[巴西初级卫生组织的模式和残疾人护理做法]。

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-02-01 Epub Date: 2023-12-14 DOI:10.1590/1413-81232025302.16312023
Mariana Silva Macedo, Jorge Henrique Santos Saldanha, Larissa Riani Costa Tavares, Kátia Suely Queiroz Silva Ribeiro, Silvia Lanziotti Azevedo da Silva, Fernando Pierette Ferrari, Rafaela Raulino Nogueira, Milena Maria Cordeiro de Almeida
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引用次数: 0

摘要

巴西残疾人护理网络的范围是在初级保健机构的参与下,增加残疾人获得保健服务的机会,并改善残疾人的保健服务。本研究的目的是评估初级保健中心的组织模式与针对这一级护理的残疾患者的卫生实践之间的关系。它涉及对巴西8个州的1377名合格的初级保健专业人员的横断面研究,这是REDECIN-BRASIL调查的一部分。采用Logistic回归来估计初级保健模型和家庭健康策略(FHS)模型与针对残疾人士的护理频率之间的关联。传统初级保健模型显示,与FHS模型相比,初级保健中心针对PwD的实践频率较低,并对PwD护理网络的知识进行了回归调整。产前护理、家庭护理和健康教育是家庭卫生服务模式中较为常见的做法,然而,制定护理线、临床协议、部门间行动和与社区资源的衔接仍然是这两种模式面临的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Primary health organization models and care practices for people with disabilities in Brazil].

The scope of the Care Network for People with Disabilities in Brazil is to enhance access to, and improve health care for, people with disabilities (PwD) with the participation of primary health care (PHC). The objective of this study was to estimate the association between the PHC organization model and health practices aimed at PwD at this level of care. It involved a cross-sectional study with 1,377 qualified PHC professionals in 8 Brazilian states, part of the REDECIN-BRASIL survey. Logistic regression was performed to estimate the association between the PHC model and the Family Health Strategy (FHS) Model and the frequency of care aimed at PwDs. The Traditional PHC Model revealed a positive and statistically significant association with a lower frequency of practices aimed at PwD in PHC, compared to the FHS model, with regression adjustment for knowledge about the care network for PwD. Prenatal care, home care and health education are more frequent practices in the FHS model, however, creating lines of care, clinical protocols, intersectoral actions and articulation with community resources are still challenges for both models.

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来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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