Planejamento estratégico das morbidades hospitalares do município de Caiapônia – Goiás

Abstract

Objective: To analyze hospital admissions in the municipality of Caiapônia, Goiás and to present a strategic planning for a certain team of the Family Health Strategy aiming at reducing hospital admissions due to preventable injuries. Method: This is a quantitative, descriptive and cross-sectional research that used data from the DATASUS Hospital Information System to list the main health problems of the municipality that led to the numerous hospital admissions in 2018. They used the TUC methodology to define the priority problem and carry out strategic planning. Results: 249 people were hospitalized in the city of Caiapônia in 2018 for infectious and parasitic diseases, diseases of the respiratory system, diseases of the digestive tract, diseases of the genitourinary system, pregnancy, childbirth and puerperium, diseases of the nervous system, endocrine, nutritional and metabolic diseases and neoplasms, skin diseases and mental and behavioral diseases. It was noticed that the causal network of hospitalizations was repeated in the three main diseases. The researchers decided to focus on the numerous hospitalizations for infectious and parasitic diseases and outline strategies to reduce these hospitalizations next year. Conclusion: The high number of hospital admissions to a small municipality may be a result of deficiency in the primary care service. The possible causes are: lack of prioritization of the manager in primary care, focusing on the hospital-centered model; lack of understanding on the part of the municipal health department of the importance of primary care in the actions of promotion and prevention and turnover of physicians in certain primary care teams for a considerable period.