Coordination of care from the perspective of people with hypertension in primary health care
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2022.181413Keywords:
Hypertension, Health evaluation, Patient care, Referral and consultation, Primary health careAbstract
Objective: to analyze the satisfaction of people with hypertension about the coordination of care in Primary Health Care. Method: this is a cross-sectional study conducted with 417 people in a medium-sized municipality located in the southern region of Brazil. Data were collected in the first half of 2016, using an evaluation instrument adapted and validated on structural domains of Primary Health Care and used questions regarding the coordination of care. Descriptive and inferential analysis was performed to treat the variables. Results: it was evidenced that the
interviewees satisfactorily evaluated the use of medical records during consultation by health professionals and discussion of results from the consultation in the specialized service. People with inadequate blood pressure control unsatisfactorily evaluated the recording of complaints and health needs verbalized during consultations, scheduling
of return visits, and written referrals from the Basic Health Units, as well as guaranteed care and clarifying information about the results of the consultation in the referral service. Conclusion: People with hypertension showed satisfaction with the coordination of care in Primary Health Care.
Downloads
References
Bousquat A, Giovanella L, Fausto MCR, Medina MG, Martins CL, Almeida PF, et al. Primary care in health regions: policy, structure, and organization. Cad Saúde Pública. 2019; 35:e00099118. https://doi.org/10.1590/0102-311x00099118.
Bousquat A, Giovanella L, Campos EMS, Almeida PF de, Martins CL, Mota PH dos S, et al. Primary health care and the coordination of care in health regions: managers’ and users’ perspective. Ciênc Saúde Coletiva. 2017; 22:1141–54. https://doi.org/10.1590/1413-81232017224.28632016.
Almeida PF, Medina MG, Fausto MCR, Giovanella L, Bousquat A, Mendonça MHM. Coordination of care and Primary Health Care in the Unified Health System. Saúde Debate. 2018; 42:244–60. https://doi.org/10.1590/0103-11042018s116.
Tanaka OY, Drumond Júnior M, Gontijo TL, Louvison MCP, Rosa TEC. Arterial hypertension as a tracer for the evaluation of access to health care. Ciênc Saúde Coletiva. 2019; 24:963–72. https://doi.org/10.1590/1413-81232018243.07312017.
Ministério da Saúde (BR). Secretaria de Vigilância em Saúde, Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde. Vigitel Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2019. Brasília, DF: Ministério da Saúde; 2020.
Barreto MS, Mendonça RD, Pimenta AM, Garcia-Vivar C, Marcon SS. Non-use of primary care routine consultations for individuals with hypertension. Ciênc Saúde Coletiva. 2018; 23:795–804. https://doi.org/10.1590/1413-81232018233.12132016.
Rêgo AS, Haddad MCFL, Salci MA, Radovanovic CAT. Accessibility to the treatment of hypertension in the family health strategy. Rev Gaúcha Enferm. 2018; 39. https://doi.org/10.1590/1983-1447.2018.20180037.
Rêgo AS, Radovanovic CAT. Adherence of hypertension patients in the Brazil’s Family Health Strategy. Rev Bras Enferm. 2018; 71(3):1030-7. https://doi.org/10.1590/0034-7167-2017-0297
Brasil. Ministério da Saúde (MS). Departamento de Atenção Básica (DAB). Histórico de Cobertura da Saúde da Família. Brasília: MS. 2016. [Acessado 2016 set 19]. Disponível em: http://dab.saude.gov.br/portaldab/historico_cobertura_sf.php
São Paulo. Associação Brasileira de Empresas de Pesquisas (ABEP). Critério de Classificação Econômica Brasil. São Paulo, 2015.
Paes NA, Silva CS, Figueiredo TMRM, et al. Satisfaction of hypertensive users with primary health care services in Brazil: a validation study. Rev Panam Salud Publica. 2014 [Acessado 2016 set 19]; 36(2):87–93. Disponível em: https://scielosp.org/article/rpsp/2014.v36n2/87-93/
Malachias MVB, Souza WKSB, Plavnik FL, et al. 7ª Diretriz Brasileira de Hipertensão Arterial. Arq. bras. cardiol. [internet] 2016 [Acessado 2016 set 19]. 107(3):1-104. Disponível em: http://www.scielo.br/pdf/abc/v107n3s3/0066-782X-abc-107-03-s3-0067.pdf.
Conselho Nacional de Saúde (Brasil). Resolução n. 466, de 12 de dezembro de 2012. Brasília, 2012.
