Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFJF |
Texto Completo: | http://dx.doi.org/10.1590/1806-9304201700s100004 https://repositorio.ufjf.br/jspui/handle/ufjf/7330 |
Resumo: | - |
id |
UFJF_23ec8f34dc49296c073f15c9635d931b |
---|---|
oai_identifier_str |
oai:hermes.cpd.ufjf.br:ufjf/7330 |
network_acronym_str |
UFJF |
network_name_str |
Repositório Institucional da UFJF |
repository_id_str |
|
spelling |
2018-09-06T11:55:03Z2018-08-132018-09-06T11:55:03Z2017FAUSTO, Márcia Cristina Rodrigues et al . Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network. Rev. Bras. Saude Mater. Infant., Recife , v. 17, supl. 1, p. S63-S72, 2017. Disponível em <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600004&lng=pt&nrm=iso>. acessos em 03 set. 2018. http://dx.doi.org/10.1590/1806-9304201700s100004.http://dx.doi.org/10.1590/1806-9304201700s100004https://repositorio.ufjf.br/jspui/handle/ufjf/7330171563572-Objectives: to analyze the itineraries of patients with cerebrovascular accident (CVA) in the Interstate health region in San Francisco Valley. Methods: this study uses the qualitative approach through the construction of Therapeutic Itineraries (IT). In the IT mapping the observation was prioritized on the different points and forms to access health service in search of care.. Results: sixteen semi-structured interviews with healthcare users were conducted. There were diverse forms to access and provide services at the Rede Interestadual de Atenção à Saúde do Vale do Médio São Francisco–PEBA (Interstate Healthcare Network Region in the San Francisco Valley), which could be characterized by disorganized and uncoordinated care in the analyzed cases, despite the guarantee of hospital care. The Primary Health Care (APS) teams are present at a care point with most of the patients' itineraries, however, little integration to the regionalized network and they were unable to perform their functions and coordinate the care. It is observed pilgrimage assistance, fragmented care and difficulties in receiving care after post hospitalization which is essential for the patients’ rehabilitation. Conclusions: traces of fragments of the regional health system are important warning signs that points out fragility in PEBA and demonstrate persistent gaps in the public health system to fulfil the responsibility and guarantee individuals’ right for health.eng--BrasilRevista Brasileira de Saúde Materno Infantil-Primary health careHealth policiesHealth systemsRegionalizationTherapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health networkinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFausto, Márcia Cristina RodriguesCampos, Estela Márcia SaraivaAlmeida, Patty FidelisMedina, Maria GuadalupeGiovanella, LigiaBousquat, AyleneCarneiro, AngelaJerônimo, Aline SilvaAleluia, Ítalo Ricardo SantosBorges, Gabriela AlmeidaMota, Paulo Henrique dos Santosinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFJFinstname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFTHUMBNAILTherapeutic itineraries for patients with cerebrovascular accident.pdf.jpgTherapeutic itineraries for patients with cerebrovascular accident.pdf.jpgGenerated Thumbnailimage/jpeg1400https://repositorio.ufjf.br/jspui/bitstream/ufjf/7330/6/Therapeutic%20itineraries%20for%20patients%20with%20cerebrovascular%20accident.pdf.jpg94c60f88dbb8bcab0da07d71b50e125eMD56ORIGINALTherapeutic itineraries for patients with cerebrovascular accident.pdfTherapeutic itineraries for patients with cerebrovascular accident.pdfapplication/pdf147669https://repositorio.ufjf.br/jspui/bitstream/ufjf/7330/3/Therapeutic%20itineraries%20for%20patients%20with%20cerebrovascular%20accident.pdfbf964bf5c6e9c5cd93d4c528f35226d1MD53LICENSElicense.txtlicense.txttext/plain; charset=utf-82197https://repositorio.ufjf.br/jspui/bitstream/ufjf/7330/4/license.txt000e18a5aee6ca21bb5811ddf55fc37bMD54TEXTTherapeutic itineraries for patients with cerebrovascular accident.pdf.txtTherapeutic itineraries for patients with cerebrovascular accident.pdf.txtExtracted texttext/plain47824https://repositorio.ufjf.br/jspui/bitstream/ufjf/7330/5/Therapeutic%20itineraries%20for%20patients%20with%20cerebrovascular%20accident.pdf.txta24f60b78e342293c31e7243bceed24fMD55ufjf/73302019-06-16 07:33:59.655oai:hermes.cpd.ufjf.br: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Repositório InstitucionalPUBhttps://repositorio.ufjf.br/oai/requestopendoar:2019-06-16T10:33:59Repositório Institucional da UFJF - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.pt_BR.fl_str_mv |
Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network |
title |
Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network |
spellingShingle |
Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network Fausto, Márcia Cristina Rodrigues - Primary health care Health policies Health systems Regionalization |
title_short |
Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network |
title_full |
Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network |
title_fullStr |
Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network |
title_full_unstemmed |
Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network |
title_sort |
Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network |
author |
Fausto, Márcia Cristina Rodrigues |
author_facet |
Fausto, Márcia Cristina Rodrigues Campos, Estela Márcia Saraiva Almeida, Patty Fidelis Medina, Maria Guadalupe Giovanella, Ligia Bousquat, Aylene Carneiro, Angela Jerônimo, Aline Silva Aleluia, Ítalo Ricardo Santos Borges, Gabriela Almeida Mota, Paulo Henrique dos Santos |
author_role |
author |
author2 |
Campos, Estela Márcia Saraiva Almeida, Patty Fidelis Medina, Maria Guadalupe Giovanella, Ligia Bousquat, Aylene Carneiro, Angela Jerônimo, Aline Silva Aleluia, Ítalo Ricardo Santos Borges, Gabriela Almeida Mota, Paulo Henrique dos Santos |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Fausto, Márcia Cristina Rodrigues Campos, Estela Márcia Saraiva Almeida, Patty Fidelis Medina, Maria Guadalupe Giovanella, Ligia Bousquat, Aylene Carneiro, Angela Jerônimo, Aline Silva Aleluia, Ítalo Ricardo Santos Borges, Gabriela Almeida Mota, Paulo Henrique dos Santos |
dc.subject.cnpq.fl_str_mv |
- |
topic |
- Primary health care Health policies Health systems Regionalization |
dc.subject.por.fl_str_mv |
Primary health care Health policies Health systems Regionalization |
description |
- |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017 |
dc.date.accessioned.fl_str_mv |
2018-09-06T11:55:03Z |
dc.date.available.fl_str_mv |
2018-08-13 2018-09-06T11:55:03Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
FAUSTO, Márcia Cristina Rodrigues et al . Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network. Rev. Bras. Saude Mater. Infant., Recife , v. 17, supl. 1, p. S63-S72, 2017. Disponível em <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600004&lng=pt&nrm=iso>. acessos em 03 set. 2018. http://dx.doi.org/10.1590/1806-9304201700s100004. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufjf.br/jspui/handle/ufjf/7330 |
dc.identifier.doi.pt_BR.fl_str_mv |
http://dx.doi.org/10.1590/1806-9304201700s100004 |
identifier_str_mv |
FAUSTO, Márcia Cristina Rodrigues et al . Therapeutic itineraries for patients with cerebrovascular accident: fragmentation of care in a regionalized health network. Rev. Bras. Saude Mater. Infant., Recife , v. 17, supl. 1, p. S63-S72, 2017. Disponível em <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600004&lng=pt&nrm=iso>. acessos em 03 set. 2018. http://dx.doi.org/10.1590/1806-9304201700s100004. |
url |
http://dx.doi.org/10.1590/1806-9304201700s100004 https://repositorio.ufjf.br/jspui/handle/ufjf/7330 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
- |
dc.publisher.initials.fl_str_mv |
- |
dc.publisher.country.fl_str_mv |
Brasil |
publisher.none.fl_str_mv |
- |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFJF instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
instacron_str |
UFJF |
institution |
UFJF |
reponame_str |
Repositório Institucional da UFJF |
collection |
Repositório Institucional da UFJF |
bitstream.url.fl_str_mv |
https://repositorio.ufjf.br/jspui/bitstream/ufjf/7330/6/Therapeutic%20itineraries%20for%20patients%20with%20cerebrovascular%20accident.pdf.jpg https://repositorio.ufjf.br/jspui/bitstream/ufjf/7330/3/Therapeutic%20itineraries%20for%20patients%20with%20cerebrovascular%20accident.pdf https://repositorio.ufjf.br/jspui/bitstream/ufjf/7330/4/license.txt https://repositorio.ufjf.br/jspui/bitstream/ufjf/7330/5/Therapeutic%20itineraries%20for%20patients%20with%20cerebrovascular%20accident.pdf.txt |
bitstream.checksum.fl_str_mv |
94c60f88dbb8bcab0da07d71b50e125e bf964bf5c6e9c5cd93d4c528f35226d1 000e18a5aee6ca21bb5811ddf55fc37b a24f60b78e342293c31e7243bceed24f |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFJF - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
|
_version_ |
1813194038960979968 |