Qualification of Communication between Primary Health Care and Specialized Outpatient Care in the Health Care Network of the Center-South Region through Matrix Support

Abstract

Introduction: Specialized Ambulatory Care (AAE) in the Center-South health region is established in the district network through hybrid models of health care, with the Specialized Center for Diabetes, Hypertension and Heart Failure (CEDHIC) focusing on the Model of Attention to Chronic Conditions (MACC), and in the General Ambulatory, a fertile environment for the reproduction of care models that are still fragmented. Objective: to qualify communication between PHC and AEE in the Center-South Health Region through matrix support. Method: project guided by the problematization method, which was based on the application of the Arch of Maguerez. Results: the fragile instrumentality of the counter-referral flow in the region, controversial referrals to the AAE and fragile references via SISREG III were noticed. In view of this, efforts were channeled in the perspective of proposing actions such as the implementation of preparatory workshop actions, matrix support cycles, elaboration of a counter-reference instrument (form), practical guides and evaluations of activities as a means to attempt to resolve these gaps. Conclusion: it is possible to affirm that the implementation of the project and its modus operandi offer, to some extent, viable paths that keep it as a permanent agenda of the management of the AAE-APS and, in the future, the reach in proportion and magnitude initially expected of the qualification of communication between these two points of attention of RAS.