0254/2023 - Continuidade do cuidado e ações no território durante a covid-19 em municípios de São Paulo: barreiras e facilitadores Continuity of care and actions in the territory during covid-19 in the municipalities of São Paulo: barriers and facilitators
A descontinuidade do cuidado e as ações no território na atenção primária à saúde em períodos de pandemia podem resultar em um aumento de complicações agudas, crônicas e mortalidade. Nesse sentido, este artigo tem como objetivo apresentar as barreiras e os facilitadores para a continuidade do cuidado e as ações no território durante a pandemia da covid-19 em municípios do estado de São Paulo. Trata-se de uma análise qualitativa de 37 entrevistas com gestores e profissionais da saúde de seis municípios. Foram identificados dois fatores facilitadores: a existência de um serviço específico para o atendimento de demandas respiratórias relacionadas à covid-19 e a integração dos profissionais da equipe de saúde antes da pandemia. Evidenciou-se duas barreiras: frágil estrutura de atenção primária à saúde antes da pandemia e a falta de alinhamento das ações dos profissionais de saúde ao modelo de atendimento comunitário e territorial. Concluiu-se que os municípios que já tinham uma APS estruturada antes da pandemia tiveram menos dificuldade para manter a continuidade do cuidado e as ações no território.
Palavras-chave:
atenção primária à saúde, continuidade do cuidado, ações no território, covid-19 e capacidade estatal.
Abstract:
The discontinuity of care and actions in the territory in primary health care during pandemic periods can lead to an increase in acute and chronic complications and mortality. In this regard, this article aims to present the barriers and facilitators for the continuity of care and actions in the territory during the COVID-19 pandemic in municipalities in the state of São Paulo. It is a qualitative analysis of 37 interviews with health managers and professionalssix municipalities. Two facilitating factors were identified: the existence of a specific service for attending respiratory demands related to COVID-19 and the integration of the health team professionals before the pandemic. Two barriers were evident: a fragile primary health care structure before the pandemic and the lack of alignment of health professionals\' actions with the community and territorial care model. It was concluded that municipalities that already had a structured primary health care system before the pandemic faced fewer difficulties in maintaining the continuity of care and actions in the territory.
Keywords:
primary Health Care, continuity of care, actions in the territory, Covid-19, and state capacity
Continuity of care and actions in the territory during covid-19 in the municipalities of São Paulo: barriers and facilitators
Resumo (abstract):
The discontinuity of care and actions in the territory in primary health care during pandemic periods can lead to an increase in acute and chronic complications and mortality. In this regard, this article aims to present the barriers and facilitators for the continuity of care and actions in the territory during the COVID-19 pandemic in municipalities in the state of São Paulo. It is a qualitative analysis of 37 interviews with health managers and professionalssix municipalities. Two facilitating factors were identified: the existence of a specific service for attending respiratory demands related to COVID-19 and the integration of the health team professionals before the pandemic. Two barriers were evident: a fragile primary health care structure before the pandemic and the lack of alignment of health professionals\' actions with the community and territorial care model. It was concluded that municipalities that already had a structured primary health care system before the pandemic faced fewer difficulties in maintaining the continuity of care and actions in the territory.
Palavras-chave (keywords):
primary Health Care, continuity of care, actions in the territory, Covid-19, and state capacity
Costa, M.I.S, Rosa, T.E.C, Lucena, F.S, Fernandez, M., Duarte, L.S, Malinverni, C., Dantas,L.A.A. Continuidade do cuidado e ações no território durante a covid-19 em municípios de São Paulo: barreiras e facilitadores. Cien Saude Colet [periódico na internet] (2023/Ago). [Citado em 08/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/continuidade-do-cuidado-e-acoes-no-territorio-durante-a-covid19-em-municipios-de-sao-paulo-barreiras-e-facilitadores/18880?id=18880
