Counter-referral in Emergency Care Units: discourse of the collective speech

Abstract

Objective: To describe the facilities and difficulties of the counter-referral of an Emergency Care Unit in Santa Catarina State. Method: Descriptive, qualitative study, with the participation of three nurses and 17 physicians. The data were collected through a semi-structured interview and analyzed using the Discourse of the Collective Subject technique. For the theoretical basis, the Política Nacional de Atenção às Urgências (National Policy of Emergency Care) and the Rede de Atenção às Urgências (Network of Care to the Emergencies) was used. Results: The facilities of the counter-referral correspond to the strategies of communication with the Primary Care: embracement; good interpersonal relationships; and electronic medical record network. The difficulties are related to the deficiencies of Primary Care and specialized services, such as the insufficient number of physicians and the delay in scheduling consultations and more complex exams. Final considerations: The difficulties highlighted indicate significant challenges of the local health system in the search for integration between emergency care points.

Quality of Primary Health Care models for brazilian children

“…There were no significant findings for coordination of attention; however, the referral and counter-referral system remain precarious in the public system (Hermida et al 2019), mainly in the CHC. A possible limitation of this study is related to the fact that participants enrolled in private services may not know exactly the differences between primary and secondary care.…”

“…A possible limitation of this study is related to the fact that participants enrolled in private services may not know exactly the differences between primary and secondary care. Difficulties in the coordination of care for children can affect the quality of PHC services, causing a lack of connection within and between health care levels (Hermida et al 2019).…”

Elderly people’s experiences in emergencies through access to other levels of health care

“…Maintaining good interpersonal relationships with professionals from different points of the emergency and emergency network is considered a facilitating strategy for user access from one service to the other (12) .…”

Capacitação dos profissionais de enfermagem frente às situações de urgência e emergência na atenção primária a saúde: revisão integrativa

“…O acolhimento realizado ao usuário na Atenção Primária pode ser entendido como uma estratégia de comunicação que facilita a contra-referência entre a Unidade de Pronto Atendimento (UPA) e a Unidade de Saúde da Família (USF). Nesse sentido, o acolhimento se torna um espaço potente para humanização dos serviços de saúde (Hermida, Nascimento, Guanilo, Andrade, & Ortiga, 2019).…”