Abstract
To develop a workflow protocol for Home Care (HC) services in the HC2 modality for children with special health care needs (CSHCN) in the state of Parana. Quantitative, descriptive, exploratory, multiple case studies. Data was collected with professionals from the eight home care services in Parana. Data were analyzed using the Strengths, Weaknesses, Opportunities and Threats (SWOT) methodology, from which a 5W2H method of action plan was developed, resulting in a flow chart. Considering the strategies found in Home Care services, such as planned hospital discharge, caregiver training, organized transportation and singular therapeutic project, a flow organization protocol for children with special health care needs in Home Care services was developed. The protocol developed makes it possible to organize the care provided to children with special health care needs in home care.
Highlights
OBJECTIVETechnological development and qualification of health professionals have led to many advances in child health care in recent years in Brazil, resulting in increased survival rates of children and highlighting a group that requires special care from health services: Children with Special Health Care Needs (CSHCN), which include those with chronic diseases[1,2].Between nine and eleven percent of the total population of children and adolescents in Brazil have some type of chronic disease[3]
Presence of Multiprofessional Home Care Teams (MHCT) in most Home Care Service (HCS); Own telephone line; HCS car available without prior arrangement; Accountability of the caregivers, with a consent form; Work developed in a multiprofessional team, with exchange of experiences and construction of strategies based on the perspectives of the different professionals, aiming at a comprehensive approach
Criteria for follow-up on HC1, HC2, or HC3 are established in an ordinance
Summary
Technological development and qualification of health professionals have led to many advances in child health care in recent years in Brazil, resulting in increased survival rates of children and highlighting a group that requires special care from health services: Children with Special Health Care Needs (CSHCN), which include those with chronic diseases[1,2]. HC is important for the care of individuals with chronic diseases, who require longitudinal care from a multidisciplinary team, which must offer comprehensive, continuous and humane care[4].a study has shown that the care network of these children, which has institutional and family care in its first dimension, was broad and diverse, but dispersed, with several different health and education professionals. This demonstrated the need for a better organization of services to achieve an effective care. To develop a workflow protocol for Home Care (HC) services in the HC2 modality for children with special health care needs (CSHCN)in the state of Parana, considering that most children in HC in Paraná are included in HC2
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