Abstract
Objective: describe the process of implementing the Rede de Atenção à Saúde em Lesões Cutâneas (Health Care Network for Skin Injuries) in the municipality of Divinópolis - MG. Method: it is an experience report on the implementation of a Health Care Network for Skin Injuries from the Programa de Educação Pelo Trabalho para Saúde (PET-Saúde/GraduaSUS) (Education Through Work for Health Program), from May 2016 to April 2018. Teachers and students from a public university and professional nurses linked to the Municipal Health Secretariat of the municipality participated in the actions. Results: it was possible to implement the Health Care Network for the prevention and treatment of skin lesions in a structured and systematic way. A flow of care, case supervision and clinical follow-up was established through the construction of an assistance protocol. Conclusion: the practical skill and scientific knowledge of students and health professionals for the treatment and management of skin lesions were developed, thus strengthening the teaching-service-community triad.
Highlights
The health care of people with skin lesions has been developed by the Universidade Federal de São João del-Rei (UFSJ) School of Nursing, through university extension projects and programs, whose main objective was to strengthen the APS to qualify the assistance in skin lesions
In 2016, the institutional recognition of this team’s work led to the approval of the proposal submitted to the PETSaúde/GraduaSUS 2016/2017 notice, which articulated its actions with the “Special program for the prevention and treatment of skin injuries” to strengthen teaching integration-service-community and, implement the Rede de Atenção à Saúde (RAS) (Health Care Network) in skin lesions in the municipality of Divinópolis
In the period from 2017 to 2018, after the elaboration of the situational diagnosis, through the active search of the patients listed by the APS teams and support in medical records, it was possible to identify the population of the municipality with chronic skin lesions
Summary
Quality health care requires a strong decision by the managers of the Sistema Único de Saúde-SUS (Unified Health System) in the organization of actions and services of different technological densities that, integrated through technical, logistical and management support systems, aim to guarantee the integrality of care in a care network[1].The Rede de Atenção à Saúde (RAS) is systematized to respond to specific health conditions through stages of care that may require continuity and comprehensiveness at different levels of care[1].The Atenção Primária à Saúde-APS (Primary Health Care) it is considered the main gateway and the articulating center for users’ access to SUS, and RAS plays a central role in guaranteeing user access to the system, offering a variety of services, including monitoring, guidance and dressing.the team requires knowledge and preparation to deal with all stages of the process, from prevention to treatment and rehabilitation[2].assistance to chronic skin lesions is dynamic and must accompany the scientific and technological evolution of the area, which shows the importance of continuing professional training, in addition to being a constant need for the performance of work in APS2.In this context, the Programa de Educação pelo Trabalho para a Saúde (PET-Saúde/GraduaSUS) appears as a proposal to promote changes in the training models of health professionals, stimulating the integration of teaching-service-community, collaborating with curricular changes in line with the National Curriculum Guidelines3through internships and experiences contextualized in SUS, directed to the needs of the population and strengthening public health policies in the country[4].As the effective assistance to users with chronic skin lesions in APS depends on the technical training of professionals, the availability of appropriate therapeutic products and the work relationships involving the multidisciplinary[5] team, with the support of medium and high complexity services, the Universidade Federal de São João del-Rei (UFSJ) developed a proposal for PET-Saúde/GraduaSUS which aimed to build the care network for skin lesions in the municipality of Divinópolis, Minas Gerais. Assistance to chronic skin lesions is dynamic and must accompany the scientific and technological evolution of the area, which shows the importance of continuing professional training, in addition to being a constant need for the performance of work in APS2. In this context, the Programa de Educação pelo Trabalho para a Saúde (PET-Saúde/GraduaSUS) appears as a proposal to promote changes in the training models of health professionals, stimulating the integration of teaching-service-community, collaborating with curricular changes in line with the National Curriculum Guidelines3through internships and experiences contextualized in SUS, directed to the needs of the population and strengthening public health policies in the country[4]. The purpose of this article is to describe the implementation process of RAS
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