Banca de DEFESA: FABIA SAMUELA PORTO DE JESUS DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : FABIA SAMUELA PORTO DE JESUS DA SILVA
DATA : 04/07/2019
HORA: 09:30
LOCAL: Sala 05 - Instituto de Saúde Coletiva
TÍTULO:

BARRIERS AND DIFFICULTIES OF ACCESS TO DIALYSIS SERVICES BY PATIENTS WITH CHRONIC RENAL DISEASE: What do their therapeutic itineraries reveal?

PALAVRAS-CHAVES:

Therapeutic Itinerary. Access to dialysis services. Chronic Kidney Disease.

PÁGINAS: 53
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Chronic kidney disease (CKD), which is defined as the progressive and irreversible loss of kidney function, has been considered an important public health problem in Brazil. In cases of end-stage illness, it is necessary to indicate a renal replacement therapy (RRT) for the maintenance of life. The paths and choices adopted by the patients before the beginning of this therapy have been permeated by many difficulties to access it. This study aimed to analyze obstacles and difficulties to the access to dialysis services for patients with chronic kidney disease through their therapeutic itineraries. For this purpose, a qualitative study was carried out by means of semi-structured interviews and medical records review. Fourteen patients undergoing dialysis treatment who were enrolled in the nephrology sector of a University Hospital and in a hemodialysis clinic affiliated to the SUS, in the city of Salvador-Bahia, participated in this study. From the narratives using analysis inspired by interpretive anthropology, the following categories were structured: therapeutic itineraries discovery of the disease until the start of renal replacement therapy and obstacles and difficulties to access dialysis services. The results pointed to a late discovery of CKD, deficient primary care, dismantled and fragmented care network, geographical access difficulties for patients to undergo the therapy, socioeconomic and cultural barriers. It is concluded that most of the patients have a late diagnosis, initiate RRT as a matter of urgency and, in hospital units, there is access difficulties at all levels of care, especially in high complexity, which reflects that the care network to patients with kidney disease is defective. The findings point to the necessity to strengthen care for patients with kidney disease in care networks, thus seeking to guarantee access at all levels, from primary to high complexity care.

MEMBROS DA BANCA:
Interno - 1273026 - LENY ALVES BOMFIM TRAD
Externo à Instituição - RENI APARECIDA BARSAGLINI - UFMT
Externo ao Programa - 1156259 - YEIMI ALEXANDRA ALZATE LOPEZ