Política pública de saúde: os elos das redes de produção da linha de cuidado ao trauma ortopédico no município de Santarém/Pa
Date
2023-07-21Author
http://lattes.cnpq.br/2777280801722366
REGIO, Gabriela Leusin
Metadata
Show full item recordAbstract
Brazilian Public Health, through the Unified Health System (SUS), encompasses primary care,
of medium and high complexity, urgency and emergency services, among others, based on the
principles of universality, equity and integrality. Morbidity and mortality due to external causes
of accidents and violence represent impacts on the public health of orthopedic trauma at the
national and local levels. This study aimed to evaluate the production of health care services of
the Trauma Care Line in the urgency and emergency network and its regulatory flows from the
Municipal Hospital of Santarém, in the period from 2019 to 2021. Through a study of
quantitative, exploratory approach and descriptive presentation, this research sought answers to
the guiding question: Does the production of services in orthopedic health care of the public
health network of the municipality of Santarém/PA enable the formation of links in the Trauma
Care Line? The methodological path included the collection of secondary data, originating
from the hospitalization in the Municipal Hospital of Santarém (HMS) for ICD of Transport
Accidents and Falls, with the support of additional information from the flow in the RAS, next
to the Municipal Ambulatory of Specialties and Municipal Health Secretariat (Semsa). The
focus of health evaluation in this dissertation is based on the Donabedian Triad (Structure,
Process, Result) whose method is widely referenced in Brazilian public health policy. The
conclusion reached in this research was evidence of non-compliance of some care and
administrative processes in the Municipal Hospital of Santarém, observed, above all, in
inconsistencies that prevented the qualification of the information of the provision of services
in the perspective of the Trauma Care Line, as well as the perception of low performance in the
quality of the conditions of a hospitalization to the patient generating a production of humanized
care, based on the length of stay in both observation and clinical beds and the regulation/transfer
of the patient to another health facility. Other unfavorable issues identified are related to the
structural issue of the Municipal Specialty Outpatient Clinic and to the information on the
scheduling of outpatient requests by the Municipal Health Department, since not all
appointments allowed the identification of the effectiveness of the service.