Matusian planning for monitoring systemic arterial hypertension: the experience of a basic health unit in the Federal District

Abstract

Primary care is the “gateway” to health services, with a decentralized network of great capillarity. In the Basic Health Units actions of high complexity but of great variety are performed, according to the needs of the assisted population. Given the diversity of demands met in the basic units, it is necessary to design strategic planning as a way to organize and improve the efficiency and quality of the service provided. For this, the Altair method of popular planning, proposed by Carlos Matus, was used as a framework for situational strategic planning. To find the top ten diseases of the Basic Health Unit number 15 of Ceilândia-DF population, data from individual consultations of the SIAB / e-SUS system were used, from January 1, 2018 to November 30, 2018. After a Priority classification, using the criteria of transcendence, urgency and capacity, Systemic Arterial Hypertension was selected for analysis, with the ultimate goal of building an action plan for its strict control in the unit. The specific alpha action plan included, among others, the increase in the number of consultations, the increase in the number of matrices, the qualification of the whole team and visits with pressure gauges. Most actions are mainly related to the team dynamics that initially failed. With the effective implementation of the action plan it will be possible to improve the health determinants of this population and reduce the incidence and comorbidities related to hypertension.

Key words: Hypertension, Primary Health Care, Strategic Planning, Family Health