Abstract
Objective: to understand the care of drug users in a Basic Health Unit. Methods: a qualitative study through semi-structured interviews with 13 subjects in a Basic Care Unit of a health district. Results: after thematic analysis, three categories were revealed: Home as routing and factors that determine the practice, showing that factors such as feelings and personal characteristics of workers, lack of training and awareness of lower resoluteness by nursing professionals held a routing logic avoided accountability for the care, keeping its fragmentation; Host, link and routing, in which bond and co-responsibility were incipient practices, hindering the comprehensive care; and Home and predominant care models, showing that the host supported on the biomedical model, but contradictions were observed between different models and practices. Conclusion: it is necessary to overcome the biomedical model, from the expanded clinic and restructuring vocational training.
Highlights
Instituted by the 1988 Constitution and regulated by Law 8080/90, the Health System is intended to ensure access to comprehensive and equitable care in public health services(1)
The Basic Care is responsible for modeling the system resources, so that they respond appropriately to the countrys health needs, through the Health Care Networks, which have in the Family Health Strategy a priority basis for its reorganization, since it provides significant expansion in the scope of assistance in this level of attention(2-3)
The findings of this study found the different behavior of professionals during the reception on the issues brought about by drug users, but all had to refer them to another professional purpose or the other team, under the influence of three determining factors for the host be performed as routing
Summary
Instituted by the 1988 Constitution and regulated by Law 8080/90, the Health System is intended to ensure access to comprehensive and equitable care in public health services(1). It is constituted as a set of activities and services in health, which aims to promote a better quality of life, advancing the network consolidation of care areas and working by regions, hierarchical and integrated(1-2). In the Basic Health Units, teams of the Family Health Strategy are structured They are the preferred gateway to the Primary Care, to the inclusion and the start of treatment in the health system, as they are distributed in the community, with high permeability throughout the country, ensuring decentralization of health actions(2)
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