Universidade Federal de Santa Catarina. Centro de Ciências da Saúde. Programa de Pós-Graduação em Enfermagem. Florianópolis, SC, Brasil.
Universidade Federal da Fronteira Sul. Faculdade de Enfermagem. Chapecó, SC, Brasil.
Rev Saude Publica. 2022 Apr 1;56:13. doi: 10.11606/s1518-8787.2022056003876. eCollection 2022.
To understand management practices in the care of people living with the human immunodeficiency virus (HIV) in primary health care in a Brazilian capital, in times of the new coronavirus (covid-19) pandemic.
Qualitative research, anchored in the methodological-analytical framework of the grounded theory, constructivist aspect. Data were collected by using intensive online interviews with nurses from health centers and managers of the municipal health department. Data collection and analysis occurred concomitantly in two phases of analysis: initial and focused coding.
They point to the development of best care practices, with emphasis on initiatives for coordination of care, decentralization of clinical management for primary health care services, establishment of protocols and flows, agreement of intersectoral partnerships, use of groups and social networks, use of tools such as teleconsultation and health surveillance spreadsheet and formation of support networks.
The Brazilian capital restructured its network of health services with the implementation of clinical and management protocols, seeking to maintain care for people living with HIV. We highlighted the incorporation of non-face-to-face care technologies and the facilitation of routines, as strategies for expanding access.
了解巴西首都在新冠疫情期间,基层医疗保健中针对艾滋病毒(HIV)感染者护理的管理实践。
定性研究,扎根于扎根理论的方法论分析框架,具有建构主义方面。通过对卫生中心的护士和市卫生局管理人员进行在线深入访谈来收集数据。数据收集和分析同时在两个分析阶段进行:初始编码和聚焦编码。
研究结果指向最佳护理实践的发展,重点是协调护理的举措、基层医疗保健服务临床管理的去中心化、制定协议和流程、建立跨部门合作伙伴关系、使用小组和社交网络、使用远程咨询和健康监测电子表格等工具以及形成支持网络。
巴西首都通过实施临床和管理方案,对其卫生服务网络进行了重组,旨在维持对艾滋病毒感染者的护理。我们强调了非面对面护理技术的采用和常规的简化,作为扩大服务可及性的策略。