The inauguration of CEDHIC and the organization of assistance to the population during the COVID-19 pandemic

Abstract

Introduction: The Specialized Center for Diabetes, Hypertension and Heart Failure - CEDHIC, was structured through Health Care Planning - PAS, which requires the sharing of care between APS and AASE. PAS has been developed by CONASS since 2007 in 11 states in the country and consists of changing the work processes of professionals who make up the care and management teams, enabling them to share care through RAS (CONASS, 2016). In this sense, through the PAS, the CEDHIC was conceived as a “response to health situations with a high prevalence of chronic conditions and the failure of fragmented systems to face these conditions” (MENDES, 2012, p. 140), proposing the qualification of the service. through the change in the health care model (in SUS, it applies to RAS) (MENDES, 2012). The deployment of the service in the region started in 2019 and had its action plan suspended in March 2020 due to the COVID-19 pandemic. Upon being resumed in October 2020, the structuring phase began (hiring professionals, adaptations in the physical space, form of regulation of care, definition of the service portfolio, etc.). In this way, it was proposed to organize the priority issues so that the service to users could be started. Objective: To organize the services offered by CEDHIC to serve users during the COVID-19 pandemic. Method: The action plan was readjusted through an Excel spreadsheet defining priorities. Therefore, a risk stratification worksheet was prepared with all users of the outpatient clinic in the region, with an indication of the UBS and ESF of reference to be presented to PHC and AASE professionals. After that, the matrix support schedule (professional qualification) was defined for the UBS in the region for the presentation of reference users, risk stratification and care plan - fundamental for sharing care. Results: The results of the service organization provided the opening of calls to users who were in the risk group for COVID-19. The readjustment of the action plan was fundamental for the elaboration of the planning of the other activities and definition of priorities. The matrix support was carried out immediately in two UBS in the region to guarantee the opening of the CEDHIC operation. Conclusion: The organization of CEDHIC services allows guaranteeing access to users with high and very high risk chronic conditions (SAH and DM) accompanied by the UBS in the territory, being the key to fostering the sharing of care between the AASE and the PHC . Therefore, the strengthening of Primary Health Care is provided as an organizer of care in care integration with the AASE, the qualification of health care, the development of PHC in the territory and the defragmentation of services (EVANGELISTA et al., 2019) . Thus, health planning is fundamental for health promotion.