Perception of primary care doctors and nurses about care provided to sickle cell disease patients

• Main Authors: Ludmila Mourão Xavier Gomes, Thiago Luis de Andrade Barbosa, Elen Débora Souza Vieira, Antônio Prates Caldeira, Heloísa de Carvalho Torres, Marcos Borato Viana
• Format: Article
• Language: English
• Published: Elsevier 2015-08-01
• Series: Revista Brasileira de Hematologia e Hemoterapia
• Subjects: Sickle cell anemia; Quality of health care; Primary health care; Family health program
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842015000400247&lng=en&tlng=en

OBJECTIVE: To analyze the perception of primary care physicians and nurses about access to services and routine health care provided to sickle cell disease patients.METHODS: This descriptive exploratory study took a qualitative approach by surveying thirteen primary care health professionals who participated in a focus group to discuss access to services and assistance provided to sickle cell disease patients. The data were submitted to thematic content analysis.RESULTS: Access to primary care services and routine care for sickle cell disease patients were the categories that emerged from the analysis. Interaction between people with sickle cell disease and primary care health clinics was found to be minimal and limited mainly to scheduling appointments. Patients sought care from the primary care health clinics only in some situations, such as for pain episodes and vaccinations. The professionals noted that patients do not recognize primary care as the gateway to the system, and reported that they feel unprepared to assist sickle cell disease patients.CONCLUSION: In the perception of these professionals, there are restrictions to accessing primary care health clinics and the primary care assistance for sickle cell disease patients is affected.