TEAM WORKLOAD IN FAMILY HEALTH UNITS IN BRAZIL

Introduction and Objective: Workforce planning in the Family Health Unit (FHU) realize without considering the specificities of geographical regions. This research aimed to identify the workload of professionals from the Brazilian FHU teams through interventions performed. Method: In 2013, the work sampling technique was performed through intermittent observations every 10 minutes during 8 hours in five days. The support tool is composed by 39 interventions and it was developed and validated by researchers. Were done observations in five regions, 10 states, 12 cities and 27 FHU. All of FHU are considered good according to National Program for Improving Access and Quality of Primary Care (PMAQ-AB). Results: Were done 85.398 observations on 418 professionals (physicians, nurse, dentist, nurse assistant, dentist assistant and community health agent). Family health team employ 51.6% of their working time in direct or indirect care, which the top ten are: home visits, documentation, appointments, spontaneous demand, educational activities of health workers, outpatient procedures, assistance in procedures, exchange information on health care, infection control and administration meeting. It was also observed that in 16.3% of their time professionals are not present in the unit, such as delays and early departures. Conclusion: This study show the distribution of the activities carried out by family health team. Those data should supporting discussion of workforce planning, working team, working process, and productivity working time in FHU.