Acompanhamento de pacientes portadores de hipertensão arterial sistêmica: plano de ação

Abstract

The study aimed to develop an action plan for dealing with a problem, considered a priority in the area covered by the Family Health Program São José I: Poor monitoring to patients with hypertension. Of 358 hypertensive confirmed, only three were followed, according to the criteria of the Guideline: Health Care of adult hypertension and diabetes in 2009. To develop the proposed intervention for the monitoring of patients with hypertension enrolled in the FHS St. Joseph I, was executed three steps: situational diagnosis, literature review and preparation of action plan, using the Situational Strategic Planning Simplified. The causes of the problem, we selected as critics, were lack of effective programming of activities, the non-use of protocols and lack of equity in the distribution of queries. The three operations proposals for addressing the critical nodes were: scheduled draft agenda, according to the master plan of primary health care, using protocols with the line guide as a reference, and deploy a host system and active users of hypertension. In addition, an analysis of the feasibility of proposed actions and a monitoring and evaluation plan of action. The development of this plan enabled the ESF São Josés realize the importance of using a planning method as a tool for organization of the work so far done intuitively and automatically. Thus, we expect a more effective monitoring of patients with hypertension.