Souza Marize Barros de, Rocha Paulo de Medeiros, Sá Armando Brito de, Uchoa Severina Alice da Costa
Escola de Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
Rev Panam Salud Publica. 2013 Mar;33(3):190-5. doi: 10.1590/s1020-49892013000300005.
To analyze the work of health care teams delivering primary care in Portugal.
We performed an evaluative research project, with a qualitative case study design. Data were obtained through semi-structured interviews, direct observation, and analysis of documents. We interviewed managers, workers, and users in 11 family health units (USF) in Portugal, for a total of 71 participants. Content analysis was used to assess the interviews.
Teams included a physician, a nurse, and an administrative employee. Each team was in charge of 1 250 to 2 060 users. A striking characteristic of the Portuguese experience was the voluntary and autonomous setup of teams at the USF, based on personal affinity. The services provided at the USF included a basic "service package" as well as activities of surveillance, health promotion, disease prevention, care of acute disease, clinical follow-up of patients with chronic or multiple diseases, home care, and networking with other services (hospital care). Difficulties in providing home care were reported. Electronic systems were widely available. According to interviewees, the changes resulting from the implementation of USF included improved user access to services, higher quality of care, and goal-oriented teamwork, guided by an action plan.
Even without a coordinating role in the health care network, the delivery of primary health care through teams was positively evaluated in Portugal as promoting increased access, continuity, and humanization of health services.
分析葡萄牙提供初级保健的医疗团队的工作情况。
我们开展了一项评估研究项目，采用定性案例研究设计。数据通过半结构化访谈、直接观察和文件分析获取。我们对葡萄牙11个家庭健康单位（USF）的管理人员、工作人员和用户进行了访谈，共有71名参与者。采用内容分析法对访谈进行评估。
团队包括一名医生、一名护士和一名行政人员。每个团队负责1250至2060名用户。葡萄牙经验的一个显著特点是，USF的团队基于个人亲和力自愿自主组建。USF提供的服务包括基本的“服务包”以及监测、健康促进、疾病预防、急性病护理、慢性或多种疾病患者的临床随访、家庭护理以及与其他服务（医院护理）建立联系等活动。报告了提供家庭护理方面的困难。电子系统广泛可用。据受访者称，USF实施带来的变化包括用户获得服务的机会增加、护理质量提高以及在行动计划指导下以目标为导向的团队合作。
即使在医疗保健网络中没有协调作用，葡萄牙通过团队提供初级卫生保健仍得到积极评价，认为这促进了医疗服务可及性、连续性和人性化程度的提高。
