Aplicação de um modelo de gestão na atenção básica de Capela do Socorro, município de São Paulo

• Ano de defesa: 2009
• Autor(a) principal: Yashiro, Suely Miyuki [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Programa de saúde da família; Atenção primária à saúde; Hipertensão; Gestão em saúde; Estratégia saúde da família; Family health program; Hypertension; Primary heath care; Heath management; Family health strategy
• Link de acesso: http://repositorio.unifesp.br/handle/11600/8961

Objectives: To verify if the model of PNGS can be understood and used to stimulate opportunities for performance improvement in Public Health Care units (PHCu) and to observe the differences in the management of traditional PHCU and Health Family Programs (HFP) evaluated with this model. Methods: This study was conducted in 10 from 14 PHCu of Capela do Socorro, in the city of São Paulo, from August 2006 to May 2007. After instruction, managers prepared the PHCu documents (presentation and profile) and the Management Report (MR) in ways of PNGS. As indicators of progress in management the number of patients registered in the HiperDia System was analyzed and two joint efforts with hypertensive patients enrolled in PHCU were made to verify the improvement in their control. Results: Regarding the analysis of the profile of PHCU in the item presentation, the average was 70.6% and 64.4% for the item profile. Health Family Programs obtained higher average in both presentation and profile compared with PHCu. In evaluating the MR on the criteria of PNGS for the template of 250 points, the total sum obtained by UBS ranged from 16 (6.4%) to 103 (41.2%) points. The units with HFP had a medium of 78 points (31.2%), while traditional PHCu had 51 points (20.4%). Most reports showed a good understanding of their formulation. There was an increase of 6,6% in the register of patients in HiperDia System and it was observed a significant decrease in the medium of Systolic Blood Pressure-SBP (167.0 to 156.6 mmHg) and Diastolic Blood Pressure-DBP (107.9 to 93.8 mmHg) in those patients considered non-controlled at the beginning of the project, between August 2006 and May 2007, respectively. Conclusion: The model of PNGS was understood and was helpful in assessing the management of PHCU. The presentation and profile of PHCu were satisfactory and HFP had best scores than the traditional ones. Although the MR was not prepared satisfactorily. There was an increase in registration of patients in HiperDia System and a significant decrease in measures of SBP and DBP of previously non-controlled patients, both in PHCu and HFP units.