A estratégia saúde da família no município de São Luís : avanços e desafios

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

The Family Health Strategy proposes a new organization of services and health actions through the Primary Health Care, integrating the programmed actions and the spontaneous demand, creating actions aimed at promotion and surveillance of health, prevention and treatment of conditions, with inter-disciplined approaches, inserted on a service network which is configured as the gateway to the Health System. Consequently, widening the possibility to obtain a quality and effective care service, which grants the right for universal access, characterizing the territorial division where the interaction and intervention occurs. This essay is aimed at analyzing the Family Health Services Implantation Strategy in the city of São Luis, from August 2007 to April 2008, according to its principles. It is a descriptive and explanatory study which was developed in two different stages. On the first stage it was used the secondary databank from the Primary Health Care Information System. This information allowed the definition of the study population, as well as the number of teams enrolled, and the population designated to each team. On the second stage, it was carried out the primary data gathering through interviews with the staff from the Family Health teams and the Primary Health Unity managers. The study revealed that the implantation of the Family Health Program in the city of São Luis was slow, being improved in 2002 since the financial support from the Health Ministry. There were improvements on the Family Health geographical distribution on the sanitary districts, which has favored the equity principle. Most of the professionals had more than a year experience on the team and a post-graduation certificate in an area related to the Primary Health Care. Stands out that 24.2% of the interviewed professionals were unaware of their designated population. The city of São Luis has 46% of its teams responsible for more than 4.000 inhabitants. The interdisciplinarity during the patients care has shown the persisting idea of individualized care, focused on the condition with a spontaneous demand based care, poorly emphasizing the educational actions, the epidemiologic diagnosis and planning, compromising the integrality principle. The systematic monitoring of the developed actions by the teams may contribute to the Family Health Strategy steady consolidation as a remodeling proposal to the health model.

ASSUNTO(S)

modelo assistencial family health strategy estratégia saúde da família atenção básica assistance model primary health care saude coletiva

ACESSO AO ARTIGO

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