Transição de cuidados em saúde: pontos-chave para a criação e implementação de um projeto

Mónica Santos; Maria Inês Espírito Santo; Patricia Nascimento; Patricia Silva; Paula Rocha Saraiva; Paula Suarez Lopez

doi:10.31211/rpics.2023.9.1.290

Autores

Mónica Santos Portuguese Association for Integrated Care (PAFIC); Unidade Local de Saúde Litoral Alentejano (ULSLA), Portugal https://orcid.org/0000-0001-6921-3678
Maria Inês Espírito Santo Portuguese Association for Integrated Care (PAFIC); Instituto Universitário de Lisboa (ISCTE-IUL); Centro Hospitalar Universitário de Lisboa (CHULC), Portugal https://orcid.org/0000-0001-7816-3780
Patricia Nascimento Hospital de Vila Franca de Xira (HVFX), Portugal https://orcid.org/0000-0001-5556-4995
Patricia Silva Associação Mais Proximidade (AMP), Lisboa, Portugal https://orcid.org/0009-0001-5349-3449
Paula Rocha Saraiva Unidade Local de Saúde da Guarda (ULSG), Portugal https://orcid.org/0000-0002-7766-7239
Paula Suarez Lopez Hospital de Oza, Espanha https://orcid.org/0000-0003-2224-8114

DOI:

https://doi.org/10.31211/rpics.2023.9.1.290

Palavras-chave:

Transição de Cuidados de saúde, Cuidados Centrados nas Pessoas, Alta Hospitalar, Boas Práticas, Estudo Qualitativo

Resumo

Objetivo: A transição de cuidados (TC) do hospital para o domicílio é um indicador potencial para a avaliação dos cuidados integrados e centrados nas pessoas. Este estudo qualitativo, exploratório e descritivo, teve como objetivo identificar os princípios das boas práticas da TC na alta hospitalar, através da análise de conteúdo de experiências compartilhadas por profissionais em saúde num workshop. Métodos: O workshop envolveu duas moderadoras, quatro oradoras e 24 profissionais em saúde divididos em três grupos. As oradoras apresentaram boas práticas da TC em saúde e os grupos propuseram estratégias de TC, com base nas apresentações das oradoras e nas suas experiências e conhecimentos na área da saúde. As propostas foram registadas em áudio e analisadas em termos de conteúdo. Resultados: Segundo os participantes, a criação e implementação de um projeto de TC implica contextualizar e definir: o problema/necessidade, objetivos, população-alvo, intervenientes e as suas funções, elos, parcerias de saúde-sociais-comunitárias, redes de comunicação e indicadores de avaliação de processo e resultados. Conclusão: A importância da TC na alta hospitalar foi destacada, fornecendo-se insights para a criação e implementação de um projeto de TC bem-sucedido.

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