[Evaluation of emergency services of the hospitals from the QualiSUS program].
The aid lent by the emergency services is the object of this paper, which aims to assess the emergency service of the QualiSUS program. The study is descriptive with the application of a questionnaire to the responsible of the emergency services in eight hospitals. The emergency services were always overcrowded, and the causes pointed were the low resolutivity of basic attention and the precariousness of the hospital network. Contributing to this there is the primary care decreased resolutivity and the precariousness of the hospital network. Six hospitals do not manage the emergency service. The entrance system is not organized and only three hospitals work with risk classification. All of them refer difficulties with internal and external services. The hardest pathologies to refer to other services are the chronicles, neurological and social. The professionals do not have specific qualification and the precariousness job contracts do not contribute neither for the professional's fixation nor for his qualification. Clinical protocols are used by one service. It was noticed the influence of the QualiSUS in the hospitals. The failure of the health services network interferes with the emergency patient's profile. The investment of the QualiSUS cannot be restrained to the hospital. Emergency should be more integrated to the system and hospital. The qualification of human resources is indispensable as well as the bed's regulation.
Departamento Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fiocruz, Rio de Janeiro. odwyer@ensp.fiocruz.br
Gisele Oliveira
GO
O'Dwyer
Sergio Pacheco
SP
de Oliveira
Marismary Horsth
MH
de Seta
D004636:Emergency Service, Hospital / Q000592:standards*; D006801:Humans; D011787:Quality of Health Care