Inserção de um hospital de grande porte na Rede de Urgências e Emergências da região Centro-Oeste

Abstract

RESUMO Em face da exigência de se configurar as redes de cuidados, este estudo qualitativo analisa a inserção de um hospital de grande porte na Rede de Atenção às Urgências e Emergências na região Centro-Oeste do Brasil utilizando dados secundários, análise documental e entrevistas semiestruturadas aplicadas aos gestores e profissionais que atuam no Centro de Trauma. Os resultados sugerem desconhecimento dos profissionais quanto à inserção do Hospital na rede; definição de fluxos e pactos incipiente; boas práticas na regulação pelo Serviço de Atendimento Móvel de Urgências. Conclui-se que a inserção do Hospital acontece de forma lenta e depende da articulação dos vários níveis do Sistema Único de Saúde.PALAVRAS-CHAVE Assistência à saúde; Serviços de saúde; Emergências. ABSTRACT In view of the demand of configuring the care networks, this qualitative study analyses the insertion of a large size hospital in Urgent and

Nurses and physicians’ perception of the care of oncology patients in the emergency department

“…Also, the scarcity of beds in wards for hospitalized cancer patients, resulting in a longer stay in the emergency department, as reported by professionals, is a problem -shown in different Brazilian states -that leads to unit overcrowding (17) . This situation can cause losses to the care of such patients due to the characteristics of emergency services, such as the excessive number of patients; the diversity of clinical severity, with critical patients alongside those who are more stable; the scarcity of resources; the overload of the nursing team; the insufficient number of physicians; and the discontinuity of care (18) .…”

“…Besides, participants also listed issues concerning the responsibility of the Care Network towards assisting people with cancer. They question the possibility of providing the first assistance or responding to demands since it could occur in small hospitals in the region or Primary Care units (18) .…”

“…In this sense, we emphasize that effectuating care systems integration is a challenge for SUS, especially in the emergency context. The resoluteness of the Primary Care is associated with meeting spontaneous care demands and providing the first assistance in emergencies, thus absorbing a demand that is found today at the hospital entrance doors, when they should be destined to attend more serious emergencies (18) . In this regard, another study reports the lack of training and knowledge about cancer and its consequences, which causes insecurity in primary care professionals about approaching and assisting oncological issues (19) .…”

Política Nacional de Atenção Hospitalar: con(di)vergências entre normas, Conferências e estratégias do Executivo Federal

“…An alignment between normative marks and CNS occurred when the government recognizes the need to change the care model, aiming at: integration of care levels and management spheres; incorporation of management models with improved performance; joint management and redefinition of the role of hospital as guidelines for health care (DEUS;MELO, 2015). The latter was an experience aimed at overcoming the systemic fragmentation by means of RAS, particularly those related to urgencies and emergencies, which would qualify the units for trauma-brain-cardiovascular care, and extra beds for hospitalization and intensive care (SOARES;SCHERER;O'DWYER, 2015). The Multi-annual Plan and the XII CNS are the basis the proposal is grounded on.…”

Centro de Trauma: modelo alternativo de atendimento às causas externas no estado do Rio de Janeiro

“…A recent research in a tertiary reference hospital for trauma, which responds indistinctly to traumas and emergencies attributable to primary care, has found operational difficulties for quality care (SOARES;SCHERER;O'DWYER, 2015).…”