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HEALTHCARE MANAGEMENT OF TUBERCULOSIS: INTEGRATING A TEACHING HOSPITAL INTO PRIMARY HEALTH CARE1 1 Paper deriving from the thesis - Tuberculosis Care Management: integrating a Teaching Hospital into Primary Health Care, presented to the Programa de Pós-Graduação em Enfermagem - Mestrado Profissional, Universidade Federal do Paraná (UFPR), in 2014.

GESTIÓN DEL CUIDADO DE LA TUBERCULOSIS: INTEGRANDO UNO HOSPITAL DE DOCENTE A LA ATENCIÓN PRIMARIA DE SALUD

ABSTRACT

Qualitative, exploratory and interventionist case study at a teaching hospital of Paraná, with the objective of proposing a Tuberculosis Healthcare Management model focused on the hospital discharge, with a view to comprehensive care for patients with tuberculosis. Interviews were conducted with key informants (17 subjects), using the Theory of Nursing Praxis Intervention in Collective Health as the theoretical and methodological framework, with its three interdependent dimensions used as analytical categories. Weakness was revealed in the protocols for hospitalized patient care, insufficient integration between levels of care and the need for direct communication between the hospital and primary care nurses. In view of this result, a Healthcare Management Model, expressed as a flow of care with matrix support, nursing consultation and phone contact between nurses. The implementation of this model will lead to greater integration between the levels of care, permitting improvements in patient monitoring with greater probability of treatment compliance.

DESCRIPTORS:
Tuberculosis; Nursing; Public health; Integrality in health; Health management.

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
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