Objective: To analyze the possibilities of the transition from care to the problem of chronic illness due to the need of regionalized municipal planning. Method: An exploratory qualitative study was carried out in one of the Health Regions of Rio Grande do Sul, together with the Primary Health Care Coordinators. Results: The final thematic categories that emerged from the results were: “The relationship between municipalities of the Health Region and health planning”, Organizational flow of care of users with chronic diseases”, and “Managing care in the health system: meeting the demands of chronically sick users”. Conclusions: The scenario under study demonstrates the persistence of barriers that affect health care for NCDs, such as the scarcity of investments, lack of planning and disarticulation of communication among municipalities. These conditions reflect on the path of the user among the health services, weakening the transition process of care.
Objectives: To analyze the innovations and challenges pointed out by the coordinators of basic care for the interprofessional and intersectoral exercise, and the importance of these practices as a potentiator of Nursing care and teaching in Primary Health Care. Methods: An exploratory study with a qualitative approach was carried out in a Rio Grande do Sul Health Region. Semistructured interviews were carried out with the Basic Attention Coordination of the Cities of the empirical area, between 2014 and 2015, with thematic content analysis. Results: The primary care coordinators highlight the effectiveness of interprofessional and intersectoral actions, but claim that there are still several obstacles for these actions to become routine. These professionals seek alternatives to modify the reality found, but not all have results. Conclusion: Intersectoriality and interprofessionality make it possible to carry out holistic and integral health actions, optimizing Nursing care practices.
RESUMO Objetivo Analisar as práticas de monitoramento desenvolvidas pelos municípios e as interfaces com a prática da Enfermagem. Métodos Estudo exploratório descritivo com abordagem qualitativa, realizado nos seis municípios da Região de Saúde 10 do Rio Grande do Sul. Foram realizadas entrevistas semiestruturadas junto a seis gestores de saúde e um assessor, com análise de conteúdo. Resultados As categorias finais que emergiram dos resultados foram “Práticas de monitoramento na gestão municipal em saúde” e “Dificuldades de implantação do monitoramento pelos gestores”. Conclusões Os gestores apontaram potencialidades e fragilidades nas práticas de monitoramento municipal de saúde. A incorporação deste processo é primordial à prática dos profissionais, especialmente da enfermagem, promovendo um incremento no uso de novas ferramentas que propiciam a inovação para subsidiar a tomada de decisão.
Objectives: to analyze the municipal planning developed by nurses coordinating Primary Health Care, aimed at coping with Chronic Noncommunicable Diseases, from the perspective of the Situational Strategic Planning. Methods: a descriptive exploratory study with a qualitative approach developed in municipalities of a Health Region of Rio Grande do Sul State. Semi-structured interviews were carried out with the Primary Health Care coordination of the municipalities of the empirical area, between 2014 and 2015. Content analysis was the thematic and the theoretical perspective of strategic analysis. Results: in the development of municipal planning regarding care for chronic illness, the study highlighted fragilities, which are a challenge for management. The Regional Municipal Planning is a tool that contributes to the articulation between actors involved in the organization of the health system. Final considerations: strategic insertion of Nursing in the field of Health prompts the debate about the role of this professional in the management of SUS.
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