Organização e seguimento assistencial do centro de atendimento ambulatorial às vítimas de acidente do hospital universitário de Santa Maria

Abstract

This thesis had how subject the organization of health services to production of the care to the people victims of disasters. The object of investigation was the implementation of health care services, for the offer and continuity of people care, who experienced a disaster. The study aim was analyse, considering the values and guidelines of Unified Health System, the organization of management and care of the service that assisted, to the follow-up, to the victims of the Kiss Boate fire, of the Ambulatory Care Center to Accident Victims (CIAVA) of the University Hospital of Santa Maria (HUSM). The case of this thesis was the process of planning, creation and implementation of a service for the care follow-up to the victims of the Kiss Boate fire. This is a study descriptive and analytic, guided by qualitative approach, that has as subjects the managers and professionals who had and/or have any involvement with the Kiss disaster. To answer the aims proposed, it was performed a field research with data and sources triangulation. Of the content of information, emerged central categories, about service organization and production of the care, the facilities and difficulties in implementation of the continuity of care to the victims of disaster, and in their relationship with the values of Unified Health System – universality, integrality, regionalization and participation. After analysis it was possible perceive that service organization considered, effectively, the value of access guarantee, with preoccupation that offers of the service achieve the integrality of care, and the autonomy of the people that are being caring. Among the difficulties, the insufficiency of sources stands out as the largest of all, perceived to structuring of the CIAVA, and realization of the ambulatory following to the victims. It was highlights, between the facilities, the role of HUSM and Federal University of Santa Maria, the professionals’ implication, the centrality in wearers in the construction of flow access and the collegiate decisions. The thesis systematized, the organization of care continuity, and the innovation produced with the creation of the CIAVA/HUSM. With the presentation of the results, it was intended that this study can help other health services that may come across similar. To describe as, is the concrete case of Kiss disaster, was structured the care following seek to contribute to the knowledge production about health care in disaster situations.