Avaliação das causas de acesso à urgência e emergência como estratégia para melhoria dos cuidados primários de saúde no município de Chapecó/SC

Abstract

The Urgency and Emergency Network (RUE) is characterized as a gateway to the Unified Health System (SUS) and is organized through points of attention, to better organize the flow of care the network counts as risk guideline to offer quality reception to the user through clinical priority. The objective was to analyze the main causes of access to the emergency room unit of the Western Regional Hospital in the municipality of Chapecó state of Santa Catarina (SC). This is a descriptive quantitative research. In the data collections, users classified in the nonurgent green and non-urgent blue according to the Manchester protocol were approached, being 92 non-urgent and 31 non-urgent, a level of significance of 10% and 15%. The main reason for looking for the emergency room is immediate care and users who seek to perform the consultation and exams on the same day. The reasons identified were the high demand for medical appointments in PHC, insufficient availability of laboratory tests and imaging, restricted access due to delayed appointments and lack of protocols for risk classification. This study demonstrates that most users being served at PS could be served at UBS. There is a need to seek guidance strategies for the population when it is necessary to seek the PS or other services of the SAN with the perspective of ensuring universal access. However, the strategic role that the professional nurse plays in the reception with qualified listening and in the risk classification, decision making and organization of the flows in the health services network stands out.