Challenges in Primary Care Regarding Children and Adolescents With Chronic Conditions in Brazil

被引：5

作者：

Cecchetti Vaz, Elenice Maria ^{[1
]}

Collet, Neusa ^{[1
,2
]}

Cursino, Emilia Gallindo ^{[5
]}

Soares Forte, Franklin Dellano ^{[2
,3
]}

Carvalho de Brito Santos, Nathanielly Cristina ^{[6
]}

Reichert, Gabriel Pereira ^{[7
]}

da Nobrega, Vanessa Medeiros ^{[4
]}

da Silva Reichert, Altamira Pereira ^{[1
,2
]}

机构：

[1] Univ Fed Paraiba, Dept Nursing Collect Hlth, Grad & PhD Program Nursing, Joao Pessoa, Paraiba, Brazil

[2] Univ Fed Paraiba, Profess Masters Program Family Hlth, Joao Pessoa, Paraiba, Brazil

[3] Univ Fed Paraiba, Dept Clin & Social Dent Grad Dent, Joao Pessoa, Paraiba, Brazil

[4] Univ Fed Paraiba, PhD Program Nursing, Joao Pessoa, Paraiba, Brazil

[5] Univ Fed Fluminense, Sch Nursing, Grad & PhD Program Nursing, Niteroi, RJ, Brazil

[6] Univ Fed Campina Grande, Ctr Biol & Hlth Sci Grad, Campina Grande, Brazil

[7] Ctr Univ Joao Pessoa, Med, Joao Pessoa, Paraiba, Brazil

来源：

QUALITATIVE HEALTH RESEARCH | 2019年 / 29卷 / 13期

关键词：

primary health care; children; adolescents; chronic disease; qualitative research; Brazil; PRIMARY-HEALTH-CARE; COORDINATION;

D O I：

10.1177/1049732319847961

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The coordination of primary care is pivotal to the management of chronic conditions. However, current systems may not be as efficient or effective as one would hope. This article addresses to the managers and health teams in the primary care setting and their challenges regarding children and adolescents with chronic conditions in Brazil. A qualitative study was conducted with 26 primary care professionals and managers using thematic content analysis. The results showed a scarcity of specialists for referrals and a lack of professional training for dealing with this specific group of patients. It is necessary to improve health information systems to ensure the continuity of care. Current health care of children and adolescents with chronic conditions is neither efficient nor effective. For this type of care to be comprehensive, the health needs of this population must be addressed and the operational structure of the health care network must be strengthened.

引用

页码：1978 / 1987

页数：10

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