PERCEPTIONS OF THE APPLICATION OF THE MODEL OF CARE FOR CHRONIC CONDITIONS IN PARANÁ, BRAZIL

Abstract

The current health care model for users with chronic conditions in the Unified Health System needs to be transformed. In Paraná, there are strategies for continuing education and co-financing of services focused on the Care Model for Chronic Conditions. This is a descriptive and exploratory study, with a qualitative approach, which analyzed the perceptions of Primary Health Care and Specialized Outpatient Care professionals about the implementation of the Care Model for Chronic Conditions. 4 focus groups were held, with the participation of 37 professionals, the discussions permeated the work processes from the perspective of thematic analysis. In the statements, elements such as the risk stratification of the health condition, the organization of care and the approximation of the teams were identified. The elaboration of the care plan is incipient due to the lack of understanding of professionals and users about the tool. In health units, access occurs in the logic of acute care, and care is shared through regulation centers. Permanent education strategies, structured public policies and specific funding are drivers for the consolidation of the Model.