Desafios ao apoio institucional e matricial na implementação do plano de cuidado compartilhado às condições crônicas

Abstract

This study aims to analyze how matrix and institutional support teams mean the Shared Care Plan in the Chronic Conditions Attention Model (MACC). In this way, it seeks to bring experience, discuss and reflect on the challenges of the institutional and matrix support teams around the implementation of the shared care plan between outpatient care teams and primary health care (APS). It is a qualitative, participatory, and interventional approach study, developed with health teams working in a Regional Health Coordination Office, a Specialized Care Outpatient Clinic, and Primary Health Care. The data was collected through a Focus Group in the workplaces themselves and the data were analyzed according to content analysis. Results and discussions: The data analysis brings the significance of the Shared Care Plan (PCC) to the institutional and matrix support teams, the challenges experienced in implementing the PCC, and the performance and operationalization of the institutional and matrix support functions from a horizontal perspective, seeking to overcome traditional models of fragmented care and management. Conclusion: This study made it possible to see how challenging and complex it is to exercise the institutional and matrix support functions, demanding the institution of new technologies for the management of the clinic in relation to the modes of producing health, seeking to break with the logics of work processes still predominant, focused on the hierarchization of relationships and corresponding fragmentation of actions and health care.