Care to chronic conditions |
Clinical management |
Management of chronic conditions |
A |
Management of mental health cases |
C |
Case management |
Follow-up and monitoring of people with chronic conditions |
C |
Case management for people with epilepsy |
C |
Access to health care and services |
Subpopulation access to the service |
Barriers to men’s access and involvement in healthcare |
C |
Need to formulate actions to expand access to adolescents |
C |
Timely access and use of the service |
Guarantee the access to the service and SUS |
C |
Characteristics of the actions offered at the UBS |
C |
User understanding of care at the UBS |
C |
Disparity between service use and health needs |
C |
Scheduling templates |
Insufficient supply for acute demand |
C |
Need to organize access and scheduling |
C |
Determinants and results of HCP implementation |
Local context |
Weakness and fragmentation of SHD |
A |
Lack of time to develop the HCP steps in the unit |
A |
Professional turnover |
A |
Tutor’s duties |
Tutor task overlap |
A |
Lack of an exclusive tutor for HCP |
A |
Lack of financial incentive for the tutor |
A |
Insufficient tutor workload |
B |
Sustainability of the intervention |
HCP sustainability |
A |
Engagement of those involved |
Management support for HCP |
A |
Clarity from the manager of municipal and state departments about their role in HCP |
A |
Need for involvement of the state secretariat with HCP |
A |
Low adherence to available activities |
B |
Low participation in workshops |
B |
Capillarity of the intervention |
HCP expansion |
A |
Replication of skills for large-scale HCP |
B |
Problems in executing the HCP expansion |
B |
Adaptation of strategies |
Development of educational technologies compatible with the needs of professionals |
B |
Care coordination |
Coordination between HCN services |
Lack of coordination between HCN services |
A |
Weaknesses in the integration of HCN services |
B |
Fragmentation of care in the HCN |
C |
Difficulty in sharing cases with specialized care |
C |
Professionals’ lack of clarity about competencies of the network |
C |
Difficulty in providing comprehensive care to the user |
C |
Discontinuation of care for people with suicidal behavior |
C |
Coordination with intersectoral network |
Weakness in articulation with intersectoral services |
C |
Development of professional skills |
Professional qualification |
Lack of professional qualification to work in a network |
A |
Need to develop the clinical practice of physicians and nurses |
A |
Weakness in clinical nursing practice |
C |
Lack of permanent/continuing education initiatives |
C |
Need to develop scientific skills in care professionals |
C |
Generating evidence on HCP |
Evaluation strategies |
Need to evaluate the impact of HCP |
B |
Lack of tools for evaluating the effectiveness of care |
C |
Knowledge production |
Gap in the literature on PASA |
B |
Population-based management |
Territorialization processes |
Difficulty implementing population-based management |
B |
Challenges for territorialization and registration |
C |
Organization of population care |
Care to the person victim of violence |
C |
Violence in the territory |
C |
Care to minority groups |
C |
Health care for older adults |
C |
Increased demand from people with mental disorders |
C |
Organization of community actions |
Lack of health promotion actions |
C |
Need for collective and community actions |
C |
Lack of actions in the territory |
C |
Difficulty in offering and organizing group activities |
C |
People management |
Workforce planning and sizing |
Lack of professionals in the FHS |
A |
Human resources sizing |
C |
Overload and work conditions |
Professional overload |
B |
Professional overload |
C |
Motivation of professionals in daily work |
C |
Professional’s mental health |
C |
Violence against professionals |
C |
Infrastructure and materials |
Health Information System |
Lack of integrated information system |
A |
Lack of integration of information between services |
A |
Lack of registration of processes |
B |
Excess of recording tools |
C |
Lack of tools for care management |
C |
Weakness of service records |
C |
Technological resources |
Incorporation of technologies to qualify care |
C |
Lack of technological resources |
B |
Management of waste and inputs |
Excessive use of disposable materials |
C |
Lack of medicines |
C |
Physical structure |
Inadequate physical space |
C |
Continuous improvement in PHC processes |
Standardization of practices |
Weakness in quality and patient safety practices |
B |
Multiplicity of protocols and guidelines |
C |
Need to incorporate quality and safety practices |
C |
Loss of vaccine doses |
C |
Standardization of flows and processes |
Weaknesses in the organization of the dentistry flow |
C |
Weaknesses in the organization of the eMulti flow |
C |
Need to qualify information to organize user flow |
C |
Weakness in the organization and maintenance of work processes |
C |
Difficulty in evaluating and monitoring collective actions |
C |
Difficulty in prioritizing demands |
C |
Social participation |
Lack of integration with the management board |
C |
Qualification of Specialized Outpatient Care (SOC) |
Resource allocation |
Lack of co-financing from SOC |
A |
Inadequate SOC funding |
A |
Organization and structuring of the SOC |
Weakness of SHD support for SOC organization |
A |
Lack of knowledge and adherence to the SOC model |
A |
Lack of SOC policy |
A |
PASA model costs |
High cost of maintaining the PASA model |
A |
Interdisciplinary management and work |
Collaborative practice |
Difficulty in carrying out multidisciplinary practice |
C |
Management model |
Centralization in decision making |
C |
Team work |
Weakness in communication between teams |
C |
Lack of team alignment |
C |
Lack of team involvement |
C |
Difficulty in team working |
C |
Person-centered care |
Therapeutic adherence and self-care |
Lack of adherence to women’s health screening exams |
C |
Lack of adherence to STI treatment |
C |
Non-adherence to treatment |
C |
Need for user empowerment |
C |
Relationship between user and team |
Weakness in the user and team relationship |
C |
Need for qualifications in communicating with users |
C |