Barreiras e facilitadores para o acompanhamento regular da pessoa com hipertensão na atenção primária à saúde

Abstract

Introduction: Systemic Arterial Hypertension (SAH) is a highly prevalent disease in Brazil and worldwide. The regular monitoring of individuals with SAH has been a significant challenge for Brazilian Primary Health Care (PHC). Objective: The aim of this study is to analyze the barriers and facilitators to conducting regular consultations and blood pressure measurement in PHC to guide the improvement of this essential process in SAH care. Method: The methodological design was descriptive with a qualitative approach, conducted between September 2022 and May 2023. Content analysis of the discourses emerged in six focus groups, with the participation of 29 professionals from five Basic Health Units (BHU) in the municipality of Natal, Rio Grande do Norte. Results: Present the Ishikawa diagram with the barriers and the driver diagram with the facilitators. These diagrams are essential quality management tools that allow for a deeper exploration of cause-and-effect relationships to enhance the quality of health care. The main barriers identified were high demand in BHUs, difficulty in using E-SUS, lack of specific training, and users with low literacy. The main proposed facilitators include: creating waiting rooms, implementing cardiovascular risk stratification, establishing a training schedule, and improving E-SUS reports. Final Considerations: The barriers and facilitators identified in this study guide the planning of improvements from a systemic perspective on the root causes of the problem and multifaceted interventions to enhance SAH care.