DESAFIOS ÀS AÇÕES DE MATRICIAMENTO VIVENCIADAS POR UMA EQUIPE DE NASF-AB EM UM MUNICÍPIO DO INTERIOR BAIANO

Maiana Felix de Carvalho  Castro; Fernanda Gonçalves  Reis; Marcelo de Souza  Pimentel; Bianca Costa  Nunes

doi:10.51161/rems/3069

DESAFIOS ÀS AÇÕES DE MATRICIAMENTO VIVENCIADAS POR UMA EQUIPE DE NASF-AB EM UM MUNICÍPIO DO INTERIOR BAIANO

Autores

Maiana Felix de Carvalho Castro
Fernanda Gonçalves Reis
Marcelo de Souza Pimentel
Bianca Costa Nunes

DOI:

https://doi.org/10.51161/rems/3069

Palavras-chave:

APOIO MATRICIAL, DESAFIOS, NASF-AB

Resumo

Introdução: O Núcleo Ampliado de Saúde da Família e Atenção Básica (NASF-AB), criado em 2008 pela Portaria Ministerial n° 154 de 2008 e originalmente chamado de Núcleo de Apoio à Saúde da Família, nasceu com o intuito de ampliar e qualificar o cuidado prestado na atenção primária. Dentre as suas atribuições está realizar apoio matricial às equipes de saúde da família a que estiverem vinculados, prestando suporte técnico-pedagógico e criando espaços que permitam a discussão de casos, levantamento de demandas e organização de ações que visem abarcar às necessidades da população atendida. Objetivo: Este trabalho se propõe a apresentar as dificuldades enfrentadas por uma equipe de NASF-AB quanto a realização do apoio matricial junto às equipes de saúde da família a ela vinculadas, de modo a contribuir para discussões e diagnósticos situacionais capazes de promover o debate e levar ao planejamento de estratégias resolutivas. Material e Métodos: A equipe do NASF-AB a que este estudo se refere atende a uma demanda referente a seis Unidades de Saúde da Família (USF). As reuniões de matriciamento ocorrem mensalmente em cada USF, com a participação de ao menos dois profissionais do NASF. As pautas são registradas em ata, além de serem produzidos relatórios constando o que foi discutido, que são entregues à Coordenação para conhecimento e providências que se fizerem necessárias. Resultados: Entre os desafios que perpassam as ações de matriciamento do NASF-AB estão a dificuldade de alguns profissionais das equipes de saúde da família em compreender o papel do NASF e o conceito de apoio matricial, o compromisso de estabelecer dias fixos para as reuniões, a baixa participação dos médicos nas reuniões, a falta de resolubilidade pela gestão dos problemas levantados no matriciamento. Conclusão: Estes desafios nos mostram a dificuldade de se distanciar do modelo biomédico curativo e abraçar novas formas de cuidar que se voltam à integralidade e pensam na prevenção de agravos e promoção de saúde como primordiais. Para vencer essa dificuldade é preciso investir em ações de educação permanente e retomar essas questões nas reuniões mensais e em cada momento oportuno.

Publicado

2021-12-22

Como Citar

Castro, M. F. de C. ., Reis, F. G. ., Pimentel, M. de S. ., & Nunes, B. C. . (2021). DESAFIOS ÀS AÇÕES DE MATRICIAMENTO VIVENCIADAS POR UMA EQUIPE DE NASF-AB EM UM MUNICÍPIO DO INTERIOR BAIANO. Revista Multidisciplinar Em Saúde, 2(4), 295. https://doi.org/10.51161/rems/3069

Baixar Citação

Edição

v. 2 n. 4 (2021)

Seção

I Congresso Brasileiro de Saúde Pública On-line: Uma abordagem Multiprofissional

Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

                                                                  ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2]) % line  132, file: DAO.inc.php
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600) % line   91, file: ArticleSearchDAO.inc.php
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line  201, file: SubmissionSearch.inc.php
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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