Management in the care of people with HIV in primary health care in times of the new coronavirus
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/196465 |
Resumo: | OBJECTIVE To understand management practices in the care of people living with the human immunodeficiency virus (HIV) in primary health care in a Brazilian capital, in times of the new coronavirus (covid-19) pandemic. METHOD Qualitative research, anchored in the methodological-analytical framework of the grounded theory, constructivist aspect. Data were collected by using intensive online interviews with nurses from health centers and managers of the municipal health department. Data collection and analysis occurred concomitantly in two phases of analysis: initial and focused coding. RESULTS They point to the development of best care practices, with emphasis on initiatives for coordination of care, decentralization of clinical management for primary health care services, establishment of protocols and flows, agreement of intersectoral partnerships, use of groups and social networks, use of tools such as teleconsultation and health surveillance spreadsheet and formation of support networks. CONCLUSION The Brazilian capital restructured its network of health services with the implementation of clinical and management protocols, seeking to maintain care for people living with HIV. We highlighted the incorporation of non-face-to-face care technologies and the facilitation of routines, as strategies for expanding access. |
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Management in the care of people with HIV in primary health care in times of the new coronavirusGestão no cuidado às pessoas com HIV na Atenção Primária à Saúde em tempos do novo coronavírusHIVSobreviventes de Longo Prazo ao HIVContinuidade da Assistência ao PacienteCOVID-19Pesquisa QualitativaHIVHIV Long-Term SurvivorsContinuity of Patient CareCOVID-19Qualitative ResearchOBJECTIVE To understand management practices in the care of people living with the human immunodeficiency virus (HIV) in primary health care in a Brazilian capital, in times of the new coronavirus (covid-19) pandemic. METHOD Qualitative research, anchored in the methodological-analytical framework of the grounded theory, constructivist aspect. Data were collected by using intensive online interviews with nurses from health centers and managers of the municipal health department. Data collection and analysis occurred concomitantly in two phases of analysis: initial and focused coding. RESULTS They point to the development of best care practices, with emphasis on initiatives for coordination of care, decentralization of clinical management for primary health care services, establishment of protocols and flows, agreement of intersectoral partnerships, use of groups and social networks, use of tools such as teleconsultation and health surveillance spreadsheet and formation of support networks. CONCLUSION The Brazilian capital restructured its network of health services with the implementation of clinical and management protocols, seeking to maintain care for people living with HIV. We highlighted the incorporation of non-face-to-face care technologies and the facilitation of routines, as strategies for expanding access.OBJETIVO Compreender as práticas de gestão no cuidado às pessoas que vivem com o vírus da imunodeficiência humana (HIV) na Atenção Primária à Saúde de uma capital brasileira, em tempos de pandemia do novo coronavírus (covid-19). MÉTODO Trata-se de uma pesquisa qualitativa, ancorada no referencial metodológico-analítico da teoria fundamentada nos dados, vertente construtivista. Os dados foram coletados por entrevistas intensivas online, com enfermeiros de centros de saúde e gestores da secretaria municipal. A coleta e análise dos dados ocorreram de maneira concomitante, em duas fases de análise: a codificação inicial e focalizada. RESULTADOS Apontam para o desenvolvimento das melhores práticas de cuidado, com destaque para iniciativas de coordenação do cuidado, descentralização do manejo clínico para os serviços de APS, instituição de protocolos e fluxos, pactuação de parcerias intersetoriais, utilização de grupos e redes sociais, uso de ferramentas como a teleconsulta e planilha de vigilância em saúde e formação de redes de apoio. CONCLUSÃO A capital brasileira reestruturou sua rede de serviços de saúde com a implementação de protocolos clínicos e gerenciais, buscando manter a continuidade do cuidado às pessoas que vivem com o HIV. Destacou-se a incorporação de tecnologias de cuidado não presencial e a facilitação de rotinas, como estratégias para ampliação do acesso.Universidade de São Paulo. Faculdade de Saúde Pública2022-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmlapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/19646510.11606/s1518-8787.2022056003876Revista de Saúde Pública; Vol. 56 (2022); 13Revista de Saúde Pública; Vol. 56 (2022); 13Revista de Saúde Pública; v. 