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Master's Dissertation
DOI
https://doi.org/10.11606/D.17.2017.tde-05012017-103745
Document
Author
Full name
Nelson Macedo Liporaci
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
Ribeirão Preto, 2016
Supervisor
Committee
Funayama, Carolina Araujo Rodrigues (President)
Ferreira, Janise Braga Barros
Turcato, Marlene de Fátima
Title in Portuguese
Aspectos da assistência ambulatorial na área de neurologia infantil na rede regional de atenção à saúde 13 (Araraquara - Barretos - Franca - Ribeirão Preto)
Keywords in Portuguese
Assistência ambulatorial
Atenção secundária saúde
Neurologia
Pacientes ambulatoriais
Regionalização
Sistema Único de Saúde
Abstract in Portuguese
No presente trabalho, é apresentado um olhar sobre a atenção na área de Neurologia Infantil na Rede Regional de Atenção da RRAS 13 - Araraquara - Barretos - Franca e Ribeirão Preto. O objetivo é apresentar a RRAS 13 quanto a sua localização, abrangência territorial e populacional; Verificar dados relacionados a atendimentos e encaminhamentos ao ambulatório de Neurologia Infantil do HCFMRP-USP (ANIN) em agosto de 2015 e o alcance diagnóstico neurológico nas DRS correspondentes à RRAS 13. O método utilizado foi o de busca no site do DATASUS e do IBGE. Como resultados, observou-se que o Estado de São Paulo é organizado em 17 RRAS, compostas, administrativamente, por 4 DRS. Estas 4 DRS estão organizadas em 12 Regiões de Saúde. Segundo o IBGE a RRAS 13 possui uma população estimada para 2014 de 3.525.999 habitantes. Em relação ao número total de encaminhamentos aguardando atendimento no ANIN (ambulatório de Neurologia Infantil), encontrou-se em levantamento realizado no mês de agosto de 2015, 1362 encaminhamentos das 4 DRS. A DRS XIII (Ribeirão Preto) é a que mais encaminha com 60,50% acima da média para toda a região e é a que possui o maior percentual de médicos neurologistas, neurocirurgiões e neurofisiologistas por 100.000 habitantes, atingindo 151,43% das diretrizes do SUS. Quanto à distribuição dos equipamentos de uso rotineiro em Neurologia Infantil, eletroencefalógrafo, Tomografia computadorizada e Ressonância Nuclear Magnética, a DRS de Ribeirão Preto (XIII) possui maior concentração de recursos; porém todas as DRSs possuem tais equipamentos e realizam rotineiramente esses exames. Conclui-se que irregularidades na distribuição da atenção no nível secundário contribui para a sobrecarga do número de encaminhamentos ao Ambulatório de Neurologia Infantil do HCFMRP-USP.
Title in English
Aspects of outpatient care in Child Neurology area in the Regional Network of Health Care 13 (Araraquara - Barretos - Franca - Ribeirão Preto)
Keywords in English
Ambulatory care
Neurology
Outpatients
Regional health planning
Secondary care
Unified Health System
Abstract in English
In the present work, there is presented a glance on the attention in the area of Child Neurology in the Regional Net of Attention of the RRAS 13 - Araraquara - Barretos - Franca and Ribeirão Preto. The aim of this work is to present the RRAS 13 as its location, territorial and population coverage; Check data relating to care and referrals to Child Neurology Clinic of the ORDERS-USP in august 2015 and the neurological diagnosis in range DRS corresponding to RRAS13. Method - through surveysof DATASUS site and from the IBGE (Brazilian Institute of geography and statistics). As a result, it was observed that the State of Sao Paulo is organized administratively into 17 RRAS, composed, administratively, for 4 DRS (III-Araraquara, V-Barretos, VIIIFranca and XIII-Ribeirão Preto). These 4 DRS are organized into 12 Health Regions. According to the IBGE to RRAS 13 has an estimated population of 3,525,999 inhabitants for 2014. In relation to the total number of children waiting for care in the ANIN (Child Neurology outpatient clinic), found in a study conducted in August 2015, 1362 referrals of 4 DRS; the DRS XIII (Ribeirão Preto) is the most of them with 60.50% above the average for the entire region; as for the number of set of neurologists, neurosurgeons and neurophysiologists, the DRS XIII has the highest percentage of doctors per 100,000 inhabitants and reaches 151.43% the guidelines of SUS. About the distribution of equipment for routine use in Child Neurology, Electroencephalograph (EEG), computed tomography (CT) and magnetic resonance imaging (MRI), for Diagnostics, the DRS of Ribeirão Preto (XIII) has the highest concentration of resources. and all DRSs have such equipment and routinely carry out these examinations. It is concluded that irregularities in the distribution of attention in secondary level contributes to the overload of the number of referrals to Child Neurology Clinic of the ORDERS.
 
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Publishing Date
2017-04-04
 
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