Banca de DEFESA: CLÁUDIA FERREIRA MELO RODRIGUES

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : CLÁUDIA FERREIRA MELO RODRIGUES
DATE: 26/02/2021
TIME: 09:00
LOCAL: Videoconferência
TITLE: 
EVALUATION OF THE CAPACITY OF THE HEALTH SYSTEM FOR ACTION IN CHRONIC CONDITIONS AFTER A INTERVENTION

KEY WORDS:
Health assessment; Chronic disease; Primary Health Care

PAGES: 150
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:
Objective: To assess, in the perception of professionals, the capacity of the health
system to act in chronic conditions (WC), after the implementation of a new Care
Model. Method: This is an observational and longitudinal study, with evaluation before
(2013), during (2015) and after (2018) the intervention in the health system in the
municipality of Santo Antônio do Monte / MG. The intervention was based on changing
work processes, through the implementation of the Care Model for Chronic Conditions
(MACC). The MAC included the insertion of new tools and protocols for the care of
three CC: type 2 diabetes mellitus, systemic arterial hypertension and assistance to
pregnant women. As provided by the MACC itself, the introduction of macro and
microprocesses in primary health care (PHC) was carried out, through workshops with
health professionals in the municipality, seeking to institute care based on the
principles of territorialization, classification and stratification of the risk, organizing the
agenda, scheduling consultations and preparing the supported care and self-care plan.
To understand the perception of professionals about the health system, nine focus
groups were held, one from each health unit, in 2013 (before the intervention), in 2015
(during the intervention) and in 2018 (five years later). The Institutional Capacity
Assessment Tool for Chronic Illness Care (ACIC) was used as a script, validated for
Brazil and which evaluates services according to the following dimensions: 1)
Organization of Health Care Cheers; 2) Articulation with the Community; 3) Supported
Self-Care; 4) Decision support; 5) Design of the Service Delivery System; 6) Clinical
Information System; and 7) Integration of the Components of the Care Model for
Chronic Conditions. The collected data were submitted to qualitative and quantitative
analysis. Results: There were significant advances in the institutional capacity of the
municipality in the care of HC after intervention by the MACC. The professionals
emphasized the role of leadership in the organization of health care and the
appropriation of tools and protocols that enabled the development of longitudinal and
integrated care. The study brings important elements in a small Brazilian municipality,
contributing to new experiences of implementation in municipalities with a similar
reality. Conclusion: The research results reinforce the importance of implementing
the MACC for more effective and higher quality health management, as the experience
in Santo Antônio do Monte / MG reflected in the construction of a new praxis, with the
attention primary care ordering. Result that configured as a pilot for the Planning of
Primary Health Care in several Brazilian States, promoting the alignment of the
concept of primary care as a resolutive and coordinating function of the network.

BANKING MEMBERS:
Externa à Instituição - ELAINE LEANDRO MACHADO - UFMG
Interna - 1347706 - ALBA OTONI
Externo ao Programa - 1932582 - CARLOS ALBERTO PEGOLO DA GAMA
Externa à Instituição - CECÍLIA GODOI CAMPOS - SRS-SS-MG
Presidente - 1715700 - CLARECI DA SILVA CARDOSO
Notícia cadastrada em: 01/02/2021 13:21
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