Soranz D, Pinto LF, Camacho LAB. Analysis of the attributes of primary health care using the electronic medical records in the city of Rio de Janeiro. Ciênc Saúde Coletiva. 2017 ;22(3):819-830. http://dx.doi.org/10.1590/1413-81232017223.33142016
Martins APOQ, Peres AM, Gil NLM, Ros CD, Lowen IMV, Gonçalves LS. Usability of electronic medical records in Primary Healthcare Units. Cienc Cuid Saúde. 2017; 16. http://dx.doi.org/10.4025/cienccuidsaude.v16i2.29748.
Engela MHT, Rodarte AC, Rotondaro Júnior A, Terenzi SC, Fonseca Viegas SM, Lanza FM. Use of health technology in primary health care in approach to hypertension. Rev Pesq Cuid Fundam Online. 2018; 10:75. https://doi.org/10.9789/2175-5361.2018.v10i1.75-84.
Torres GMC, Figueiredo IDT, Cândido JAB, Pinto AGA, Morais APP, Araújo MFM, et al. Therapeutic communication in the interaction between health workers and hypertensive patients in the family health strategy. Rev Gaúcha Enferm. 2017; 38(4):e2016-0066. https://doi.org/10.1590/1983-1447.2017.04.2016-0066.
Javanparast S, Freeman T, Baum F, Labonté R, Ziersch A, Mackean T, et al. How institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organizations. BMC Public Health. 2018; 18:383. https://doi.org/10.1186/s12889-018-5273-4.
Konstantinou P, Kassianos AP, Georgiou G, Panayides A, Papageorgiou A, Almas I, et al. Barriers, facilitators, and interventions for medication adherence across chronic conditions with the highest non-adherence rates: a scoping review with recommendations for intervention development. Translational Behavioral Medicine 2020:ibaa118. https://doi.org/10.1093/tbm/ibaa118.
Doty MM, Tikkanen R, Shah A, Schneider EC. Primary Care Physicians’ Role In Coordinating Medical And Health-Related Social Needs In Eleven Countries: Results from a 2019 survey of primary care physicians in eleven high-income countries about their ability to coordinate patients’ medical care and with social service providers. Health Affairs 2020; 39:115–23. https://doi.org/10.1377/hlthaff.2019.01088.
Oliveira JH de, Souza MR de, Morais Neto OL de. Enfrentamento das doenças crônicas não transmissíveis na atenção primária à saúde em Goiás: estudo descritivo, 2012 e 2014. Epidemiol Serv Saúde 2020; 29: e2020121. https://doi.org/10.1590/s1679-49742020000500016.
Carneiro MSM, Silva MGC, Pinto FJM, Melo DMS, Gomes JM. Assessment of the coordination attribute in Primary Health Care: application of the PCATool to professionals and users. Saúde Debate. 2014; 38. https://doi.org/10.5935/0103-1104.2014S021.
Elliott J, Stolee P, Boscart V, Giangregorio L, Heckman G. Coordinating care for older adults in primary care settings: understanding the current context. BMC Fam Pract. 2018; 19:137. https://doi.org/10.1186/s12875-018-0821-7.
Pinto LF, Santos LJ. Prontuários eletrônicos na Atenção Primária: gestão de cadastros duplicados e contribuição para estudos epidemiológicos. Ciênc Saúde Coletiva 2020; 25:1305–12. https://doi.org/10.1590/1413-81232020254.34132019.
Aleluia IRS, Medina MG, Almeida PF, Vilasbôas ALQ. Care coordination in primary health care: an evaluative study in a municipality in the Northeast of Brazil. Ciênc Saúde Coletiva. 2017; 22:1845–56. https://doi.org/10.1590/1413-81232017226.02042017.
Evangelista MJO, Guimarães AMDN, Dourado EMR, Vale FLB, Lins MZS, Matos MAB, et al. Planning and building Health Care Networks in Brazil’s Federal District. Ciênc Saúde Coletiva. 2019; 24:2115–24. https://doi.org/10.1590/1413-81232018246.08882019.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Anderson da Silva Rêgo, Fernanda dos Santos, Cremilde Aparecida Trindade Radovanovic, Juliana Gabrielle Santos Arnaldo, Mayara Almeida Martins, Marcelo da Silva, Maria Aparecida Salci
This work is licensed under a Creative Commons Attribution 4.0 International License.
