Challenges on network care considering the perceptions of preceptors of a Pet-Network regarding people with disabilities and at-risk infants: access, comprehensiveness and communication
Challenges on network care considering the perceptions of preceptors of a Pet-Network regarding people with disabilities and at-risk infants: access, comprehensiveness and communication
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DOI：
10.4322/2526-8910.ctoao1052
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发表时间：
2017-01-01
影响因子：
0.8
通讯作者：
Oliver, Fatima Correa
中科院分区：
文献类型：
--
作者：
Aoki, Marta;Perez Batista, Marina Picazzio;Oliver, Fatima Correa
简介：医疗保健网络 (HCN) 被视为阐明和协调行动、卫生服务的可能性，并且是卫生系统的优先事项。确保他们进步的一项策略是卫生领域的辅导教育计划 (PET-Redes)。在此背景下，了解 HCN 对网络护理有效性的挑战和优势非常重要。目的：确定并分析作为 PET 网络（Stork/高危婴儿网络和残疾人网络）指导者的专业人员对网络护理配置以及与之相关的专业行动挑战的看法。方法：通过两个由 PET 网络导师专业人员组成的焦点小组进行定性研究。数据分析采用主题分析。结果：两个网络都呈现了与网络护理配置相关的以下类别：访问、综合医疗保健和通信。对于这种护理网络配置，提到的一些挑战包括地理和建筑障碍、缺乏社会支持、缺乏交通、护理流程失败以及沟通过程不连续。为了应对这些挑战，提到了以下策略：实施电子病历、制定具体的辩论论坛和阐明行动等。值得注意的是，这些类别相互交织，参与者指出的挑战多于克服这些挑战的策略。结论：不同层面的有效 HCN 面临着一些挑战，需要在 HCN 相关的所有人员中共同制定策略。
Introduction: Health Care Networks (HCN) are seen as a possibility for articulating and coordinating actions, health services and is a priority in the health system. One strategy to assure their improvement is the Tutorial Education Program (PET-Redes) in the health area. Within this context, it is important to understand the challenges and strengths for the effectiveness of HCN to the network care. Objective: To identify and analyze the perceptions of professionals who are preceptors of PET-Networks (Stork/at-risk infants Network and Disabled People Network) about the configuration of the network care and the challenges of professional actions related to it. Method: Qualitative study conducted through two focus groups with professionals that are preceptors of the PET-Networks. Thematic analysis was used for data analysis. Results: Both networks presented the following categories related to the network care configuration: access, comprehensive health care and communication. For this care network configuration, some challenges mentioned include geographical and architectural barriers, lack of social support, lack of transportation, failure on care flow and discontinuities in the communicative process. To deal with these challenges, the following strategies were mentioned: implementation of electronic medical records and formulation of specific forums for debate and articulation of actions, among others. It is important to notice that these categories are intertwined and that more challenges than strategies to overcome them were pointed out by the participants. Conclusion: There are several challenges for effective HCN from different levels and the construction of strategies needs to be convened among all persons involved in the HCN.