Plano de ação para o desenvolvimento do trabalho interdisciplinar e intersetorial no enfrentamento dos fatores de risco para doenças cardiovasculares da população assistida pela Equipe de Saúde da Família dos bairros Monte Azul e Vila Fátima do município de Belo Horizonte

Abstract

On the worldwide and belorizontino landscape, Diseases and Non Communicable Diseases grow considerably and lead to cardiovascular disease morbidity and mortality. To prevent and address these diseases and conditions is necessary for the incorporation of multiple knowledge, skills and coordinated actions of several professionals. However, what is observed in practice is fragmented work of professionals in different levels of care. With the lifting of the problem, the objective is to develop an action plan for the development of an interdisciplinary and intersectoral to face cardiovascular risk factors of the population assisted by the Family Health Team, involving in particular professionals Physical Education. In the method of literature review were raised about interdisciplinary, intersectoral and cardiovascular risk factors that favored the construction of the tree that explains the problems with two regional health centers Monte Azul and São Miguel Arcanjo and the Academies of the city of Monte Azul and Vila Fatima. The action plan was developed to cope with critical nodes "Difficulty of communication among professionals", "Fragmented Process Training", "Procedures for monitoring and evaluating ineffective or nonexistent," "Management Process little participation", "Smoking and other drugs "and" Physical inactivity / obesity / dyslipidemia "that resulted in operations that are called" Communicate SUS "," Education Network "," Monitors BH "," Let's build together? "," Drugs for what? " "Move with quality activities in the city" and "BH nutri in action." Were constructed spreadsheet monitoring and indicators for monitoring the implementation of actions to bring about intersectoral and interdisciplinary work in combating cardiovascular disease. For this implementation it is important that the construction of change strategies is built by the manager for the service (descending: institutionalized decision), or service to the network (upstream, with successful experiments to show the manager that plans for coping work for the problem at hand).