Evaluation of patient´s rout aided on surgical clinic of an emergency service on SUS after their histopathologic diagnostics

Abstract

Like most of the emergency services in Brazil, Dr.Armando Lages Emergency Unit, the main kind of hospital on its profile has its potential limited due to planning and execution weaknesses in basic healthcare. The basic healthcare network should be the health system?s main point.. It is stated that in basic care, 80% of the population?s health problems should be resolved. However, in real situation we can see a retraction in its attributions and potential. The definition of the Family Health Program (Brazilian acronym - PSF) states that there must be composed by health teams formed by doctors, nurses, nursing assistants and communitarian representatives composing an interdisciplinary working environment. The team must work within a defined area of coverage. The reference and contra-reference process is indispensable to enable the continuity of activities and the municipal service must define the available services for the most complex levels on a municipal and regional basis. The Family Health Program must therefore, coordinate appointments with specialists, diagnosis services and hospital admissions. Actually, the practical routine, however, the tertiary care services end up absorbing the demand originating from the shortcomings in the basic network. This is the case at Dr. Armando Lages Emergency Unit, where monthly the bed occupation rate is 109.34%, as patients who could not find other means to solve their health problems are absorbed.Aretrospective and prospective descriptive study was developed following the rules which conduct research in Human Beings, by applying a questionnaire of structured questions to patients in the surgical clinic at the Dr. Armando Lages Emergency Unit who had hystopatological diagnosises of surgical or biopsy parts, carried out in the period between January 2004 to December 2006. The data analysis revealed that in the trajectory of patients in the National Health System (SUS), the doctrinaire and organizational principles of SUS are disorderly, confirming in the case under study, that the evident number of hystopatological diagnosises of malign neoplasias and infected-parasitic diseases suggest that there are shortcomings in the health planning of the primary care network.