Reasons for consultation and healthcare strategies analyzed from a neighborhood dermatological assistance device. Qualitative research: Skin problems.Qualitative research.
Aim of study: identify consultation reasons, experiences with seeking dermatological assistance and skin care strategies within neighbours from an urban deprived settlement in Buenos Aires province, Argentina. This setting lies onto a sanitary landfill with a high index of environmental contaminatio...
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| Lenguaje: | Español |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/30831 |
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I10-R10-article-30831 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-10 |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
qualitative research primary health care sanitary landfill skin diseases social epidemiology investigación cualitativa atención primaria de salud rellenos sanitarios epidemiología social enfermedades de la piel pesquisa qualitativa atenção primária à saúde aterros sanitários dermatopatias epidemiologia social |
| spellingShingle |
qualitative research primary health care sanitary landfill skin diseases social epidemiology investigación cualitativa atención primaria de salud rellenos sanitarios epidemiología social enfermedades de la piel pesquisa qualitativa atenção primária à saúde aterros sanitários dermatopatias epidemiologia social Bertarini, Maria Florencia Castro Perez, Gimena A. Mantiñan, Luciano Martin Alvarez, Patricia Laura Diaz, Morena Braguinsky, Nahuel Pereiro, Natalia Vicens, Jimena Dawidowski, Adriana Figar, Silvana Mazzuoccolo, Luis Daniel Reasons for consultation and healthcare strategies analyzed from a neighborhood dermatological assistance device. Qualitative research: Skin problems.Qualitative research. |
| topic_facet |
qualitative research primary health care sanitary landfill skin diseases social epidemiology investigación cualitativa atención primaria de salud rellenos sanitarios epidemiología social enfermedades de la piel pesquisa qualitativa atenção primária à saúde aterros sanitários dermatopatias epidemiologia social |
| author |
Bertarini, Maria Florencia Castro Perez, Gimena A. Mantiñan, Luciano Martin Alvarez, Patricia Laura Diaz, Morena Braguinsky, Nahuel Pereiro, Natalia Vicens, Jimena Dawidowski, Adriana Figar, Silvana Mazzuoccolo, Luis Daniel |
| author_facet |
Bertarini, Maria Florencia Castro Perez, Gimena A. Mantiñan, Luciano Martin Alvarez, Patricia Laura Diaz, Morena Braguinsky, Nahuel Pereiro, Natalia Vicens, Jimena Dawidowski, Adriana Figar, Silvana Mazzuoccolo, Luis Daniel |
| author_sort |
Bertarini, Maria Florencia |
| title |
Reasons for consultation and healthcare strategies analyzed from a neighborhood dermatological assistance device. Qualitative research: Skin problems.Qualitative research. |
| title_short |
Reasons for consultation and healthcare strategies analyzed from a neighborhood dermatological assistance device. Qualitative research: Skin problems.Qualitative research. |
| title_full |
Reasons for consultation and healthcare strategies analyzed from a neighborhood dermatological assistance device. Qualitative research: Skin problems.Qualitative research. |
| title_fullStr |
Reasons for consultation and healthcare strategies analyzed from a neighborhood dermatological assistance device. Qualitative research: Skin problems.Qualitative research. |
| title_full_unstemmed |
Reasons for consultation and healthcare strategies analyzed from a neighborhood dermatological assistance device. Qualitative research: Skin problems.Qualitative research. |
| title_sort |
reasons for consultation and healthcare strategies analyzed from a neighborhood dermatological assistance device. qualitative research: skin problems.qualitative research. |
| description |
Aim of study: identify consultation reasons, experiences with seeking dermatological assistance and skin care strategies within neighbours from an urban deprived settlement in Buenos Aires province, Argentina. This setting lies onto a sanitary landfill with a high index of environmental contamination.
Materials and methods: a dermatological health care team from the main local hospital designed a dermatological assistance device (DAD), in cooperation with social leaders and institutions of the neighborhood. The DADs included walks around the neighborhood for attending those who could not get a consultation. The experiences were evaluated through a qualitative research strategy, developed from the theoretical framework of Sociocultural Epidemiology. Those who attended the DADs were interviewed. Ethnographic field notes were also recorded. Multiple accessibility barriers to the public health care system were identified and self care practices were also recognized.
Results: The most frequent consultations to the DADs were for "pimples", "stains'' and "lumps" on exposed areas of the skin. These lesions generated discomfort or pain, or even affected the interviewees aesthetically or emotionally. Most of them were associated to extremely dry skin and a high sun exposure, in connection with the lack of shade in the neighbourhood. An initiative to plant trees was promoted in order to prevent sun radiation-induced dermatoses.
