Silva Simone Vieira da, Reichenberger Veronika, Vieira Gislene Inoue, Clemente Karina Aparecida Padilha, Ramos Vinícius Delgado, Brito Christina May Moran de
Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, U.K.
Cad Saude Publica. 2023 Jun 26;39(6):e00223822. doi: 10.1590/0102-311XPT223822. eCollection 2023.
Several healthcare processes, including rehabilitation, require prompt initiation and cannot be interrupted. Therefore, these processes underwent important adaptations during the COVID-19 pandemic. However, it is not fully known how healthcare facilities adapted their strategies and what the results were. This study investigated how rehabilitation services were affected during the pandemic and what strategies were employed to maintain the provided services. From June 2020 to February 2021, 17 semi-structured interviews were conducted with healthcare professionals working in rehabilitation services from the Brazilian Unified National Health System (SUS), who work at one of the three levels of care, in the municipalities of Santos and São Paulo, state of São Paulo, Brazil. The interviews were recorded, transcribed, and analyzed via content analysis. The professionals reported organizational changes in their services, with the initial interruption of appointments and, subsequently, the adoption of new sanitary protocols and the gradual return to in-person and/or remote appointments. Working conditions were directly impacted, as there was a need for staffing, training, increased workloads, as well as physical and mental exhaustion among professionals. The pandemic caused a series of changes in healthcare services, some of which were interrupted due to the suspension of numerous services and appointments. Some in-person appointments were maintained exclusively for patients who presented a risk of short-term deterioration. Preventive sanitary measures and strategies for continuity of care were adopted.
包括康复在内的一些医疗保健流程需要迅速启动且不能中断。因此,在新冠疫情期间,这些流程经历了重大调整。然而,目前尚不完全清楚医疗机构是如何调整其策略的以及结果如何。本研究调查了疫情期间康复服务受到了怎样的影响以及采取了哪些策略来维持所提供的服务。2020年6月至2021年2月,对巴西圣保罗州桑托斯市和圣保罗市巴西统一国家卫生系统(SUS)中从事康复服务的医疗专业人员进行了17次半结构化访谈,这些专业人员在三级护理中的一级工作。访谈进行了录音、转录,并通过内容分析进行了分析。专业人员报告了他们服务中的组织变化,最初预约中断,随后采用了新的卫生协议,并逐渐恢复面对面和/或远程预约。工作条件受到直接影响,因为需要人员配备、培训,工作量增加,专业人员也出现了身心疲惫。疫情给医疗服务带来了一系列变化,其中一些因众多服务和预约的暂停而中断。一些面对面预约仅为有短期病情恶化风险的患者保留。采取了预防性卫生措施和护理连续性策略。