56 (2022); 131518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/196465/181034https://www.revistas.usp.br/rsp/article/view/196465/181032https://www.revistas.usp.br/rsp/article/view/196465/181033Copyright (c) 2022 Ianka Cristina Celuppi, Betina Hörner Schlindwein Meirelles, Gabriela Marcellino de Melo Lanzoni, Daniela Savi Geremia, Fernanda Karla Metelskihttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCeluppi, Ianka CristinaMeirelles, Betina Hörner SchlindweinLanzoni, Gabriela Marcellino de MeloGeremia, Daniela Savi Metelski, Fernanda Karla2022-04-08T17:41:20Zoai:revistas.usp.br:article/196465Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2022-04-08T17:41:20Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Management in the care of people with HIV in primary health care in times of the new coronavirus Gestão no cuidado às pessoas com HIV na Atenção Primária à Saúde em tempos do novo coronavírus |
title |
Management in the care of people with HIV in primary health care in times of the new coronavirus |
spellingShingle |
Management in the care of people with HIV in primary health care in times of the new coronavirus Celuppi, Ianka Cristina HIV Sobreviventes de Longo Prazo ao HIV Continuidade da Assistência ao Paciente COVID-19 Pesquisa Qualitativa HIV HIV Long-Term Survivors Continuity of Patient Care COVID-19 Qualitative Research |
title_short |
Management in the care of people with HIV in primary health care in times of the new coronavirus |
title_full |
Management in the care of people with HIV in primary health care in times of the new coronavirus |
title_fullStr |
Management in the care of people with HIV in primary health care in times of the new coronavirus |
title_full_unstemmed |
Management in the care of people with HIV in primary health care in times of the new coronavirus |
title_sort |
Management in the care of people with HIV in primary health care in times of the new coronavirus |
author |
Celuppi, Ianka Cristina |
author_facet |
Celuppi, Ianka Cristina Meirelles, Betina Hörner Schlindwein Lanzoni, Gabriela Marcellino de Melo Geremia, Daniela Savi Metelski, Fernanda Karla |
author_role |
author |
author2 |
Meirelles, Betina Hörner Schlindwein Lanzoni, Gabriela Marcellino de Melo Geremia, Daniela Savi Metelski, Fernanda Karla |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Celuppi, Ianka Cristina Meirelles, Betina Hörner Schlindwein Lanzoni, Gabriela Marcellino de Melo Geremia, Daniela Savi Metelski, Fernanda Karla |
dc.subject.por.fl_str_mv |
HIV Sobreviventes de Longo Prazo ao HIV Continuidade da Assistência ao Paciente COVID-19 Pesquisa Qualitativa HIV HIV Long-Term Survivors Continuity of Patient Care COVID-19 Qualitative Research |
topic |
HIV Sobreviventes de Longo Prazo ao HIV Continuidade da Assistência ao Paciente COVID-19 Pesquisa Qualitativa HIV HIV Long-Term Survivors Continuity of Patient Care COVID-19 Qualitative Research |
description |
OBJECTIVE To understand management practices in the care of people living with the human immunodeficiency virus (HIV) in primary health care in a Brazilian capital, in times of the new coronavirus (covid-19) pandemic. METHOD Qualitative research, anchored in the methodological-analytical framework of the grounded theory, constructivist aspect. Data were collected by using intensive online interviews with nurses from health centers and managers of the municipal health department. Data collection and analysis occurred concomitantly in two phases of analysis: initial and focused coding. RESULTS They point to the development of best care practices, with emphasis on initiatives for coordination of care, decentralization of clinical management for primary health care services, establishment of protocols and flows, agreement of intersectoral partnerships, use of groups and social networks, use of tools such as teleconsultation and health surveillance spreadsheet and formation of support networks. CONCLUSION The Brazilian capital restructured its network of health services with the implementation of clinical and management protocols, seeking to maintain care for people living with HIV. We highlighted the incorporation of non-face-to-face care technologies and the facilitation of routines, as strategies for expanding access. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/196465 10.11606/s1518-8787.2022056003876 |
url |
https://www.revistas.usp.br/rsp/article/view/196465 |
identifier_str_mv |
10.11606/s1518-8787.2022056003876 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/196465/181034 https://www.revistas.usp.br/rsp/article/view/196465/181032 https://www.revistas.usp.br/rsp/article/view/196465/181033 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf text/xml application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 56 (2022); 13 Revista de Saúde Pública; Vol. 56 (2022); 13 Revista de Saúde Pública; v. 56 (2022); 13 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1800221802654334976 |