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[巴西残疾人的初级卫生组织模型和护理实践]

Mariana Silva Macedo¹, Jorge Henrique Santos Saldanha¹, Larissa Riani Costa Tavares²

¹Universidade Federal da Bahia. Av. Reitor Miguel Calmon 1105, Canela. 40110-903 Salvador BA Brasil. marimacedo28@gmail.com.

Ciencia & saude coletiva

|February 12, 2025

概括

家庭健康战略模式比巴西传统的初级医疗保健模式更能改善残疾人的健康实践. 然而,这两种模式在护理协调和社区资源整合方面都面临着挑战.

科学领域:

公共卫生公共卫生
医疗保健服务研究医疗服务研究
关于残疾人的研究.

背景情况:

残疾人护理网络 (REDECIN-BRASIL) 旨在通过初级医疗保健 (PHC) 改善残疾人的医疗保健获取和质量.
了解不同PHC组织模式对残疾人医疗保健实践的影响,对于有效的服务提供至关重要.

研究的目的:

调查初级医疗保健 (PHC) 组织模式与巴西针对残疾人的健康实践频率之间的联系.
为了比较传统的PHC模型与家庭健康战略 (FHS) 模型在为残疾人提供护理方面的有效性.

主要方法:

作为REDECIN-BRASIL调查的一部分,在巴西8个州对1377名合格的卫生保健专业人员进行了一项横截面研究.
使用后勤回归分析来评估PHC模型与残疾人护理频率之间的关系,并根据护理网络的知识进行调整.

主要成果:

与FHS模型相比,传统PHC模型与残疾人的健康实践频率较低显著相关.
在FHS模型下,产前护理,家庭护理和健康教育等特定实践更为普遍.
在这两种模式中,关于建立护理途径,临床协议,跨部门行动和社区资源协调的挑战仍然存在.

结论:

家庭健康战略 (FHS) 模型表明,在初级医疗保健机构中,残疾人与频繁的健康实践有更有利的关联.
尽管存在模式差异,但护理协调和整合方面的系统性挑战需要进一步关注,以充分支持残疾人.

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