Sistema de gerenciamento da tabela de procedimentos, medicamentos e órtese, prótese e materiais do Sistema Único de Saúde: conhecimento de gestores e profissionais da saúde

Abstract

INTRODUCTION: The Table of Procedures, Drugs, Orthoses, Prostheses and Special Materials - OPM of the Unified Health System (SUS) unifies the outpatient and hospital procedures in a single table, and management occurs through the Management Table of the Procedures System, Medicines, Orthotics, Prostheses and Special Materials - SUS OPM (SIGTAP). OBJECTIVE: To analyze the knowledge of managers and health professionals about the management system of the SUS table of procedures, medicines, Orthotics and Prostheses and Special Materials (OPM). METHODOLOGY: Exploratory and descriptive study, with a qualitative approach, carried out in the four cities that host the macro regions (João Pessoa, Campina Grande, Sousa and Patos) in Paraíba. Sixty-nine people participated in the survey, among the interviewees: three were municipal health secretaries, seven public agents who work in the municipal health secretaries responsible for the planning and / or regulation sector, three regional managers, five directors of municipal hospital units, and four responsible for the billing sector, eighteen nurses, sixteen doctors, and seventeen dental surgeons, who belonged to family health units with a very good score in the 3rd cycle of the National Program for Improving Access and Quality of Primary Care. Data collection took place between October / 2019 and March / 2020. A semi-structured interview script was used, recording the interviews. After the transcriptions, Bardin's Content Analysis was used. RESULTS: It was possible to identify that, in general, managers know the meaning of SIGTAP and make use of the system for planning and evaluating actions and procedures, with the exception of regional health managers, who, because they do not have access to the system, do not use it in their practice and hospital directors, who despite knowing about SIGTAP, leave the use of the billing system to their use. With regard to health professionals, there is knowledge of SIGTAP by doctors and nurses and the lack of technical knowledge of dentists, about SIGTAP, as well as its structure and the amounts paid by SUS. As the professionals do not know the amount paid, consequently they do not have an understanding of the amounts necessary to carry out these procedures. CONCLUSION: The underutilization of SIGTAP by management, which continues to adopt the logic of code reproduction of procedures, without the recommended epidemiological analysis and its financial and budgetary reflections, has compromised the planning and optimization / allocation of resources that meet the demands . With regard to primary care professionals, the scarcity of knowledge and skill in handling SIGTAP professionals can compromise the registration in the system, causing inadequacies or irrational use of procedures, which will undoubtedly impact the public health system financially.