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The meanings of differential health care given by health professionals of the Alto Rio Negro DSEI-AM, Brazil.

作者信息

Feitosa Maria Rosineide Gama, Pontes Ana Lucia de Moura

机构信息

Instituto Federal do Amazonas, Campus São Gabriel da Cachoeira. Rodovia BR 307, Km 03, s/nº, Estrada do Aeroporto - Cachoeirinha. 69750-000 São Gabriel da Cachoeira AM Brasil.

Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2024 Dec;29(12):e07052024. doi: 10.1590/1413-812320242912.07052024. Epub 2024 Apr 25.

Abstract

This article discusses the meanings of differentiated health care guideline given by health professionals from the Indigenous Health Multidisciplinary Team (EMSI) who work at the Alto Rio Negro Special Indigenous Health District (DSEI-ARN). This exploratory, descriptive, analytical, and qualitative study conducted 15 semi-structured interviews with professionals from the Indigenous Health Multidisciplinary Teams of the DSEI-ARN, which were submitted to content analysis. The four meaning cores identified from the analyses were: Differentiated care as a way of providing primary care in the territory; Actions conducted under the population's cultural differences; Self-care, traditional medicine, and the construction of therapeutic itineraries; and Professionals' challenges and difficulties in addressing traditional indigenous health care. In the professionals' perspective, differentiated health care is linked to the conditions for working in this primary care type. For their performance, they refer to the need to respect the cultural differences of the Indigenous population. Professionals recognize the use and effectiveness of Indigenous practices, knowledge, and regional specificities.

摘要

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