Evaluation of health care services for people with stomations in the state of Minas Gerais
Nursing; Enterostomal Therapy; Ostomy; Health Management; Health Services Research; Program Evaluation.
Introduction: As ostomy has become, nowadays, the focus of the main public health care policies, a fact that has attracted the attention of professionals and health authorities in the country. With the implementation of these policies, questions arise, therefore, in relation to network assistance for the health care of the person with an ostomy provided by health services, advances and difficulties in the operationalization of the implementation of these services. Objective: To assess the Degree of Implementation of Health Care Services for Persons with Ostomy in the Unified Health System in the State of Minas Gerais. Method: This is a descriptive and analytical cross-sectional study, which evaluated the Degree of Implementation of Health Care Services for People with Ostomy in the State of Minas Gerais, in the year 2021. Indicator criteria and criteria were related to the dimensions of structure (resources employed and their organization) and process (form of production of goods or services). The Degree of implementation was defined by evaluating the components of Service Management, Clinical Assistance and Educational Assistance, using a validated instrument, where services were classified in the scoring system as full implementation, satisfactory, incipient, not implemented. Results: The 53 SASPO from Minas Gerais are included. It was found that only 1 service had a greater number of services in compliance, and the incipient degree of compliance was obtained (50.9%). The development and process tools of professional support services and the need for training resources. Conclusion: It was concluded that, although active, most of the services proposed in relation to structural and process contexts do not comply with the requirements of the guidelines.