Mensuração do índice de humanização das Unidades Básicas de Saúde no Município de Joaquim Gomes-Alagoas

Abstract

The National Policy for Humanization of Care and Management (PNH) proposes the reorganization of health services to adopt a health care model focused on practices that have the potential for ransformation, respect the citizen and improve the quality of services. As a health policy, humanization should be placed in the context of evaluations regarding its implementation within the service, allowing an institutional diagnosis and providing elements for the planning and improvement of health practices. The present study aimed to measure the humanization index of the Basic Health Units (UBSs) in the city of Joaquim Gomes -Alagoas. To this end, a quantitative, descriptive and field survey research was carried out, using validated questionnaires that were applied to a sample of 207 people, including 61 workers, 08 managers and 138 users of the UBSs. The results showed that the humanization index in the Basic Health Service was classified as very good. The following aspects stood out as the main advances: autonomy to organize and execute work (in the work dimension); dignified and respectful care (in the user dimension); and welcoming and resolute care, the policy of reducing queues, and freedom of expression of religious beliefs (in the management dimension). The main gaps were: identification of professionals (in the work dimension); participation in management (in the user dimension); and horizontalization of lines of command (in the management dimension). Based on the results, it is possible to generate reflections on the practices that are being developed among the actors involved in care. Aiming at improving primary care in the municipality, a technical product was developed aimed at training workers at this level of care so that, supported by the PNH guidelines, they can use strategies that lead to the presence of more humanized care and management in such units. This Master's Degree Conclusion Work is the result of the stricto sensu Postgraduate Program in Professional Master's in Family Health (PROFSAÚDE).