MANCHESTER TRIAGE SYSTEM IN PRIMARY HEALTH CARE: AMBIGUITIES AND CHALLENGES RELATED TO ACCESS

ABSTRACT Objective: understanding ambiguities and challenges related to access after implementing the Manchester Triage System in primary health care. Method: a qualitative study developed through semi-structured interviews with nurses, doctors and nursing technicians, totaling 22 professionals. The data were analyzed using the thematic content analysis method. Results: the Manchester Triage System antagonistically interfered with access. In one aspect, an increase in waiting time, difficulty of the user being attended and scheduling of cases that are not classified as acute can be observed. In another aspect, service guarantee, open door service, receiving service in order of arrival and organizing spontaneous demand can be emphasized. Conclusion: the study highlights the need to broaden discussions on the legitimacy of the Manchester Triage System in primary health care in view of its ambiguities and challenges regarding a guarantee of access in this area of care production.

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Main Authors: Moreira,Danielle de Araújo, Tibães,Hanna Beatriz Bacelar, Batista,Renata Cristina Rocha, Cardoso,Cecília Maria Lima, Brito,Maria José Menezes
Format: Digital revista
Language:English
Published: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072017000200302
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spelling oai:scielo:S0104-070720170002003022017-06-02MANCHESTER TRIAGE SYSTEM IN PRIMARY HEALTH CARE: AMBIGUITIES AND CHALLENGES RELATED TO ACCESSMoreira,Danielle de AraújoTibães,Hanna Beatriz BacelarBatista,Renata Cristina RochaCardoso,Cecília Maria LimaBrito,Maria José Menezes Access to health services Primary health care Triage Nursing Unified Health System User embracement. ABSTRACT Objective: understanding ambiguities and challenges related to access after implementing the Manchester Triage System in primary health care. Method: a qualitative study developed through semi-structured interviews with nurses, doctors and nursing technicians, totaling 22 professionals. The data were analyzed using the thematic content analysis method. Results: the Manchester Triage System antagonistically interfered with access. In one aspect, an increase in waiting time, difficulty of the user being attended and scheduling of cases that are not classified as acute can be observed. In another aspect, service guarantee, open door service, receiving service in order of arrival and organizing spontaneous demand can be emphasized. Conclusion: the study highlights the need to broaden discussions on the legitimacy of the Manchester Triage System in primary health care in view of its ambiguities and challenges regarding a guarantee of access in this area of care production.info:eu-repo/semantics/openAccessUniversidade Federal de Santa Catarina, Programa de Pós Graduação em EnfermagemTexto & Contexto - Enfermagem v.26 n.2 20172017-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072017000200302en10.1590/0104-07072017005970015
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author Moreira,Danielle de Araújo
Tibães,Hanna Beatriz Bacelar
Batista,Renata Cristina Rocha
Cardoso,Cecília Maria Lima
Brito,Maria José Menezes
spellingShingle Moreira,Danielle de Araújo
Tibães,Hanna Beatriz Bacelar
Batista,Renata Cristina Rocha
Cardoso,Cecília Maria Lima
Brito,Maria José Menezes
MANCHESTER TRIAGE SYSTEM IN PRIMARY HEALTH CARE: AMBIGUITIES AND CHALLENGES RELATED TO ACCESS
author_facet Moreira,Danielle de Araújo
Tibães,Hanna Beatriz Bacelar
Batista,Renata Cristina Rocha
Cardoso,Cecília Maria Lima
Brito,Maria José Menezes
author_sort Moreira,Danielle de Araújo
title MANCHESTER TRIAGE SYSTEM IN PRIMARY HEALTH CARE: AMBIGUITIES AND CHALLENGES RELATED TO ACCESS
title_short MANCHESTER TRIAGE SYSTEM IN PRIMARY HEALTH CARE: AMBIGUITIES AND CHALLENGES RELATED TO ACCESS
title_full MANCHESTER TRIAGE SYSTEM IN PRIMARY HEALTH CARE: AMBIGUITIES AND CHALLENGES RELATED TO ACCESS
title_fullStr MANCHESTER TRIAGE SYSTEM IN PRIMARY HEALTH CARE: AMBIGUITIES AND CHALLENGES RELATED TO ACCESS
title_full_unstemmed MANCHESTER TRIAGE SYSTEM IN PRIMARY HEALTH CARE: AMBIGUITIES AND CHALLENGES RELATED TO ACCESS
title_sort manchester triage system in primary health care: ambiguities and challenges related to access
description ABSTRACT Objective: understanding ambiguities and challenges related to access after implementing the Manchester Triage System in primary health care. Method: a qualitative study developed through semi-structured interviews with nurses, doctors and nursing technicians, totaling 22 professionals. The data were analyzed using the thematic content analysis method. Results: the Manchester Triage System antagonistically interfered with access. In one aspect, an increase in waiting time, difficulty of the user being attended and scheduling of cases that are not classified as acute can be observed. In another aspect, service guarantee, open door service, receiving service in order of arrival and organizing spontaneous demand can be emphasized. Conclusion: the study highlights the need to broaden discussions on the legitimacy of the Manchester Triage System in primary health care in view of its ambiguities and challenges regarding a guarantee of access in this area of care production.
publisher Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
publishDate 2017
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072017000200302
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