Counselling through the perspective of professionals of primary health care: challenges of decentralization of rapid test for HIV/Aids
Asesoramiento en la perspectiva de profesionales de la atención primaria de salud: desafíos en la descentralización de la prueba rápida VIH / SIDA
Aconselhamento na perspectiva de profissionais da atenção básica: desafios na descentralização do teste rápido HIV/Aids
| 2018 | |
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counselling HIV serologic tests primary health care decentralization asesoramiento VIH pruebas serológicas atención primaria a la salud descentralización aconselhamento HIV testes sorológicos atenção primária à saúde descentralização |
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| Español | |
| Universidad Católica del Uruguay | |
| LIBERI | |
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https://revistas.ucu.edu.uy/index.php/cienciaspsicologicas/article/view/1597
https://hdl.handle.net/10895/3017 |
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| Acceso abierto |
| Sumario: | This articles aims to investigate and analyze how rapid test and counselling for HIV were developed and assessed in decentralization process to primary care services. It is a qualitative and exploratory study, which was performed in 15 health services of Porto Alegre/Brasil, through semi-structured interviews with 22 professionals. Data were conducted to thematic analysis and discussed from theoretical perspective of “living work” in health by Merhy. Results were organized in two thematic axes: (1) Decentralization of testing in Primary Health Care; and (2) Counselling – topics and challenges. Results indicate: the activity is not presented transversally in the team, centralized in the nurses; greater domain in the execution of the test (hard technology) and informative approach (light-hard technology); insecurity regarding risk management and emotional support (light technologies), especially facing the positive diagnosis. One of the main challenges for the effectiveness of counseling is the appropriateness of the approach according to user's necessity. |
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