Caregivers’ perceptions about preventing childhood hospitalizations for primary care-sensitive conditions
Keywords:
Primary Health Care, Primary Care-Sensitive Conditions, Hospitalization, ChildAbstract
Objective: To understand the perceptions of caregivers regarding child care for the prevention of hospitalizations due to Primary Care-Sensitive Conditions, such as the diagnosis of gastroenteritis, pneumonia and/or asthma, in Teresina. Methods: This is a descriptive study with a qualitative approach, conducted through a semi-structured interview with ten caregivers of children under the age of five years. The analysis of the collected data was based on Bardin's content analysis. Results: It was observed that the culture of immediate care is still very present, which makes the hospital-centric model clear. In addition, impairment in care related to factors such as caregiver co-responsibility, the need to understand the role of Primary Health Care, investments in public policies for basic sanitation in the city and socioeconomic conditions were identified. Conclusion: Financial aspects, both on the part of the user and the health service itself, cultural aspects, poor basic sanitation and lack of knowledge about the role of PHC, make it difficult to prevent PCSC. Therefore, PHC care needs to be reviewed in several aspects, considering financing, qualified human resources and promotion of health education actions.
References
Maia LG, Silva LA, Guimarães RA, Pelazza BB, Pereira ACS, Rezende WL, et al. Hospitalizations due to primary care sensitive coditions: na ecological study. Rev Saúde Pública. [Internet]. 2019;53(2):1-11. doi: https://doi.org/10.11606/S1518-8787.2019053000403
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Portaria nº 221 de 17 de abril de 2008. Diário Oficial da União, Brasília, DF, 2008. Available from: http://bvsms.saude.gov.br/bvs/saudelegis/sas/2008/prt0221_17_04_2008.html.
Pinto LF, Giovanella L. The family health strategy: expanding access and reducing hospitalizations due to ambulatory care sensitive conditions (ACSC). Ciênc Saúde Colet. [Internet]. 2018;23(6):1903-1913. doi: https://doi.org/10.1590/1413-81232018236.05592018
Amaral JV, Araujo Filho ACA, Rocha SS. Children’s hospitalizations for conditions associated with primary care in brazilian city. Av Enferm. [Internet]. 2020;38(1): 46-54. doi: https://doi.org/10.15446/av.enferm.v38n1.79093
Santos LSL, Andrade FR, Stival MM, Rehem TCMSB. Trend of the hospitalizations due to ambulatory care sensitive conditions in pediatrics in Distrito Federal. Texto Contexto Enferm. [Internet]. 2022;31:e20210088. doi: https://doi.org/10.1590/1980-265X-TCE-2021-0088
Sousa RA, Borges FM, Silva FRS, Timóteo NLS, Santos MR, Treto SRSS, et al. Hospitalizations of ambulatory care sensitive conditions and healthcare investment, Piauí, Brazil, 2017. [Internet]. Anais do IHMT. 2019, 18(1): 76-82. doi: https://doi.org/10.25761/anaisihmt.341
Pinto Junior EP, Costa LQ, Oliveira SMA, Medina MG, Aquino R, Silva MGC. Expenditure trends in ambulatory care sensitive conditions in the under-fives in Bahia. Ciênc Saúde Colet. [Internet]. 2018;23(12):4331-4338. doi: https://doi.org/10.1590/1413-812320182312.32122016
Sousa ANA, Shimizu HE. Integrality and comprehensiveness of servisse provision in primary health care in Brazil (2012-2018). Rev Bras Enferm. [Internet]. 2021;74(2):e20200500. doi: https://doi.org/10.1590/0034-7167-2020-0500
Amaral JV, Brito VS, Araujo Filho ACA, Brito MA, Dantas ALB, Rocha SS. Nurse care in the prevention of child hospitalizations for conditions sensitive to primary care. Rev Soc Bras Enfem Ped. [Internet]. 2021;21(2): 110-8. doi: http://dx.doi.org/10.31508/1676-379320210016
Mendes ERR, Paula PHA, Lima KF, Almeida PC, Pinheiro PNC, Melo ESJ, et al. Social determinants of health and self-efficacy of mothers/caregivers for preventing diarrhea. Acta Paul Enferm. [Internet]. 2021;34(1):eAPE000615. doi: https://doi.org/10.37689/acta-ape/2021AO000615
Atenção Básica de Teresina realizou 876.768 atendimentos médicos e de enfermagem. Fundação Municipal de Saúde (FMS), Teresina, de jan. de 2020. Available from: https://pmt.pi.gov.br/category/fms-2/page/40/.
