Incorporation of teleconsulting as an instrument for the regulation of the access and permanent education in the SUS-BHIncorporation of teleconsulting as an instrument for the regulation of the access and permanent education in the SUS-BH

Abstract

The implementation of the Family Health Strategy has brought important advances towards the reorganization of the Unified Health System (SUS) towards a Primary Health Care (PHC) effectively coordinator of care. It is understood that a good care strategy of longitudinality / coordination is essential for the consolidation of this care model. In Belo Horizonte, the Telehealth Program has been available since 2004, focused essentially on the permanent education of SUS-BH network professionals, in dialogue with the Administrative Rule no. 198/GM/MS, of February 13, 2004, which establishes the National Policy Of Permanent Education in Health, as well as for the timely resolution of doubts of health professionals related to clinical cases. Envisioning a more comprehensive use of the telehealth tool, the SUS-BH’s management has been investing in the incorporation of teleconsultation also as an instrument for regulating access to specialized care, aiming to promote fairness in the use of services and resources of the medium complexity outpatient network. The objective of this work is to describe the SUS-BH Telerregulation Project, aimed at regulating access to upper digestive endoscopy, which aims to avoid undue solicitations of this procedure, to guarantee priority access to patients at higher risk, to qualify the relevant referrals through a permanent education and transform the daily practices of the primary care physicians.