Perfil de oferta e utilização dos serviços da Policlínica Regional de Saúde do Alto Sertão Bahia (2017-2019).

Abstract

This study aimed to analyze the profile of the offer and use of the services of the Alto Sertão Bahia Regional Health Polyclinic (2017-2019) from the description of the process of implementation and definition of the offer of services and characterization of this profile, correlating it with the health needs of the population. This is a retrospective, exploratory, descriptive and qualitative study. Data production was carried out through document analysis and interviews with key informants. The criteria for inclusion of participants considered their involvement in the discussion process that took place regionally, which preceded the implementation. Data analysis was performed using the Thematic Content Analysis technique. The study was submitted and approved by the Research Ethics Committee of the Instituto de SaúdeColetiva at UFBA. In terms of management, the importance of Integrated Regional Planning and the effective participation of regional governance bodies such as the CIR in all stages of the process of implementing regionalized health services was highlighted. In the care field, the influence of the hegemonic care model was demonstrated, as well as the weakness of Primary Health Care in identifying territorial health demands, reflecting the supply and use of specialized care services. The results on the supply profile revealed that this does not have a directly proportional relationship to the use of services, indicating a possible inadequacy of the supply and the emerging need for a reassessment of the regional scenario supported by a careful situational analysis of health in order to identify the real health needs of the population to adapt the services offered at the Alto Sertão Regional Health Polyclinic.