Programa de Pós-Graduação em Saúde Coletiva. Universidade de Fortaleza. Av. Washington Soares 1321, Edson Queiroz. 60811-905 Fortaleza CE Brasil.
Mestrado Profissional em Gestão em Saúde, Universidade Estadual do Ceará. Fortaleza CE Brasil.
Cien Saude Colet. 2021 Jan;26(1):89-98. doi: 10.1590/1413-81232020261.31972020. Epub 2020 Aug 23.
This study investigates the challenges and possibilities of health professionals in managing care for dependent older adults in PHC. We employed a qualitative approach based on dialectical hermeneutic fusion. Interviews were carried out with 38 health professionals, from June to December 2019, in eight cities in the five Brazilian regions, which resulted in themes about the challenges of professionals in the management of care for older adults, the strategies used, and their suggestions for improving the quality of care for dependent older adults. Management failures, structural factors, access barriers, scarce supplies, disrupted network, and lack of security, were pointed out as hardships in directing health protection, prevention, and promotion actions. The applied strategies are diverse and conflicting and aim to articulate the multiprofessional teams, which involve the Family Health Strategy and specialists to implement care. Strengthening reception, encouraging home consultation, mobilizing support groups, and carrying out health education were among the participants' integrative practices. Due to the complex study object, it was evidenced that professionals recognize the shortcomings in the health services and face undesirable situations due to the lack of qualified personnel in the teams and the defective materials and transportation.
本研究调查了初级卫生保健中医疗保健专业人员管理依赖老年人护理的挑战和可能性。我们采用了基于辩证解释学融合的定性方法。2019 年 6 月至 12 月，在巴西五个地区的八个城市，对 38 名卫生专业人员进行了访谈，得出了关于专业人员管理老年人护理的挑战、使用的策略以及改善依赖老年人护理质量的建议的主题。管理不善、结构性因素、准入障碍、供应短缺、网络中断和缺乏安全性被指出是指导卫生保护、预防和促进行动的困难。所应用的策略多种多样，相互矛盾，目的是使多专业团队协调一致，其中包括家庭卫生战略和专家来实施护理。加强接待、鼓励家庭咨询、动员支持小组和开展健康教育是参与者的综合实践。由于研究对象复杂，事实证明，专业人员认识到卫生服务中的不足，并由于团队中缺乏合格人员以及材料和交通缺陷而面临不理想的情况。
