巴西乳腺癌护理网络：卫生管理人员的视角
Brazilian Breast Cancer Care Network: the perspective of health managers.
作者信息
Goldman Rosely Erlach, Figueiredo Elisabeth Niglio, Fustinoni Suzete Maria, Souza Káren Mendes Jorge de, Almeida Ana Maria de, Gutiérrez Maria Gaby Rivero de
机构信息
Universidade Federal de São Paulo, Paulista Nursing School. São Paulo, São Paulo, Brazil.
Universidade de São Paulo, Ribeirão Preto College of Nursing. Ribeirão Preto, São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2019 Feb;72(suppl 1):274-281. doi: 10.1590/0034-7167-2017-0479.
OBJECTIVE
To analyze the organization of the Brazilian Breast Cancer Care Network, according to the perspective of managers of the Coordenadoria Regional de Saúde Sudeste (Southeast Regional Coordination of Health) of the city of São Paulo.
METHOD
A descriptive study, with a qualitative approach, carried out with seven managers of this Coordination. The interview data were analyzed based on the components of the operational structure of the Brazilian Health Care Network: Communication Center; Secondary and Tertiary Care Points; Support Systems; Logistic Systems; and Network Governance System.
RESULTS
There is heterogeneity in the operationalization of the Care Network and the obstacles to its integration and comprehensiveness were: fragility of the bond with the users; high turnover of professionals in Primary Health Care; lack of standardization of the reference system and counter-referral, and low cooperation between municipal and state health services.
FINAL CONSIDERATIONS
The organization of the Brazilian Breast Cancer Care Network is fragmented, thus compromising the comprehensiveness of care.
目的
从圣保罗市东南地区卫生协调处（Southeast Regional Coordination of Health）管理人员的角度分析巴西乳腺癌护理网络的组织情况。
方法
采用定性研究方法进行描述性研究，对该协调处的七位管理人员进行了研究。访谈数据基于巴西医疗保健网络运营结构的组成部分进行分析：通信中心；二级和三级护理点；支持系统；物流系统；以及网络治理系统。
结果
护理网络的实施存在异质性，其整合和全面性的障碍包括：与用户的联系薄弱；初级卫生保健专业人员流动率高；转诊系统和反向转诊缺乏标准化，以及市和州卫生服务之间合作不足。
最终考量
巴西乳腺癌护理网络的组织是分散的，从而损害了护理的全面性。
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