3.8 Article

Integration strategies for caring for chronic noncommunicable diseases: a case study

Journal

REVISTA BRASILEIRA DE ENFERMAGEM
Volume 74, Issue 1, Pages -

Publisher

ASSOC BRASILEIRA ENFERMAGEM
DOI: 10.1590/0034-7167-2019-0563

Keywords

Comprehensive Health Care; Chronic Disease; Nurses; Case Reports; Health Services Administration

Categories

Funding

  1. public notice the Brazilian National Council for Scientific and Technological Development (CNPq-Conselho Nacional de Desenvolvimento Cientifico e Tecnologico)
  2. Coordination for the Improvement of Higher Education Personnel-Brazil (CAPES-Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior) [001]

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This study investigated the strategies for integrated care in managing Chronic Noncommunicable Diseases in a health district of southern Brazil. The results emphasized the importance of integration strategies in dimensions such as coordination, organization, information systems, etc., in enhancing the quality of care.
Objectives: to identify the strategies for integrated care used regarding Chronic Noncommunicable Diseases in a Health District. Methods: a case study developed in a district of a municipality in southern Brazil, with 34 participants (coordinators and nursing assistants). Data were collected between August 2016 and June 2017, through interviews, documents and computerized files. To organize the data, the MAXQDA (R) software was used. Analysis took place using the Integrated Care Network model. Results: integration strategies were highlighted in the systemic, normative and functional dimensions, such as coordination, district organization, Annual Operating Plan, information system, and user management service. Final Considerations: the district comprises a structure that enables interactions through various tools; among these, coordination represents an effective strategy to enhance care, boost cooperation among professionals and support and manage the district.

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