Strategy for universal access to health and universal health coverage and the contribution of the International Nursing Networks

Cassiani, Silvia Helena De Bortoli

doi:10.1590/0104-1169.0000.2502

Cited by 53 publications

(20 citation statements)

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“…In emergency health services, nursing plays a fundamental role to achieve universal access to these services by applying its knowledge and fundamentals in the use of critical and reflexive reasoning on this care, considering its presence at the different complexity levels of health care ( 15 ) . MPHC is part of the care modalities not only in terms of care, but also in management.…”

Section: Introductionmentioning

confidence: 99%

Trauma in elderly people: access to the health system through pre-hospital care

Silva¹,

Pessoa²,

Menezes

2016

Rev. Latino-Am. Enfermagem

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Objective: to identify the prevalence of trauma in elderly people and how they accessed the health system through pre-hospital care. Method: documentary and retrospective study at a mobile emergency care service, using a sample of 400 elderly trauma victims selected through systematic random sampling. A form validated by experts was used to collect the data. Descriptive statistical analysis was applied. The chi-square test was used to analyze the association between the variables. Results: Trauma was predominant among women (52.25%) and in the age range between 60 and 69 years (38.25%), average age 74.19 years (standard deviation±10.25). Among the mechanisms, falls (56.75%) and traffic accidents (31.25%) stood out, showing a significant relation with the pre-hospital care services (p<0.001). Circulation, airway opening, cervical control and immobilization actions were the most frequent and Basic Life Support Services (87.8%) were the most used, with trauma referral hospitals as the main destination (56.7%). Conclusion: trauma prevailed among women, victims of falls, who received pre-hospital care through basic life support services and actions and were transported to the trauma referral hospital. It is important to reorganize pre-hospital care, avoiding overcrowded hospitals and delivering better care to elderly trauma victims.

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Section: Introductionmentioning

confidence: 99%

Trauma in elderly people: access to the health system through pre-hospital care

Silva¹,

Pessoa²,

Menezes

2016

Rev. Latino-Am. Enfermagem

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“…Although it is a right enshrined in the Federal Constitution, it remains one of the major concerns and one of the greatest challenges related to the Brazilian Unified Health System (Sistema Único de Saúde) organization and implementation process. [14][15][16] Access in the vaccine room was revealed by the participants of this research as a constitutional right of all, and should be easy to obtain and in a timely manner.…”

Section: Discussionmentioning

confidence: 95%

Vaccination access in Primary Care from the user's perspective: senses and feelings about healthcare services

et al. 2018

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Objective: To understand the feelings, senses, perceptions and perspectives of Users regarding access to vaccination in Primary Health Care. Method: This is a Holistic-Qualitative Multiple Case Study, based on Comprehensive Sociology of Everyday Life with 74 participants representing four microregions of health in the Western Extended Region of Minas Gerais. Data collection occurred between June 2016 and April 2017. In order to analyse the data, we used the Thematic Content Analysis, obeying the technique of cross-synthesis of the cases. Results: The results reveal the senses perceived by Users in the experience of vaccination and the feelings regarding care, showing that interpersonal relations between population and health professionals are determinant in the access to vaccination. The constant expansion of the official immunization schedule increased access, however, geographical and social aspects, the lack of knowledge about vaccination and the recurrent lack of immunobiological were referred to as barriers to immunization access. Final considerations: We emphasized the need to reinforce more equitable policies and effective communication as a means to promote the credibility of the services with Users.

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“…15 Thus, universal access directly depends on the involvement of professionals in the different services. 16 Despite the permanent concern with access to health, conceptualizing it is still a challenge. 17 For the purpose of the present study, the conceptual approach of access was used, taking into account the organizational, social and geographical dimensions.…”

Section: Discussionmentioning

confidence: 99%

Manchester Triage System in Primary Health Care: Ambiguities and Challenges Related to Access

Moreira

Tibães

Batista

et al. 2017

Texto contexto - enferm.

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Objective: understanding ambiguities and challenges related to access after implementing the Manchester Triage System in primary health care.Method: a qualitative study developed through semi-structured interviews with nurses, doctors and nursing technicians, totaling 22 professionals. The data were analyzed using the thematic content analysis method.Results: the Manchester Triage System antagonistically interfered with access. In one aspect, an increase in waiting time, difficulty of the user being attended and scheduling of cases that are not classified as acute can be observed. In another aspect, service guarantee, open door service, receiving service in order of arrival and organizing spontaneous demand can be emphasized.Conclusion: the study highlights the need to broaden discussions on the legitimacy of the Manchester Triage System in primary health care in view of its ambiguities and challenges regarding a guarantee of access in this area of care production. Método: investigación cualitativa, que utilizó la entrevista semiestructurada con enfermeros, médicos y auxiliares de enfermería, totalizando 22 profesionales. Los datos fueron analizados por medio de análisis de contenido temático. DESCRIPTORS:Resultados: el Sistema de Triage de Manchester interfirió de forma antagónica en el acceso. En una vertiente, se observa el aumento del tiempo de espera, la dificultad del usuario en ser atendido y el agendamiento de los casos que no son clasificados como agudos. Por otra parte, se resalta la garantía del atendimiento, la puerta abierta del servicio, con el fin de atender por orden de llegada y la organización de la demanda espontanea.Conclusión: el estudio destaca la necesidad de ampliar discusiones sobre la legitimidad del Sistema de Triage de Manchester en la atención primaria en salud, teniendo en vista las ambigüedades y desafíos referentes a la garantía de acceso en este espacio de producción del cuidado. DESCRIPTORES:Accesibilidad a los servicios de salud. Atención primaria de salud. Triaje. Enfermería. Sistema Único de Salud. Acogimiento.

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Strategy for universal access to health and universal health coverage and the contribution of the International Nursing Networks

Cited by 53 publications

References 1 publication

Trauma in elderly people: access to the health system through pre-hospital care

Trauma in elderly people: access to the health system through pre-hospital care

Vaccination access in Primary Care from the user's perspective: senses and feelings about healthcare services

Manchester Triage System in Primary Health Care: Ambiguities and Challenges Related to Access

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