Reorganização da atenção primária à saúde para vigilância universal e contenção da COVID-19

Teixeira, Maria Glória; Medina, María Guadalupe; Costa, Maria da Conceição Nascimento; Barral‐Netto, Manoel; Carreiro, Roberto; Aquino, Rosana

doi:10.5123/s1679-49742020000400015

Cited by 27 publications

(23 citation statements)

References 7 publications

(7 reference statements)

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“…A vigilância em saúde na COVID-19 tem como objetivos detectar o maior número possível de casos e contatos e adotar medidas de redução do risco da doença 51 . Neste sentido, constitui-se como ação estratégica para o monitoramento da situação sanitária e controle da doença.…”

Section: Resposta Sindêmica E Políticas De Saúdeunclassified

COVID-19 como sindemia: modelo teórico e fundamentos para a abordagem abrangente em saúde

Júnior

Santos

2021

Cad. Saúde Pública

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Este ensaio tem como objetivo apresentar e discutir o quadro teórico da sindemia da COVID-19. Na primeira parte, são apresentados os fundamentos e princípios da teoria sindêmica. Adotou-se o conceito de sindemia como processo de interação sinérgica entre duas ou mais doenças, no qual os efeitos se potencializam mutuamente. Foram discutidas as três principais tipologias de interação sindêmica: epidemias mutuamente causais; epidemias interagindo sinergicamente; e epidemias causais em série. Na segunda parte, a COVID-19 é analisada como uma sindemia resultante da interação entre vários grupos de doenças e o contexto socioeconômico. O modelo teórico considerou a interação entre COVID-19 e doenças crônicas não transmissíveis, doenças infecciosas e parasitárias e problemas de saúde mental. Abordou-se como as iniquidades sociais e as condições de vulnerabilidade atuam em diversos níveis e potencializam a atuação da COVID-19 e das demais pandemias. Na última seção, discute-se a necessidade de respostas abrangentes, multisetoriais e integradas ao enfrentamento da COVID-19. Foi apresentado um modelo de intervenção envolvendo as dimensões assistencial e socioeconômica. No âmbito assistencial, defendeu-se a estruturação de sistemas de saúde fortes, responsivos e acessíveis a toda a população. A dimensão econômica e social abordou o resgate dos ideais de solidariedade, da estratégia da promoção da saúde e a ênfase sobre os determinantes sociais. Conclui-se que as lições aprendidas com a abordagem sindêmica da COVID-19 exortam governos e a sociedade para o desenvolvimento de políticas que articulem intervenções clínicas, sanitárias, socioeconômicas e ambientais.

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Section: Resposta Sindêmica E Políticas De Saúdeunclassified

COVID-19 como sindemia: modelo teórico e fundamentos para a abordagem abrangente em saúde

Júnior

Santos

2021

Cad. Saúde Pública

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“…The city of São Paulo does not utilize the same data surveillance system (e-SUS) that much of the rest of the country uses; rather, it relies on its own citywide database, complicating cross-state comparisons. Limited data integration and epidemiological surveillance have impeded pandemic efforts across the country ( Teixeira et al, 2020 ). The BRPHC should be more integrated into the efforts to trace outbreaks and provide follow-up care, given the strong ties to neighborhood residents and knowledge of the local environment.…”

Section: Resultsmentioning

confidence: 99%

“…Following Brazil’s first COVID-19 case in February 2020, the federal Ministry of Health issued recommendations for service provision within SUS. While highlighting that strategies had to be locally informed ( Oliveira et al, 2020 ), Brazilian public health scholars and practitioners underscored the essential role of primary care in combatting the pandemic, arguing that access to and knowledge of local populations, continuity of care, and the potential to mitigate the social and economic effects of the pandemic placed primary care clinics in a crucial position ( Daumas et al, 2020 ; Medina et al, 2020 ; Sarti et al, 2020 ; Teixeira et al, 2020 ). Nevertheless, Barone et al (2020) have argued that the political turmoil surrounding the presidency of right-wing politician Jair Bolsonaro prevented Brazil public health authorities from reacting to the crisis in a timely manner.…”

mentioning

confidence: 99%

Committing to Continuity: Primary Care Practices During COVID-19 in an Urban Brazilian Neighborhood

Pingel

Llovet

Cosentino³

et al. 2020

Health Educ Behav

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Decreased engagement in preventive services, including vaccination, during the COVID-19 pandemic represents a grave threat to global health. We use the case of the Bom Retiro Public Health Clinic in São Paulo, Brazil, to underscore how continuity of care is not only feasible, but a crucial part of health as a human right. The long-standing relationship between the clinic and neighborhood residents has facilitated ongoing management of physical and mental health conditions. Furthermore, we demonstrate how the clinic’s history of confronting infectious diseases has equipped it to adapt preventive services to meet patients’ needs during the pandemic. Our academic–community partnership used a multidisciplinary approach, relying on analysis of historical data, ethnographic data, and direct clinical experience. We identify specific prevention strategies alongside areas for improvement. We conclude that the clinic serves as a model for continuity of care in urban settings during a pandemic.

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“…24 Nevertheless, investments should not be restricted to the provision of intensive care since other measures in public health, such as the articulation between epidemiological surveillance and primary health care, physical distancing, testing, contact tracing, and health communication, could be more efficient in saving lives in the short term without vaccine availability in 2020 to prevent individuals from getting sick in the first place. 25,26…”

Section: Discussionmentioning

confidence: 99%

Development of an index to assess Covid-19 hospital care installed capacity in the 450 Brazilian Health Regions

Pereira

Soares

Frio

et al. 2021

Preprint

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Objective: We assessed the Brazilian health system's ability to respond to the challenges imposed by the Covid-19 pandemic considering hospital capacity in the 450 Health Regions of the country in 2020. Hospital capacity referred to the availability of hospital beds, equipment, and human resources. Methods: Data came from National Register of Health Facilities on the availability of Covid-19 resources in inpatient facilities from January to December,2020. Assessed resources were health professionals, hospital beds, and medical equipment. A synthetic indicator, Installed Capacity Index (ICI) was calculated using Principal Component Analysis. Results: There was an increase in all selected indicators between January and December 2020. We observed differences between the Northeast, North regions, and the other regions of the country. Most Health Regions presented low ICI. The ICI increased especially in regions with considerably high baseline capacity in January 2020. The Northeast and North had a higher concentration of low ICI regions. Conclusion: The information here provided may be used by health authorities, providers, and managers in planning and adjusting for future Covid-19 care and in dimensioning the adequate supply of hospital beds, health care professionals, and devices in Health Regions to reduce associated morbidity and mortality.

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Reorganização da atenção primária à saúde para vigilância universal e contenção da COVID-19

Cited by 27 publications

References 7 publications

COVID-19 como sindemia: modelo teórico e fundamentos para a abordagem abrangente em saúde

COVID-19 como sindemia: modelo teórico e fundamentos para a abordagem abrangente em saúde

Committing to Continuity: Primary Care Practices During COVID-19 in an Urban Brazilian Neighborhood

Development of an index to assess Covid-19 hospital care installed capacity in the 450 Brazilian Health Regions

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