Da organização do sistema à fragmentação do cuidado: A percepção de usuários, médicos e farmacêuticos sobre o componente especializado da assistência farmacêutica

Abstract

The Specialized Pharmaceutical Care Component (CEAF) of the Unified Health System (SUS) aims to ensure the comprehensiveness of drug treatment in the outpatient care. In order to analyze the perceptions of the actors involved with the CEAF about this Component, a qualitative research (focus group and semi-structured interviews) was conducted. A strong dependence of CEAF in relation to other structural actions in health policy was observed. According to the actors, the current organization and management of health services do not promote continuity of care, which results in fragmented care. Factors such as lack of coordination among healthcare services and professionals, problems in the organization of flows and insufficient provision of services were highlighted. Furthermore, the focus of pharmaceutical services on medication, that means, a minimalist view, has impacted in different ways the healthcare provided for the people. Coordination of services, appropriate to health needs, should result in the perception of continuity of care from the perspective of the user is necessary In this way, it is understood that the access to medication has been ensured, but the comprehensiveness of healthcare, preconized by the “healthcare lines”, is compromised.