Bibliographic Details
| Title: |
Chronic kidney disease follow-up in primary healthcare ; Acompanhamento da doença renal crônica na atenção primária à saúde |
| Authors: |
Pedroso, Igor Queiroz, Guerra, Enio Marcio Maia, Amorim, Pedro Henrique Araujo de |
| Source: |
Revista da Faculdade de Ciências Médicas de Sorocaba; Vol. 22 Núm. 4 (2020); 178-184 ; Revista da Faculdade de Ciências Médicas de Sorocaba; v. 22 n. 4 (2020); 178-184 ; 1984-4840 ; 1517-8242 |
| Publisher Information: |
Pontifícia Universidade Católica de São Paulo |
| Publication Year: |
2022 |
| Collection: |
Pontifícia Universidade Católica de São Paulo (PUCSP): Revistas Eletrônicas da PUC-SP |
| Subject Terms: |
Chronic Kidney Disease, Primary Care, Primary Health Care, To evaluate the efficiency and barriers linked to the management by primary care physicians (PCPs) to patients with chronic kidney disease (CKD), Doença Renal Crônica, Atenção Básica, Atenção Primária à Saúde, Avaliar a situação da atenção médica aos portadores de doença renal crônica, Detectar as possíveis barreiras existentes para este atendimento na Atenção Primária à Saúde |
| Subject Geographic: |
SP, visited in 2021, 28 UBSs de Sorocaba e Votorantim |
| Time: |
28 Primary Care Units in Sorocaba and Votorantim, SP, visited in 2021, 28 UBSs de Sorocaba e Votorantim, SP, visitadas no ano de 2021 |
| Description: |
Objective: To evaluate the efficiency and barriers linked to the management by primary care physicians (PCPs) of patients with chronic kidney disease (CKD). Method: Qualitative study based on a questionnaire self-applied to PCP in two cities of the state of São Paulo. The data were compared in an interview conducted with a secondary care nephrologist. Results: The data were gathered from 42 PCPs, from 28 basic healthcare units. Most of the respondentes were white, male, had graduated in Brazil and were aged between 26 and 64 years old. They had been in practice for 9,8 years on average, seeing < 10 patients with CKD per week. Their positive answers referred to diagnosis, health education and avoiding nephrotoxic agents. They reported having their own tools to avoid nephrotoxicity and to treat high blood pressure, but the majority (66,7%) do not follow any guideline for the management of CKD. Primary healthcare institutions do not provide educational resources for PCPs to monitor patients with CKD. The main elements obtained from secondary nephrological care indicate the following disagreements: early referral; schedule overload; loss in the counter- referral; absence of municipal protocols. Conclusion: For the management of patients with CKD, primary care professionals often use their own resources and demonstrate insecurity regarding specific aspects of the disease. Primary healthcare institutions neither offer tools nor supplies training for PCPs or establishes local protocols. Matrix-based support seems to be the most appropriate training strategy for this situation. ; Objetivo: Avaliar a situação da atenção médica aos portadores de doença renal crônica (DRC) e detectar as possíveis barreiras existentes para esse cuidado na atenção primária à saúde (APS). Método: Pesquisa qualitativa com questionário estruturado, aplicado a médicos da APS, abrangendo aspectos demográficos e ligados à prática do atendimento a pacientes com DRC, em dois municípios do estado de São Paulo. Os dados obtidos foram cotejados em ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
Portuguese |
| Relation: |
https://revistas.pucsp.br/index.php/RFCMS/article/view/57681/39977; https://revistas.pucsp.br/index.php/RFCMS/article/view/57681 |
| Availability: |
https://revistas.pucsp.br/index.php/RFCMS/article/view/57681 |
| Rights: |
Copyright (c) 2022 Revista da Faculdade de Ciências Médicas de Sorocaba ; https://creativecommons.org/licenses/by-nc/4.0 |
| Accession Number: |
edsbas.17F6B454 |
| Database: |
BASE |