Services
integrality in health
home care services
servicios de salud
integralidad en salud
ervicios de atención de salud a domicilio
title_short Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital Discharge
title_full Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital Discharge
title_fullStr Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital Discharge
title_full_unstemmed Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital Discharge
title_sort Health and De-hospitalization Network: Challenges for Comprehensive Health Care after Hospital Discharge
author Tricarico, Carolina Cardoso
author_facet Tricarico, Carolina Cardoso
Schreider, Erika
Chaves, Ana Raquel de Mello
author_role author
author2 Schreider, Erika
Chaves, Ana Raquel de Mello
author2_role author
author
dc.contributor.author.fl_str_mv Tricarico, Carolina Cardoso
Schreider, Erika
Chaves, Ana Raquel de Mello
dc.subject.por.fl_str_mv serviços de saúde
integralidade em saúde
serviços de assistência domiciliar
health Services
integrality in health
home care services
servicios de salud
integralidad en salud
ervicios de atención de salud a domicilio
topic serviços de saúde
integralidade em saúde
serviços de assistência domiciliar
health Services
integrality in health
home care services
servicios de salud
integralidad en salud
ervicios de atención de salud a domicilio
description Introduction: This article is part of the research “Health and Oncology Network: the challenges of access to home care and health transport in the city of Rio de Janeiro”. Objective: To analyze the articulation process with the health network for patients at the neurosurgery clinic who live in the city of Rio de Janeiro and who need home care and/or health transportation services. Method: Based on exploratory and qualitative research, a case study methodological strategy was utilized. This is a single case study addressing the theoretical debate on the health network, dehospitalization and comprehensive care, according to two key issues: home care and transportation for access to health. Results: After critical analysis, weaknesses were found in the articulation process with the health network in the context of home care and transportation for access to health. Delay in accessing services, a tendency to judicialization to access transportation, difficulty in the de-hospitalization process to carry out the continuity of the care and accountability of the family were found. Conclusion: Through a single case, it was possible to articulate the theory to the daily life of the caregiver and user, identifying weaknesses and strengths in the health network. The importance of future studies on this topic is highlighted.
publishDate 2023
dc.date.none.fl_str_mv 2023-06-13
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/3923
10.32635/2176-9745.RBC.2023v69n3.3923
url https://rbc.inca.gov.br/index.php/revista/article/view/3923
identifier_str_mv 10.32635/2176-9745.RBC.2023v69n3.3923
dc.language.iso.fl_str_mv por
eng
spa
language por
eng
spa
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/3923/2942
https://rbc.inca.gov.br/index.php/revista/article/view/3923/3337
https://rbc.inca.gov.br/index.php/revista/article/view/3923/3179
https://rbc.inca.gov.br/index.php/revista/article/view/3923/2948
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
text/html
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 69 No. 3 (2023): July/Aug./Sept.; e-023923
Revista Brasileira de Cancerologia; Vol. 69 Núm. 3 (2023): jul./ago./sept.; e-023923
Revista Brasileira de Cancerologia; v. 69 n. 3 (2023): jul./ago./set.; e-023923
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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