Fluxo e acesso assistencial: mecanismos da regulação em saúde entre a atenção básica e a especializada
Tangerino, Lariana Cássia Pereira
MetadataShow full item record
The health like right in Brazil, guided by equal terms have been affected by the current situation of the country due to its diversity and magnitude of both territorial and regional features. The Single Health System and some its policies (Basic Attention National Policy, Health Attention Systems, National Regulation Policy) seek for guaranteeing care integrality, promoting accessibility with continuous assistance and rational operation of the existing resources. The aim of this study was to analyze the performance of a municipal regulation system within the scope of the relations among Basic Attention, Specialist Assistence and Regulation Center, in order to provide a reflection about both the potential and the improvement opportunities in the services of scheduling medical appointments and exams. The conduct of this research was based on the qualitative approach assumption. The chosen city for the research development was Araraquara (SP). For data collection method, there were meetings to hold focus groups. The participants were the administrative agents, nurses and doctors of Basic Attention from a predetermined area, people responsible for scheduling appointments and the servants of Regulation Center, a total of 31 people. Data was examined from the point of view of the subject content analysis. The 31 participants were: 5 nurses, 14 doctors, 11 administrative agents and 1 licensed practical nurse. After the exhausting reading of the recorded and transcribed answers, it was possible to group them according to the contexts they referred to, in main topics and their categories. The main catalogued issues were: “The Health Care Attention System”, “The City Scheduling System”, “The use of protocols for Clinical Evaluation” and “The Permanent Education in health”. Through this data, it was possible to identify that the already established actions to review the scheduling system in such city have provided significant improvements in the employments’ work routine and also facilitated patients’ access to health. However, these mechanisms, have also brought some challenges that require confrontation by management and workers in order to solve communication problems, information systems, document records, employee improvement and qualification of their professionals.It is suggested to the municipality to face these challenges, adjustments in the use of protocols for clinical evaluation, provide systematized training for all categories of Basic Attention, have matrix support and use of only one information system.
Showing items related by title, author, creator and subject.
Richter, Raíssa Herold Matias; http://lattes.cnpq.br/5253150668946525 (Universidade Federal de São Carlos, UFSCar, Programa de Pós-Graduação em Terapia Ocupacional - PPGTO, Câmpus São Carlos, 25/02/2019)Current health policies and guidelines have highlighted the relevance of a practice that is efficient, effective, and resolutive. This trend has been established throughout the Health Care Network, including the Psychosocial ...
Mulheres em situação de violência doméstica : o ponto de vista dos profissionais de Unidades Básicas de Saúde Leite, Alessandra de Cássia; http://lattes.cnpq.br/2991421471849399 (Universidade Federal de São Carlos, UFSCar, Programa de Pós-Graduação em Enfermagem - PPGEnf, , 29/02/2012)The objective of this study was to understand the psychological and cultural meanings of health professionals of Primary Health Care (PHC) on the issue of women in situations of domestic violence served by them including ...
A formação graduada de terapeutas ocupacionais para o cuidado na atenção primária à saúde no estado de São Paulo Silva, Rodrigo Alves dos Santos; http://lattes.cnpq.br/8163060492696079 (Universidade Federal de São Carlos, UFSCar, Programa de Pós-Graduação em Terapia Ocupacional - PPGTO, Câmpus São Carlos, 25/02/2016)It is essential the debate between the formation of the occupational therapist and the Primary Health Care (PHC), both around theoretical and methodological frameworks, such as the pursuit of specific tasks and actions ...