ResumoO inadequado atendimento às urgências é motivo de insatisfação da população e de aumento de morbidade e mortalidade. Para responder ao problema, o Estado implantou o Serviço de Atendimento Móvel de Urgência (SAMU), o primeiro componente da Política Nacional de Urgências que propõe o atendimento integral às urgências. Com o objetivo de analisar a prática de integralidade no SAMU, analisamos a regulação nos SAMU do Estado do Rio de Janeiro. A metodologia baseou-se na análise da conduta estratégica (Giddens, 1984)
AbstractUrgency inadequate care is a matter of dissatisfaction for the population and increases morbidity and mortality. The SAMU (Mobile Urgency Care Service) was the first component of the National Urgency Policy to be deployed, a public policy that proposes integral care of urgencies. In order to examine the practices of integral care at SAMU we analyzed its regulation in the state of Rio de Janeiro. The methodology was based on strategic conduct analysis (Giddens, 1984), relating agents and their strategies with the structural dimensions. The categorization of the analysis highlighted: the successful SAMU, with integral care practices in their individual component and access to services; its function as network of health services' observatory, indicating restriction on access to the Family Health Program and hospital services; shortage of resources and inappropriate use of ambulances; and unrecognized demands, in which cases were refused . The field work confirmed the power of SAMU as a health care network observer. However, the authoritative resource mobilization and allocation were insufficient for an integrated system of urgencies care.