HEALTH THIS: RESOLUTIVE MANAGEMENTE MODEL IN RIO DE JANEIRO CITY

Title Present Health: Resolutive Management Model in the Municipality of Rio de Janeiro Introduction Since the year 2000 when there was the expansion of the Family Health, by 2009 when the new management model emerged with the creation of Family Clinics, the "turnover" of Family Physicians was the big challenge for the fixing of these professionals, which prevented the expansion of the teams of the Family Health Strategy in the city of Rio de Janeiro. Goals This paper aims to demonstrate how the management model used by the Municipality of Rio de Janeiro was also good, with emphasis on care line, ensuring better quality of life for citizens with the realization of early diagnosis, promotion, disease prevention and increased the resoluteness of care. Methodology descriptive qualitative research regarding the management model change demonstrating that the present Health Program is an innovative health networks modeling experience. Results From 2009 with the increase of the health indicators teams improved in all aspects. The reduction in turnover allowed the entry of new professionals and pay for performance (pay-for-performance) was one of the measures taken to achieve the objectives of the reform of Primary Health Care in the Health Program Gift. Coverage increased from 3.5% in 2008 to 50% in January 2016, we opened 78 Family Clinics benefiting access to over 2 million users to health services in the Family Health Strategy.