Challenges and lessons from a primary care intervention in a Brazilian municipality



Document title: Challenges and lessons from a primary care intervention in a Brazilian municipality
Journal: Revista de saude publica
Database:
System number: 000536065
ISSN: 0034-8910
Authors: 1
1
2
2
1
1
Institutions: 1Universidade Federal de Minas Gerais, Centro de Desenvolvimento e Planejamento Regional, Belo Horizonte, Minas Gerais. Brasil
2Universidade Federal de São João del-Rei, Campus Centro-Oeste, Divinópolis, Minas Gerais. Brasil
Year:
Volumen: 53
Country: Brasil
Language: Inglés
Document type: Artículo
English abstract OBJECTIVE To address the implementation of the Lab for Innovation in Chronic Conditions in Santo Antonio do Monte, indicating the main challenges and lessons of a new chronic condition model. METHODS This is an observational study based on two sources of data: 1) two cross-sectional household surveys, 2013 (2012 as reference year) and 2015 (2014 as reference year), representative for the entire population and four target groups (pregnant women; children under two years old; individuals with hypertension and diabetes); medical records of individuals who self-reported having hypertension or diabetes in the household survey of 2013. A descriptive statistics analysis was performed. RESULTS The main findings showed that the public health system is the main provider of health services, mainly primary care, in Santo Antonio do Monte. Besides, the implementation of Lab for Innovation in Chronic Conditions showed the importance of building a Primary Health Care network in small municipalities. CONCLUSIONS Community health agents and health managers played a fundamental role in the Primary Health Care network. The case study of Santo Antonio do Monte poses some challenges and lessons that clarify future interventions on building a Primary Health Care network that is essential to provide an adequate and longitudinal care to chronic conditions.
Disciplines: Medicina
Keyword: Salud pública
Keyword: Chronic Disease, prevention & control,
Community Health Workers,
Community Health Services,
Health Care Levels,
Public health
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