Maciel Anna Maria Meyer, Lettiere-Viana Angelina, Mishima Silvana Martins, Fermino Tauani Zampieri, Matumoto Silvia
Universidade do Estado de Minas Gerais, Unidade Acadêmica de Passos, Passos, MG, Brazil.
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-infantil e Saúde Pública, Ribeirão Preto, SP, Brazil.
Rev Esc Enferm USP. 2024 Sep 13;58:e20240051. doi: 10.1590/1980-220X-REEUSP-2024-0051en. eCollection 2024.
To analyze longitudinality in the production of care in Family Health from the perspective of users.
Qualitative research carried out with 18 users of a family health unit in a municipality in the state of São Paulo. The data was produced through semi-structured interviews and the empirical material was analyzed by interpreting the meanings in the light of the theoretical framework of continuity of care and longitudinality.
22 ideas were identified and grouped into three meanings: organization and operationalization of work in the family health unit, self-care and the health system. The first highlighted elements of organizational constraints, workforce, hard and soft technologies. The second direction pointed to the user's co-responsibility for their health condition and lifestyle, making it possible to recognize longitudinality as: discontinuous or focused and continuous or extended. And in the third meaning, the understanding of the functioning of the three levels of care was presented with structural and technological demarcations.
The users recognized potential and weaknesses in the three meanings referring to the constituent elements of the theoretical framework. Family Health is capable of offering continuous or extended longitudinality, even in a municipality with low coverage of the strategy. However, this scenario can weaken the process of developing the attribute from this perspective, as it limits access to other levels of care and compromises its structuring elements and dimensions and, consequently, the continuity of care.
从用户角度分析家庭健康护理服务提供过程中的纵向性。
对圣保罗州一个市的一家家庭健康机构的18名用户进行定性研究。数据通过半结构化访谈收集，实证材料依据护理连续性和纵向性的理论框架进行意义阐释分析。
识别出22个观点并归纳为三种意义：家庭健康机构工作的组织与实施、自我护理和卫生系统。第一种意义强调组织限制、劳动力、硬技术和软技术等要素。第二种意义指出用户对自身健康状况和生活方式的共同责任，从而使纵向性可被理解为：间断或集中的以及连续或扩展的。第三种意义则呈现了对三级护理功能的理解以及结构和技术划分。
用户在涉及理论框架构成要素的三种意义中认识到了潜力和不足。家庭健康护理即便在该策略覆盖率较低的城市，也能够提供连续或扩展的纵向性服务。然而，这种情况可能会从这个角度削弱该属性的发展进程，因为它限制了获得其他护理级别的机会，损害了其结构要素和维度，进而影响护理的连续性。
