Emergency and Urgent Health Care Network on scene: contingencies and production of care

Authors

Keywords:

Delivery of health care. Emergency medical services. Health policy. Health management. Health systems.

Abstract

This study aims to analyze the possible transformations in health care management and production processes, in the context of practice,  based on the Emergency and Urgent Health Care  Network (RUE) policy. The research has a qualitative  character and is characterized as a case study.  Interviews were conducted with 16 health service  managers in four municipalities of different  population sizes. It is observed that the RUE is not  recognized as a public policy, although some of its  elements are identified, such as the implementation of Emergency Care Units, protocols, risk classification,  new care technologies, regulatory  arrangements, and lines of care. Looking at the ‘RUE on scene’ mainly points to three issues: the relationship  between primary care and emergency doors in  meeting spontaneous demand; the medical regulation of Mobile Emergency Care Service (SAMU),  as a promoter of access and quality; and the  (dis)continuity in health care. There is evidence of live  movements and productions induced by the policy  that qualify health care in urgent and emergency  situations. However, inequities are maintained or  produced, and the need for articulation between  network components, although evoked, translates into fragile and non-regular connections.

Published

2023-06-17

How to Cite

1.
Tofani LFN, Furtado LAC, Andreazza R, Nasser MA, Bizetto OF, Chioro A. Emergency and Urgent Health Care Network on scene: contingencies and production of care. Saúde debate [Internet]. 2023 Jun. 17 [cited 2025 Mar. 14];46(134 jul-set):761-76. Available from: https://saudeemdebate.emnuvens.com.br/sed/article/view/6995