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- Title
REVASCULARIZAÇAO MIOCÁRDICA: REFERÊNCIA E CONTRARREFERÊNCIA DO PACIENTE EM UMA INSTITUIÇÃO HOSPITALAR.
- Authors
Marcellino de Melo Lanzoni, Gabriela; Koerich, Cintia; Horner Schlindwein Meirelles, Betina; Lorenzini Erdmann, Alacoque; Aparecida Baggio, Maria; Dorneles Callegaro Higashi, Giovana
- Abstract
Objective: to understand the referral and counter-referral process experienced by the patient with coronary artery disease undergoing surgery for myocardium revascularization. Methods: qualitative research, anchored on the Grounded Theory. The research scenario was a public hospital institution, reference in cardiovascular care in the State of Santa Catarina (Brazil). The data collection took place between March 2013 and June 2014, through a semi-structured interview involving 21 participants, distributed in three sample groups (patients, health professionals and management professionals). Results: the process of referral and counter-referral points to the phenomenon "High complexity emerging as a reference for the person submitted to myocardial revascularization in view of the Primary Health Care fragility in the follow-up and articulation with other care levels in the Sistema Único de Saúde (Unified Health System)", supported by five categories. Conclusion: in order to this referralto occur, there is a need to consolidate the patient's relationship with the coronary disease with the primary health care, since they face difficulties in monitoring their condition in the public network. In the counter-referral, the disarticulation between the health care services was evidenced, which affects the care regarding the person submitted to myocardial revascularization in the maintenance of their quality of life.
- Subjects
BRAZIL; CORONARY disease; EXECUTIVES; GROUNDED theory; CARDIAC patients; INTERVIEWING; RESEARCH methodology; MEDICAL personnel; MEDICAL referrals; MYOCARDIAL revascularization; PRIMARY health care; PUBLIC hospitals; QUALITY of life; QUALITATIVE research
- Publication
Texto & Contexto Enfermagem, 2018, Vol 27, Issue 4, p1
- ISSN
0104-0707
- Publication type
Academic Journal
- DOI
10.1590/0104-07072018004730016