Impacto da Covid-19 em estratégia de saúde da família: o olhar de profissionais da saúde

Abstract

Introduction: There were several impacts on the population's way of life and on the way of producing care by health services, especially Primary Health Care (PHC) during the COVID-19 Pandemic. The PHC, as it is considered the main gateway to the Unified Health System (SUS) and is mainly responsible for health promotion and prevention of diseases and injuries, needed to reformulate its services as a result of the new health scenario in which the country finds itself to offer comprehensive care to the population. Through the eyes of ESF health professionals, we sought to understand the impacts of the COVID-19 Pandemic on the work processes and development of the promotion and prevention actions developed. It addresses the potential role of teaching-service in the qualification of work and the generation of a new look at health. Objective: To know the perception of professionals from the Family Health Strategy teams about the work process during the COVID-19 Pandemic in a municipality in the central region of Rio Grande do Sul - RS. Methodology: This is a descriptive and exploratory qualitative research. Semi-structured interviews were carried out with professionals from four health units, randomly defined, working in FHS teams during the COVID-19 Pandemic. Two units had a link with the Uni and Multiprofessional Residency Program and two others had no link with educational institutions. After transcribing the material, a qualitative analysis of the content was performed. Results: The impact generated by the Pandemic affects both the work process and professionals and users. Within the scope of the reorganization of services, the reports expose the difficulty of access by and to users, in the continuity of care, reduced focus on health promotion and prevention of other diseases, as well as the worsening of other health conditions. With regard to professionals, work overload and impact on psychological issues such as fear and stress are mentioned. Conclusion: The COVID-19 pandemic generated impacts both on the work process of the FHS teams, as well as on the monitoring of users and on the health of health professionals. Difficulty of access, limitation of continuity of care, reduced focus on health promotion and prevention of other diseases are presented, as well as work overload, fear and stress for professionals. The multi-professional residency was considered vital in maintaining the actions and mitigating the impact generated by the COVID-19 Pandemic.