Ações de regulação assistencial para efetivação da clínica ampliada: percepções dos usuários da linha de cuidado cabeça e pescoço

Abstract

This study aims to analyze the perception of the users of head and neck care line in the perspective of care regulation in a scenario in which they are inserted. It is about a research of cross-sectional survey, descriptive qualitative approach, performed with users suffering from head and neck neoplasm from five counties with the highest incidence of cases belonging to a Regional Health Coordination (CRS) of the central region of Rio Grande do Sul state. The data was collected by semi-structured interviews. Interviews were held with ten (10) users who were hospitalized in the surgical inpatient unit of a university hospital, a reference to the region, between the period from January 2010 to January 2012. The data analysis occurred using the technique of content analysis. From this analysis, three categories emerged no a priori: bond assistance, health education and social reintegration. The results showed the lack of effective action related to health education due to fragmented information in the communication process between health professionals and users of head and neck care line; insecurity of users in relation to assistance care; provided by basic attention and difficulties of return to activities of daily living, due to the presence of sequel and limitations resulting from the surgical process, leading to social isolation.