Análise do perfil de encaminhamento da atenção primária para pré-natal de alto risco: desafios para o ensino de competências em saúde materno-infantil
OBJECTIVE: to identify a profile of the main causes of inappropriate referrals from primary care to specialized services, as strategy for the curriculum development of core competencies related to maternal health. METHODS: a cross-sectional study was performed using document analysis of all refer...
Wedi'i Gadw mewn:
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| Fformat: | Dissertação |
| Iaith: | por |
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Universidade Federal do Rio Grande do Norte
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| Pynciau: | |
| Mynediad Ar-lein: | https://repositorio.ufrn.br/jspui/handle/123456789/20210 |
| Tagiau: |
Ychwanegu Tag
Dim Tagiau, Byddwch y cyntaf i dagio'r cofnod hwn!
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| Crynodeb: | OBJECTIVE: to identify a profile of the main causes of inappropriate referrals
from primary care to specialized services, as strategy for the curriculum
development of core competencies related to maternal health. METHODS: a
cross-sectional study was performed using document analysis of all referrals of
pregnant women from primary care to the high-risk pregnancy service, state of
Rio Grande do Norte, Brazil. All pregnant women referred from June to
December 2014 (n = 771) were included. According to their causes the referrals
were categorized as adequate, inadequate or inconclusive. RESULTS: a total of
188 referrals were classified as inadequate (24.4%) and 93 inconclusive
(12.1%) totalizing 36.5% of inappropriate referrals. The main causes identified
in these inappropriate referrals were: low-risk pregnancy (12.8%), unconfirmed
hypertension (12.1%), risk of abortion (8.9%), teenage pregnancy (7.1%) ,
toxoplasmosis (5.3%), Rh incompatibility (4.6%) and urinary tract infection
(4.3%). These data contributed to the formulation of the following products: 1) a
continuing education program for health professionals working in primary care,
undergraduate students and residents; and 2) development of a virtual platform
to support professionals who need to refer patients to high-risk pregnancy
service. CONCLUSION: the results of this study are relevant in the current
context of education of health professionals, with potential for positively impact
not only in the development of skills related to maternal health in undergraduate
and graduate education, as well as contributing for improvement of the health
care of the population. |
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