ABSTRACT
Objective:
to understand the referral and counter-referral process experienced by the patient with coronary artery disease undergoing surgery for myocardium revascularization.
Methods:
qualitative research, anchored on the Grounded Theory. The research scenario was a public hospital institution, reference in cardiovascular care in the State of Santa Catarina, (Brazil). The data collection took place between March 2013 and June 2014, through a semi-structured interview involving 21 participants, distributed in three sample groups (patients, health professionals and management professionals).
Results:
the process of referral and counter-referral points to the phenomenon “High complexity emerging as a reference for the person submitted to myocardial revascularization in view of the Primary Health Care fragility in the follow-up and articulation with other care levels in the Sistema Único de Saúde (Unified Health System)”, supported by five categories.
Conclusion:
in order to this referralto occur, there is a need to consolidate the patient’s relationship with the coronary disease with the primary health care, since they face difficulties in monitoring their condition in the public network. In the counter-referral, the disarticulation between the health care services was evidenced, which affects the care regarding the person submitted to myocardial revascularization in the maintenance of their quality of life.
DESCRIPTORS:
Nursing; Myocardial revascularization; Integrality in health; Referral and consultation; Hospital