Atendimento aos usuários da unidade de urgência e emergência de uma Policlínica no contexto da pandemia da COVID-19

Abstract

This study has as its object: the organization of the demand for care in an urgency and emergency unit in the context of the COVID-19 pandemic. Guiding questions: what is the demand for care at a Polyclinic in a municipality in the State of Rio de Janeiro in the context of the COVID-19 pandemic? And what strategies can be used to organize the flow of care in the health care network of a medium-sized city in the State of Rio de Janeiro, to achieve resolution of the demands forwarded to the urgency and emergency service of a municipal Polyclinic? General objective: to develop in a participatory way, together with the nursing team of a Polyclinic, a proposal for the reorganization of care at the urgency and emergency unit, based on the analysis of the demand for care at a Polyclinic in a municipality in the State of Rio de Janeiro in the context of the COVID-19 pandemic. Methodology: mixed method study with transformative sequential approach. The quantitative phase was cross-sectional, descriptive with documental analysis of the records available at the polyclinic's urgent and emergency service and objective data obtained through systematic observation during exploratory visits to the UBS. The qualitative phase used the participatory research method, through 44 interviews with health professionals and a focus group with 14 nursing professionals, composed of 8 technicians and 6 nurses. After the Letter of Consent from the Municipal Health Department and approval of the research project by the Research Ethics Committee of UERJ, data collection began. Results: Technical Procedures account for 88.70% of the calls. This reflects the difficulty of interconnecting PC and the UE Network, as they are procedures performed in primary care. The following categories emerged: The interconnection between the Health Care Network in the EU and PC units; Resolutive, humanized and welcoming care; Reorganization strategy of the municipality's RAS; Impacts of the COVID-19 Pandemic on the demand for urgent and emergency care. The categories and subcategories arising from the qualitative phase and the quantitative results were presented to encourage discussion within the focus group, resulting in the elaboration of the Action Plan. With the integration of the results, it was possible to carry out some meta-interferences, such as: The lack of continuity and alignment between the UBS coordinations and the UE services; The need for strengthening and investment in PC. Conclusion: For the articulation between primary care and the urgency and emergency network, it is necessary to establish the logic of transitional care.