Keywords
Primary health care
Health care
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Abstract
Objective: To analyze the advances and challenges in the clinical management of people with Down syndrome in primary health care. Methods: Integrative literature review, starting with 92 records from PubMed, BVS, and SciELO databases. After applying filters and eligibility criteria, 14 studies published between 2015 and 2025 were selected. Selection followed PRISMA guidelines and included quantitative, qualitative, and mixed-methods studies focused on primary care. Results: Key advances include specific clinical guidelines for adults with Down syndrome, integration of electronic health records, and mHealth tools to support coordination. Also highlighted were multidisciplinary transition clinics and reduced hospitalizations in structured programs. Despite progress, persistent barriers include low adherence to protocols, limited team training, and lack of formal care transition flows. Final considerations: Strengthening PHC management requires capacity building, standard protocols, and context-appropriate technology. Scientific production in Brazil remains limited.
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