Uso do tempo no trabalho de profissionais da atenção básica à saúde: uma aproximação das especificidades na saúde indígena

Abstract

The health care to indigenous in Brazil is provided by the Subsystem of Indigenous Health Care, integrated into the Unified Health System. This subsystem is composed of Special Indigenous Health Districts and, in each of these, there is a care network organized at the local level, with primary care in villages and secondary and tertiary referrals in nearby municipalities. The health care model in the districts is ordered, in a first level, by the multidisciplinary team of indigenous health, who provides continuous assistance in the villages, in working hours defined by the Districts' Coordination, according to local specificities. The objective of this study was to know the use of the time in the work in the Primary Attention to the Indigenous Health, with emphasis in the work of the Nurse. This is a quantitative approach to the evaluation of secondary data. The study evaluated data on 11 health teams that provide assistance to the Xavante ethnic group, composed of Nurses, Nursing Technicians, Doctors and Health Indigenous Agents, who worked in villages distributed in all Xavante Indigenous Lands. Nurses and Nursing Technicians make up the bulk of the primary health workforce for indigenous health, and it is also the most time-consuming professions to record information. There was a large proportion of hours worked by those who worked for the registry of information on direct or indirect health care actions carried out by indigenous health teams and also on trips within the territory. The study evidenced the need to consider the time devoted to the registration of care information and in territory displacement, as well as the benefit that could be generated using computerized systems for records of information.