0233/2023 - Novas conformações do apoio matricial em tempos de pandemia de Covid-19 New configurations of matrix support in times of the Covid-19 pandemic
O presente artigo buscou analisar as diferentes conformações do apoio matricial a partir das mudanças engendradas pela pandemia de SARS-CoV-2, tendo como referência o processo de trabalho do Núcleo Ampliado de Saúde da Família (NASF) neste contexto, do município de Maricá, Rio de Janeiro, Brasil. Utilizou-se como método de investigação a pesquisa qualitativa e de análise a hermenêutica dialética, subsidiada por técnicas definidas em função do cenário pandêmico - websurvey, entrevista semiestruturada, análise documental e busca nos sistemas de informações do Sistema Único de Saúde. Como principais resultados, a pesquisa evidenciou: aumento de queixas associadas à saúde mental, em usuários e trabalhadores; necessidade de mobilização das redes de apoio socioassistenciais; ampliação do apoio remoto, sobretudo junto aos profissionais das equipes vinculadas; menor circulação dos especialistas pelos territórios. A pesquisa identificou que o processo de trabalho foi se tornando mais individualizado, dentro dos consultórios, e que as equipes mínimas reuniram poucas condições para a atenção aos agravos decorrentes da Covid-19, confirmando o NASF como uma equipe essencial da Atenção Primária à Saúde.
Palavras-chave:
Covid-19. Atenção Primária à Saúde. Núcleo Ampliado de Saúde da Família. Apoio Matricial. Pesquisa Qualitativa.
Abstract:
This papper sought to analyze the different configurations of matrix support based on the changes generate by the SARS-CoV-2 pandemic, taking as reference the work process of the Expanded Family Health Center – NASF - in this context, in the city of Maricá, Rio de Janeiro, Brazil. Qualitative research was used as an investigation method and dialectical hermeneutics was used for analysis, supported by techniques defined according to the pandemic scenario - websurvey, semi-structured interview, document analysis and search in the information systems of the Unified Health System. As main results, the research showed: increase in complaints associated with mental health, in users and workers; need to mobilize social assistance support networks; expansion of remote support, especially with professionalslinked teams; lesser circulation of specialists across territories. The research identified that the work process was becoming more individualized, within the offices, and that the minimum teams met few conditions for the attention to the aggravations resultingCovid-19, confirming the NASF as an essential team of Primary Health Care.
Keywords:
COVID-19. Primary Health Care. Expanded Family Health Center. Primary Health Care. Matrix Support. Qualitative Research.
New configurations of matrix support in times of the Covid-19 pandemic
Resumo (abstract):
This papper sought to analyze the different configurations of matrix support based on the changes generate by the SARS-CoV-2 pandemic, taking as reference the work process of the Expanded Family Health Center – NASF - in this context, in the city of Maricá, Rio de Janeiro, Brazil. Qualitative research was used as an investigation method and dialectical hermeneutics was used for analysis, supported by techniques defined according to the pandemic scenario - websurvey, semi-structured interview, document analysis and search in the information systems of the Unified Health System. As main results, the research showed: increase in complaints associated with mental health, in users and workers; need to mobilize social assistance support networks; expansion of remote support, especially with professionalslinked teams; lesser circulation of specialists across territories. The research identified that the work process was becoming more individualized, within the offices, and that the minimum teams met few conditions for the attention to the aggravations resultingCovid-19, confirming the NASF as an essential team of Primary Health Care.
Palavras-chave (keywords):
COVID-19. Primary Health Care. Expanded Family Health Center. Primary Health Care. Matrix Support. Qualitative Research.
Mattos, M. P., Gutiérez, A. C.. Novas conformações do apoio matricial em tempos de pandemia de Covid-19. Cien Saude Colet [periódico na internet] (2023/Ago). [Citado em 08/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/novas-conformacoes-do-apoio-matricial-em-tempos-de-pandemia-de-covid19/18859?id=18859&id=18859
