Organização da atenção às condições crônicas na Estratégia de Saúde da Família

Abstract

The organization of care for chronic conditions is a major challenge for health services currently. After the epidemiological transition, the prospect of attention for ailments became incompatible with the prevalence of Chronic Non-Communicable Diseases. It is necessary, therefore, an integrated and programmed assistance to health, with special focus on chronic conditions. This work aims at the development of tools (protocols) that support the work process, allowing effective assistance to major chronic health conditions (hypertension, diabetes, chronic respiratory diseases, prenatal care, child care and periodic health evaluation). In addition, the service organization protocols are designed to organize the flows and avoid usual problems in Basic Health Units (host, marking exams and patient transport). For the development of such protocols have been consulted current clinical guidelines on chronic conditions selected with development of logic and objectives algorithms with key steps of health care. Thus, the protocols (of care and of organization of the service) will serve as a guideline for professionals in the Family Health Strategy, strengthening key steps in the care of chronic health conditions, allowing for scheduled and multidisciplinary care, and serves as a tool guarantor of autonomy of health professionals.