The strengthening meetings of care lines with the ubs/esf in the north of natal with the Fortaece RAS project: An experience report

Abstract

The lines of care express the assistance flows that must be guaranteed to the user and define the actions that must be developed and the services that must be activated in the different points of attention of a network and in the support systems. The North Polyclinic has four lines of care (Mental Health, Obesity, Wounds and Diabetes), which are organized by a multidisciplinary team (nursing, social work and nutrition) in Room 10. This corresponds to a welcoming proposal, where users they are welcomed in a humane way and, according to the assessment of the staff, priority is given to care, disregarding the order of arrival, in accordance with the SUS principle of equity. Sporadically, we hold meetings with the Basic Health Unit/Family Health Strategy (UBS/ESF) in the North Zone of Natal/RN, which correspond to our largest audience due to the territorial location of the North Polyclinic. This is important in order to update the professionals regarding the adjustments in the flows and in the reception profile of the lines. The Fortalece RAS project started in August 2022 with a proposal to strengthen the network with regard to five lines of care: Acute Myocardial Infarction, Systemic Arterial Hypertension, Cerebral Vascular Accident, Diabetes Mellitus and Overweight and Obesity. Among the lines of care prioritized by the project, the Unit has the last two. This paper aims to present an experience report on the meetings of the Lines of Care, highlighting how the Fortalece RAS project contributed to their strengthening. The meetings took place between September and October 2022, with the invitation of a nurse and a doctor from each UBS/ESF in the North Zone. Two days were allocated to each Health District in that territory, since the North Polyclinic does not have a place that could accommodate the entire target audience. The dates were previously defined in team meetings, and invitation memos were sent to the North I and II Sanitary Districts. The selection of units by date occurred at random, considering only the health district in which they were located. The presentations were the same for all meetings and were systematized as follows: presentation of Room 10, role of the social worker in Health policy, exposition of data from the Lines of Care (criteria, flow, profile) and final considerations. From Sanitary District I, professionals from 12 UBS/USF were called. Of these, representatives of 11 came. From the Sanitary District II, 13 were called and 11 came. Soon, we had the presence of representatives of 88% of the North Zone Units. 31 professionals attended, 9 physicians, 20 nurses, 1 nursing technician and 1 UBS/ESF director. We conclude that the meetings were strengthened by the beginning of the Fortalece RAS Project and that, in addition to greater adherence by UBS/ESF professionals, the guidelines given in the project meetings contributed to the initial management of patients who fit the Line, which reduced the demand that does not belong to the Unit, according to the levels of complexity.