Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspective
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/0102-311X00286120 http://hdl.handle.net/11449/222989 |
Resumo: | The study aimed to evaluate care for women with high-risk pregnancies from the healthcare team's perspective in primary healthcare (PHC) services in the city of São Paulo, Brazil. This is an evaluative study with a qualitative approach that used the open interview technique for data collection from PHC personnel. The data were explored through thematic categories built from the content emerging spontaneously from the interviews, discussed according to Health Work Process Theory. The results evidenced three domains: a normal work routine, organized from the perspective of exclusively biological practices and in which the management model sometimes fails to allow compliance with the recommended practices; a referral and counter-referral system, which sometimes allows more timely interventions, more unique to the pregnant women's needs, but still disconnected from the referral services; and shared responsibility of the PHC team for the pregnant woman, characterized by flexibilization of the work routine that extends beyond application of clinical protocols, encouraging the building of a bond and favoring qualification of care. The study revealed the need for flexibilization of use of patient care protocols in the work process, which can promote the shared responsibility of PHC teams for care, to adjust it to each pregnant woman's unique needs, beyond the limits of services' organization based on the logic of exclusively biological practices. |
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Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspectiveDesvelando el cuidado a las gestantes de alto riesgo en servicios de atención primaria del Municipio de São Paulo, Brasil: La óptica de los profesionalesDesvelando o cuidado às gestantes de alto risco em serviços de atenção primária do Município de São Paulo, Brasil: A ótica dos profissionaisHealth EvaluationHealth ServicesHigh-Risk PregnancyPrenatal CarePrimary Health CareThe study aimed to evaluate care for women with high-risk pregnancies from the healthcare team's perspective in primary healthcare (PHC) services in the city of São Paulo, Brazil. This is an evaluative study with a qualitative approach that used the open interview technique for data collection from PHC personnel. The data were explored through thematic categories built from the content emerging spontaneously from the interviews, discussed according to Health Work Process Theory. The results evidenced three domains: a normal work routine, organized from the perspective of exclusively biological practices and in which the management model sometimes fails to allow compliance with the recommended practices; a referral and counter-referral system, which sometimes allows more timely interventions, more unique to the pregnant women's needs, but still disconnected from the referral services; and shared responsibility of the PHC team for the pregnant woman, characterized by flexibilization of the work routine that extends beyond application of clinical protocols, encouraging the building of a bond and favoring qualification of care. The study revealed the need for flexibilization of use of patient care protocols in the work process, which can promote the shared responsibility of PHC teams for care, to adjust it to each pregnant woman's unique needs, beyond the limits of services' organization based on the logic of exclusively biological practices.Faculdade de Medicina Universidade Estadual PaulistaInstituto de Saúde Secretaria de Estado da Saúde Pública de São PauloFaculdade de Saúde Pública Universidade de São PauloFaculdade de Medicina Universidade Estadual PaulistaUniversidade Estadual Paulista (UNESP)Secretaria de Estado da Saúde Pública de São PauloUniversidade de São Paulo (USP)Sanine, Patricia Rodrigues [UNESP]Venancio, Sonia IsoyamaDa Silva, Fernanda Luz GonzagaTanaka, Oswaldo Yoshimi2022-04-28T19:47:54Z2022-04-28T19:47:54Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1590/0102-311X00286120Cadernos de Saude Publica, v. 37, n. 11, 2021.1678-44640102-311Xhttp://hdl.handle.net/11449/22298910.1590/0102-311X002861202-s2.0-85120666814Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporCadernos de Saude Publicainfo:eu-repo/semantics/openAccess2022-04-28T19:47:54Zoai:repositorio.unesp.br:11449/222989Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T15:22:17.574416Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspective Desvelando el cuidado a las gestantes de alto riesgo en servicios de atención primaria del Municipio de São Paulo, Brasil: La óptica de los profesionales Desvelando o cuidado às gestantes de alto risco em serviços de atenção primária do Município de São Paulo, Brasil: A ótica dos profissionais |
title |
Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspective |
spellingShingle |
Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspective Sanine, Patricia Rodrigues [UNESP] Health Evaluation Health Services High-Risk Pregnancy Prenatal Care Primary Health Care |
title_short |
Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspective |
title_full |
Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspective |
title_fullStr |
Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspective |
title_full_unstemmed |
Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspective |
title_sort |
Care for women with high-risk pregnancies in primary care services in the city of São Paulo, Brazil: The healthcare team's perspective |
author |
Sanine, Patricia Rodrigues [UNESP] |
author_facet |
Sanine, Patricia Rodrigues [UNESP] Venancio, Sonia Isoyama Da Silva, Fernanda Luz Gonzaga Tanaka, Oswaldo Yoshimi |
author_role |
author |
author2 |
Venancio, Sonia Isoyama Da Silva, Fernanda Luz Gonzaga Tanaka, Oswaldo Yoshimi |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Secretaria de Estado da Saúde Pública de São Paulo Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Sanine, Patricia Rodrigues [UNESP] Venancio, Sonia Isoyama Da Silva, Fernanda Luz Gonzaga Tanaka, Oswaldo Yoshimi |
dc.subject.por.fl_str_mv |
Health Evaluation Health Services High-Risk Pregnancy Prenatal Care Primary Health Care |
topic |
Health Evaluation Health Services High-Risk Pregnancy Prenatal Care Primary Health Care |
description |
The study aimed to evaluate care for women with high-risk pregnancies from the healthcare team's perspective in primary healthcare (PHC) services in the city of São Paulo, Brazil. This is an evaluative study with a qualitative approach that used the open interview technique for data collection from PHC personnel. The data were explored through thematic categories built from the content emerging spontaneously from the interviews, discussed according to Health Work Process Theory. The results evidenced three domains: a normal work routine, organized from the perspective of exclusively biological practices and in which the management model sometimes fails to allow compliance with the recommended practices; a referral and counter-referral system, which sometimes allows more timely interventions, more unique to the pregnant women's needs, but still disconnected from the referral services; and shared responsibility of the PHC team for the pregnant woman, characterized by flexibilization of the work routine that extends beyond application of clinical protocols, encouraging the building of a bond and favoring qualification of care. The study revealed the need for flexibilization of use of patient care protocols in the work process, which can promote the shared responsibility of PHC teams for care, to adjust it to each pregnant woman's unique needs, beyond the limits of services' organization based on the logic of exclusively biological practices. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 2022-04-28T19:47:54Z 2022-04-28T19:47:54Z |
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.uri.fl_str_mv |
http://dx.doi.org/10.1590/0102-311X00286120 Cadernos de Saude Publica, v. 37, n. 11, 2021. 1678-4464 0102-311X http://hdl.handle.net/11449/222989 10.1590/0102-311X00286120 2-s2.0-85120666814 |
url |
http://dx.doi.org/10.1590/0102-311X00286120 http://hdl.handle.net/11449/222989 |
identifier_str_mv |
Cadernos de Saude Publica, v. 37, n. 11, 2021. 1678-4464 0102-311X 10.1590/0102-311X00286120 2-s2.0-85120666814 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Cadernos de Saude Publica |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128221370122240 |