Proposta de intervenção: cadastramento e estratificação de risco dos portadores de doenças crônicas, da Equipe de Saúde da Familia Várzea de Lagoa Santa - Minas Gerais

Abstract

The city of Lagoa Santa provides to his habitants primary and secondary health care services, in the Várzea Health Center.(VHC). During meeting of VHC staff we realized that we have a lack of data of the population with chronic diseases assisted there. Chronic diseases are among the leading of death worldwide causes, among which is found high blood pressure, diabetes mellitus and chronic kidney disease, therefore that its necessary to create a plan of action to assist us in the registration and risk stratification of this population, allowing the organization of the VHC work processes to meet the demands of them. To develop this we conducted a situational diagnosis followed by literature review prioritizing strategic planning faces the registration and risk stratification of patients users of chronic diseases of the VHC Várzea acting area, the intervention project seeks to resolve the difficulties encountered by creating proposals to fixed the problem. During the literature review we identified that broad interventions and cost-effective promotion, prevention and the creation of individual and collective health plans can improve care delivery, and especially the health status of the population, in addition to providing primary care for center of the health care network, this being responsible for the coordination of care.