Modelo do ponto de atenção secundária ambulatorial virtual: um instrumento para o fortalecimento das Redes de Atenção à Saúde

Abstract

Who is interested in the good performance of the Unified Health System (SUS)? In a historical context of influences contrary to the implementation of the SUS, this research initially proposed to shed light on such facts so that it could identify mechanisms present in the health policy arena, since the establishment of the new republic in the country. identified problem, addresses the need to induce relationships with private institutions to respect and add to the structures already achieved by the SUS – and not merely to favor itself –, proposing the challenge of applying a study, based on the deepening of models currently used in the SUS, focusing on the organization of Health Care Networks (RAS), more specifically the Outpatient Secondary Care Point Model (PASA Model), raising the following research question as a guiding axis: “How does the Point of Care Model Can secondary outpatient care enhance the development of telehealth projects developed by private institutions in the SUS?” This is qualitativequantitative research that proposed the development of an instrument in a checklist format and the use of a Likert scale to obtain evidence of content validity, measured using the instrument's Content Validity Index (CVI), adopting 0.78 is used as a minimum reference value. Through meetings with the Expert Committee, the PASA Model was adapted to a virtual model, in the format of a checklist, containing 41 items. The items reached agreement between the evaluating judges, with the instrument reaching an index of 0.99, therefore considered to have good content validity for the proposed purposes. These results achieved the main objective of adapting the PASA Model to support telehealth projects developed by private initiatives in the SUS, which protect the interests of strengthening the RAS, and are aimed at SUS health managers so that they can take ownership of the elements covered, using them, if applicable, in future telehealth projects developed by private initiatives. In addition, its results meet the interest of encouraging private companies to, at a minimum, consider the structures and models already consolidated in the SUS, making it impossible for their actions to focus solely on the market's own interests