Table 1 Analysis matrix of healthcare practices for chronic diseases in the Family Health Strategy
Analysis dimensions | Components |
|---|---|
Health care practice organization | - Schedule and access organization |
- Interdisciplinary action with FHT and FHSC | |
- Articulation between care levels | |
- Action planning and monitoring according to health indicators | |
Technical care aspects of health care practices | - Broad provision of promotion, prevention, and health care services aimed at people with chronic diseases |
- Use of care protocols | |
- Information exchange and case discussion in the multidisciplinary team | |
- Establishment of a bond in care practice | |
- Presence and use of plans/strategies for periodic follow-up and management | |
- Consistency in entering data in the EMR | |
Biopsychosocial approach to care practices | - Knowledge of the socio-epidemiological profile of the coverage area |
- Intervention actions on social risks and vulnerabilities in the territory | |
- Promotion of autonomy and self-care development in people with chronic diseases | |
- Presence and role of the social support network |