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[街道作为关怀生产的空间:里约热内卢市新冠疫情期间针对无家可归者的独特治疗项目与结核病管理]

[The street as a space for care production: the singular therapeutic project and tuberculosis management in people experiencing homelessness during the Covid-19 pandemic in the city of Rio de Janeiro].

作者信息

Vidal Aline Azevedo, Coelho Karla Santa Cruz, Merhy Emerson Elias

机构信息

Magíster en Atención Primaria de Salud. Gerente en Servicios de Salud, Secretaría Municipal de Saúde, Prefeitura do Rio de Janeiro, Rio de Janeiro, Brasil.

Doctora en Salud Colectiva. Profesora asociada. Instituto de Ciências Médicas, Centro Multidisciplinar. Universidade Federal do Rio de Janeiro, Campus Macaé, Rio de Janeiro, Brasil.

出版信息

Salud Colect. 2024 Mar 6;20:e4774. doi: 10.18294/sc.2024.4774.

Abstract

From the theoretical perspective of the cartography of the micropolitics of living labor in action, the objective was to analyze the work process of the "street clinic" team based in a primary care unit in the city of Rio de Janeiro, Brazil, in the management of tuberculosis cases in the context of the Covid-19 pandemic. This is an exploratory qualitative research. Between May and December 2021, seven professionals from the street clinic team were interviewed, and participant observation was conducted with field diary records. Three thematic axes emerged from the interviews related to people experiencing homelessness in the context of the Covid -19 pandemic: 1) Challenges, potentialities, and weaknesses of tuberculosis care; 2) Building intersectoral care networks for monitoring individuals with tuberculosis; and 3) The street as a space for care production: the work process of the street clinic in tuberculosis management. It is concluded that caring for people experiencing homelessness with tuberculosis in the context of the Covid -19 pandemic requires not only managing clinical protocols but also building shared work with the intra and intersectoral network. In addition to the task of being in the territory, the outpatient service in the territory must also be a street outpatient service, especially regarding tuberculosis treatment.

摘要

从动态的活劳动微观政治制图的理论视角出发,目标是分析位于巴西里约热内卢市一家基层医疗单位的“街头诊所”团队在新冠疫情背景下管理结核病病例的工作过程。这是一项探索性定性研究。2021年5月至12月期间,对街头诊所团队的七名专业人员进行了访谈,并通过实地日记记录进行了参与观察。访谈中出现了与新冠疫情背景下无家可归者相关的三个主题轴:1)结核病护理的挑战、潜力和弱点;2)建立跨部门护理网络以监测结核病患者;3)街道作为护理生产空间:街头诊所在结核病管理中的工作过程。研究得出结论,在新冠疫情背景下护理患有结核病的无家可归者不仅需要管理临床方案,还需要与部门内和跨部门网络建立共享工作。除了身处该地区的任务外,该地区的门诊服务还必须是街头门诊服务,尤其是在结核病治疗方面。

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1
Tuberculosis in the street population: a systematic review.街头人群中的结核病:系统评价。
Rev Esc Enferm USP. 2021 Apr 5;55:e03688. doi: 10.1590/S1980-220X2019039603688. eCollection 2021.

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