Myocardial revascularization: factors intervening in the reference and counter-reference in Primary Health Care

  • Kamylla Santos da Cunha Universidade Federal de Santa Catarina
  • Giovana Dorneles Callegaro Higashi Universidade Federal de Santa Catarina
  • Alacoque Lorenzini Erdmann Universidade Federal de Santa Catarina
  • Carolina Kahl Universidade Federal de Santa Catarina
  • Cintia Koerich Universidade Federal de Santa Catarina
  • Betina Hörner Schlindwein Meirelles Universidade Federal de Santa Catarina
Keywords: Myocardial Revascularization, Integrality in Health, Referral and Consultation, Primary Care Nursing, Primary Health Care

Abstract

OBJECTIVE Understanding the factors that influence the reference and counter-reference process of people indicated/submitted to Myocardial Revascularization surgery in the Primary Health Care scenario. METHOD A qualitative research anchored in the Grounded Theory, totaling 41 participants subdivided into three groups (patients, health professionals and managers) in the Metropolitan and West Region of Santa Catarina. RESULTS Two categories elucidate the intervening factors found, contrasting the potentialities and obstacles in (creating) the bond between people affected by cardiovascular diseases and primary health care for the reference process, highlighting weaknesses in the primary health care services provided, with failures in the counter-reference for people submitted to myocardial revascularization surgery. CONCLUSION Strengthening the potentialities presented in this study is essential for the reference process of people affected by Cardiovascular Disease, as well as strategic actions focused on solving the evidenced obstacles which contribute to deficiencies in the referral and counter-referral process, thus impeding integral care in the health care network.

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Published
2016-12-01
How to Cite
Cunha, K., Higashi, G., Erdmann, A., Kahl, C., Koerich, C., & Meirelles, B. (2016). Myocardial revascularization: factors intervening in the reference and counter-reference in Primary Health Care. Revista Da Escola De Enfermagem Da USP, 50(6), 965-972. https://doi.org/10.1590/s0080-623420160000700013
Section
Original Article