Abstract
to analyze the Health Care Network (dis)articulation of late and moderate premature infants in the first year of life. a qualitative study with semi-structured interview, which addressed the care network constitution in a municipality in southern Brazil. Fifteen mothers of infants participated. Thematic content analysis and flowchart were used to describe networks and services. first contact in Primary Health Care is a decisive factor for the recognition and articulation of neonates/infants in the network and enables resolution, especially in childcare demands. Secondary and hospital care services support isolated acute events or chronic conditions, without articulation between levels of care and in a uniprofessional way. attention to health conditions is organized and structured in a uniprofessional, fragmented and disjointed way, which makes it impossible to form a Health Care Network premature infants' perspective.
Highlights
The health care model, in addition to its different conceptions, is assumed here as a logical system that organizes the functioning of services, including their organization through Health Care Networks (RAS – Redes de Atenção à Saúde)
Even though late preterm infants do not demand greater health demands from Primary Health Care services, they are more frequent in the services[5]
The study scenario was a municipality in southern Brazil, in which RAS is distributed in Basic Health Units and Family Health Strategy, Specialized and Complementary Services, Health Surveillance Service, Municipal Child and Adult Emergency Service, Emergency Care Unit (ECU) and public and private hospitals
Summary
The health care model, in addition to its different conceptions, is assumed here as a logical system that organizes the functioning of services, including their organization through Health Care Networks (RAS – Redes de Atenção à Saúde). Children born within the range of borderline prematurity, as well as extreme premature infants, have a history of clinical fragility and social vulnerability, tending to have developmental and growth problems, in addition to developing acute and chronic health conditions[3]. Many of these children, considered to be newborns (NB) almost at term, exhibit school difficulties, in addition to showing worse motor repertoire, behavior problems and growth alterations, when compared to children born at term[4]. Even though late preterm infants do not demand greater health demands from Primary Health Care services, they are more frequent in the services[5]
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