Abstract
ABSTRACT Qualitative, exploratory and interventionist case study at a teaching hospital of Paraná, with the objective of proposing a Tuberculosis Healthcare Management model focused on the hospital discharge, with a view to comprehensive care for patients with tuberculosis. Interviews were conducted with key informants (17 subjects), using the Theory of Nursing Praxis Intervention in Collective Health as the theoretical and methodological framework, with its three interdependent dimensions used as analytical categories. Weakness was revealed in the protocols for hospitalized patient care, insufficient integration between levels of care and the need for direct communication between the hospital and primary care nurses. In view of this result, a Healthcare Management Model, expressed as a flow of care with matrix support, nursing consultation and phone contact between nurses. The implementation of this model will lead to greater integration between the levels of care, permitting improvements in patient monitoring with greater probability of treatment compliance.
Highlights
In the past two decades, the democratization of tuberculosis (TB) treatment led to a significant reduction in the mortality and incidence levels of the disease
Considering that most of the cases attended at the hospital will only start the treatment, further approximation with Primary Health Care (PHC) is inevitable
The abandonment rate corresponded to 6.2%, strengthening the need to enhance and develop mechanisms that positively influence the previously determined public policies, such as directly observed treatment (DOT) which, despite demonstrating a positive impact on the results, is already insufficient.[13]
Summary
In the past two decades, the democratization of tuberculosis (TB) treatment led to a significant reduction in the mortality and incidence levels of the disease. In the category of hospital nurses, the following were chosen as key informants: the nurse from the Epidemiology Service responsible for monitoring the users with this problem and the two nurses working at the Infectology inpatient service, as that service receives most of the cases.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
