Sistematização do atendimento de urgência aos pacientes em tratamento hemodialítico do município de Belo Horizonte: uma proposta de atendimento construída em conjunto entre gestores, prestadores e usuários

Abstract

This paper reports the experience of integration of primary with the secondary in the municipal health of the Unified Health System in Belo Horizonte. It is the collective construction, by users of the Unified Health System (SUS) and health staff of a protocol of care in emergency clinics to patients with CKD. Describes the process of creating a protocol based on the demand of the Municipal Commission of Nephrology and Transplantation of representatives of entities in patients with chronic renal failure (CRF) to request that health care in emergencies clinic that is regulated based on the guidelines ministerial force, to enable prompt treatment and avoid unnecessary suffering. The methodology used was the story of experience and was used as a guide the steps provided in case studies. The literature was reviewed and theoretical and legal aspects of the various clinical problems that most affect the CRF. The result was the construction of a flow of service built in conjunction with providers and users mediated by the municipal health department. Were discussed and sought solutions to various controversial issues related. The rare experience reported in this work, which primarily means a milestone in the history of SUS in the city of Belo Horizonte showed that it is possible to inter sectionality, with bilateral involvement of providers and users, mediated by municipal managers, advancing in the organization and improvement in care services. It is concluded that there was a contribution to the construction of health care quality and effectiveness in responding to emergency situations experienced by some 2115 people who have chronic renal failure and dialysis are dependent on the SUS care network in the metropolitan region of Belo Horizonte.