Abstract
Abstract Objective: To evaluate the functioning of a user embracement and risk classification service in a maternity hospital school in Recife, Pernambuco, Brazil. Method: Observational, cross-sectional, and analytical study with a quantitative approach, conducted at the "Amaury de Medeiros" Integrated Health Center of the University of Pernambuco (CISAM/UPE), in April and May 2015. The sample consisted of 377 female users and 6 nurses, with the application of Stork Network's user embracement and risk classification protocol. Results: The waiting time according to risk classification was 21.2 min; the duration time was 5 min; the waiting time according to the red priority was 3.5 min. The spontaneous demand showed that 56% of the users were classified as green priority, 60% of the users reported dissatisfaction, and 33% of the nurses received training. Conclusions: The service under analysis needs agreements and assessments to promote coping strategies.
Highlights
The concept of humanization can be understood as the valorization and inclusion of the different subjects involved in the hospital care process: users, employees, service providers, cooperatives and managers.[1]In Brazil, since 1988, with the creation of the Unified Health System (UHS), the debates/discussions on humanization are aimed at consolidating the principles of universality, integrality and equality of care to the user.[2]From the debates and discussions, the Ministry of Health (MH) started from the premise that it is a right of every citizen to receive quality public health care
The results showed that, when searching for the service, among the 377 patients in the sample, 74.5% were admitted to the service by spontaneous demand, 13.5% arrived at the service by referral, with a password from the central regulation of beds, coming from different services, 4.5% were referred by a specialized outpatient clinic and 7.4% came from primary health care (PHC)
Data released by the Instituto Brasileiro de Geografia e Estatística (IBGE) in 2016 indicate that Brazil has a population of 206 million inhabitants
Summary
In Brazil, since 1988, with the creation of the Unified Health System (UHS), the debates/discussions on humanization are aimed at consolidating the principles of universality, integrality and equality of care to the user.[2]. From the debates and discussions, the Ministry of Health (MH) started from the premise that it is a right of every citizen to receive quality public health care. With a view to improving care in the UHS, in 2003, the MH created the National Humanization Policy (NHP) to welcome users and prioritize the most serious cases, and "HumanizaSUS" established the guideline called "reception with risk classification".3. In 2011, by initiative of the MH, the Federal Government launched the Stork Network (SN), with the objective of providing a better quality of attention to women's health and to the health of the child. Reception and classification are guarantees provided by the SN.[4]
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