Management in the care of people with HIV in primary health care in times of the new coronavirus

ABSTRACT OBJECTIVE To understand management practices in the care of people living with the human immunodeficiency virus (HIV) in primary health care in a Brazilian capital, in times of the new coronavirus (covid-19) pandemic. METHOD Qualitative research, anchored in the methodological-analytica...

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Main Authors: Ianka Cristina Celuppi, Betina Hörner Schlindwein Meirelles, Gabriela Marcellino de Melo Lanzoni, Daniela Savi Geremia, Fernanda Karla Metelski
Format: Article
Language:English
Published: Universidade de São Paulo 2022-04-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100211&tlng=en
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author Ianka Cristina Celuppi
Betina Hörner Schlindwein Meirelles
Gabriela Marcellino de Melo Lanzoni
Daniela Savi Geremia
Fernanda Karla Metelski
author_facet Ianka Cristina Celuppi
Betina Hörner Schlindwein Meirelles
Gabriela Marcellino de Melo Lanzoni
Daniela Savi Geremia
Fernanda Karla Metelski
author_sort Ianka Cristina Celuppi
collection DOAJ
description ABSTRACT OBJECTIVE To understand management practices in the care of people living with the human immunodeficiency virus (HIV) in primary health care in a Brazilian capital, in times of the new coronavirus (covid-19) pandemic. METHOD Qualitative research, anchored in the methodological-analytical framework of the grounded theory, constructivist aspect. Data were collected by using intensive online interviews with nurses from health centers and managers of the municipal health department. Data collection and analysis occurred concomitantly in two phases of analysis: initial and focused coding. RESULTS They point to the development of best care practices, with emphasis on initiatives for coordination of care, decentralization of clinical management for primary health care services, establishment of protocols and flows, agreement of intersectoral partnerships, use of groups and social networks, use of tools such as teleconsultation and health surveillance spreadsheet and formation of support networks. CONCLUSION The Brazilian capital restructured its network of health services with the implementation of clinical and management protocols, seeking to maintain care for people living with HIV. We highlighted the incorporation of non-face-to-face care technologies and the facilitation of routines, as strategies for expanding access.
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spelling doaj.art-eb1b06a43fa24e3ebfcc0af4b5ce209d2022-12-22T02:50:33ZengUniversidade de São PauloRevista de Saúde Pública1518-87872022-04-015610.11606/s1518-8787.2022056003876Management in the care of people with HIV in primary health care in times of the new coronavirusIanka Cristina Celuppihttps://orcid.org/0000-0002-2518-6644Betina Hörner Schlindwein Meirelleshttps://orcid.org/0000-0003-1940-1608Gabriela Marcellino de Melo Lanzonihttps://orcid.org/0000-0001-5935-8849Daniela Savi Geremiahttps://orcid.org/0000-0003-2259-7429Fernanda Karla Metelskihttps://orcid.org/0000-0001-7833-0438ABSTRACT OBJECTIVE To understand management practices in the care of people living with the human immunodeficiency virus (HIV) in primary health care in a Brazilian capital, in times of the new coronavirus (covid-19) pandemic. METHOD Qualitative research, anchored in the methodological-analytical framework of the grounded theory, constructivist aspect. Data were collected by using intensive online interviews with nurses from health centers and managers of the municipal health department. Data collection and analysis occurred concomitantly in two phases of analysis: initial and focused coding. RESULTS They point to the development of best care practices, with emphasis on initiatives for coordination of care, decentralization of clinical management for primary health care services, establishment of protocols and flows, agreement of intersectoral partnerships, use of groups and social networks, use of tools such as teleconsultation and health surveillance spreadsheet and formation of support networks. CONCLUSION The Brazilian capital restructured its network of health services with the implementation of clinical and management protocols, seeking to maintain care for people living with HIV. We highlighted the incorporation of non-face-to-face care technologies and the facilitation of routines, as strategies for expanding access.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100211&tlng=enHIVHIV Long-Term SurvivorsContinuity of Patient CareCOVID-19Qualitative Research
spellingShingle Ianka Cristina Celuppi
Betina Hörner Schlindwein Meirelles
Gabriela Marcellino de Melo Lanzoni
Daniela Savi Geremia
Fernanda Karla Metelski
Management in the care of people with HIV in primary health care in times of the new coronavirus
Revista de Saúde Pública
HIV
HIV Long-Term Survivors
Continuity of Patient Care
COVID-19
Qualitative Research
title Management in the care of people with HIV in primary health care in times of the new coronavirus
title_full Management in the care of people with HIV in primary health care in times of the new coronavirus
title_fullStr Management in the care of people with HIV in primary health care in times of the new coronavirus
title_full_unstemmed Management in the care of people with HIV in primary health care in times of the new coronavirus
title_short Management in the care of people with HIV in primary health care in times of the new coronavirus
title_sort management in the care of people with hiv in primary health care in times of the new coronavirus
topic HIV
HIV Long-Term Survivors
Continuity of Patient Care
COVID-19
Qualitative Research
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100211&tlng=en
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