Matrix support and actions on primary care: experience of professionals at <i>ESF</i> and <i>Nasf</i>

Santos, Rosimeire Aparecida Bezerra de Gois dos; Uchôa-Figueiredo, Lúcia da Rocha; Lima, Laura Câmara

doi:10.1590/0103-1104201711402

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Saúde debate 41 (114) • Jul-Sep 2017 • https://doi.org/10.1590/0103-1104201711402 copy

Matrix support and actions on primary care: experience of professionals at ESF and Nasf

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The article reports a descriptive research, under a quantitative approach, aimed at characterizing the way actions of matrix support are inserted into daily life; and the tools privileged by physicians and nurses of the Family's Health Strategy (Estratégia Saúde da Família - ESF) and specialists of the Nucleus for Supporting the Family´s Health (Núcleo de Apoio à Saúde da Família - Nasf) in a district at the South Region of São Paulo. Seventy-eight professionals (ESF=44, Nasf=34) have filled in a questionnaire about agenda, activities, tools and knowledge. Results indicate that teams face difficulties while performing shared actions of matrix support.

KEYWORDS
Matrix support; Family Health Strategy; Health management; Education, continuing

Estimates of activities distribution	ESF	Nasf	ESF	Nasf
According to professionals interviewed	'Actual'	'Actual'	'Ideal'	'Ideal'
1) Clinical care	43,40%	15,44%	37,55%	9,71%
2) Matrix support	6,39%	14,85%	8,17%	17,35%
3) Continued education / qualifications	3,82%	7,35%	7,40%	11,76%
4) Team meeting	9,20%	12,50%	8,61%	10,74%
5) Home visits	12,64%	13,82%	10,64%	11,18%
6) Therapeutic groups	7,52%	18,68%	10,30%	18,90%
7) Administrative tasks	5,77%	7,09%	6,38%	6,24%
8) Others	4,11%	3,00%	2,89%	2,88%

Alternatives chosen by the subjects	Group		Total
Alternatives chosen by the subjects	ESF	Nasf	Total
No	1	0	1
No	2,4%	0,0%	1,3%
Yes, have fixed timetables	30	20	50
Yes, have fixed timetables	71,4%	58,8%	65,8%
Structured, but may have changes and arrangements	11	12	23
Structured, but may have changes and arrangements	26,2%	35,3%	30,3%
Not structured; happen according to needs	0	2	2
Not structured; happen according to needs	0,0%	5,9%	2,6%
Total	42	34	76
Total	100,0%	100,0%	100,0%

Variables	Descriptive level
Proportion of work evaluated as innovative, not following the protocol	0,002
Individual clinic/widened clinic	0,395
Therapeutic projects following the protocol/singular therapeutic project	0,055
Assistance at the unit/actions out over the territory	0,238
Individual care/group assistance	0,001
Initial formation/continued education	0,293

Centro Brasileiro de Estudos de Saúde Av. Brasil, 4036, sala 802, 21040-361 Rio de Janeiro - RJ Brasil, Tel. 55 21-3882-9140, Fax.55 21-2260-3782 - Rio de Janeiro - RJ - Brazil
E-mail: revista@saudeemdebate.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Conflict of interests: non-existent