The QualiRede intervention: improving the performance of care continuum in HIV, congenital syphilis, and hepatitis C in health regions.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
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Nemes Maria Ines Battistella, Castanheira Elen Rose Lodeiro, Alves Ana Maroso, Adania Carolina Simone Souza, Loch Ana Paula, Monroe Aline Aparecida, Souza Rosa Alencar, Gianna Maria Clara, Caminada Sirlene, Farias Norma Suely de Oliveira, Sousa Paula de Oliveira E, Domingues Carmen Silva Bruniera, Silva Mariliza Henrique da, Cervantes Vilma, Yamashiro Juliana, Caraciolo Joselita Maria de Magalhães, Silva Fabiano Lima da, Nemes Filho Alexandre, Jesus Gabriel Lima de, Helena Ernani Tiaraju de Santa, Albiero José Francisco Gontan, Lima Marcela Soares Silveira, Bellenzani Renata, Kehrig Ruth Terezinha, Vale Felipe Campos do, Nunes Luceime Olivia, Mendonça Carolina Siqueira, Zarili Thais Fernanda Tortorelli, Vilela Mara Cristina, Dantas Jean Carlos de Oliveira, Paula Ivone de, Tayra Ângela, Coelho Débora Moraes, Santos Glauber Palha Dos, Quevedo Dulce Castro, Silva Marcia Aparecida da, Silva Iraci Batista da, Nasser Mariana Arantes, Andrade Marta Campagnoni, Santos Maria Altenfelder, Mercuri Juliana, Trindade Katia Valeska, Neves Maria Aparecida Teixeira das, Toledo Renata Villanueva Alves de, Almeida Maria Cecília Rossi de, Lima Iraty Nunes
Аннотация
METHODS: HIV, HCV, and congenital syphilis care continuum models were developed, including all stages of care, from promotion/prevention to clinical control/cure. The models supported the intervention QualiRede, developed by a University-Brazilian National Health System (SUS) partnership focused on managers and other professionals from six priority health regions in São Paulo and Santa Catarina. Indicators were selected for each stage of the care continuum from the SUS information systems and from the Qualiaids and QualiAB facility's process evaluation questionnaires. The indicators acted as the technical basis of two workshops with professionals and managers in each region: the first one to identify problems and to create a Regional Technical Group; and the second one to design action plans for improving regional performance.
RESULTS: The indicators are available at www.qualirede.org. The workshops took place in the regions of Alto Tietê, Baixada Santista, Grande ABC, and Registro (São Paulo) and of Foz do Rio Itajaí (Santa Catarina), which resulted in regional action plans in São Paulo, but not in Santa Catarina. A lack of awareness was observed regarding the new HIV and HCV protocols, as well as an incipient use of indicators in routine practices.
CONCLUSION: Improving the performance of the care continuum requires appropriation of performance indicators and coordination of care flows at local, regional, and state levels of management.