Caminhos da integralidade: adolescentes e jovens na Atenção Primária à Saúde

Abstract

Adolescentes e jovens constituem importante desafio para a construção da integralidade na Atenção Primária à Saúde (APS). Isso se deve à complexa apreensão e resposta ao conjunto de suas necessidades de saúde, decorrentes do processo de crescimento e desenvolvimento, próprio da fase, mas, sobretudo, dos aspectos socioculturais relacionados. O presente estudo buscou reconhecer alcances e limites em como o princípio da integralidade vem sendo operado em uma Unidade Básica de Saúde. Embora tenha sido possível identificar uma efetiva percepção da especificidade necessária à atenção à saúde desse grupo, também se verificaram importantes limitações relacionadas à construção de projetos de cuidado capazes de integrar as diversas finalidades do trabalho no cotidiano da Unidade, com destaque para a insuficiência de interações profissionais e setoriais, e fragilidades na comunicação de profissionais entre si e de profissionais e usuários.

Atenção centrada no paciente na prática interprofissional colaborativa

“…The search was performed from September 2013 to February 2014, using as criteria: Studies dealing with PCC as main subject and freely available in full-text versions, excluding thesis, dissertations and books. From the search, a total of 14 articles were selected, adding later four more that came as references in the articles found in the search engines and that were previously known to the researchers [10][11][12][13][14] .…”

“…These studies focused on PCC in connection with the following aspects: 1) Enlarged healthcare perspective, 2) Patients' participation in care and 3) Humane care. In regard to the Enlargement of the healthcare perspective there is a cluster of contributions on holistic care 13,[19][20][21][22][23][24][25][26] , comprehensive care 13,20,[24][25][26][27][28] and health needs oriented care 13,19,21,22,24,25,28,29 .…”

“…In the Patients' participation perspective the contributions cluster around the concepts autonomy 21,[24][25][26]30 , self-care 12,19,21,22,29,31 , valuing experience 20,23 and patients' participation 13,21,28,32 .…”

“…Some of them are the user-centered work process 11 , the person-centered clinical method centered/ patient-centered medicine 36 , comprehensive care 13 , Expanded Clinical Approach (ECA) 37 and the National Policy for Humane Care (NPHC), all of them based on the principle of comprehensive care 38,39 .…”

“…These studies focused on PCC in connection with the following aspects: 1) Enlarged healthcare perspective, 2) Patients' participation in care and 3) Humane care. In regard to the Enlargement of the healthcare perspective there is a cluster of contributions on holistic care 13,[19][20][21][22][23][24][25][26] , comprehensive care 13,20,[24][25][26][27][28] and health needs oriented care 13,19,21,22,24,25,28,29 .In the Patients' participation perspective the contributions cluster around the concepts autonomy 21,[24][25][26]30 , self-care 12,19,21,22,29,31 , valuing experience 20,23 and patients' participation 13,21,28,32 .Patients' participation in care is defined as an opportunity for the exercise of citizens' rights in the quest for autonomy (related to ideas of freedom, leading role, COMUNICAÇÃO SAÚDE EDUCAÇÃO 2016; 20(59):905-16 respect for subjectivity 33 as an important condition for self-care 19,20,33 . The concept of self-care is understood as a way of managing the healthcare process, implying the collaboration of the health te...…”