Montenegro Livia Cozer, Penna Cláudia Maria de Mattos, Brito Maria José Menezes
Escola de Enfermagem da Universidade Federal de Minas Gerais, Brasil.
Rev Esc Enferm USP. 2010 Sep;44(3):649-56. doi: 10.1590/s0080-62342010000300014.
The objective of this qualitative case study was to present the understanding that health care workers and administrators of Belo Horizonte have about comprehensive care. Thirty-two workers were interviewed using a semi-structured questionnaire. Data analysis showed that comprehensiveness permeates the various levels of health care, adding the concept of health promotion. Interdisciplinary work emerges as a key element for the health care practice, which is made effective by sharing feelings. On the other hand, data show that comprehensive health care is only made effective provided that basic conditions are present, and services often do not provide those conditions. In conclusion, it is necessary to eliminate the fragmentations that exist in the form of health care organization as well as in the everyday practice of health care workers at the referred services so that it is possible to offer comprehensive, problem-solving care and humanize health care practices always aiming at the quality of life of the population.
本定性案例研究的目的是呈现贝洛奥里藏特的医护人员和管理人员对综合护理的理解。采用半结构化问卷对32名工作人员进行了访谈。数据分析表明，综合性贯穿于医疗保健的各个层面，增添了健康促进的概念。跨学科工作成为医疗保健实践的关键要素，通过情感分享使其得以有效开展。另一方面，数据显示，只有在具备基本条件的情况下，综合医疗保健才能有效实施，而这些服务往往无法提供这些条件。总之，有必要消除医疗保健组织形式以及上述服务中医护人员日常实践中存在的碎片化现象，以便能够提供全面、解决问题的护理，并使医疗保健实践人性化，始终以提高民众生活质量为目标。
