Gestão do cuidado na atenção primária à saúde no estado de Goiás

• Autor(a) principal: Duarte , Ligia Vanessa Silva Cruz
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/0013000009mjg
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/6985
• topic: Gestão do cuidado; Coordenação do cuidado; Atenção básica à saúde; Avaliação de serviço de saúde; Care management; Care coordination; Basic health care; Health service assessment; CIENCIAS DA SAUDE

INTRODUCTION: Studies highlight that care management actions would enable improvements in care continuity and integrality, as they would reduce barriers to access to different health services, performing them in a real and appropriate way. In Primary Health Care, it is necessary that chronic conditions be guided by management practices, aiming at integrating care levels, thus facilitating the ordering of flows and counterflows of people, products and information. This fact puts the PHC in a scenario of constant conflicts of responsibilities, to order and reorder health services and to have more synchronized care. OBJECTIVE: To evaluate care management in PHC using the parameters evaluated by PIAQ - PC in Goiás. METHODOLOGY: This is a cross - sectional study that evaluated PIAQ - PC results in Goiás in 2014. Secondary data from PIAQ-PC External Evaluation database from December 2013 to March 2014 were used. RESULTS: The results of this study allow us to state that there is fragility regarding a consistent registry of the territory, use of standardizations for conducts, agenda scheduling, consultations offering, risk classification and definition of well-defined flows of the user in health units system, in Basic Attention in Goiás, making care barriers and harming those who need them. CONCLUSION: The results found may support the managers' reflection on problems identification in coordination, flow and continuity of care and help in planning, programming and evaluation of intervention measures to be adopted by the Secretary of the State of Health of Goiás and the Municipal Health Secretariats, in order to structure Primary Health Care, making it more resolutive and less expensive.