Report of the matrix implementation in a municipality of Ceara: from challenges to achievements

Detalhes bibliográficos
Autor(a) principal: Sousa, Paulo Henrique Caetano de
Data de Publicação: 2021
Outros Autores: Monteiro, Marianna Braga Noronha, Silva, Pamela Bezerra da, Azevedo, Uly Castro de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Baiana de Saúde Pública (Online)
Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3422
Resumo: Matrix support is one of the basic prerogatives for the longitudinal, holistic, and effective follow-up of complex cases in the communities, which is the basis of support of the Expanded Nucleus of Family Health and Primary Care (NASF-AB), now called multiprofessional health team. This article aimed to describe how the process of implementing matrix support meetings took place in a municipal NASF from the interior of the state of Ceará, by a qualitative, cross-sectional, narrative-descriptive experience report and based on the experience from the institution of the matrix support meeting. Written records of meeting minutes and memorable events were used. The process of establishing the matrix meetings took place in three stages: territorial analysis, in which the problems of the community were raised and the networks available in the municipality were identified; clarification meeting on the idea of matrix support, benefits and ways of implementing it in the professional routine (at this stage, in addition to raising awareness among professionals, management support was sought); and agreement on the frequencies at which the meetings would take place, based on sequential meetings and selection of the cases that would be discussed. In conclusion, for them to be carried out effectively, the matrix support meetings need to have clear objectives in front of the professionals who will participate in them, since many work processes do not have the perspective of matrix support. However, it must be understood that difficulties will arise in maintaining such meetings and that the success or failure of the meetings will be the responsibility of all participants.
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spelling Report of the matrix implementation in a municipality of Ceara: from challenges to achievementsInforme del desarrollo del apoyo matricial en una ciudad de Ceará: de los desafíos a los logrosRelato da implantação do matriciamento em um município cearense: dos desafios às conquistasSaúde da famíliaAtenção primáriaApoio matricialSalud de la familiaAtención primariaApoyo matricialFamily healthPrimary healthMatrix supportMatrix support is one of the basic prerogatives for the longitudinal, holistic, and effective follow-up of complex cases in the communities, which is the basis of support of the Expanded Nucleus of Family Health and Primary Care (NASF-AB), now called multiprofessional health team. This article aimed to describe how the process of implementing matrix support meetings took place in a municipal NASF from the interior of the state of Ceará, by a qualitative, cross-sectional, narrative-descriptive experience report and based on the experience from the institution of the matrix support meeting. Written records of meeting minutes and memorable events were used. The process of establishing the matrix meetings took place in three stages: territorial analysis, in which the problems of the community were raised and the networks available in the municipality were identified; clarification meeting on the idea of matrix support, benefits and ways of implementing it in the professional routine (at this stage, in addition to raising awareness among professionals, management support was sought); and agreement on the frequencies at which the meetings would take place, based on sequential meetings and selection of the cases that would be discussed. In conclusion, for them to be carried out effectively, the matrix support meetings need to have clear objectives in front of the professionals who will participate in them, since many work processes do not have the perspective of matrix support. However, it must be understood that difficulties will arise in maintaining such meetings and that the success or failure of the meetings will be the responsibility of all participants.El apoyo matricial es una de las atribuciones básicas para el seguimiento longitudinal, holístico y efectivo de casos complejos en las comunidades, que es la base de apoyo del Núcleo Ampliado de Salud de la Familia y Atención Primaria (Nasf-AB), hoy denominado equipo multiprofesional en salud. El objetivo de este artículo fue describir cómo ocurrió el proceso de desarrollo de las reuniones de apoyo matricial en un municipio de Ceará (Brasil) mediante relato de experiencia cualitativo, transversal, narrativo-descriptivo y basado en la experiencia de institución del apoyo matricial y reunión. Se utilizaron registros escritos de las actas de reuniones y eventos memorables. El proceso de establecimiento de las reuniones matrices se llevó a cabo en tres etapas: análisis territorial, en el que se plantearon los problemas de la comunidad, así como se identificaron las redes disponibles en el municipio; la reunión de aclaración sobre la idea de apoyo matricial, beneficios y formas de implementarlo en el cotidiano profesional (en esta etapa, además de sensibilizar a los profesionales, se buscó tener el apoyo de la gestión); y acuerdo sobre las frecuencias en que se llevarían a cabo las reuniones, tomando como referencia las reuniones secuenciales y la selección de los casos que se discutirían. Se concluyó que la realización efectiva de las reuniones de apoyo matricial deberán comprender objetivos claros frente a los profesionales que participarán en ellas, ya que muchos procesos de trabajo no tienen la perspectiva del apoyo matricial. Sin embargo, debe entenderse que surgirán dificultades para mantener tales reuniones y que el éxito o el fracaso de las reuniones será responsabilidad de todos los participantes.O apoio matricial constitui uma das prerrogativas básicas para o acompanhamento longitudinal, holístico e eficaz de casos complexos das comunidades, sendo essa a base de sustentação do Núcleo Ampliado de Saúde da Família e Atenção Básica (Nasf-AB), hoje chamado de equipe multiprofissional em saúde. O objetivo deste artigo foi descrever como ocorreu o processo de implantação das reuniões de matriciamento em um Nasf municipal do interior cearense, por meio de um relato de experiência qualitativo, transversal, narrativo-descritivo e com base na