Souza VR, Marziale MH, Silva GT, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. [Internet]. 2021;34:eAPE02631. doi: https://doi.org/10.37689/acta-ape/2021AO02631
Nascimento LCN, Souza TV, Oliveira ICS, Moraes JRMM, Aguiar RCB, Silva LF. Theoretical saturation in qualitative research: an experience report in interview with schoolchildren. Rev Bras Enferm. [Internet]. 2018;71(1):228-233. doi: http://dx.doi.org/10.1590/0034-7167-2016-0616
Bardin L. Análise de conteúdo. São Paulo: Edições 70, 2016.
Tofani LFN, Furtado LAC, Guimarães CF, Feliciano DGCF, Silva GR, Bragagnolo LM, et al. Chaos, organization and creativity: integrative review on health care networks. Ciênc Saúde Colet. [Internet] 2021;26(10):4769-4782. doi: https://doi.org/10.1590/1413-812320212610.26102020
Baratieri T, Lentsck MH, Corona LP, Almeida KP, Kluthcovsky ACGC, Natal S. Factors associated to inappropriate use of emergency services. Ciênc Saúde Colet. [Internet]. 2021; 26(6):2281-2290. doi: https://doi.org/10.1590/1413-81232021266.18532019
Carvalho F, Akerman M, Cohen S. The dimensiono of health care in health promotion: notes on the approach to care. Rev Saúde Soc. [Internet]. 2022; 31(3): e210529pt. doi: https://doi.org/10.1590/S0104-12902022210529pt
Braz AID, Castro LR, Freitas JLG, Cavalcante DFB, Pereira PPS, Oliveira TMC, et al. Hospitalization for sensitive conditions in primary care: association whith primary health care support, 2015-2021. Arq Ciênc Saúde Unipar. [Internet]. 2023; 27(2):737-53. Available from: https://ojs.revistasunipar.com.br/index.php/saude/article/view/9382/4570
Santos AS, Castro LR, Freitas JLG, Cavalcante DFB, Pereira PPS, Oliveira TMC, et al. Hospitalizations for ambulatory care-sensitive conditions in children, Rondônia, Brazil, 2008-2019. Ciênc Saúde Colet. [Internet]. 2023;28(4):1003-10. doi: https://doi.org/10.1590/1413-81232023284.07902022
Inacio RFB, Pereira AMS, Carmona F. Consumption of medicinal plants and herbal medicines by children and adolescents with chronic conditions: a survey in a tertiary-care outpatient clinic. Rev Medicina. [Internet]. 2023;56(1):e195406. doi: https://doi.org/10.11606/issn.2176-7262.rmrp.2023.195406
Ndhlovu PT, Asong JÁ, Omotayo AO, Otang-Mbeng W, Aremu AO. Ethnobotanical survey of medicinal plants used by indigenous knowledge holders to manage healthcare needs in children. Rev Plos One. [Internet]. 2023;18(3):e0282113. doi: https://doi.org/10.1371/journal.pone.0282113
Faria RV, Barbosa LM, Tavares TS, Takeshita IM. Factors that influence the care of children whith respiratory diseases in primary health care. Rev Enferm Foco. [Internet]. 2022; 13(1):e202224. doi: https://doi.org/10.21675/2357-707X.2022.v13.e-202224ESP1
Barros RD, Aquino R, Souza LEPF. Evolution of the structure and results of primary health care in Brazil between 2008 and 2019. Ciênc Saúde Colet. [Internet]. 2022;27(11):4289-4301. doi: https://doi.org/10.1590/1413-812320222711.02272022EN
Castro DM, Oliveira VB, Andrade ACS, Cherchiglia ML, Santos AF. The impacto of primary healthcare and the reduction of primary health care-sensitive hospital admissions. Cad Saúde Pública. [Internet]. 2020;36(11):e00209819. doi: https://doi.org/10.1590/0102-311X00209819
Dias BM, Zanetti ACB, Pereira AC. Expenses of hospitalization for ambulatory care sensitive conditions in the health regional offices of the state of São Paulo. Rev Einstein. [Internet]. 2021;19:1-7. doi: https://doi.org/10.31744/einstein_journal/2021GS5817
Silva LF, Chaoubah A, Campos EMS. Hospitalizations by primary care sensitive conditions: prevalence and costs in the state of Minas Gerais. Cad Saúde Colet. [Internet]. 2023;31(2):e31020176. doi: https://doi.org/10.1590/1414-462X202331020176
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