Entre o desejo e a realidade: a regulação da rede de atenção aos usuários em neoplasias de cabeça e pescoço na perspectiva dos profissionais da atenção básica em saúde

Abstract

This study aims to identify the understanding that health professionals in basic attention have about the regulation of assistance of users head and neck care line. This is a research with a qualitative approach, of the transversal type and descriptive. Were defined as the unit of analysis health professionals linked to five basic health units, of five municipalities with higher incidence of users with head and neck neoplasm, hospitalized at referral hospital for these municipalities, from January 2010 to January 2012. The data collection was conducted from November to December 2012 and occurred through semi-structured interviews. Participated in the study 17 health professionals, with higher education. From the data analysis have been defined three categories of analysis not a priori: work process with an emphasis on primary health care; relationship of health staff of reference unit - user, and perception of assistance regulation. The findings demonstrate the non-use of the devices for the effectuation of extended clinic and fragmentation of care to the user with head and neck neoplasms. The articulation between the services that compose the network of care shows weakened in relation to the process of communication between the points that compose this network, revealing the need for strategies such as the implementation of the care lines and the use of management protocols, contributing to the strengthening primary care and integral assistance in health.