vivência de instituição da reunião de matriciamento. Foram utilizados registros escritos das atas de reunião e os eventos memoráveis. O processo de instituição das reuniões de matriciamento se deu em três etapas: análise territorial, na qual foram levantados os problemas da comunidade, bem como identificadas as redes disponíveis no município; reunião de esclarecimento sobre a ideia do apoio matricial, benefícios e maneiras de sua implantação na rotina profissional (nessa etapa, além da conscientização dos profissionais, buscou-se o apoio da gestão); e pactuação acerca das frequências em que os encontros se realizariam, tomando por base reuniões de maneira sequencial e seleção dos casos que seriam discutidos. Foi concluído que, para que se realizem de maneira eficaz, é necessário que as reuniões de matriciamento tenham objetivos esclarecidos diante dos profissionais que participarão delas, uma vez que muitos processos de trabalho não têm a ótica do apoio matricial. Porém, deve-se compreender que surgirão dificuldades na manutenção de tais encontros e que o sucesso ou fracasso das reuniões será responsabilidade de todos os participantes.SESAB2021-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/342210.22278/2318-2660.2021.v45.n4.a3422Revista Baiana de Saúde Pública; v. 45 n. 4 (2021); 241-2512318-26600100-023310.22278/2318-2660.2021.v45.N4reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3422/3092Copyright (c) 2021 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessSousa, Paulo Henrique Caetano deMonteiro, Marianna Braga NoronhaSilva, Pamela Bezerra daAzevedo, Uly Castro de2023-02-15T19:00:15Zoai:ojs.pkp.sfu.ca:article/3422Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-03-06T12:58:17.023282Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false
dc.title.none.fl_str_mv Report of the matrix implementation in a municipality of Ceara: from challenges to achievements
Informe del desarrollo del apoyo matricial en una ciudad de Ceará: de los desafíos a los logros
Relato da implantação do matriciamento em um município cearense: dos desafios às conquistas
title Report of the matrix implementation in a municipality of Ceara: from challenges to achievements
spellingShingle Report of the matrix implementation in a municipality of Ceara: from challenges to achievements
Sousa, Paulo Henrique Caetano de
Saúde da família
Atenção primária
Apoio matricial
Salud de la familia
Atención primaria
Apoyo matricial
Family health
Primary health
Matrix support
title_short Report of the matrix implementation in a municipality of Ceara: from challenges to achievements
title_full Report of the matrix implementation in a municipality of Ceara: from challenges to achievements
title_fullStr Report of the matrix implementation in a municipality of Ceara: from challenges to achievements
title_full_unstemmed Report of the matrix implementation in a municipality of Ceara: from challenges to achievements
title_sort Report of the matrix implementation in a municipality of Ceara: from challenges to achievements
author Sousa, Paulo Henrique Caetano de
author_facet Sousa, Paulo Henrique Caetano de
Monteiro, Marianna Braga Noronha
Silva, Pamela Bezerra da
Azevedo, Uly Castro de
author_role author
author2 Monteiro, Marianna Braga Noronha
Silva, Pamela Bezerra da
Azevedo, Uly Castro de
author2_role author
author
author
dc.contributor.author.fl_str_mv Sousa, Paulo Henrique Caetano de
Monteiro, Marianna Braga Noronha
Silva, Pamela Bezerra da
Azevedo, Uly Castro de
dc.subject.por.fl_str_mv Saúde da família
Atenção primária
Apoio matricial
Salud de la familia
Atención primaria
Apoyo matricial
Family health
Primary health
Matrix support
topic Saúde da família
Atenção primária
Apoio matricial
Salud de la familia
Atención primaria
Apoyo matricial
Family health
Primary health
Matrix support
description Matrix support is one of the basic prerogatives for the longitudinal, holistic, and effective follow-up of complex cases in the communities, which is the basis of support of the Expanded Nucleus of Family Health and Primary Care (NASF-AB), now called multiprofessional health team. This article aimed to describe how the process of implementing matrix support meetings took place in a municipal NASF from the interior of the state of Ceará, by a qualitative, cross-sectional, narrative-descriptive experience report and based on the experience from the institution of the matrix support meeting. Written records of meeting minutes and memorable events were used. The process of establishing the matrix meetings took place in three stages: territorial analysis, in which the problems of the community were raised and the networks available in the municipality were identified; clarification meeting on the idea of matrix support, benefits and ways of implementing it in the professional routine (at this stage, in addition to raising awareness among professionals, management support was sought); and agreement on the frequencies at which the meetings would take place, based on sequential meetings and selection of the cases that would be discussed. In conclusion, for them to be carried out effectively, the matrix support meetings need to have clear objectives in front of the professionals who will participate in them, since many work processes do not have the perspective of matrix support. However, it must be understood that difficulties will arise in maintaining such meetings and that the success or failure of the meetings will be the responsibility of all participants.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3422
10.22278/2318-2660.2021.v45.n4.a3422
url https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3422
identifier_str_mv 10.22278/2318-2660.2021.v45.n4.a3422
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3422/3092
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SESAB
publisher.none.fl_str_mv SESAB
dc.source.none.fl_str_mv Revista Baiana de Saúde Pública; v. 45 n. 4 (2021); 241-251
2318-2660
0100-0233
10.22278/2318-2660.2021.v45.N4
reponame:Revista Baiana de Saúde Pública (Online)
instname:Secretaria da Saúde do Estado da Bahia (Sesab)
instacron:IBICT
instname_str Secretaria da Saúde do Estado da Bahia (Sesab)
instacron_str IBICT
institution IBICT
reponame_str Revista Baiana de Saúde Pública (Online)
collection Revista Baiana de Saúde Pública (Online)
repository.name.fl_str_mv Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)
repository.mail.fl_str_mv ||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br
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