Núcleo de Apoio à Saúde da Família (Nasf): panorama nacional a partir de dados do PMAQ

Abstract

RESUMO O Núcleo de Apoio à Saúde da Família (Nasf) foi criado em 2008 visando aumentar a resolutividade e o escopo das ações da Atenção Básica (AB). Composto por uma equipe multiprofissional deve desenvolver atividades conjuntas com as equipes AB, seguindo a lógica do apoio matricial e das ações técnico-pedagógicas ou clínico-assistenciais, pretendendo a integralidade do cuidado. O objetivo deste estudo foi analisar o trabalho do Nasf no território brasileiro, considerando a integração entre as equipes Nasf e AB, a partir de dados provenientes da avaliação externa do Programa Nacional para Melhoria do Acesso e da Qualidade (PMAQ) segundo ciclo. Os resultados encontrados apontam adequação quanto à infraestrutura, às atividades de apoio matricial e às atividades integradas com as equipes AB. Contudo, o monitoramento e análise de indicadores, a formação inicial e a educação permanente carecem de maior desenvolvimento.

Estrutura para o trabalho e composição de equipes do Núcleo de Apoio à Saúde da Família: pesquisa nacional - Programa de Melhoria do Acesso e da Qualidade (PMAQ), 2013*

“…These results corroborate a previous study conducted using PMAQ Cycle II data, which concluded that infrastructure aspects were adequate for the work of the FHSU teams. 10 According to Donabedian, good structure conditions represent a favorable situation for a good work process, increase the likelihood of positive outcomes and, therefore, greater service ability to provide solutions to health problems. 6 As such, having knowledge of service characteristics is fundamental for health system planning.…”

“…PMAQ results reported by Bocardo et al also indicated the importance of greater development of initial training and continuing education in the context of the work of FHSU professionals. 10 Continuing education is equally important in view of the challenges faced by professionals in their actions, such as multiprofessional work, difficulties in creating and developing joint, intersectoral and integrated actions, so as to incorporate service user participation. 12 Results of a qualitative study involving FHSU professionals working in municipalities in Bahia state revealed that educational activities aimed at them were too scarce and insufficient to transform working practices.…”

Characteristics and performance of professionals of the Expanded Family Health and Basic Healthcare Centers

“…There are few studies on the professional profile for comparison. With regard to training, a recent study (18) analyzed the work in Nasf in the Brazilian territory using data from the PMAQ and presented unsatisfactory data regarding specific training and continuing education, referred to as being offered by management for some or for no professionals by about 50% of the teams, which therefore requires professional initiative.…”

Mobile web application for use in the Extended Family Health and Primary Care Center: content and usability validation

“…However, more than a decade after NASF was implemented, there are still challenges to be overcome for it to offer comprehensive health care. Particularly, there are difficulties related to the organization of the work processes and the low degree of integration with the other local and regional service networks [1][2][3] .…”