Care Coordination for Users With Chronic Conditions in Primary Healthcare

An Interpretative Description

Bibliographic Data

ID21432977
AuthorsBruna Marta Kleinert Halberstadt (0000-0002-4936-6156, Universidade Federal do Rio Grande do Sul), Maria Alice Dias Da Silva Lima (0000-0002-3490-7335, Universidade Federal do Rio Grande do Sul), Vanessa Da Silva Carvalho Vila (0000-0002-1785-8682, Pontifícia Universidade Católica de Goiás), Deise Lisboa Riquinho (0000-0002-6604-8985, Universidade Federal do Rio Grande do Sul), Gisele Knop Aued (0000-0001-5914-1105, Universidade Federal do Rio Grande do Sul)
Year2025
Volume34
Publication date2025-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueTexto & Contexto - Enfermagem (JOURNAL)
Journal identifiersISSN: 0104-0707 • E-ISSN: 1980-265X
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1980-265x-tce-2024-0258en
OpenAlexW4415283199
SCIELO_PIDS0104-07072025000100328
LanguageEN
References cited16

Objective: To understand care coordination for users with chronic health conditions from primary healthcare nurses’ perspective. Method: This is a qualitative descriptive interpretative study with the participation of 17 nurses who worked in Health Units in a capital city in southern Brazil. Data were collected from May to November 2023, through semi-structured interviews, and analyzed using an inductive analytical approach. Results: Care coordination is understood as a process of organizing healthcare, under the nurses’ responsibility, which is effective through the involvement of different people and services. Its potential includes care coordination, longitudinality promotion and contribution to improving users’ quality of life. Among the challenges identified are the high demand of people with chronic conditions, low adherence to treatment and fragility in human resources. The need to implement tools to understand users’ trajectory and improve communication between levels of care was highlighted as a way to overcome such obstacles. Conclusion: Nurses’ understanding of care coordination in primary healthcare demonstrates alignment with the principles that underpin this practice. This is an essential process to ensure comprehensive and longitudinal care, although it still faces challenges related to users, professionals and the organization of services, which require effective strategies to be overcome

Chronic care · Health care · Primary care · Primary health care · Process (computing) · Promotion (chess) · Qualitative research · Quality (philosophy) · Chronic Disease Management Strategies · Health Systems, Economic Evaluations, Quality of Life · Primary Care and Health Outcomes