O uso de diretrizes clínicas e protocolos na atenção primária em saúde: a experiência do Hospital Naval de Natal

Abstract

Primary health care is the user’s gateway to any health system, as a gateway, it must be easily accessible and well resolved. The premise of Primary Care is accessibility, coordination of care, bond, continuity and comprehensiveness. Ensuring full access to primary care, using this tool as a facilitator method for the user to achieve the deepest health desires in their completeness, should be the goal of every health manager. In addition, Primary Care lacks a principle of self-regulation and course correction to facilitate the entry of users to other levels of specialized attention. This action aims to ensure that the user does not delay in receiving the diagnosis of their treatment, being referred more briefly to the verticalized care sectors. This premise implies that the Primary Health Care must be resolutive, guaranteeing the user that the diagnosis will not be delayed, that the system will work and that everything will be done to reduce their suffering. The development of protocols and methodologies for clinical guidelines, allow the measurement of actions, ultimately leading to the consolidation and strengthening of Primary Health Care in Brazil in all sectors of health, civil and military. The programming of services in a pragmatic and proactive way essentially aims to incorporate integral medical care, optimizing the capacity to meet users' needs and the financial reality of OMH with its installed capacity. Faced with the growing demand of users, which requires the administration to scale human, material, technological and financial resources in the prevention of health problems and promotion of health in a warm and humanized way.