Avaliação do processo de trabalho das equipes NASF: análise dos indicadores do 2º ciclo de avaliação externa do PMAQ

Abstract

The organization of the working process in the Family Health Support Nucleus (NASF) has as its focus the territory under its responsibility. Its structure must prioritizes hare dand interdisciplinary treatment, with mutual exchange of knowledges, empowerment and responsibility. The objective of this research is characterizing the working process of the NASF Teams (EqNASF) of the municipalities in the Northeast region classified under the Layer 6 as per the indicators in the 2nd Cycle of external evaluation of PMAQ-NASF. This is a descriptive study with a transversal cut, through a quantitative approach, realized from the data of the IV Module of PMAQ. Nine municipalities were selected, totalizing 57 EqNASF. The subdimensions were converted into scores and transformed into percent indicators. A classification on three categories was made: A (indicator above 75%) for a satisfactory condition; B (indicator between 25% and 75%) for a moderate condition; and C (indicator below 25%) for an unsatisfactory condition. From the surveyed EqNASF, 70,17% are acting in moderate conditions, 28,07% are in satisfactory condition and only 1,75% were ranked as C. The subdimensions of Management and Coordination Organization of NASF (OGC), Activities Registry (RA) and Organization of Matrix Support to thee AB (AM) obtained the greatest percentages of EqNASF with an A classification (73,68%, 70,17% and 54,38% respectively). The results show that permanent education are unsatisfactory and the existence of EqNASF deficient in the monitoring and analysis of the indicators of their work process, as well as do not evaluate the results of their actions in the supported teams and do not monitor their requests for support. The organization of the agenda, the weekly meetings of the EqNASF with its sponsored sledges and the recording of activities in common eAB charts, stand out as highly evaluated activities. In addition, it was possible to verify the EqNASF with unsatisfactory conditions in each subdimension. The general averages of the municipalities showed that eight of the nine municipalities studied are working with their EqNASF working at a moderate level. Discrepancies in the scores obtained by EqNASF belonging to the same municipality were observed. Thus, this diversity in the work process may be related not only to the specific needs of each UBS, but also to the type of support that is offered by the management to these teams. It is hoped that these findings may stimulate managers and NASF professionals to seek an improvement in the performance of EqNASF in AB services to benefit and improve the functioning of the entire health network.