Conclusion: the reflective immersion of the dermatology team in the realm of the neighborhood daily life enabled the development of attention strategies grounded on the perceived needs of the population. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/30831 |
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I10-R10-article-308312021-12-29T20:14:46Z Reasons for consultation and healthcare strategies analyzed from a neighborhood dermatological assistance device. Qualitative research: Skin problems.Qualitative research. Motivos de consulta y estrategias de atención analizados a partir de un dispositivo barrial de asistencia dermatológica. Investigación cualitativa: Afecciones de la piel. Investigación cualitativa. Motivos da consulta e estratégias de saúde analisadas a partir de um dispositivo de atendimento dermatológico de bairro. Pesquisa qualitativa: Dermatopatías. Pesquisa qualitativa. Bertarini, Maria Florencia Castro Perez, Gimena A. Mantiñan, Luciano Martin Alvarez, Patricia Laura Diaz, Morena Braguinsky, Nahuel Pereiro, Natalia Vicens, Jimena Dawidowski, Adriana Figar, Silvana Mazzuoccolo, Luis Daniel qualitative research primary health care sanitary landfill skin diseases social epidemiology investigación cualitativa atención primaria de salud rellenos sanitarios epidemiología social enfermedades de la piel pesquisa qualitativa atenção primária à saúde aterros sanitários dermatopatias epidemiologia social Aim of study: identify consultation reasons, experiences with seeking dermatological assistance and skin care strategies within neighbours from an urban deprived settlement in Buenos Aires province, Argentina. This setting lies onto a sanitary landfill with a high index of environmental contamination. Materials and methods: a dermatological health care team from the main local hospital designed a dermatological assistance device (DAD), in cooperation with social leaders and institutions of the neighborhood. The DADs included walks around the neighborhood for attending those who could not get a consultation. The experiences were evaluated through a qualitative research strategy, developed from the theoretical framework of Sociocultural Epidemiology. Those who attended the DADs were interviewed. Ethnographic field notes were also recorded. Multiple accessibility barriers to the public health care system were identified and self care practices were also recognized. Results: The most frequent consultations to the DADs were for "pimples", "stains'' and "lumps" on exposed areas of the skin. These lesions generated discomfort or pain, or even affected the interviewees aesthetically or emotionally. Most of them were associated to extremely dry skin and a high sun exposure, in connection with the lack of shade in the neighbourhood. An initiative to plant trees was promoted in order to prevent sun radiation-induced dermatoses. Conclusion: the reflective immersion of the dermatology team in the realm of the neighborhood daily life enabled the development of attention strategies grounded on the perceived needs of the population. Objetivo: analizar motivos de consulta, experiencias y formas de atención de las afecciones dermatológicas de la población de un asentamiento de la Provincia de Buenos Aires, ubicado sobre un relleno sanitario con altos índices de contaminación ambiental. Materiales y métodos: investigación cualitativa, mediante entrevistas en profundidad a vecinos/as y elaboración de registros etnográficos de las recorridas. La investigación se realizó en el contexto de un dispositivo de atención dermatológica, planificado en conjunto con referentes barriales, bajo el marco teórico de la Epidemiología Sociocultural. Resultados: se identificaron múltiples barreras de accesibilidad a la atención dermatológica en el sistema público de salud, y prácticas de autoatención como el uso de cremas, medidas de higiene y uso de elementos de protección personal para trabajos que significaban un riesgo para la salud. Las consultas al dispositivo más frecuentes fueron “granos”, “manchas”, “bultitos” en zonas visibles del cuerpo, que generaban molestia, dolor y/o afectaban estética y emocionalmente a lo/as entrevistado/as. Estas consultas se relacionaban principalmente con piel extremadamente seca y patologías por alta exposición solar, coincidiendo con la escasez de sombra en el barrio. Para prevenir patologías relacionadas a la exposición solar, se impulsó una iniciativa para plantar árboles. Conclusión: a partir de la inmersión reflexiva del equipo de atención, en las experiencias de atención de lo/as habitantes del barrio, se desplegaron estrategias según las necesidades percibidas por la población. Objetivo: identificar motivos de consulta, experiências de busca de atendimento dermatológico e estratégias de cuidados com a pele em vizinhos de um assentamento urbano carente na província de Buenos Aires, Argentina. Este cenário encontra-se em um aterro sanitário com alto índice de contaminação ambiental. Materiais e métodos: uma equipe de saúde dermatológica do principal hospital local projetou um dispositivo de assistência dermatológica (DAD), em cooperação com lideranças sociais e instituições do bairro. Os DADs incluíam caminhadas pela vizinhança para atendimento de quem não conseguia consulta. As experiências foram avaliadas por meio de uma estratégia de pesquisa qualitativa, desenvolvida a partir do referencial teórico da Epidemiologia Sociocultural. Aqueles que compareceram aos DADs foram entrevistados. Anotações de campo etnográfico também foram registradas. Múltiplas barreiras de acessibilidade ao sistema público de saúde foram identificadas e práticas de autocuidado também foram reconhecidas. Resultados: as consultas mais frequentes aos DADs foram para "espinhas", "manchas" e "caroços" em áreas expostas da pele. Essas lesões geravam desconforto ou dor, ou mesmo afetavam os entrevistados estética ou emocionalmente. A maioria delas estavam associadas a pele extremamente seca e alta exposição solar, em conjunto com a falta de sombra no bairro. Foi promovida uma iniciativa de plantio de árvores para prevenir dermatoses induzidas pela radiação solar. Conclusão: a imersão reflexiva da equipe de dermatologia no reino do cotidiano do bairro possibilitou o desenvolvimento de estratégias de atenção alicerçadas nas necessidades percebidas da população. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-12-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/30831 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 4 (2021); 430 -436 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 4 (2021); 430 -436 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 4 (2021); 430 -436 1853-0605 0014-6722 10.31053/1853.0605.v78.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/30831/36713 https://revistas.unc.edu.ar/index.php/med/article/view/30831/36577 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |