Health systems 3

Track 23
Thursday, October 26, 2023
2:05 PM - 3:40 PM
Meeting Room E3.5

Speaker

Agenda Item Image
A/Prof Brenda Costa
Universidade Estadual Do Rio De Janeiro

Experiencing the performance of the Family Doctor in the Brazilian Family Health Strategy, a Role-playing game

2:05 PM - 3:40 PM

Summary

The Family Health Strategy (FHS) is the organization model of Primary Health Care (PHC) in the Brazilian Unified Health System (SUS). It has around 45,000 teams across the country, made up of physicians, nurses and community health agents, in a territorial care approach, and is operationalized by several legislations having the “modus operandi” been institutionalized since 1994. The Family Doctor is the specialist trained to work in the FHS. Its performance must consider the principles of the SUS (universality, integrality and equity), as well as the attributes of PHC, first contact to guarantee access, longitudinality, integrality, care coordination, community-family orientation, and cultural competence, respecting the knowledge of the multidisciplinary team guaranteeing the therapeutic itinerary of patients towards secondary and tertiary care and other services of the Brazilian State such as social assistance composing the intersectoral dialogue. Understanding the specificities of the Family Doctor's performance in FHS, the objective of this work is to bring the experience of working in the Brazilian PHC model to the family doctors of other nationalities, being able to recognize the strengths and weaknesses; and to better understand SUS, and the potential of a universal public system. The methodology for the development of this work will be in a workshop format. It is intended to start the meeting with a brief historical review of the composition of the SUS and the ESF, followed by the division into small groups of participants comprising up to 10 people in each. From there, we will be led by a clinical case to the experience of the Family Doctor. The proposed methodology was developed based on the RPG game (role-playing game), which allows the participant to enter the character, immerse himself in the fantasy of the narrative, and have to make decisions to advance in the proposed story.

Takeaways

At the conclusion of my presentation attendees will take away
1. Knowing the Family Health Strategy of brazilian Unified Health System
2. Experience the role of the family doctor in the Family Health Strategy
3. Recognize the potential of a universal and public health system

Biography

Brenda Costa is a Family Doctor working in the same territory in the city of Rio de Janeiro since 2018. She is a professor at the State University of Rio de Janeiro and Director of Research at the Brazilian Society of Family and Community Medicine.

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