Your browser doesn't support javascript.
loading
HIV Education and Welfare Services in Primary Care: An Empirical Model of Integration in Brazil's Unified Health System.
Rahman, Rahbel; Pinto, Rogério M; Wall, Melanie M.
Afiliação
  • Rahman R; Department of Social Work, Community of College and Public Affairs, Binghamton University, 67 Washington St, Binghamton, NY 13902, USA. rrahman@binghamton.edu.
  • Pinto RM; School of Social Work, University of Michigan, 1080 S University Ave, Ann Arbor, MI 48109, USA. ropinto@umich.edu.
  • Wall MM; Department of Biostatistics, Columbia University, 722 West 168th St. New York, NY 10032, USA. mmw2177@cumc.columbia.edu.
Int J Environ Res Public Health ; 14(3)2017 03 14.
Article em En | MEDLINE | ID: mdl-28335444
Integration of health education and welfare services in primary care systems is a key strategy to solve the multiple determinants of chronic diseases, such as Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS). However, there is a scarcity of conceptual models from which to build integration strategies. We provide a model based on cross-sectional data from 168 Community Health Agents, 62 nurses, and 32 physicians in two municipalities in Brazil's Unified Health System (UHS). The outcome, service integration, comprised HIV education, community activities (e.g., health walks and workshops), and documentation services (e.g., obtainment of working papers and birth certificates). Predictors included individual factors (provider confidence, knowledge/skills, perseverance, efficacy); job characteristics (interprofessional collaboration, work-autonomy, decision-making autonomy, skill variety); and organizational factors (work conditions and work resources). Structural equation modeling was used to identify factors associated with service integration. Knowledge and skills, skill variety, confidence, and perseverance predicted greater integration of HIV education alongside community activities and documentation services. Job characteristics and organizational factors did not predict integration. Our study offers an explanatory model that can be adapted to examine other variables that may influence integration of different services in global primary healthcare systems. Findings suggest that practitioner trainings to improve integration should focus on cognitive constructs-confidence, perseverance, knowledge, and skills.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Seguridade Social / Infecções por HIV / Educação em Saúde / Programas Governamentais / Relações Interinstitucionais Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Environ Res Public Health Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Seguridade Social / Infecções por HIV / Educação em Saúde / Programas Governamentais / Relações Interinstitucionais Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Environ Res Public Health Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Suíça