0427/2016 - Atenção especializada ambulatorial no Sistema Único de Saúde: Para superar um vazio. Outpatient specialized care in the Unified Health System: To overcome an empty.
A estruturação da atenção especializada ambulatorial é um gargalo na construção do Sistema Único de Saúde, não havendo um consenso sobre uma ‘boa’ organização desses serviços. A partir de breve discussão desse vazio de um modelo organizativo, propomos a indução federal de um formato de serviços especializados a partir das experiências dos Núcleos de Apoio à Saúde da Família (NASF), cuja atuação matricial adaptada é um protótipo ótimo de organização do cuidado especializado ambulatorial. Ela permite a equidade no acesso e a máxima proximidade do cuidado especializado da realidade dos usuários, o relacionamento personalizado e a articulação íntima entre as equipes de saúde da família e os especialistas, viabilizando educação permanente mútua, regulação negociada e aumento da resolubilidade da atenção básica. Aspectos das experiências municipais de Florianópolis e Curitiba são sintetizadas como exemplos parciais da proposta. É brevemente descritas a estruturação do cuidado em saúde mental de Florianópolis, toda organizada como apoio matricial; e a mudança de enfoque das equipes de apoio de Curitiba, que progressivamente passaram a sem empenhar, envolver e mediar a relação entre a atenção básica e especializada. Este formato pode ser adaptado e expandido para a maioria das especialidades médicas, normatizado e induzido financeiramente pelo governo federal.
Palavras-chave:
Sistema Único de SaúdeAtenção secundáriaPolíticas de saúdePlanejamento de serviços de saúde
Abstract:
The structuring of the outpatient specialized care is a bottleneck in the construction of the Unified Health System. There is no drawing or consensus on a ‘good‘ organization of these services. From discussion about the void of an organizational model, we propose the federal induction of a specialized service formatthe experiences of Centers of Support for Family Health (NASF), which adapted matrix operations is a great prototype organization of outpatient specialized care. It allows for equal access and maximum proximity to the specialized care of primary care users reality, the personal relationship and the close relationship between the family health teams and medical and non-medical specialists, enabling mutual lifelong learning, negotiated regulation and increased solvability of primary care. Municipal experiences of Florianopolis and Curitiba are synthesized as partial examples of the proposal. We describe briefly the structure of care in mental health of Florianópolis, all organized as a matrix support; and we focus on the change in the action of the support teams of Curitiba, which gradually began to engage, involve and mediate the relationship between basic and specialized care. This format can be expanded to most medical specialties and induced financially by the federal government.
Keywords:
Delivery of Health CareSecondary CareHealth PolicyOrganization and Administration
Outpatient specialized care in the Unified Health System: To overcome an empty.
Resumo (abstract):
The structuring of the outpatient specialized care is a bottleneck in the construction of the Unified Health System. There is no drawing or consensus on a ‘good‘ organization of these services. From discussion about the void of an organizational model, we propose the federal induction of a specialized service formatthe experiences of Centers of Support for Family Health (NASF), which adapted matrix operations is a great prototype organization of outpatient specialized care. It allows for equal access and maximum proximity to the specialized care of primary care users reality, the personal relationship and the close relationship between the family health teams and medical and non-medical specialists, enabling mutual lifelong learning, negotiated regulation and increased solvability of primary care. Municipal experiences of Florianopolis and Curitiba are synthesized as partial examples of the proposal. We describe briefly the structure of care in mental health of Florianópolis, all organized as a matrix support; and we focus on the change in the action of the support teams of Curitiba, which gradually began to engage, involve and mediate the relationship between basic and specialized care. This format can be expanded to most medical specialties and induced financially by the federal government.
Palavras-chave (keywords):
Delivery of Health CareSecondary CareHealth PolicyOrganization and Administration
Tesser, C.D., Poli Neto, P. Atenção especializada ambulatorial no Sistema Único de Saúde: Para superar um vazio.. Cien Saude Colet [periódico na internet] (2016/set). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/atencao-especializada-ambulatorial-no-sistema-unico-de-saude-para-superar-um-vazio/15853?id=15853
