Care trajectories of Covid-19 patients

From Preventive Measures to Rehabilitation

Datos Bibliográficos

ID5166602
AutoresPatty Fidelis Almeida (0000-0003-1676-3574, Universidade Federal Fluminense), Elisete Casotti (0000-0003-3015-6842, Universidade Federal Fluminense), Rafaela Fidelis Lima Silvério (0000-0002-3239-9891, Universidade Federal Fluminense)
Año2023
Volumen39
Número2
Fecha de publicación2023-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen163222
OpenAlexW4321215940
SCIELO_PIDS0102-311X2023000205001
IdiomaEN
Referencias citadas31

This study aims to analyze the care trajectories of patients diagnosed with COVID-19 who were hospitalized and are currently undergoing rehabilitation regarding their use of and access to the healthcare network (HN). An evaluative, qualitative study was carried out based on interviews with patients in the city of Niterói, Rio de Janeiro State, Brazil. The care trajectories were reconstructed at three different occasions that express their experiences with the healthcare and support network during the pandemic: prevention, support and diagnosis measures; hospitalization; post-COVID-19 care, rehabilitation and support. The results indicate that the main source of information about COVID-19 was TV newscasts. Preventive hygiene measures were the most widely adopted. The family was the main support network. There was no waiting time for admission to the municipal referral hospital. Hospitalization was very well evaluated in terms of user embracement, multidisciplinary care, virtual visits and daily contact between doctor and family members. A post-discharge "care vacuum" was identified, with no follow-up by primary health care (PHC) and other public services. Low-cost health insurance plans and private specialized post-COVID-19 services were frequently and spontaneously sought until the implementation of the rehabilitation service. In summary, solitary and discontinuous care trajectories of individuals and families shed light on several challenges to the health system, including guaranteed access to coordinated PHC and expanded offer of specialized public services and rehabilitation, aligned with the principles of humanized care, in addition to the maintenance of social support measures

Coronavirus disease 2019 (COVID-19) · Disease · Family medicine · Health care · Medical emergency · Multidisciplinary approach · Pandemic · Physical therapy · Political science · Public health · Referral · COVID-19 and Mental Health · Health, Nursing, Elderly Care · Healthcare during COVID-19 Pandemic · Medicine · Nursing · Rehabilitation