Acolhimento e classificação de risco em uma Unidade de Saúde da Família

Abstract

Introduction: Primary Care constitutes itself as an entrance to the Unified Health System (SUS). The first contact between users, community, and health professionals should happen in this context. The embracement is a guideline of the technical assistance model that aims to assure universal access. The evaluation or potential risk classification or even the grievance to user's health should be protocol-based and directed to the attendance order considering the need of every single user. To embrace and rank the risk of spontaneous demand in health basic unity can offer support to the integral care through the increase of bounds between users and the health care team. Spontaneous demand is the way a user searches the health basic unity without an appointment. This work runs on research in a primary care unity, analyzing the embracement and risk classification from the view of its professional team. Results are presented as paper and a product, to attend to the necessities identified. Objective: find out the embracement process and risk classification related to a family health care unity spontaneous demand, in the professional’s point of view. To elaborate an app prototype to increase strength into the embracement in that unity. Method: the work results from qualitative research were realized with 10 basic health unity professionals, the data was collected with presential interviews, respecting the social distance and other orientations from the sanitary authorities during the Covid-19 pandemics. The analysis was processed through the online platform, Marvel. The prototypes materialize the ideas containing a minimal design to serve a basis for a definitive app. Results: the data enabled the creation of two categories: embracement and risk classification. The embracement category originates four subcategories: underwork process; on unities flow attendance, health education as embracement tool; and difficulties in its realization. The risk classification category is realized by many professionals, without predefined places or protocols. The concepts of risk classification aren’t known by the interviewees. Conclusion: the research showed the inexistence of definitions and protocols on the embracement and risk classification implanted in the researched unity. The risk classification isn’t well known by those interviewed. We understand that the product will be a mobile technologic tool that may help in the improvement of user's access to the health unities at Primary Care.