Restructuring of the Profile of Assistance Procape in Combination With Primary Care


Restructuring of the Profile of Assistance Procape in Combination With Primary Care

TERTULIANO, C.C1, GONÇALVES, M.K.S1, ALMEIDA, N.M1, ARAÚJO, W.M1

University of Pernambuco
Research Journal of Pharmacology and Pharmacy-2d Code


Inadequate structuring of the network is one of the factors that have inevitably contributed to the overload of Emergency and Emergency services available to the host of the population1. Research work carried out in 2010 on the contracting of the Cardiac Emergency Hospital of Pernambuco (PROCAPE) found that the hospital’s mission was clearly defined on paper, but this still could not go along with the network, which was not its strategic focus, with a hospital difficulty in running the logic of advantages compared to other health2 services. This study aims to propose a restructuring of the care profile of PROCAPE the clinic but also strengthen it as a hospital of high complexity in cardiology. Mixed approach of study in which joints were made with two multi-professional Residency Programs in existing Family Health in the city of Recife-PE: UPE, UFPE. 900 patients treated at outpatient PROCAPE was identified in the period from January to April 2013. It was used instrument of the “checklist” to identify the complexity of the cases of 150 patients who have coverage in the Health Family Program. It was found that over 45% of patients treated at PROCAPE the clinic were considered low-complexity cases these have been discussed with the attending physician of the project, which was proposed forwarding these to the USF’s closer to their homes. During the project had a significant response, where it was observed that patients who were affiliated with the FHP’s articulated the project began to be attended by doctors of primary health care and only those deemed severe cases were referred to the clinic PROCAPE. From the results it was observed that the society still unaware of the hospital complex levels, which results in high complexity public hospitals overwhelmed, especially those that are closer to the marginalized population, characteristics found in the studied hospital. Final Thoughts: Structural changes happen in the long term, the meaning of the practice of institutional support is precisely monitoring and construction of paths this transformation, placing the supporter next to the guys who are going to produce the changes.

Keywords: completeness, primary care health services


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REFERENCES

  1. Brasil. Portaria n.º 2048/GM. 5 de novembro de 2002. Aprova o regulamento técnico dos sistemas estaduais de urgência e emergência. Brasília, 2002.
  2. Paula, C. T. C. O Pronto-Socorro Cardiológico Universitário de Pernambuco: uma análise sob enfoque de démarche stratégique. Dissertação (Mestrado Profissional em Saúde Pública) – Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, 107 f. 2010.