RHEUMATIC HEART DISEASE NETWORK IN PERSPECTIVE

Introduction and Objective: This study addresses the forms of treatment of rheumatic heart disease and the current practice adopted for its approach in the health system, research "Study of Therapeutic Proposals in Rheumatic carditis", developed at the National Institute of Cardiology. For this, it aims to identify the network perspective that goes beyond the debate of rheumatic heart disease, understanding that things acquire meaning in network established or built relationships. Method: This is a qualitative research, carried out by researchers from the National Institute of Cardiology, between 2009 and 2010. We interviewed 25 doctors in five reference centers in different regions of Brazil. Results: One can see that the rheumatic heart disease involves many issues beyond the disease, such as fast service to acute carditis that depend on access to services, serving as a modulator of attention and concern factor for these professionals. They reported greater difficulty in reference to the indigenous population. The reasons for hospitalization ranging from clinical care to guarantee the complete treatment due to social, economic, cultural issues, among others. Most professionals highlight great difficulty in post-discharge follow-up and secondary prevention, ie the regular administration of benzathine penicillin, among teens who they say they need a service with a multidisciplinary approach. Bruno Latour speaks network in the sense that the relationship with the system and has to do with structure, that is, things acquire meaning in established relationships, from science and philosophy.