Competências para o trabalho nos Consultórios na Rua.

Abstract

The National Primary Care Policy has been considered an important strategy to address unique historical inequities on healthcare, especially with the creation of specific Primary Care teams, such as the Offices in the Street teams (eCR). Creating teams like that demand to reassess issues related to the professional training for health, especially if one considers the specificities of working with people living on the streets (PSR). This study aimed to answer the following question: what are the necessary competencies for those who works in an eCR? Aiming to frame the core elements for the work in the Offices in the Street, in Primary Care, this study had as objectives: to identify, in the practices of eCR, components of currently enacted competencies (knowledge, skills and attitudes); to frame and associate these elements according to the opinion of experts and managers with experience in eCR in Brazil; to propose the synthesis of the mapped components as the core competencies for working in the eCR, considering their implications on the health professional education. This study had a qualitative approach, using two phases for collecting and systematizing data: the execution of focus groups with three eCR from Federal District; the construction of consensus on competencies for work in the eCR, consulting 20 workers, managers and experts in the area of health education and attention to PSR, from the five regions of the country, using the Delphi Method. 25 knowledge, 37 skills, and 16 attitudes were considered as components of the competencies required for the work in the eCR. Consensually, from these, three competencies were proposed: one related to the clinical care, other related to the work process and the last one on service networking. Finally, it was discussed how the elements involved in these proposed competencies can help addressing gaps in the training and performance of health professionals, better qualifying them to work in the Unified Health System (SUS), with PSR in particular.