Abandono do acompanhamento ambulatorial em serviço público de referência por pessoas com hepatite C
The motives behind absence rates by people with hepatitis C at the Liver Study Center of the Onofre Lopes Teaching Hospital are vital due to the disease’s epidemiological impact and high morbidity and mortality rate. Objective: to analyze the reasons that led people with hepatitis C to abandon ou...
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| Format: | Dissertação |
| Sprache: | pt_BR |
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| Online Zugang: | https://repositorio.ufrn.br/jspui/handle/123456789/27356 |
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| Zusammenfassung: | The motives behind absence rates by people with hepatitis C at the Liver Study Center of the
Onofre Lopes Teaching Hospital are vital due to the disease’s epidemiological impact and
high morbidity and mortality rate. Objective: to analyze the reasons that led people with
hepatitis C to abandon outpatient follow-up, at the Liver Study Center, from May 1995 to
December 2017. Methods: this is a descriptive qualitative study based on the Convergent
Care Research. The first step in data gathering was charts’ analysis to select people diagnosed
with hepatitis C who did not attend the schedule appointments for more than six months in the
time period of May 1995 to December 2017. The second step was a semi-structured interview
with people with hepatitis C, who accepted to participate in the study, after being invited by
phone call. At the same time, two Focal Groups were held; the first with a multidisciplinary
team: nursing staff and receptionists of the Liver Study Center, medical archive staff,
Statistics Service staff, and a chief nurse representing the administration. The second focus
group included physicians who assist people with hepatitis C. The two focus groups addressed
the problem related to the difficulty of outpatient follow-up of people with hepatitis C. To
interpret the information, the following steps were executed, according the proposed
Convergent Care Research by Paim; Trentini (2014), Minayo thematic analysis (2013) and
Atlas ti software. Final considerations: the study identified the profile of people who
abandoned specialized outpatient follow-up in viral hepatitis, listed the main reasons for
patient to not attend the appointment, which raised, in the medical team, concerns for people
living with hepatitis C. In this way, together with the multiprofessional team, a line of
hepatitis C care at the Onofre Lopes Teaching Hospital. The research met all ethical
standards, fully respecting the determinations of Resolution 466/2012 of the National Health
Council, as well as the fundamental precepts of Bioethics. |
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