Abstract
O estudo descreve a implantação de pequenos procedimentos cirúrgicos realizados por médicos residentes em uma Unidade de Saúde da Família. Trata-se de um relato de experiência realizado na cidade de Vitória, Espírito Santo, Brasil, descrevendo a introdução de pequenos procedimentos cirúrgicos pelo programa de residência médica em Medicina de Família e Comunidade em uma Unidade Básica de Saúde (UBS) do município. As unidades selecionadas não tinham espaço para pequenos procedimentos cirúrgicos ou os materiais necessários. Evidenciou-se que a população demandava queixas cirúrgicas sem resolução das mesmas, sendo esses pacientes encaminhados para outras especialidades.
Highlights
On September 19, 1990, the Law 8.080 was implemented in Brazil, which regulates health actions and services throughout the country and creates the Unified Health System (SUS), which should provide assistance to people through Promotion, protection and recovery of health, with the integration of care interventions and preventive activities[1]
Authors summary Why was this study done? This study was conducted to identify the impact of performing small procedures on PHC as a means of access to health and to minimize the waiting list for referral to surgical procedures at other levels of care, indirectly analyzing access and resolution of the SUS gateway
What did the researchers do and find? It was selected over a period of year and electronic medical records of users of health units in the city of Vitória, Espírito Santo, Brazil, to identify which and how many surgical procedures were performed by residents of the Family and Community Medicine Program and two preceptors of the program
Summary
On September 19, 1990, the Law 8.080 was implemented in Brazil, which regulates health actions and services throughout the country and creates the Unified Health System (SUS), which should provide assistance to people through Promotion, protection and recovery of health, with the integration of care interventions and preventive activities[1]. The family and community doctor is the specialist responsible for health care in a continuous, and comprehensive way for people, their families and the community, is considered the “medical professional with vocation and specific training to provide care in PC; he is a specialist in handling the problems under his responsibility[2]. This capacity for problem solving by PC professionals is fundamental to user access, “welcoming and execution of those professionals are instruments for improving access, continuity of health care and integral care”[3]. Be outstanding in solving issues High means that referrals to other specialists should not exceed 10% of the total number of people served[4]
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