0279/2018 - Governança e suporte da rede social secundária na atenção à saúde de crianças e adolescentes com doenças crônicas. Governance and secondary social network in the healthcare to children and adolescents with chronic diseases.
Estudo de abordagem qualitativa com o objetivo de analisar as características estruturais dos sistemas de governança e suporte ofertado pela rede social secundária na atenção à saúde de crianças e adolescentes com doença crônica. Pesquisa realizada em unidades da Estratégia Saúde da Família, ambulatório especializado e hospital público pediátrico de João Pessoa - PB, de fevereiro a outubro de 2013 por meio de entrevista semiestruturada e grupo focal. Participaram do estudo: 06 gestores, 14 profissionais de saúde e 12 familiares cuidadores de crianças ou adolescentes com doenças crônicas. Os dados foram analisados seguindo-se os princípios da análise temática de conteúdo. Na atenção à saúde das crianças e adolescentes com doenças crônicas evidenciou-se o sistema de governança do tipo colaborativo, bem como limitações da governança pública do tipo gerencial, que fragilizam a rede social secundária com repercussões no suporte oferecido aos familiares e na articulação entre os serviços. Conclui-se que essa realidade pode apresentar impacto negativo na qualidade e efetividade do cuidado prestado às crianças e adolescentes em condição crônica, por não atender as reais necessidades dessa população.
Palavras-chave:
Doença crônica; Governança clínica; Atenção integral à saúde; Enfermagem pediátrica.
Abstract:
Study with a qualitative approach aims to analyze the structural characteristics of governance systems and network support by the secondary social network in healthcare to children and adolescents with chronic illness. Research carried out at the Unites of Family Health Strategy, specializes ambulatory, and pediatric public hospital at Joao Pessoa – PBFebruary to October 2013. The study used semistructured interview and focus group. Participants were 06 managers, 14 health professionals, and 12 family caregivers of children or adolescents with chronic diseases. The data analyzed by thematic analyzes of content. In the healthcare to children and adolescents with chronic diseases, it has become clear that the collaborative governance system, as well as limitations of the management public governance, weaken the secondary social network with repercussions on the support offered to the family and on the articulation between services. In conclusion, this reality can have a negative impact on the quality and effectiveness of care provided to children and adolescents with chronic conditions, for failing to meet the real necessities of this population.
Keywords:
Chronic disease; Clinical governance; Comprehensive health care; Pediatric nursing.
Governance and secondary social network in the healthcare to children and adolescents with chronic diseases.
Resumo (abstract):
Study with a qualitative approach aims to analyze the structural characteristics of governance systems and network support by the secondary social network in healthcare to children and adolescents with chronic illness. Research carried out at the Unites of Family Health Strategy, specializes ambulatory, and pediatric public hospital at Joao Pessoa – PBFebruary to October 2013. The study used semistructured interview and focus group. Participants were 06 managers, 14 health professionals, and 12 family caregivers of children or adolescents with chronic diseases. The data analyzed by thematic analyzes of content. In the healthcare to children and adolescents with chronic diseases, it has become clear that the collaborative governance system, as well as limitations of the management public governance, weaken the secondary social network with repercussions on the support offered to the family and on the articulation between services. In conclusion, this reality can have a negative impact on the quality and effectiveness of care provided to children and adolescents with chronic conditions, for failing to meet the real necessities of this population.
Palavras-chave (keywords):
Chronic disease; Clinical governance; Comprehensive health care; Pediatric nursing.
da Nóbrega, Vanessa Medeiros, Souza,M.H.N., Santos, MM, Silva, MEA, Collet, N. Governança e suporte da rede social secundária na atenção à saúde de crianças e adolescentes com doenças crônicas.. Cien Saude Colet [periódico na internet] (2018/jun). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/governanca-e-suporte-da-rede-social-secundaria-na-atencao-a-saude-de-criancas-e-adolescentes-com-doencas-cronicas/16812?id=16812&id=16812
