A atenção domiciliar como dispositivo para a estruturação da rede de atenção à saúde: o caso do município de Araraquara - SP

Abstract

Introduction: The demand for homecare (AD) is increasing due to the accelerated demographic and epidemiological transition throughout Brazil. The AD is part of the practice of various services within the network of Attention to Health. While health model should produce caution and completeness in the various levels of intensity of care. Objective: To understand the contribution of AD as a device in the structuring of the Health Care Network in the city of Araraquara, situated in the interior of the state of São Paulo. Methods: a case study of a methodological proposal for a qualitative approach. We used the interviews to 14 health workers of the municipality's primary network, between August 2016 and April 2017. Used the content analysis by means of the separation of empirical categories. The categories were analyzed: Network of Attention to Health; Homecare; Basic Care and homecare and finally, the Homecare in the network of attention. This study was submitted to the Ethics and Research Committee of Universidade Federal de São Carlos (CEP/UFSCar) and approved under the opinion number 1,680.558/2016. Results and Discussion: The health workers interviewed reported the homecare as a practice of network services, but also as a modality of care. Reinforced its development by basic health units, especially those with family health. And also, the actions developed by the Service Homecare (SAD). Scored that the actions that are being developed currently does not correspond to the demands of care. Pointed out the need for articulation of the health network of a more dynamic and alive, so that the user is assisted in its entirety. Highlighted care for caregivers in the home. Conclusion: The homecare develops at different spaces, but mainly by transforming a new space of caution: the household. For the realization of the care is integral to consideration of culture and subjectivity of people who reside in that space is essential for the formation of the bond between workers and caregivers and thus be continuity of care. Looking through this practice to corresponsabilização of care and the autonomy of the family. The AD can be a device for structuring of RAS, to give visibility to the pallets of attention. And the sad if constitute a trainer/enabler of network for the implementation of home care. Introducing the homecare as a strategy that ensures the care in its amplitude. Empowering the workers of basic health units under the light of the guidelines of the National Policy of Humanization (PNH), generating a movement for the transformation of the living network of care.