Território e gestão de saúde em Juiz de Fora-MG: um estudo de caso através da atuação da UPAS e das UAPS na Cidade Alta

Abstract

As from 2011, the state of Minas Gerais has re-organized its process of regionalizing health assistance, in a way to re-structure the health regions and create networks of priority to attend the population. Such networks consist in re-stablishing the coherence between health situation and health system; this way, the assistance to the population proposed by SUS, according to the Directive Plan of Regionalization, will be given in a continuous and nonfragmented form. Since one of these networks leads to the Urgency and Emergency, mainly for the aggravations of the cardiovascular diseases and external causes (traffic accidents), it is the duty of the Unities Ready for Prompt-Attending for 24 Hours (UPA), created from the National Policy for Urgency and Emergency 2003, to work as intermediate branches between the Unity for Primary Attention to Health – UAPS and the hospitals, trying to, among other things, help make the emergency rooms less crowded, broadening and improving the access of Brazilians to the SUS urgency services. The UPAs give assistance to cases which require intermediate medical attention, such as blood pressure issues, high fever, bone fractures, cuts and heart attacks, preventing these patients from being always led to the hospitals’ emergency rooms. Having in sight the proposal for regionalization of the health system of the state of Minas Gerais, which proposes specific actions to that network, the present dissertation intends to constitute itself as a case study referring to the UPA from São Pedro (Cidade Alta), in a way to reflect about its actions towards the population and about how those actions provide support to the UAPS, playing, this way, its real role as urgency and emergency attending service.