COMPARATIVE ANALYSIS BETWEEN FAMILY HEALTH STRATEGY AND BASIC HEALTH UNIT IN REFERALL TO SECONDARY CARE IN CARDIOLOGY

Abstract

The last decades have brought significant changes in the public health of Brazil, and SUS has been investing a lot more in continuous and good quality primary health care, minimizing the overload in specialized services. Adapting to these new principles are fundamental to the effectiveness and complete functioning of the system. Based on that, the matrix-based program from AME Barretos was created with the goal of developing new clinical and sanitary guidelines among the members of a primary and secondary health care teams. The Family Health Strategies, which have the target to provide comprehensive assistance in the building as well as at home in primary care, are the focus of this program, with actions involving phisicians and a multidisciplinary team qualified for this type of situation that seek to develop more effective actions. This work will evaluate the effectiveness of the matrix-based program on a comparative study of the actions of the Family Health Strategies and the correlation to the assistance observed in Basic Health Units that do not have the specific actions of the ESF. The evaluation of a need for a secondary care in the cardiology department that represents the highest number of transfers to AME Barretos was used for this analysis. Therefore, this study aims to analyse comparatively assistance-based profiles of basic care teams and of the ESF (based on information from cities with different structures and dimensions – A and B) under the aspects of the characteristics of transfers to the secondary health care in Cardiology.