Abstract
To analyze the care coordination for the child and adolescent in chronic condition and users planning in the Health Care Network. Qualitative study, conducted with 26 health professionals and managers through Focus Groups. Thematic content analysis was used. Care coordination is fragile, with lack of support from the management, and presence of high turnover of managers and professionals. The limits in the network planning are due to frequent changes in the careflow. Communication between levels of care and lack of counter-referral makes network care unfeasible. There is a need for planning in the Health Care Network and establishment of careflow, as well as the construction of communication channels and tools of referral and counter-referral between professionals and services, for the constitution and integration of the network from the perspective of user-centered care.
Highlights
Health Care Networks (RAS) have the purpose of guaranteeing the provision of continuous and comprehensive care for a given population[1]
It is expected that the Family Health Strategy (FHS), adopted as the guiding principle of the Primary Health Care organization in Brazil’s public health system, will be a provider of care and care coordination[2]
Primary Health Care, in order to establish itself as a strategy for the organization of the Unified Health System (SUS- Sistema Único de Saúde), in the perspective of Health Care Networks, has to have a problem-solving function; the function of care manager, and flows and counterflows planner of users, products and information throughout the RAS; and the health responsibility function of the population assigned to the Family Health Strategy[2]
Summary
Health Care Networks (RAS) have the purpose of guaranteeing the provision of continuous and comprehensive care for a given population[1]. In these networks, it is expected that the Family Health Strategy (FHS), adopted as the guiding principle of the Primary Health Care organization in Brazil’s public health system, will be a provider of care and care coordination[2]. In the United States of America, a survey[5] conducted covering the age group between 0 and 17 years showed that 13.44% had a chronic health condition and 9.90% had two or more
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