A rotina de registros escritos por parte dos profissionais de saúde e seu impacto no cuidado continuado dos pacientes atendidos na unidade básica de saúde Novo Horizonte - Ponte Nova, MG

Abstract

Introduction: Regarding the principle of longitudinal care, it is known that most parts of Primary Health Care consist of problems that require continuous monitoring. Therefore, the quality of written health records is extremely important. Despite that fact, many institutions do not have a routine to guarantee these records. Rationale: Considering the principles of a Unique Health System and knowing that Primary Health Care demands longitudinal care, mechanisms of co-ordination are needed. Written health records are examples of these mech anisms and their coordinated and resolute accomplishment is fundamental. General objec tive: Develop an intervention project regarding longitudinal care and written records, propos ing a technique to put into practice these concepts and improving health care offered to the population assisted by the Basic Health Unit from Novo Horizonte in the city of Ponte Nova – Minas Gerais, Brasil. Methodology: The Strategic Situation Analysis methodology was used to evaluate the populations assisted health condition. This was broken down into three sec tions: Improvement of communicability between the Unit staff; Promotion of health educa tion, focusing on the specific theme approached in this project; Proposition of techniques to encourage routinely written health records. Intervention plan: To accomplish the proposed phases the following steps were established: Organize at least one meeting per month and promote dialogue between the Health Unit staff. During the meetings, stimulate discussions of specific themes, promoting health education, including in these discussions longitudinal care and the importance of written records; Present the ‘medical records cover page’ as a valuable tool in patients written records; Evaluation of working process during the intervention pro ject. Final considerations: Longitudinal care demands change in the current health care pat tern, which still focuses on immediate requests versus continued assistance. By stimulating the routine practice of adequate written records, it is expected that health professionals comprehend its importance on effective health care. Beyond legal aspects involved, any mistakes in this routine cause communication difficulties between the health team and threatens the quality of patients continued care.