期刊名称：Revista Brasileira de Medicina de Família e Comunidade
印刷版ISSN：1809-5909
电子版ISSN：2179-7994
出版年度：2019
卷号：14
期号：41
页码：1-8
DOI：10.5712/rbmfc14(41)1818
出版社：Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
摘要：Introduction : The home visit allows the health professional to break the disease-centered model, turning to an individual-centered approach. However, there is a great deficiency in the organization and management of these, which often makes it more difficult to prioritize these patients. Objective : To present the experience of a team when using a new risk evaluation and classification tool that aims to optimize the management of the home visits schedule. Methods : This is an report of the experience of a family health team, in a peripheric neighborhood of a capital city in the northeast of Brazil, that applied this tool with patients who applied this tool to home visiting patients in the period between June and November 2017. Results : The data collected were analyzed and it was possible to classify the patients regarding risk and vulnerability. This tool favored the strengthening and structuring of the registration, planning, evaluation and monitoring of the visits made in the territory. In addition, its easy application and reproducibility in different primary care settings should be emphasized. Conclusion : The use of appropriate instruments allows the identification of patients at risk and vulnerability, besides organizing the agenda, identifying people’s needs, monitoring chronic diseases, proposing strategies, and planning for future interventions.
关键词：Servicios de Atención de Salud a Domicilio;Atención Primaria de Salud;Evaluación en Salud;Organización y Administración;Serviços de Assistência Domiciliar;Atenção Primária à Saúde;Avaliação em Saúde;Organização e Administração
其他关键词：Home Care Services;Primary Health Care;Health Evaluation;Organization and Administration
