INTEGRATION OF WORK PROCESSES AND FLOWS BETWEEN ATTACHED UNITS: THE FAMILY CLINIC, ATTENTION PSYCHOSOCIAL CENTER (CAPS) AND EMERGENCY UNIT (UPA)

Introduction and Objective: Opened in 2010, the Family Clinic Zilda Arns, the CAPS III João Ferreira and the UPA together constitute new health care model in the city of Rio de Janeiro. With a diverse portfolio of services this mega-structure has to reorganize the way of provision of health-services, before focused on specialty polyclinics and general hospitals distant from communities. This work aims to show through a recent historical perspective, as those new health complexes when harmonized, decentralized care and encrusted in the community begin to solve most problems in health that use to saturate central tertiary hospitals, as well as reshape important health education concepts like change service flows. Method: In addition to the formal pact flows through the formulation redirection guides, meetings at the health complex auditorium were performed with monthly periodicity, bringing together professionals from different sectors and professional categories in order to facilitate dialogue on sharing each case and leading the definition of a risk classification protocol to be respected. Results and conclusions: 1) Optimization in redirection users. 2) After the release in emergency patients had follow-up. 3) Shared care allowed more favorable outcome in complex cases. When the patient is regarded as a priority and caregivers are linked to give a solution to the question instead of transferring responsibilities, unified health system of Brazil organized in your network starts to function providing answers beyond theory.