Comparative analysis of chronic disease in the Portuguese functional units USF & UCSP
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Tipo de documento: | Dissertação |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10071/27441 |
Resumo: | With the increase of the elderly population and lifestyle changes, chronic multiplicity has become a growing concern around health services, with an increasing number of cases and costs. The first phase of intervention in this cycle of care begins, precisely, with Primary Health Care. In Portugal, there are two healthcare functional units, UCSP (Personalized Health Care Unit) and USF (Family Health Unit) model A and B, each one with a different work process. This study aims to find critical dimensions of success and improvement among these units when treating those patients with chronic conditions and, with that, consolidating value in healthcare. To this end, an exploratory study was conducted with 2 questionnaires, to 10 physicians and 152 diabetic and hypertensive patients, to understand their opinion and experiences around the functioning of the health units. The main dimensions highlighted were the consultation time, centeredness of the service to the patients, and their involvement. That leads to the conclusion that each model has a distinct focus, and the current health system is not quite suitable enough for the reality of different patients. Still, USF-A proved to be capable to maintain a better balance of satisfaction and a model to follow for implementation and leverage new working methods. |
id |
RCAP_996a34a581d9de9c947d085e5628a8c2 |
---|---|
oai_identifier_str |
oai:repositorio.iscte-iul.pt:10071/27441 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Comparative analysis of chronic disease in the Portuguese functional units USF & UCSPChronic multiplicityPrimary health carePortuguese National Health SystemUSFUCSPMultiplicidade crónicaCuidados de saúde primáriosSistema Nacional de Saúde PortuguêsWith the increase of the elderly population and lifestyle changes, chronic multiplicity has become a growing concern around health services, with an increasing number of cases and costs. The first phase of intervention in this cycle of care begins, precisely, with Primary Health Care. In Portugal, there are two healthcare functional units, UCSP (Personalized Health Care Unit) and USF (Family Health Unit) model A and B, each one with a different work process. This study aims to find critical dimensions of success and improvement among these units when treating those patients with chronic conditions and, with that, consolidating value in healthcare. To this end, an exploratory study was conducted with 2 questionnaires, to 10 physicians and 152 diabetic and hypertensive patients, to understand their opinion and experiences around the functioning of the health units. The main dimensions highlighted were the consultation time, centeredness of the service to the patients, and their involvement. That leads to the conclusion that each model has a distinct focus, and the current health system is not quite suitable enough for the reality of different patients. Still, USF-A proved to be capable to maintain a better balance of satisfaction and a model to follow for implementation and leverage new working methods.Com o aumento da população idosa e mudanças do estilo de vida da população, a multiplicidade crónica têm-se tornado numa crescente preocupação em torno dos serviços de saúde, aumentando em número de casos e custo. A primeira fase de intervenção neste ciclo de cuidados começa, precisamente, com os Cuidados de Saúde Primários. Em Portugal, existem duas unidades de saúde funcionais, UCSP (Unidade de Cuidados de Saúde Personalizados) e USF (Unidade de Saúde Familiar) modelo A e B, cada uma com processos de trabalho distintos. Este estudo pretendeu encontrar dimensões de sucesso e de melhoria nestas unidades em torno do tratamento destes utentes crónicos e, com isso, consolidar o Valor na Saúde. Para tal, desenvolveu-se um estudo exploratório onde foram aplicados 2 questionários, a 10 médicos e 152 utentes diabéticos e hipertensos, procurando compreender a opinião e experiência em torno do funcionamento das Unidades de Saúde. O tempo de consulta e a centralidade do serviço no utente, como o seu envolvimento, foram duas principais dimensões destacadas. Concluiu-se de que existe uma distinção de foco em cada modelo, e que o atual sistema de saúde não está ainda adaptado à realidade dos diferentes utentes. Ainda assim, a USF-A demonstrou ser capaz de manter um maior equilíbrio de satisfação e de ser um modelo a seguir com vista à implementação e alavancagem de novos métodos de trabalho.2023-01-25T12:06:58Z2022-12-21T00:00:00Z2022-12-212022-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10071/27441TID:203174224engMarques, João Daniel dos Santosinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-09T17:54:18Zoai:repositorio.iscte-iul.pt:10071/27441Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:27:20.641497Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Comparative analysis of chronic disease in the Portuguese functional units USF & UCSP |
title |
Comparative analysis of chronic disease in the Portuguese functional units USF & UCSP |
spellingShingle |
Comparative analysis of chronic disease in the Portuguese functional units USF & UCSP Marques, João Daniel dos Santos Chronic multiplicity Primary health care Portuguese National Health System USF UCSP Multiplicidade crónica Cuidados de saúde primários Sistema Nacional de Saúde Português |
title_short |
Comparative analysis of chronic disease in the Portuguese functional units USF & UCSP |
title_full |
Comparative analysis of chronic disease in the Portuguese functional units USF & UCSP |
title_fullStr |
Comparative analysis of chronic disease in the Portuguese functional units USF & UCSP |
title_full_unstemmed |
Comparative analysis of chronic disease in the Portuguese functional units USF & UCSP |
title_sort |
Comparative analysis of chronic disease in the Portuguese functional units USF & UCSP |
author |
Marques, João Daniel dos Santos |
author_facet |
Marques, João Daniel dos Santos |
author_role |
author |
dc.contributor.author.fl_str_mv |
Marques, João Daniel dos Santos |
dc.subject.por.fl_str_mv |
Chronic multiplicity Primary health care Portuguese National Health System USF UCSP Multiplicidade crónica Cuidados de saúde primários Sistema Nacional de Saúde Português |
topic |
Chronic multiplicity Primary health care Portuguese National Health System USF UCSP Multiplicidade crónica Cuidados de saúde primários Sistema Nacional de Saúde Português |
description |
With the increase of the elderly population and lifestyle changes, chronic multiplicity has become a growing concern around health services, with an increasing number of cases and costs. The first phase of intervention in this cycle of care begins, precisely, with Primary Health Care. In Portugal, there are two healthcare functional units, UCSP (Personalized Health Care Unit) and USF (Family Health Unit) model A and B, each one with a different work process. This study aims to find critical dimensions of success and improvement among these units when treating those patients with chronic conditions and, with that, consolidating value in healthcare. To this end, an exploratory study was conducted with 2 questionnaires, to 10 physicians and 152 diabetic and hypertensive patients, to understand their opinion and experiences around the functioning of the health units. The main dimensions highlighted were the consultation time, centeredness of the service to the patients, and their involvement. That leads to the conclusion that each model has a distinct focus, and the current health system is not quite suitable enough for the reality of different patients. Still, USF-A proved to be capable to maintain a better balance of satisfaction and a model to follow for implementation and leverage new working methods. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-21T00:00:00Z 2022-12-21 2022-10 2023-01-25T12:06:58Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10071/27441 TID:203174224 |
url |
http://hdl.handle.net/10071/27441 |
identifier_str_mv |
TID:203174224 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799134836151025664 |