Estratégia para acompanhamento de pacientes hipertensos e diabéticos em um centro de saúde de Belo Horizonte - relato de experiência: relato de experiência

Abstract

Given the demand presented by the Ministry of Health in individuals with diabetes and hypertension should be classified, monitored and followed, it became necessary to carry out a strategy for achieving this goal. This study is characterized as an experience report lived by the yellow team of Túnel de Ibirité Health Center, between 2008 and 2010, with the aim of organizing care and work process. The proposed operations to tackle the problem were: establishing and implementing the action plan. We also performed a literature review for the theoretical foundation of experience to be reported. The results are shown in graph form with descriptive analysis. After analysis, it is observed how serious is the situation where users are located. The preparation of this plan of action enabled the Family Health Team "Yellow" realize that the classification and risk stratification, organization of agenda, teamwork and provided a rotary file organization of care allowing better monitoring of severe cases, contributing to reducing the complications of Hypertension and Diabetes Mellitus.