Matriciamento na atenção básica: estudo de equipes ESF e NASF atuando na região da Capela do Socorro-SP

• Ano de defesa: 2015
• Autor(a) principal: Santos, Rosimeire Aparecida Bezerra de Gois dos [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: Primary care; Family health program; Continuing education; Atenção básica; Programa de saúde da família; Educação permanente
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3197016; https://www2.unifesp.br/centros/cedess/mestrado/baixada_santista_teses/030_bx_dissertacao_rosimeiresantos.pdf; https://repositorio.unifesp.br/handle/11600/47610

In early 1970, the Brazilian Government reformed the basic attention to health (ABS). The outpatient model, centered in the medical professional, it moved to a strategy or the family health program (PSF), with new principles as: health promotion, health responsibility for a territory. In January 2008, the core of support for family health (NASF) was created for the expansion, increased resolution and completeness in health care. The NASF was thought of as a specialized rear toward the clinical and educational action in support of teams, using technologies such as: Matrix Support, Expanded Clinic, Unique Therapeutic Project (PTS), Health project in the territory (PST) and continuing education (EP). The research presented here aims to investigate the General theoretical knowledge and practices that the ESF professionals and the NASF associated with the Matrix-based. The specific objectives are: to investigate how the Matrix-based into the daily routine of the professionals and shared construction; besides enabling scientific return for public authorities and contribute to effective public policy. It is descriptive and exploratory study, quantitative approach, with qualitative refinement. Were invited to join the PSF doctors and nurses and all the professionals of the NASF linked the five basic health units (UBS) of the region of Capela do Socorro of Sao Paulo. Data collection took place by questionnaire; It took five dates of 30 minutes each, in five UBS, to perform it. 78:44 professionals participated in the PSF and 34 of the NASF. Descriptive statistics and inferenciais were carried out. The results reveal that 80 of surveyed have graduate degrees, but only 35 are post-graduates in family health, indicating lack of theoretical training. The answers regarding the everyday actions of Matrix-based, indicate the existence of differences between PSF teams and NASF, in particular three concepts: intersectoral approach (32.6 of the PSF against 76.5 of the NASF), Permanent Education (51 of the PSF against 85 of the NASF) and Expanded Clinic (48.8 of the PSF and 79 of the NASF). The differences are smaller with regard to the practice of PTS and discussion of Case, respectively: 76.7 of the PSF and 100 of NASF and 85 of the PSF and 100 of the NASF. There is more consensus when it comes to work. The analysis of qualitative issues have enabled a refinement, giving access to freely meanings assigned to the Matrix-based by groups of subjects and the set of parsed data indicates that the PSF teams tend to organize from a model of ambulatory assistance doctor-centric, while the teams of the NASF are more open to other sectors, knowledge and trading spaces. It was noticed that the Matrix-based can be a good strategy, but still need to make adjustments to make it more compatible with the work of the two teams, for example making the ESF professional agendas, as well as raise the awareness of managers and trainers of universities of the need to expand the vision that they have of the possibilities of sharing knowledge and experiences.