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Challenges in the coordination of children's healthcare
Rosane Meire Munhak da Silva1, Reinaldo Antônio da Silva Sobrinho1, Eliane Tatsch Neves1
1Universidade Estadual do Oeste do Paraná, Foz do Iguaçu, PR, Brasil, zanem2010@hotmail.com.
Insights
Fragile coordination in children
Area of Science:
- Pediatrics
- Healthcare Management
- Qualitative Research
Background:
- Parental perspectives on healthcare coordination for infants are crucial for effective problem resolution.
- Understanding caregiver experiences highlights systemic issues in primary pediatric care.
Purpose of the Study:
- To identify how parents and caregivers perceive healthcare coordination for children under one year.
- To explore the impact of coordination on resolving health problems in early childhood.
Main Methods:
- Qualitative survey utilizing a hermeneutic-dialectic framework.
- Thematic analysis of interviews with 16 caregivers of infants under one year old.
- Data collected from Emergency Care Units in southern Brazil in 2010.
Main Results:
- Caregivers identified "Effects and results of fragile coordination in Children's Primary Health Care" as a central issue.
- Key themes included: inter-unit divergences, access barriers, poor communication, lack of transport, and individualized care needs.
- Fragile coordination was linked to a lack of solution-based healthcare approaches for infants.
Conclusions:
- Absence of effective coordination in pediatric primary care leads to significant gaps in service organization and health management.
- Essential elements for improved care include: communication, technology access, referral systems, and secure transport.
- Addressing coordination is vital for comprehensive and effective primary care for young children.
Abstract:
This is a qualitative survey with a hermeneutic-dialectic frame of reference, designed to identify how parents and caregivers see the attribute 'coordination' in children's healthcare, in terms of resolving problems in children's health. The interview was held with 16 people responsible for care of children under one year of age, served in Emergency Care Units of a municipality in the south of Brazil, in 2010. With the thematic analysis, the central category was identified as: Effects and results of fragile coordination in Children's Primary Health Care, with the following themes: Divergences between different health units in the organization of care; functional barriers and delays obstructing access to technologies; absence of effective communication; absence of medical transport; need for healthcare on an individual basis; and coordination involving management of healthcare. It was concluded that the absence of coordination results in the absence of a solution-based approach in healthcare for children under one year old, showing gaps in the organization of the services and in health management, since communication, access to technologies, referral and counter-referral systems, and secure transport become essential for organizing primary care services and offering fully rounded care to the child.
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