University of State of Amazonas, Manaus, Brazil.
Tropical Medicine Foundation Dr Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
Qual Health Res. 2023 Jul;33(8-9):790-800. doi: 10.1177/10497323221146459. Epub 2023 Jun 6.
The present study aimed to know and analyze the repercussions and legacy of the COVID-19 pandemic for the Unified Health System from the perspective of health managers working in Manaus, a city considered the epicenter of the pandemic in Brazil. This qualitative research was designed as the study of a single incorporated case and conducted with 23 Health Care Network managers. The analysis was applied in two thematic coding cycles (values and focused coding methods), with the aid of the ATLAS.ti software. The categories we analyzed covered the lessons learned within the scope of the work process, change in stance, and human values, as well as the coping strategies adopted by individual or team initiatives or by the incorporation of innovations in practices. This study highlighted the importance of strengthening primary health care; of promoting team spirit in the service and establishing partnerships with public and private institutions, of being integrated with the training in complex situations, and of reflecting on human values and appreciation of life. Coping with the pandemic promoted an in-depth reflection about the functioning of the Unified Health System and the individual ways of being.
本研究旨在从巴西疫情震中玛瑙斯市的卫生管理者的角度，了解和分析 COVID-19 大流行对统一卫生系统的影响和遗留问题。这项定性研究设计为单一案例研究，并对 23 名医疗保健网络管理者进行了研究。分析采用了两个主题编码周期（价值观和聚焦编码方法），并借助 ATLAS.ti 软件进行。我们分析的类别涵盖了在工作流程范围内、立场变化和人类价值观方面的经验教训，以及个人或团队举措或通过创新纳入实践中所采用的应对策略。这项研究强调了加强初级卫生保健的重要性；促进服务中的团队精神，并与公立和私立机构建立伙伴关系，与复杂情况下的培训相结合，以及对人类价值观和生命价值的反思。应对大流行促使我们深入反思统一卫生系统的运作和个人的处事方式。
