| Scales of services of the teams (2.1) |
The most distressing are these permanent scales in our work, permanent in the clinic it wears out. (Group 1)
The scales take a lot of our time, we would need to be careful with more time, so we go over everything, we even do, but sometimes don't even conclude things because of this, because of the time, the scale is done by the administrative unit. (Group 5)
In some situations the routine of the unit disrupts the care and sometimes we don't have the Nursing technician near.(Group 4)
The flows make it difficult especially when you impose groups, you are not in the mood to participate but you are obliged, because this will disrupt a DOTS [Directly Observed Treatment], a HV [home visit], is not planned, arrives and has to do, has to go in other bodies, go to day care to do the weighing and measure, do the brushing, cycle debates. (Group 6) |
| Structural problems of Family Health Units (2.2) |
The infrastructure is also the one that disturbs more, until the communication itself, there is lack of organization. (Group 4)
The very quick test that is done at the end of the hall, with a screen, doesn't have a room, privacy for the patient, the screen is there, but there are people who go there face to face. (Group 5)
We had our room, which was our space, right, but because of the residences that arrived, we were kicked, kicked, nobody asked, just kicked, they took this room to perform the care. (Group 1)
I like to arrive early here because I know that if I don't arrive early I won't find a computer... (Group 2)
So, this release of us, the material for us to work on, which is the computer we don't have, and has no answer, it was already several times spoken at a general meeting request, begged, that we need a decent space, to we at least have ours, one computer per team. (Group 1)
For example, you have to go to the area to make the file and today we have the otics that makes the job easier, if you had a tablet would also facilitate. (Group 3)
Should be made available more resources for us to do this follow up here and register the way they want, a computer only I think is not enough, for me I wanted that palm-top I was already going to the area, I sit in the patient's door and I would not miss it. (Group 5) |
| Standardization of protocols (2.3) |
We end up having no time, we waste a lot of time, we won't standardize a visit in thirty minutes, there is no way, one house is 20 in the other is one hour, there are houses that we stay four hours, because people don't stop and you don't want to be rude and walk away, and you have to listen. (Group 5)
The Health Family already comes with a line, right, it already gives you a worksheet, it forces you to work with that line there, and this beautiful variable, at first it gives you even a basic numbering, symbolic, which for the amount of people there is, a quantity of disease, it already gives you this, and not necessarily, it is so, so we have a daily fight, in our daily lives, it is not normal. (Group 3)
It is you wanting the person to have a standardized business for everyone, the guy doesn't want to and there, doesn't want, you have no way to compel, sometimes it's just the time that will make him approach here, sometimes know the space to see what another has already achieved, do you understand? (Group 1)
Not to mention that not always, for appointment is only 30 minutes, right, there is a query that we will see, it is in more than an hour. (Group 3)So we're going to be with him 24 hours, you know, it's a lot of racing, there's no way you can time it, you don't work accordingly, I cannot do a care, if Family Health tells you, to 12 people marked, but you cannot do that, you answer from 12 to 20, and does it have to be done in how many minutes? Thirty? In thirty minutes you will have to fill all those fields, how do you put it? (Group 3) |
| Performance of teams in the territory (2.4) |
At the same time that we have no difficulty, we have the difficulty, to enter, no matter how much you say you don't have.Everyone will have. (Group 3)
Then I did not go because I was going through "war", but there was no one talking about war, no war appeared on television, there was nothing saying, it was red, green, yellow, wait, but it was not like that.(Group 3)
So there are some cases that would be Emergency Care, we know it would not be a family clinic, it would be UPA (Emergency Care), but it ends up coming here, and ends up overloading the family clinic. (Group 4)
We walk over the sewers, we walk in the alleys, stamping our feet on the ground so that we can escape, otherwise it bites, and so people. We have to walk with our feet on the ground, which is for the rat not to bite us, and so we go, so you end up finding that you do it in the usual way, you already do.(Group 3)
Spontaneous demand, too large number of people to meet, then it is tricky to serve well, knowing that one morning has thirty people to meet you. (Group 6) |
| Collections of micro and macro management (2.5) |
I think we're charged, because of lots of things, we're charged for numbers, enough numbers, we're charged. (Group 3)
It is a charge of all levels, not only local management, I have a CAP [coordination of the programmatic area], I have a call center, that keeps sending email, at all times, so I have charges that not only the patient's care, because if this were our biggest problem, serving 3 thousand patients, it would be easy busy, but it is not, because those annoying things or things that don't work and we have to think about solutions, in alternatives. (Group 3) |
La producción del cuidado en el cotidiano de los Equipos de Salud de la Familia