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International Journal of Nursing Sciences logoLink to International Journal of Nursing Sciences
. 2017 Oct 31;4(4):349. doi: 10.1016/j.ijnss.2017.10.015

Nursing service quality, availability, accessibility and acceptability in communicable and chronic diseases prevention and treatment as well as in the primary health care

Dra Mirna Frota 1
PMCID: PMC6626192  PMID: 31406772

1. Strong points

  • Based on the family health strategy (ESF)

  • Integrality of attention

  • Welcome (accessibility)

  • Family and community approach (link)

  • Health promotion

  • Risk and aggravation prevention (follow-up of chronic diseases as hypertension and diabetes)

  • Humanization and social participation

2. Weak points

  • Insufficient financing

  • Disharmony between vocational training and the primary health care mode

  • Precarization of professional link

  • Deficiency of intersectant sharing

  • Permanent education

3. Opportunities

  • Integrated network assistance

  • Active search of cases

  • Domiciliary assistance

  • Health education

  • Assistential planning (pregnant care, puericulture, follow-up of chronic diseases)

  • Expanding the possibilities of offering services for peripheral and rural areas

4. Threats

  • Equity in the provision of services

  • Reorientation of the health care model

  • Financing

  • Expansion and qualification of Family Health Strategy(ESF) in the primary care of medium and long-term health

  • Quality of access

  • Less effective epidemiological surveillance for identification of infectious diseases (Zica, Chikunya and Dengue)

5. Results achieved

  • Health technology (example: Electronic form)

  • Consolidation of the Single Health System (SHS)

  • Complexity and challenges found by public managers

  • Decentralization of primary care

  • Health program at school as articulation between health and education

  • Reduction of child and maternal mortality

  • Free HIV/AIDS treatment to take on the increasing cases

Footnotes

Provenance: Synopsis of the speech at the forum. Not peer reviewed.


Articles from International Journal of Nursing Sciences are provided here courtesy of Chinese Nursing Association

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