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The QualiRede intervention: improving the performance of care continuum in HIV, congenital syphilis, and hepatitis C in health regions / A intervenção QualiRede: melhoria do desempenho do contínuo do cuidado em HIV, sífilis congênita e hepatite C em regiões de saúde
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.
  • Nemes, Maria Ines Battistella; University of São Paulo. School of Medicine. São Paulo. BR
  • Castanheira, Elen Rose Lodeiro; São Paulo State University. School of Medicine of Botucatu. Botucatu. BR
  • Alves, Ana Maroso; University of São Paulo. School of Medicine. São Paulo. BR
  • Adania, Carolina Simone Souza; University of São Paulo. School of Medicine. São Paulo. BR
  • Loch, Ana Paula; University of São Paulo. School of Medicine. São Paulo. BR
  • Monroe, Aline Aparecida; University of São Paulo. School of Nursing of Ribeirão Preto. Ribeirão Preto. BR
  • Souza, Rosa Alencar; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Gianna, Maria Clara; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Caminada, Sirlene; State Secretariat of Health of São Paulo. Epidemiological Surveillance Center. State Program of Viral Hepatitis. São Paulo. BR
  • Farias, Norma Suely de Oliveira; State Secretariat of Health of São Paulo. Epidemiological Surveillance Center. State Program of Viral Hepatitis. São Paulo. BR
  • Sousa, Paula de Oliveira e; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Domingues, Carmen Silva Bruniera; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Silva, Mariliza Henrique da; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Cervantes, Vilma; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Yamashiro, Juliana; State Secretariat of Health of São Paulo. Epidemiological Surveillance Center. State Program of Viral Hepatitis. São Paulo. BR
  • Caraciolo, Joselita Maria de Magalhães; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Silva, Fabiano Lima da; University of São Paulo. School of Medicine. São Paulo. BR
  • Nemes Filho, Alexandre; University of São Paulo. School of Medicine. São Paulo. BR
  • Jesus, Gabriel Lima de; University of São Paulo. School of Medicine. São Paulo. BR
  • Helena, Ernani Tiaraju de Santa; Regional University of Blumenau. Graduate Program in Public Health. Blumenau. BR
  • Albiero, José Francisco Gontan; Regional University of Blumenau. Graduate Program in Public Health. Blumenau. BR
  • Lima, Marcela Soares Silveira; University of São Paulo. School of Medicine. São Paulo. BR
  • Bellenzani, Renata; Federal University of Mato Grosso do Sul. Paranaíba. BR
  • Kehrig, Ruth Terezinha; Federal University of Mato Grosso. Institute of Public Health. Cuiabá. BR
  • Vale, Felipe Campos do; University of São Paulo. School of Medicine. São Paulo. BR
  • Nunes, Luceime Olivia; São Paulo State University. School of Medicine of Botucatu. Botucatu. BR
  • Mendonça, Carolina Siqueira; São Paulo State University. School of Medicine of Botucatu. Botucatu. BR
  • Zarili, Thais Fernanda Tortorelli; São Paulo State University. School of Medicine of Botucatu. Botucatu. BR
  • Vilela, Mara Cristina; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Dantas, Jean Carlos de Oliveira; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Paula, Ivone de; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Tayra, Ângela; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Coelho, Débora Moraes; State Secretariat of Health of São Paulo. Epidemiological Surveillance Center. State Program of Viral Hepatitis. São Paulo. BR
  • Santos, Glauber Palha dos; University of São Paulo. School of Nursing of Ribeirão Preto. Ribeirão Preto. BR
  • Quevedo, Dulce Castro; State Secretariat of Health of Santa Catarina. Epidemiological Surveillance Board. Florianópolis. BR
  • Silva, Marcia Aparecida da; State Secretariat of Health of Santa Catarina. Epidemiological Surveillance Board. Florianópolis. BR
  • Silva, Iraci Batista da; State Secretariat of Health of Santa Catarina. Coordination of Primary Health Care. Florianópolis. BR
  • Nasser, Mariana Arantes; Federal University of São Paulo. São Paulo School of Medicine. Department of Preventive Medicine. São Paulo. BR
  • Andrade, Marta Campagnoni; University of São Paulo. School of Medicine. São Paulo. BR
  • Santos, Maria Altenfelder; University of São Paulo. School of Medicine. São Paulo. BR
  • Mercuri, Juliana; University of São Paulo. School of Medicine. São Paulo. BR
  • Trindade, Katia Valeska; State Secretariat of Health of São Paulo. Center for Referral and Training in STD/AIDS. State Program of STD/AIDS. São Paulo. BR
  • Neves, Maria Aparecida Teixeira das; State Secretariat of Health of São Paulo. Epidemiological Surveillance Center. São Paulo. BR
  • Toledo, Renata Villanueva Alves de; State Secretariat of Health of São Paulo. Epidemiological Surveillance Center. São Paulo. BR
  • Almeida, Maria Cecília Rossi de; State Secretariat of Health of São Paulo. Epidemiological Surveillance Center. São Paulo. BR
  • Lima, Iraty Nunes; State Secretariat of Health of São Paulo. Epidemiological Surveillance Center. São Paulo. BR
Rev. bras. epidemiol ; 22(supl.1): e190010, 2019. tab, graf
Article in English | LILACS | ID: biblio-1042213
ABSTRACT
ABSTRACT

