STRUCTURE OF REFERENCE FLOW IS REFERENCE IN DUQUE OF CAXIAS MUNICIPALITY

Title Reference Flow Structuring and Counter-reference in the Duque de Caxias City Introduction With health reform was the construction of the Health System in Brazil guaranteeing citizenship and accessibility. The reference process and counter-reference allows the transition between services to give an orderly fashion. health management in Duque de Caxias municipality develops strategies to ensure the priority care lines. Goals Improve the patient referral process for specialties from the request made by a Basic Health Unit, educate and train medical specialists to fill the importance of counter-reference. Methodology Descriptive research regarding the improvement of the Duque de Caxias City management model with the structure of the reference flow and counter-reference against the need for receiving the counter-reference to elucidation of clinical and therapeutic diagnosis. Results Through the intervention of the spreadsheet Duque de Caxias SMS structured the reference flow and counter-referral by criteria, flows and operating pact mechanism, ensuring full attention to users. Implemented the Polyclinic, the number of employees in the regulatory system, and hired medical experts expanding the network services. Understanding network, the Municipality reaffirmed its logical design, with a hierarchy of levels of complexity, enabling referrals (among different health facilities), reinforcing its central design to promote and ensure dimensions links: Health intraequipes, interequipes / services between workers and managers, and between users and services. Keywords: Reference, Reference Counter, Streams, Health Strategy.