O trabalho objetivou identificar as ações desenvolvidas pelo Agente Comunitário de Saúde-ACS vinculado à saúde da família de Montes Claros, MG, Brasil. A pesquisa foi conduzida no âmbito do Programa de Educação pelo Trabalho para a Saúde-PET-Saúde, 2010-2012. Estudo quantitativo e censitário. Participaram 241 Agentes. A maioria realiza o cadastro e visita familiar, identifica as famílias de risco e informa à equipe, orienta quanto ao uso dos serviços de saúde, encaminha e agenda consultas/exames, realiza educação em saúde e participa de reflexão do trabalho em equipe. Uma parcela (33,6%) auxilia no ambiente clínico. Ao associar as atividades com a condição de ter capacitado para a função, somente o encaminhamento para a consulta e a educação em saúde foram associados à qualificação profissional (p=0,047). A maioria dos que realizam a educação em saúde e fazem encaminhamentos se sente preparado para a função (p<0,05). O ACS é o elemento nuclear das ações em saúde, assumindo o papel de sujeito articulador entre usuários e equipe de saúde. Contudo, as dimensões de atuação exigem investimentos na instumentalização adequada do profissional e na manutenção da qualidade do processo de trabalho executado por ele, em atividades de supervisão e de reflexão em equipe. Assim, o ACS poderá assumir a corresponsabilidade com a Atenção básica, integrando ao sistema de administração de saúde.
Palavras-chave:
Saúde pública
Agentes Comunitários de Saúde
Saúde da família
Sistema Único de Saúde
Abstract:
This research aimed to identify the actions developed by the Health Community Agent-HCA bound to the family health from Montes Claros, MG, Brazil. The research has been made under the Health Work Educational Program-PET-SAÚDE. This is a quantitative study and census. An amount of 241 HCA have been interviewed. Most performs family registration, home visits, identifies families that present health risk and informs the health team, guides families about available health services, referrals and books consultations/exams, performs health education and teamwork reflections. A fraction (33.6%) assist on the clinical environment. By associating the HCA activities with the condition of being trained for its functions, both the referrals as the health education have been associated (p=0,047). The majority who provide Health Education and those who are responsible for the referrals feel that they are prepared for such tasks (p<0,05). The HCA is a core element of health actions, taking the role of an articulator between users and health professionals. However, the dimensions of performance require investment in appropriate professional instumentalização and maintaining the quality of the work executed by him in surveillance activities and reflection on team. Thus, the HCA will assume responsibility with Primary care, integrating the system of healthcare administration.
Keywords:
Public health
Community Health Workers
Family health
Unified Health System
Community Health Worker: a core element of health actions
Resumo (abstract):
This research aimed to identify the actions developed by the Health Community Agent-HCA bound to the family health from Montes Claros, MG, Brazil. The research has been made under the Health Work Educational Program-PET-SAÚDE. This is a quantitative study and census. An amount of 241 HCA have been interviewed. Most performs family registration, home visits, identifies families that present health risk and informs the health team, guides families about available health services, referrals and books consultations/exams, performs health education and teamwork reflections. A fraction (33.6%) assist on the clinical environment. By associating the HCA activities with the condition of being trained for its functions, both the referrals as the health education have been associated (p=0,047). The majority who provide Health Education and those who are responsible for the referrals feel that they are prepared for such tasks (p<0,05). The HCA is a core element of health actions, taking the role of an articulator between users and health professionals. However, the dimensions of performance require investment in appropriate professional instumentalização and maintaining the quality of the work executed by him in surveillance activities and reflection on team. Thus, the HCA will assume responsibility with Primary care, integrating the system of healthcare administration.
Palavras-chave (keywords):
Public health
Community Health Workers
Family health
Unified Health System
