Abstract
Patients of the STD/AIDS ambulatory of Aracatuba are treated in various spheres of the municipal health system. Each service was provided with a different work dynamic and professionals were provided with own behaviors and experiences. Although the dynamics is appropriate from a structural point of view, it was remarkable a functional weakness in the integration of services which could be translated as low efficiency. We implemented a flow management and resolution system based on the sharing of professionals and standardization of procedures without financial investments and experienced a significant gain in quality of care and, after six years, we reviewed our data and concluded in this paper that the resoluteness was significant.
References
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8. Ministério da Saúde. Critérios de definição de casos de AIDS em adultos e crianças. Brasília (DF): Programa Nacional de DST e AIDS; 2008.
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11. Santos ECM, França Júnior I, Lopes F. Qualidade de vida de pessoas vivendo com HIV/AIDS em São Paulo. Rev Saúde Pública. 2007;41(Supl 2);64-71.
12. Seidl EMF, Zannon CMLC, Tróccoli BT. Pessoas vivendo com HIV/AIDS: enfrentamento, suporte social e qualidade de vida. Psicol Reflex Crít. 2005;18:188-95.
13. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41:1403-9. [ Acesso em 12 jun 2015 ]. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/8560308
14. Zimpel RR, Fleck MPA. Quality of life in HIV-positive Brazilians: application and validation of the WHOQOL-HIV, Brazilian version. AIDS Care. 2007;19:923-30.
15. Zimpel RR, Fleck MPA. Quality of life in HIV-positive Brazilians: application and validation of the WHOQOL-HIV, Brazilian version. AIDS Care. 2007;19:923-30.
2. Gaspar J, Reis RK, Pereira FMV, Neves LAS, Castrighini CC, Gir E. Quality of life in women with HIV/AIDS in amunicipality in the state of São Paulo. Rev Esc Enferm USP. 2011;45:230-6.
3. Geocze L, Mucci S, De Marco MA, Nogueira-Martins LA, Citero VA. Qualidade de vida e adesão ao tratamento antirretroviral de pacientes portadores de HIV. Rev Saúde Pública. 2010;44:743-9. [acesso em 12 jun 2015]. Disponível em: http://www.scielo.br/scielo.php?pid=S0034-89102010000400019&script=sci_arttext
4. Jelsma J, Maclean E, Hughes J, Tinise X, Darder M. An investigation into the health-related quality of life of individuals living with HIV who are receiving HAART. AIDS Care. 2005;17:579-88. [ Acesso em 12 jun 2015 ]. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/16036244
5. Nojomi M, Anbary K, Ranjbar M. Health-related quality of life in patients with HIV/AIDS. Arch Iran Med. 2008;11:608-12.
6. O’Connell K, Skevington S, Saxena S, WHOQOL HIV Group. Preliminary development of the World Health Organization’s Quality of Life HIV instrument (WHOQOL-HIV): analysis of the pilot version. Soc Sci Med. 2003;57:1259-75. [ Acesso em 12 jun 2015 ]. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/12899909
7. Palella Jr. FJ, Delaney KM, Moorman AC, Loveless MO, Fuhrer J, Satten GA, et al. Declining morbidity and mortality among patients with advanced human immunodeficiencyvirus infection. N Engl J Med. 1998;338:853-60.
8. Ministério da Saúde. Critérios de definição de casos de AIDS em adultos e crianças. Brasília (DF): Programa Nacional de DST e AIDS; 2008.
9. Ministério da saúde. Recomendações para terapia antirretroviral em adultos infectados pelo HIV. Brasília(DF): Programa Nacional de DST e AIDS; 2008.
10. Razera F, Ferreira J, Bonamigo RR. Factors associated with health-related quality of life in HIV-infected Brazilians. Int J STD AIDS. 2008;19:519-23.
11. Santos ECM, França Júnior I, Lopes F. Qualidade de vida de pessoas vivendo com HIV/AIDS em São Paulo. Rev Saúde Pública. 2007;41(Supl 2);64-71.
12. Seidl EMF, Zannon CMLC, Tróccoli BT. Pessoas vivendo com HIV/AIDS: enfrentamento, suporte social e qualidade de vida. Psicol Reflex Crít. 2005;18:188-95.
13. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41:1403-9. [ Acesso em 12 jun 2015 ]. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/8560308
14. Zimpel RR, Fleck MPA. Quality of life in HIV-positive Brazilians: application and validation of the WHOQOL-HIV, Brazilian version. AIDS Care. 2007;19:923-30.
15. Zimpel RR, Fleck MPA. Quality of life in HIV-positive Brazilians: application and validation of the WHOQOL-HIV, Brazilian version. AIDS Care. 2007;19:923-30.
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