Evaluation of reference systems involving Family Health teams: the case of hypertension in the town of Santa Cruz do Sul, Brazil (2006) / Avaliação do sistema de referência e contra-referência em equipes de saúde da família: o caso da doença hipertensiva no município de Santa Cruz do Sul - RS, 2006

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

A reference system for patients/users of the brazilian Unified Health System (SUS) consists of a series of actions in order to guarantee the access to procedures and services of higher complexity with subsequent return to their original local health services. This study evaluates the Family Health teams in the city of Santa Cruz do Sul, State of Rio Grande do Sul, Brazil. It was used the hospital admissions related to hypertension in 2006 as tracer event. Through informations obtained in hospital admissions authorizations reports, in detailed maps of the areas where family health teams are located, in analyses of the patients medical records, interviews with the community health agents and by application of standardized health system evaluation questionnaires, it was created a setting for data analysis and synthesis proposals in order to enhance the present local system. During 2006 it occurred 811 hospital admissions related to hipertension, which 24.42% among patients from areas of family health teams. The analysis of the patients records and of the interviews with their local health agents yelded that in barely 10% of cases there were characteristic actions of a comprehensive health care system. The proposal synthesis carried out with all the family health staff members raised actions aiming to reach the following goals: explanation to the medical professionals working in the system about the importance of the reference system and the possibility to link their payments with this procedure; empowering patients about the importance of such procedures; enhancement of communication among different health services, and promotion of meetings between family health specialists and hospitals. The study concludes that the local health system wastes possible advantages of the strategy of Family Health leading not to improvements of health indicators although having high costs with specialists and hospital system

ASSUNTO(S)

referência e contra-referência estratégia saúde da família comprehensive health care farmacia family health teams coordination of health services integralidade

ACESSO AO ARTIGO

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