Proposição de um modelo de análise baseada nos custos dos perfis representativos de sujeitos hipertensos: limites e potencialidades de programas para promoção de saúde

Abstract

Introduction – The Program for Family Health was created in 1994 by the Ministry of Health as a strategy to organize the Primary Health Care, focusing on the family. Actually, it is a program which has structural and financial challenges. Following a conceptual base of promotion health, that contains a financing interface, this research deals with the cost impact of Systemic Arterial Hypertension, making a reflection about health knowledge. Objective – This research aims to build na analysis model based on the Representative Profil of Pre-Hypertensive and Hypertensive Subjects, which allows identifying limits and potentialities of healht promotion programs. Methology – About the methodology applied in this study, it is situated within the hypothetical-deductive method, exploratory, apllied and analytic to comprehend reality; using the extensive direct observation research technique to create the research instrument. Based on the Representative Profile of Hypertensive Subjects, which has distinguished clinical patterns, as a way to comprehend Systemic Arterial Hypertensios costs, calculated by the services demand inherent to morbidity, this research used Sigtap (Management System Talbes – a list of prices of Anvisa (National Agency for Sanitary Vigilance) and Datasus’ (Information System) remedies – as a were described using statistics. In this way, it was possible to identify representative component of the higher morbidity, in which it helped to dianose the possibile “obstacle” of the Family Health Program. Results – As a result, it was clear that the representative component of the higher morbidity was the non-adherence to the Sistemic Arterial Hypertension treatment. Recognizing the compornet, many of the possibilities for the non-adherence to the treatment were shown in order to undertand the reason why it is not possible to achieve satisfactory levels to controle Systemic Arterial Hypertension. After describing and analyzing all the possibilites, it as necessary to debate the relationship between the health Professional and the user throughout the approach of the empowerment/libertarian education as a way to overcome biomedical methods of the health attention. Final considerations: The empowerment/libertarian education would enable the configuration of medium amounts of R$ 5.257,52 for Pre-Hypertension patients and of R$ 6.299,60 for Hypertension patients to levels supported by the communiy, intervening in the morbidity health-disease process. It is important to say that this process has happened above new conceptions and solid structures of the Healthcare Sector since the health profession degree, clinical-social practice, fiscal sustainability, health expenditure per capita, fulfillment of the health budgetary constitutional, until the maganer commitment to health care. So, it is necessary a restructure compromised to actions and health services in harmony to the formation of subjects/citizens.