Home visits of the nurse and its relationship with hospitalization by diseases sensitive to primary health care

Abstract

Objective: To identify if nurses' home visits recorded by the family health strategy are proportional to the registered population and the population covered by the family health team, and its relationship with the rate of hospitalization for conditions sensitive to primary health care. Method: Secondary data were gathered from the Information Systems of Primary Care and Hospitalization regarding potential population coverage, number of visits done, hospitalizations for diseases sensitive to primary health care. An exploratory analysis was performed with data grouping for triennium (2010-2012 and 2013-2015) and assignment of scores for each variable, creating the classification strata in: low, medium and high. Results: It was identified that the number of registered home visits does not meet the estimated population coverage as well as does not impact on the admissions sensitive to primary health care. Conclusion and implications for practice: Even with high coverage of the family health strategy, home visits are not the main focus of nurses yet. Home visits should be used as a tool for disease prevention and health promotion, which may explain the non-reduction of hospitalizations sensitive to primary health care.

Eixos estruturantes da atenção primária na saúde da criança: revisão integrativa

“…Foi destacada a visita domiciliar como estratégia fundamental para tornar mais efetivos estes atributos (Marques et al, 2014). Pesquisa realizada no Brasil demonstrou que no contexto da ESF, mesmo em áreas de alta cobertura, a prática da visita domiciliar pelo enfermeiro ainda não atende toda a população, o que pode impactar na manutenção das taxas de internações por condições sensíveis a APS (Garcia, Sacramento, Oliveira, & Gonçalves, 2019).…”

Completeness of Nurses’ Records in the Care of People With Tuberculosis: A Trend Study

“…Indicators on family history of TB and home visiting are closely linked. A study highlights the importance of home visits at the FHU as a family monitoring tool, favoring family history indices 26 . The findings show a very bad completeness classification for both indicators, with equivalent percentages.…”

“…Patients with TB who use alcohol/illicit drugs or other substances are more likely to externalize risky behavior and are more likely to contract HIV 29 . Thus, it is necessary for PHC nurses to implement guidance activities that favor positive health attitudes and the proper documentation of the care provided, aiming at the full continuity of care 19,26 .…”