Introduction:

Care continuum models have supported recent strategies against sexually transmitted diseases, such as HIV and Hepatitis C (HCV).

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.
RESUMO
RESUMO

Introdução:

Modelos de cuidado contínuo baseiam recentes estratégias em HIV, infecções sexualmente transmissíveis e hepatite C (HCV).

Métodos:

Desenvolveram-se modelos de contínuo do cuidado em HIV, HCV e sífilis congênita incluindo todas as etapas da atenção, desde a promoção e a prevenção até o controle clínico/cura. O modelo baseou a intervenção QualiRede, desenvolvida em parceria entre universidade e Sistema Único de Saúde (SUS), direcionada a gestores e demais profissionais de 6 regiões de saúde prioritárias em São Paulo e Santa Catarina. Selecionaram-se indicadores para cada etapa do contínuo do cuidado, provenientes dos sistemas de informação do SUS e dos questionários de avaliação de processo Qualiaids e QualiAB. Os indicadores formaram a base técnica de duas oficinas com profissionais e gestores de cada região a primeira para identificar problemas e formar um Grupo Técnico Regional; e a segunda para construir planos de ação e metas a fim de melhorar o desempenho regional.

Resultados:

Os indicadores estão disponíveis no website www.qualirede.org. As oficinas ocorreram em quatro regiões de São Paulo (Alto Tietê, Baixada Santista, Grande ABC e Registro) e uma região de Santa Catarina (Foz do Rio Itajaí), resultando em planos regionais em São Paulo, mas não em Santa Catarina. Observou-se domínio limitado dos novos protocolos para HIV e HCV e uso incipiente de indicadores na rotina dos serviços.

Conclusão:

Melhorar o desempenho do contínuo do cuidado exige apropriação dos indicadores de desempenho e coordenação integrada dos fluxos de atenção em todos os níveis de gestão.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Program Evaluation / HIV Infections / Hepatitis C / Continuity of Patient Care / Health Services Research Type of study: Evaluation studies / Practice guideline Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. epidemiol Journal subject: Epidemiology / Public Health Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Mato Grosso do Sul/BR / Federal University of Mato Grosso/BR / Federal University of São Paulo/BR / Regional University of Blumenau/BR / State Secretariat of Health of Santa Catarina/BR / State Secretariat of Health of São Paulo/BR / São Paulo State University/BR / University of São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Program Evaluation / HIV Infections / Hepatitis C / Continuity of Patient Care / Health Services Research Type of study: Evaluation studies / Practice guideline Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. epidemiol Journal subject: Epidemiology / Public Health Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Mato Grosso do Sul/BR / Federal University of Mato Grosso/BR / Federal University of São Paulo/BR / Regional University of Blumenau/BR / State Secretariat of Health of Santa Catarina/BR / State Secretariat of Health of São Paulo/BR / São Paulo State University/BR / University of São Paulo/BR