Proposta de intervenção para a redução da demanda espontânea voltada ao atendimento médico em uma ESF do município de Sarzedo, Minas Gerais

Abstract

In the Family Health Strategy (FHS) Center, located in the municipality of Sarzedo / MG, the high population demand for medical care was identified as a priority problem, since 88.56% of users who showed up in the month of July 2014, had the purpose of being directed to medical consultation. Given this reality, the present study aimed to develop an intervention project aimed to reduce excessive spontaneous demand to medical care. To support the development of action points and the basis of the action plan, a literature review based on an analysis of scientific literature was conducted. Starting from the causes of this problem, proposals have been defined for its resolution. These include: training of staff for public awareness of the principles and operation of the FSH; the promotion of educational practices aimed at autonomy and empowerment of users; continuing education for the staff in order to promote a change in clinical practice; and the promotion of meetings with users to increase the bond and exchange of knowledge. It is known that deconstruct practices and promoting change in thoughts and attitudes is not easy. Therefore, the implementation of the proposed action plan is only the first step toward large changes, which aim not only to reduce the population demand for medical care, but also improvements in the resolution function of primary care, with a more efficient and satisfactory service aimed at the real health needs of individuals and their families.