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Reference and counter-reference in everyday health care in Minas Gerais, Brazil: the support to decisions of primary care
Referência e contrarreferência no cotidiano da atenção à saúde de Divinópolis-MG, Brasil: o suporte às decisões da atenção primária
Referencia y contra-referencia en todos los días de cuidado de salud en Minas Gerais, Brasil: apoyo a las decisiones de la primaria
[journal article]
Abstract Objective: To understand, in the perception of professionals and managers of Primary Health Care (PHC), the reference and counter-reference system in health care and the support to decisions of APS professionals. Methods: Qualitative study, outlined by Holistic Multiple Case Study, based on Comprehe... view more
Objective: To understand, in the perception of professionals and managers of Primary Health Care (PHC), the reference and counter-reference system in health care and the support to decisions of APS professionals. Methods: Qualitative study, outlined by Holistic Multiple Case Study, based on Comprehensive Sociology of Everyday Life with 41 participants. Results: The support to decisions of APS professionals to direct users depends on the flow and regulation of the referenced demands; the waiting time for the user service; may be harmed by unnecessary and unreadable referrals and by the professionals' view on the system. Conclusion: Health is a social process of collective construction, and it needs to win the welfare and curative paradigm, the excessive consumption of queries with a high rate of referrals.... view less
Keywords
basic supply; health care; medical care; family; health; public health services; planning; health care delivery system; Brazil; Latin America; South America
Classification
Medical Sociology
Health Policy
Document language
English
Publication Year
2016
Page/Pages
p. 4986-4995
Journal
Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 4
DOI
https://doi.org/10.9789/2175-5361.2016.v8i4.4986-4995
ISSN
2175-5361
Status
Published Version; peer reviewed