TRATAMENTO FORA DE DOMICÍLIO: uma análise sobre a efetividade do programa para atenção à saúde das pessoas com doenças crônicas em tratamento em um Hospital Universitário

Abstract

The main goal of this paper lies on analyzing the effectiveness of the Programa Tratamento Fora de Domicílio (TFD), a Brazil's federal government program, concerning helping children and adolescents using the Pediatric Rheumatology and Endocrinology Service at the University Hospital Lauro Wanderley (UHLW). This study deals with the formative process of the health policy, highlighting the implementation of the Sistema Único de Saúde (SUS) – a public healthcare system in Brazil – as well as its proposals for the integralization of health services, according to the process of hierarchy and regionalization of health. Hence, the work under discussion focuses on the TFD program entered in the healthcare system and its effectiveness in integral access to health, through services that guarantee the health promotion to users who does not have the necessary resources to meet the needs of medium and high complexity in health at their locality of origin. Therefore, the research was carried out at the pediatric clinic of UHLW in June and July of 2018, through a semi-structured interview, with a sample composed of 15 participants, responsible for children and adolescents who presented a diagnosis of chronic disease treated in the specialties of Rheumatology and Endocrinology. As a result, from the data collected, it was observed that most of the users interviewed live in an unfavorable economic situation and own little or no knowledge about the PDT. In addition, it is also important to mention that the program is extremely important for the progress of the treatments, nevertheless, it presents negative points concerning the compliance with Ministerial Order no. 55/1999 of the Brazilian Ministry of Health and the handbook of normatization of PDT at the state of Paraíba, Brazil. To conclude, it is necessary a persistent fight in defense of the constitutional SUS as a universal system, in order to guaranteeing the rights in a fair and egalitarian manner.