0327/2021 - A REGULAÇÃO AMBULATORIAL NA ATENÇÃO PRIMÁRIA DO MUNICÍPIO DO RIO DE JANEIRO A PARTIR DOS MÉDICOS REGULADORES LOCAIS AMBULATORIAL REGULATION IN PRIMARY ATTENTION IN THE MUNICIPALITY OF RIO DE JANEIRO FROM THE LOCAL REGULATORY DOCTORS
O artigo teve por objetivo caracterizar o processo de regulação assistencial realizado nas unidades de Atenção Primária à Saúde do município do Rio de Janeiro, com ênfase na dimensão ambulatorial. Foi realizado estudo transversal, por meio de um survey, com participação de 114 médicos reguladores locais, no ano de 2019. Quanto ao perfil dos reguladores locais, destacou-se o alto percentual com formação em Medicina de Família e Comunidade e o tempo de atuação relativamente adequado destes profissionais nas unidades. Para 52,6%, a infraestrutura para regulação é adequada, mas a conectividade apresenta problemas com frequência. No sistema de regulação, os mecanismos e horários de disponibilização de vagas produzem competição entre os reguladores das unidades, com sobrecarga de trabalho e iniquidades de acesso associadas. Observou-se importante envolvimento dos reguladores locais em atividades de avaliação e gestão de filas de espera. A maioria informou haver pouca ou nenhuma interação com a atenção especializada. Apesar do processo de regulação descentralizada ainda apresentar importantes limites, o estudo aponta a factibilidade e contribuição da entrada mais intensa da Atenção Primária na regulação do acesso.
Palavras-chave:
Assistência Integral à Saúde; Regulação em Saúde; Atenção Primária à Saúde
Abstract:
The article aimed to characterize the process of care regulation carried out in Primary Health Care units in the city of Rio de Janeiro, with an emphasis on the outpatient dimension. A cross-sectional study was carried out, through a survey, with the participation of 114 local regulatory doctors, in 2019. As for the profile of local regulators, the high percentage with training in Family and Community Medicine and the length of relatively adequate performance of these professionals in the units. For 52.6%, the infrastructure for regulation is adequate, but connectivity often problems frequently. In the regulation system, the mechanisms and schedules for making vacancies available and accessing them produce competition between the regulators of the units, with work overload and associated access inequities. There was important involvement of local regulators in activities of evaluation and management of waiting queues. The majority reported that there was little or no interaction with specialized care. Although the decentralized regulation process still presents important limits, the study points to the feasibility and contribution of the most intense entry of Primary Care in the regulation of access.
Keywords:
Comprehensive Health Care; Health Care Regulation; Primary Health Care
AMBULATORIAL REGULATION IN PRIMARY ATTENTION IN THE MUNICIPALITY OF RIO DE JANEIRO FROM THE LOCAL REGULATORY DOCTORS
Resumo (abstract):
The article aimed to characterize the process of care regulation carried out in Primary Health Care units in the city of Rio de Janeiro, with an emphasis on the outpatient dimension. A cross-sectional study was carried out, through a survey, with the participation of 114 local regulatory doctors, in 2019. As for the profile of local regulators, the high percentage with training in Family and Community Medicine and the length of relatively adequate performance of these professionals in the units. For 52.6%, the infrastructure for regulation is adequate, but connectivity often problems frequently. In the regulation system, the mechanisms and schedules for making vacancies available and accessing them produce competition between the regulators of the units, with work overload and associated access inequities. There was important involvement of local regulators in activities of evaluation and management of waiting queues. The majority reported that there was little or no interaction with specialized care. Although the decentralized regulation process still presents important limits, the study points to the feasibility and contribution of the most intense entry of Primary Care in the regulation of access.
Palavras-chave (keywords):
Comprehensive Health Care; Health Care Regulation; Primary Health Care
Silva Junior, C. L., Guabiraba, K. P. de L., Gomes, G. G., Andrade, C. L. T, Melo, E. A.. A REGULAÇÃO AMBULATORIAL NA ATENÇÃO PRIMÁRIA DO MUNICÍPIO DO RIO DE JANEIRO A PARTIR DOS MÉDICOS REGULADORES LOCAIS. Cien Saude Colet [periódico na internet] (2021/Nov). [Citado em 11/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-regulacao-ambulatorial-na-atencao-primaria-do-municipio-do-rio-de-janeiro-a-partir-dos-medicos-reguladores-locais/18226?id=18226
