Análise de fluxo de atenção no Sistema Único de Saúde: elementos para pensar a estruturação de linhas de cuidado em usuários acometidos por agravos neoplásicos de cabeça e pescoço

Abstract

The care of the users affected by neoplastic diseases of head and neck is extremely complex, not only in relation to the physical suffering generated, but also by the need to qualify the responses of health services in the face of this growing problem in our country. The authors through their practical activities such as multidisciplinary residents noticed some challenging issues as the lack of integration and fragmentation of care to these people, impacting not only in access to services as well as their effectiveness. This paper results from a qualitative study in an university hospital of high complexity reference to the central-west of Rio Grande do Sul state, having as subjects of research users affected by these conditions. It was aimed, through a semi-structured interview, investigate and characterize the flow of care to these subjects from a perspective of health care procedures at different levels of management and attention. The results show a dislocation and fragmentation of care, pointing to the need for restructuring the existing models of care, by ensuring a flow of care that operates interconnected. It was concluded that integrated care is essential so that they may be built networks / flows of health systems in a perspective of health care procedures.