Author:

• Catia Cristina Martins de Oliveira - Oliveira, C. C. M. - <catiacoliver19@gmail.com, catiaoliveira@fiocruz.br>
ORCID: https://orcid.org/0000-0002-6419-7506

Co-author(s):

• Gisele O’Dwyer - O’Dwyer, G. - <odwyer@ensp.fiocruz.br, godwyer@globo.com>
ORCID: https://orcid.org/0000-0003-0222-1205
• Hillegonda Maria Dutilh Novaes - Novaes, H. M. D. - São Paulo, - <hidutilh@usp.br, hidutilh@gmail.com> +
ORCID: https://orcid.org/0000-0001-9849-0324

Abstract:

This article aims to analyze the perspective of managers and professionals
39 about the performance of the SAMU in the Grande ABC region. This is a qualitative case
40 study based on the formulation of a theoretical-logical model of intervention and semi-
42 structured interviews. The Theoretical-Logical Model translated the dimensions of
43 SAMU analysis: regulation, care and management. The regulation process was
44 understood as a strategic space the judgment of the patient\'s need and the
46 ambulance dispatch time have the potential to influence the outcomes of the transported
47 cases. In assistance, the main themes that emerged were investment in the qualification
48 of the team and in telemedicine with the perspective of improving the quality of care and
49
50 making the diagnosis more accurate. In management, challenges such as integrating
51 SAMU with tertiary centers, improving the information system, and monitoring and
52 evaluation were highlighted aiming to qualify the regulatory processes by aligning them
53
54 with the objectives proposed in the health policy. The set of data analyzed reinforces the
55 SAMU\'s capacity in emergency care in the region; however, the intervention needs to
56 overcome important challenges in order to improve the prognosis of the cases transported.

Keywords:

SAMU, case study, health management, regulation.

Content:

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