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为居住条件差的人群提供护理:初级保健中的就医机会与专业主动性。

Care for ill-housed persons: access and professional proactivity in primary care.

作者信息

Gontijo Lucas Alves, Silva Bruna Moreira da, Machado Marcelo Pedra Martins, Tafner Daniela Priscila Oliveira do Vale, Silveira Edilene Aparecida Araújo da, Oliveira Valéria Conceição de, de Azevedo Guimarães Eliete Albano, da Fonseca Viegas Selma Maria

机构信息

Universidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.

Fiocruz Brasília. Brasília, Distrito Federal, Brazil.

出版信息

Rev Bras Enferm. 2025 Aug 25;78Suppl 2(Suppl 2):e20230385. doi: 10.1590/0034-7167-2023-0385. eCollection 2025.

DOI:10.1590/0034-7167-2023-0385
PMID:40862430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12380422/
Abstract

OBJECTIVES

to understand access to primary care for ill-housed persons and professional proactivity in municipalities without a Street Outreach Office.

METHOD

a qualitative approach study, under the Grounded Theory methodological framework and Symbolic Interactionism theoretical framework, carried out with 30 Family Health Strategy professionals and six key informants from the Socio-Assistance Network, using open-ended interviews and memos.

RESULTS

the lack of planning for health care for ill-housed persons was evident. Access occurs through spontaneous demand and, almost always, under the intervention of Social Assistance Network professionals. Intersectoral and proactive professional work were highlighted as axes in overcoming inequities and guaranteeing access.

FINAL CONSIDERATIONS

the need to expand access is ratified, with identification, registration and monitoring of ill-housed persons in primary care. It is necessary to encourage professional proactivity, given their notoriety in strengthening equitable actions.

摘要

目标

了解无家可归者获得初级保健的情况以及在没有街头外展办公室的城市中专业人员的积极性。

方法

在扎根理论方法框架和符号互动理论框架下进行的定性研究,对30名家庭健康战略专业人员和社会援助网络的6名关键信息提供者进行了开放式访谈和记录。

结果

对无家可归者的医疗保健缺乏规划是显而易见的。获得医疗保健是通过自发需求,而且几乎总是在社会援助网络专业人员的干预下实现的。部门间和积极主动的专业工作被强调为克服不平等和保障获得医疗保健的关键。

最终思考

扩大获得医疗保健的机会的必要性得到认可,需要在初级保健中识别、登记和监测无家可归者。鉴于专业人员在加强公平行动方面的显著作用,有必要鼓励他们积极主动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/12380422/862d272d5da2/0034-7167-reben-78-s2-e20230385-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/12380422/6e4f440f730f/0034-7167-reben-78-s2-e20230385-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/12380422/862d272d5da2/0034-7167-reben-78-s2-e20230385-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/12380422/6e4f440f730f/0034-7167-reben-78-s2-e20230385-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/12380422/862d272d5da2/0034-7167-reben-78-s2-e20230385-gf02.jpg

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Expanding the evidence for cross-sector collaboration in implementation science: creating a collaborative, cross-sector, interagency, multidisciplinary team to serve patients experiencing homelessness and medical complexity at hospital discharge.扩大实施科学中跨部门合作的证据:创建一个协作、跨部门、跨机构、多学科团队,为出院时无家可归且医疗情况复杂的患者提供服务。
Front Health Serv. 2023 Sep 8;3:1124054. doi: 10.3389/frhs.2023.1124054. eCollection 2023.
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Understanding the primary health care experiences of individuals who are homeless in non-traditional clinic settings.了解非传统诊所环境中无家可归者的初级卫生保健体验。
BMC Prim Care. 2022 Dec 27;23(1):338. doi: 10.1186/s12875-022-01932-3.
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Unhoused people: stigma, prejudice, and health care strategies.无家可归者:污名、偏见与医疗保健策略。
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Access to health care for people experiencing homelessness on Avenida Paulista: barriers and perceptions.圣保罗大道无家可归者获得医疗保健的途径:障碍与认知。
Rev Esc Enferm USP. 2021 Jul 7;55:e03744. doi: 10.1590/S1980-220X2020033903744. eCollection 2021.
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The routine of the street outreach office team: Procedures and care for the homeless.街头外展办公室团队的日常工作:为无家可归者提供程序和关怀。
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Needs, expectations and care production of people in street situation.流浪人员的需求、期望与护理服务提供情况
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People living on the street from the health point of view.从健康角度看生活在街头的人们。
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