Banca de DEFESA: EDUARDO NOGUEIRA CORTEZ

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : EDUARDO NOGUEIRA CORTEZ
DATE: 31/10/2023
TIME: 09:00
LOCAL: Videoconferência
TITLE:

ADEQUACY OF ACCESS FOR PEOPLE WITH CHRONIC KIDNEY DISEASE IN THE HEALTH CARE NETWORK IN THE WEST REGION OF MINAS GERAIS

KEY WORDS:

Chronic Kidney Disease. Access to Health Services. Effective Access to Health Services. Health Care Levels

PAGES: 134
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: chronic kidney disease (CKD) is defined as the presence of structural changes and/or kidney functions for a period longer than three months. It is an insidious disease whose guarantee of early diagnosis and longitudinal follow-up enable a better prognosis and mitigate complications arising from the onset and progression of CKD. In this sense, it is important to recognize the adequacy of access for people with CKD to the health care network (RAS) at all levels of health care. Objective: to analyze the adequacy of access for people with chronic kidney disease to the Health Care Network. Methods: to respond to this objective, three articles were prepared, with specific methodologies, according to the designs used in each of them, being a systematic review of literature and the other two cross-sectional studies. Results: the first article ever published in Research, Society and Development, was entitled “Assistance to patients with CKD in primary health care: a systematic literature review”, aimed to analyze assistance to patients with CKD in primary health care. Conclusion article 1: The results of this review demonstrated weakened care for chronic kidney disease patients in basic health care. The second article was developed together with a scientific initiation student/scholar/FAPEMIG, already submitted to the Brazilian Journal of Scientific Initiation whose title and objective were respectively: “Approach to kidney health according to the stage of kidney disease and level of care to health” and identify whether or not patients with chronic kidney disease had an approach to kidney health according to the stage of the disease and level of health care. Conclusion article 2: it was identified that the majority of patients evaluated had an approach to kidney health according to the stage of CKD, however, people ≥ 60 years old were more likely to not have been approached about kidney health. And the third article was titled: “Factors associated with inadequate access for people with chronic kidney disease to the health care network” and its objective is the general objective of the thesis, that is, to analyze the adequacy of access for people with chronic kidney disease to the Health Care Network. Conclusion article 3: People who had a private health plan were three times more likely to have inadequate access to RAS, compared to those who did not have one. And those under 60 were 1.71 times more likely to have inadequate access to the RAS when compared to the elderly. Final considerations: The study findings highlight the importance of increasing the efficiency and effectiveness of the referral and counter-referral process in the RAS so that there is no overload at any level of health care. Furthermore, the existing fragility in Basic Health Care in creating and maintaining links with the population to implement actions to prevent diseases and injuries, as well as health promotion in terms of the approach to kidney health, also becomes noticeable. Based planning and actions are necessary so that public health policies are implemented through the empowerment of health professionals in the single health system, with qualifications and training that enable them to assist with excellence both people at risk of developing CKD or even those with a confirmed diagnosis.

BANKING MEMBERS:
Presidente - 1347706 - ALBA OTONI COLLARES
Externo à Instituição - GEORGE SOBRINHO SILVA - UFVJM
Interno - 1676450 - GUSTAVO MACHADO ROCHA
Externa à Instituição - LÍLIAN KELLEN AGUIAR - UEA
Externa à Instituição - NAYARA DORNELA QUINTINO - SES-MG
Interno - 1716637 - TARCISIO LAERTE GONTIJO