Avaliação da implementação da assistência hospitalar para os casos de dengue no município de Cuiabá – MT : um estudo de caso

Abstract

Approximately two-fifths of the world population is at risk areas for contracting dengue. Currently, 50 million infections occur, of these 500.000 cases of Dengue Hemorrhagic Fever and 21.000 deaths. In Brazil the disease was reintroduced in the early eighties. In Mato Grosso, since 2002 successive epidemics are recorded. The capital has been greatly affected by the disease and its high lethality shows the need to evaluate the assistance given to the patients with dengue. OBJECTIVE: To evaluate the implementation in the delivery of hospital care for dengue cases in four reference hospitals in the municipality of Cuiabá - MT from January 2012 to July 2012. METHOD: This is a case study and the strategy used was the analysis of the implementation of the hospital assistance procedures to treat the dengue cases in four hospital units from the evaluation of the internal (inputs and activities) political, organizational context. The criteria and parameters used were adapted from VINHAL study (2008). The data sources were: a questionnaire completed by those responsible for the program of dengue control, directors, healthcare professionals and on-duty nurses of hospital units; document analysis and guide for review of medical records. Data analysis was performed through data quantification according to the conformity (availability, adequacy, technical quality and opportunity) and managerial (planning and continuing education) categories. RESULTS: The organizational political context for the assistance of people with dengue has reached a degree of partial implementation. In the evaluation of the internal context a unity presented unsatisfactory implementation with a score observed in relation to the one expected of 34,3% and three units presented a degree of partial implementation, 55,7, 68,6 e 51,4%, respectively. What contributed to these negative results was mainly the conformity of actions according to the technical-scientific quality related to the assistance procedure to treat dengue cases. CONCLUSION: Hospital care is still one of the major problems in the assistance to patients with dengue. The results observed are mainly due to the lack of a specific plan for care procedures, non-observance of a clinical protocol and the absence of a continuing education policy.