Proposta de intervenção: como melhorar a contra referência no município de Lagoa Santa - Minas Gerais

Abstract

The city of Lagoa Santa has an estimated population of 52,520 inhabitants, according to the Brazilian Institute of Geography and Statistics (2010). The public health service covers 85% of total population. In this city there are 20 Family Health Strategy Unit, among them the Bela Vista unit, which has a registered population of 4,341 inhabitants. During the team meeting it was identified due the absence of counterreference after specialized consultations, an embarrassment to the continued support of users, that is repeated in the other units in the city. The team performs an average of 129 referrals per month for specialist consultations. At this rate, every three years the entire population of the area would be referenced to specialties, reality does not match local needs. In order to resolve the issues related to the reference and counter-reference in the city, this paper proposes an intervention project to create a training routine for the doctors of the municipal health network, aiming to approximate the specialized network of primary care. It was performed a situational diagnostic followed by literature review, prioritizing the situational strategic planning focused on reference and counter-reference. The intervention project design aimed, after selecting the "critical issues" of the problem due to no standardization of reference and counter-reference process, create solution proposals for the problem addressed. The literature reinforces the relevance of this procedure so that there is full user assistance. Currently, local health services have shown difficulties in integrating the different levels of care.