1396/2012 - Cuidado ao paciente com Doença Renal Crônica no nível primário: pensando a integralidade e matriciamento Chronic Kidney Disease patient at primary health care: considerations about integrality and matrixing process
A Doença Renal Crônica é um problema de saúde pública crescente no mundo. A detecção e tratamento precoces reduziriam as altas taxas de morbimortalidade e custos associados. Esse trabalho buscou identificar o panorama do acesso ao cuidado a partir da conduta dos médicos da Atenção Primária à Saúde na linha de cuidado da doença. Aplicaram-se questionários para 62 médicos de família dos Centros de Saúde da Família do município de Fortaleza. Os achados apontam que a Taxa de Filtração Glomerular foi mensurada por apenas 8.1% dos médicos para pacientes com diabetes e 4.8% pacientes com hipertensão arterial. Mais da metade dos médicos (51.2%) referenciariam o paciente apresentando redução leve/moderada da Taxa de Filtração Glomerular ao nível secundário. Por outro lado, 25.8% dos médicos não referenciariam o paciente com Doença Renal Crônica avançada ao especialista. A lacuna entre esses dois níveis da atenção implica em barreira de acesso ao usuário, podendo comprometer avanços no plano da integralidade. A criação de novos dispositivos no processo de trabalho torna-se urgente e o apoio matricial apresenta-se como proposta viável para a articulação das ações entre os níveis da atenção no cuidado do portador da Doença Renal Crônica ou seus fatores de risco (hipertensão arterial e diabetes).
Palavras-chave:
Doença Renal Crônica
Atenção Primária à Saúde
Apoio matricial
Acesso aos cuidados de saúde
Integralidade
Abstract:
Chronic kidney disease is a public health problem throughout the world. Early detection and treatment can reduce morbidity, mortality and associated expenditures. The objective of present research is to explore the primary healthcare from a physician´s perspective, evaluating patient´s access to other levels of healthcare attention. Questionnaires were applied to sixty-two family physician working at primary healthcare units at Fortaleza city. Glomerular filtration rate was measured by only 8.1% of studied physicians when evaluating patients with diabetes and 4.8% when evaluating hypertensive patients. Majority of physicians (51.2%) refer patients with slight/moderate Glomerular filtration rate reduction to nephrologist´s care. Other way, 25.8% do not refer patients with an advanced Chronic kidney disease reduction to this specialist. The gap between healthcare levels difficulties the patient´s access, compromising healthcare´s integrality. New apparatus in healthcare organization between primary and secondary care is necessary. Matrixing process is a viable option to connect these healthcare attention levels in organizing the care of patients with Chronic kidney disease or its main risk factors (diabetes and arterial hypertension).
Chronic Kidney Disease patient at primary health care: considerations about integrality and matrixing process
Resumo (abstract):
Chronic kidney disease is a public health problem throughout the world. Early detection and treatment can reduce morbidity, mortality and associated expenditures. The objective of present research is to explore the primary healthcare from a physician´s perspective, evaluating patient´s access to other levels of healthcare attention. Questionnaires were applied to sixty-two family physician working at primary healthcare units at Fortaleza city. Glomerular filtration rate was measured by only 8.1% of studied physicians when evaluating patients with diabetes and 4.8% when evaluating hypertensive patients. Majority of physicians (51.2%) refer patients with slight/moderate Glomerular filtration rate reduction to nephrologist´s care. Other way, 25.8% do not refer patients with an advanced Chronic kidney disease reduction to this specialist. The gap between healthcare levels difficulties the patient´s access, compromising healthcare´s integrality. New apparatus in healthcare organization between primary and secondary care is necessary. Matrixing process is a viable option to connect these healthcare attention levels in organizing the care of patients with Chronic kidney disease or its main risk factors (diabetes and arterial hypertension).
Pena, P.F.A., Silva Junior,A.G., Oliveira, P.T.R., Moreira, G.A.R., Libório, A.B.. Cuidado ao paciente com Doença Renal Crônica no nível primário: pensando a integralidade e matriciamento. Cien Saude Colet [periódico na internet] (2012/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/cuidado-ao-paciente-com-doenca-renal-cronica-no-nivel-primario-pensando-a-integralidade-e-matriciamento/10951?id=10951
