Albuquerque Adriana Bezerra Brasil de, Bosi Maria Lúcia Magalhães
Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brasil.
Cad Saude Publica. 2009 May;25(5):1103-12. doi: 10.1590/s0102-311x2009000500017.
Home visits have become increasingly widespread in Brazil since the emergence of the Family Health Program. The present study deals with users' perceptions of these visits, focusing on comprehensiveness and humanization of care. The study was exploratory and qualitative. Twenty-one interviews were performed with users from the six administrative health districts of Fortaleza, capital of Ceará State, Brazil. Analysis of the interviews revealed the existence of three core themes: (1) health professional-user relationships, i.e. users' perceptions of completeness and humanization of care during visits; (2) characterization of visits, with emphasis on operational aspects; and (3) user-health facility interaction, focusing on integration with other service. This theme was divided into three items: health facility management, equity, and integration of care. In conclusion, the study suggests that home visiting practices can be improved by enhancing the aspects of intersubjectivity, dialogue, and negotiation between health professionals, users, and the community.
自家庭健康计划出现以来,家访在巴西越来越普遍。本研究探讨了用户对这些家访的看法,重点关注护理的全面性和人性化。该研究是探索性的和定性的。对来自巴西塞阿拉州首府福塔莱萨六个行政区卫生区的用户进行了21次访谈。访谈分析揭示了三个核心主题的存在:(1)卫生专业人员与用户的关系,即用户对家访期间护理完整性和人性化的看法;(2)家访的特点,重点是操作方面;(3)用户与卫生机构的互动,重点是与其他服务的整合。这个主题分为三个项目:卫生机构管理、公平性和护理整合。总之,该研究表明,通过加强卫生专业人员、用户和社区之间的主体间性、对话和协商等方面,可以改进家访实践。