Myocardial revascularization: factors intervening in the reference and counter-reference in the hospital setting

Revista brasileira de enfermagem
Kamylla Santos da CunhaBetina Hörner Schlindwein Meirelles

Abstract

To understand the intervening factors in the process of reference and counter-reference of the individual with heart disease in the scenario of high complexity in the health care network. Research anchored in the Grounded Theory (Teoria Fundamentada nos Dados). It totaled 21 participants. The data collection scenario was a cardiovascular reference hospital in the south of Brazil and occurred between March and June 2014. The intervening factors in the reference process were the difficulty to access the points of the network and telemedicine and the central to manage the flow of patients in the network. In the counter-reference, there was a link with the hospital and the lack of communication among network professionals. It reveals the need to reorganize the service flow in HCN, enhancing PHC, expanding the performance of medium complexity and increasing the capacity of high complexity in order to carry out the process of reference and counter-reference.

References

Sep 22, 2012·Revista brasileira de cirurgia cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular·Walter J Gomes
May 15, 2013·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Fernanda FuzinattoSergio Saldanha Menna Barreto
Apr 12, 2014·BMC Health Services Research·Urvashi Sharma, Malcolm Clarke
Sep 15, 2014·Health Policy·Luigi SicilianiMichael Borowitz

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