Caminhos da integralidade: Dispositivos para assegurar e monitorar a acessibilidade no SUS em Piraí-RJ

Abstract

This study analyzes the various mechanisms adopted by the Central of Appointment Booking of Piraí's Municipal Secretariat, for the operationalization of the municipal regulatory complex, considered an important strategy of the regulation of access, circulation and follow-up of users among the several attention levels, in its own network as well as in the private network. The implantation of the regulatory complexes has been strongly articulated by the Ministry of Health, in the sense of forming an integrated network of information concerning the available supply of services and providing greater agility in the assistance to the population. The mechanisms used at the municipal booking sector have been influencing in a compromising way the accessibility of users, which has determined a reorganization of the work process, having recently been adopted the Schedule Management System, developed by the Ministry of Health, the Sisreg, for the booking of appointments and medium complexity exams of its own hospital network. This system has been confirming itself as an important management tool, which will enable the equanimous distribution of health resources to the population, aiming to improve access and integrality.