Case della Salute, efficacia terapeutica, risolutività e integralità delle cure: una sperimentazione su modelli di intervento nell’assistenza primaria

Journal title SALUTE E SOCIETÀ
Author/s Ardigò Martino
Publishing Year 2017 Issue 2017/3-Suppl. Language Italian
Pages 14 P. 148-161 File size 175 KB
DOI 10.3280/SES2017-SU3010
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The article is about research-training-intervention methodology applied to support Health Homes development in the Ferrara province. This methodology applied to health field combine Participatory Action Research and Permanent Education framework. Along the research muliti-disciplinar, intersectoral working groups were settled. Real case studies and specific tools were used to analyze health services delivery; evaluation and self evaluation about health services delivery and health professional competencies were fostered. Datas collected through the participative process pointed out the educational and training needs of the actors involved and group activities facilitated a peer educational process. Moreover these datas highlighted which organizational models could be adopted to support local health system transition.

Keywords: Primary care; participatory action-research; permanent education; Health Homes; chronic diseases; health care models.

  1. Aoki M. (2001). Toward a comparative institutional analysis. Cambridge: MIT press.
  2. Barros M.E.B. (2006). Desafios ético-políticos para a formação dos profissionais de saúde: transdisciplinaridade e integralidade. In: Pinheiro R., Mattos R., Ceccim R., a cura di, Ensinar saúde: a integralidade e o SUS nos cursos de graduação na área da saúde. Rio de Janeiro: Cepesc.
  3. Cassell C., Symon G. (2004). Essential guide to qualitative methods in organizational research. London: Sage.
  4. Ceccim R.B., Feuerwerker L.C.M. (2004). O quadrilátero da formação para a área da saúde: ensino, gestão, atenção e controle social. Physis: Revista de Saúde Coletiva, 14(1): 41-65.
  5. Doughty R.N., Wright S.P., Pearl A., Walsh H.J., Muncaster S., Whalley G.A., Gamble G., Sharpe N. (2002). Randomized, controlled trial of integrated heart failure management: The Auckland Heart Failure Management Study. Europe-an Heart Journal, 23(2): 139-146.
  6. English Department of Health. (2003). Investing in General Practice: The New General Medical Services Contract. London: The Stationery Office.
  7. Fals-Borda O., Anisur-Rahman M., editors (1991). Action and knowledge: breaking the monopoly with participatory action research. New York: Apex Press.
  8. Franco T.B., Merhy E.E. (2013). Trabalho, produção do cuidado e subjetividade em saúde: Textos Reunidos. São Paulo: Hucitec.
  9. Glendinning C., Rummery K., Clarke R. (1998). From collaboration to commissioning: developing relationships between primary health and social services. Bmj, 317: 122-125.
  10. Haddard J.Q., Roschke M.A., Davini M.C. (1994). Educación permanente de personal de salud. Washington: OPS/OMS.
  11. Heckert A.L., Neves C. (2007). Modos de formar e modos de intervir: quando a formação se faz potência de produção de coletivo. In: Barros M.E.B., Pinheiro R., Mattos R., Eds., Trabalho em equipe sob o eixo da integralidade: valores, saberes e práticas. Rio de Janeiro: IMS/UERJ: Cepesc/Abrasco.
  12. Goodwin N., Dixon A., Anderson G., Wodchis W. (2014). Providing integrated care for older people with complex needs: lessons from seven international case studies. London: King’s Fund.
  13. Katon W.J., Von Korff M., Lin E.H.B., Simon G., Ludman E., Russo J., Ciechanowski P., Walker E., Bush T. (2004). The Pathways Study: a randomized trial of collaborative care in patients with diabetes and depression. Arch. Gen. Psychiatry, 61(10): 1042-1049.
  14. Laboratório Italo-Brasileiro de Formação, Pesquisa e Práticas em Saúde Coletiva. Testo disponibile al sito http://www.labitalobras.com/ (ultimo accesso 18/09/2017).
  15. Martino A., Sintoni F., Marta B.L. (2015). La Casa della Salute, The House of Health. Sistema Salute. La rivista italiana di educazione sanitaria e promozione della salute, 59(4): 519-533.
  16. Mendes E.V. (2010). As redes de atenção à saúde. Ciência & Saúde Coletiva, 15(5): 2297-2305. DOI: 10.1590/S1413-8123201000050000
  17. Mendes E.V. (2011). As redes de atenção à saúde. Brasília: Organização Pan-Americana da Saúde.
  18. Merhy E.E. (1997). Em busca do tempo perdido: a micropolítica do trabalho vivo em saúde. In: Merhy E.E., Onocko R., Eds., Praxis en salud: un desafío para lo público. Buenos Aires: Lugar Editorial.
  19. Miles M.B., Huberman M. (1994). Qualitative Data Analysis: A Sourcebook of New Methods. 2. Beverly Hills: Sage Publications.
  20. Ministero della Salute. La Casa della Salute. Testo disponibile al sito http://www.salute.gov.it/portale/temi/p2_5.jsp?lingua=italiano&area=Cure%20primarie&me¬nu=casa (ultimo accesso 18/09/2017).
  21. Ministero della Salute (2016). Piano Nazionale della Cronicità. Testo disponibile al sito http://www.salute.gov.it/imgs/C_17_pubblicazioni_2584_allegato.pdf (ultimo accesso 18/09/2017).
  22. Novak J.D. (2002). Meaningful learning: The essential factor for conceptual change in limited or inappropriate propositional hierarchies leading to empowerment of learners. Science education, 86(4): 548-571.
  23. Pretty J.N. (1995). A trainer’s guide for participatory learning and action. London: Iied.
  24. Ramagem C., Urrutia S., Griffit T., Cruz M., Fabrega R., Holder R., Montenegro H. (2011). Combating health care fragmentation through integrated health services delivery networks. International Journal of Integrated Care, 11(7).
  25. Rocha R., Soares R. R. (2010). Evaluating the impact of Community-Based Health Interventions: evidence from Brazil’s Family Health Program. Health Economics, 19(S1): 126-158.
  26. Rosen R., Ham C. (2009). Atención integrada: enseñanzas de evidencia y experiência, informe del Seminário Anual de Salud 2008, Sir Roger Bannister. Revista de Innovación Sanitaria y Atención Integrada (periódicos na Internet), 1(2).
  27. Singh D. (2005). Transforming chronic care: evidence about improving care for people with long-term conditions. Birmingham: University of Birmingham, Health Services Management Centre.
  28. Unutzer J., Katon W., Calahan C.M., Williams J.W., Hunkeler E., Harpole L. et al. (2002). Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA, 288: 2836-2845.
  29. Van Lerberghe W. (2008) The world health report 2008: primary health care: now more than ever. World Health Organization.
  30. Wang C.C., Geale S.K. (2015). The power of story: narrative inquiry as a methodology in nursing research. International Journal of Nursing Sciences, 2(2): 195-198.
  31. World Health Organization (2011). Global status report on noncommunicable diseases 2010. Geneva: World Health Organization.

Ardigò Martino, Case della Salute, efficacia terapeutica, risolutività e integralità delle cure: una sperimentazione su modelli di intervento nell’assistenza primaria in "SALUTE E SOCIETÀ" 3-Suppl./2017, pp 148-161, DOI: 10.3280/SES2017-SU3010