Uma situação de desastre, um colegiado gestor e os desafios para garantir o cuidado longitudinal em saúde

Abstract

The co-management devices are characterized by a way of managing that includes collective thinking and doing. In this perspective, the collegiate management include managers, workers, and community members to discuss and deliberate on issues relevant to health management. This assumes an important role in disaster situations, defined as a moment of rupture in the normal operation of a system or community, causing a strong impact on people, their work and social environments. In situations of this magnitude, it becomes imperative to establish strategies to ensure longitudinal health care. From this need, it is necessary to understand the relationships that are established in this context, which is the main reason of this study. Thus, your goal was to problematize the challenges of longitudinal continuity of care in a disaster situation from the perspective of a manager who experiences this collegial process. This is a descriptive, exploratory qualitative study. The study used semi-structured individual interviews and participant observation to collect data that were analyzed according to content analysis. The ethical principles established by Resolution No. 196/96 of the National Health Council, which regulates the ethics of research on humans have been met. The challenges faced by a manager to ensure the collegiate longitudinal care in a disaster situation possess many common features and other differentiated from those present in the daily lives of the public health institutions. However, in this context there is the need to structure an unpublished work related both continuity and monitoring as the lack of studies and protocols to assist the victims of this disaster. Thus, the work of a manager collegiate proved an innovative process given the circumstances of this disaster, complex in the fullness of your goal, strained by their crossings, challenging to overcome their obstacles and the intense commitment and feelings experienced in the group. Facing these situations collectively demonstrated require effort, trust, honesty and respect, but especially relationships of affection that alone, were able to alleviate the difficulties.