SIGILO E CONFIDENCIALIDADE DAS INFORMAÇÕES DOS USUÁRIOS DO PSF NA PERSPECTIVA DOS ACS NO MUNICIPIO DE BELO CAMPO

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Palavras-chave: Agente comunitário de saúde. Confidencialidade. Programa Saúde da Familia. Sigilo.

ABSTRACT

The ACS has tasks that are divided between the problems of the community and the resolution of the issues reported the fact of entering the homes and listening to the complaints of the population, they commit themselves directly to the duty to give the answer and to send the problems to the service. And he also debates with the health team acting within the possibilities and limits of it and the unit. Community agents have extensive access and manipulation of information about users, which makes it possible to respect the secrecy and privacy of this information by working in a multiprofessional team. As ACS is the voice of your community and the important link between the basic health unit and the community. When thinking about the team it is possible to perceive that each professional works in a particular sector, performing unique and specific functions, with the purpose of achieving a single objective that is nothing more than to promote better quality of life and health of the population. This study aimed to analyze the perception of community health agents about the confidentiality and confidentiality of users' information. Its specific objectives are to verify the understanding of the ACS on secrecy and confidentiality and whether they have already participated in training on the subject; To identify the knowledge of the ACS about the occurrence of cases where there was a break in professional secrecy and the determining factors for this to happen; Describe the opinion of the ACS about which team professionals must maintain secrecy and about the punishment in the occurrence of this. It is a descriptive and exploratory research, being a qualitative study. The research was carried out in the Alvorada and Militão Xavier Ruas health units, in the city of Belo Campo / BA. He had as subjects 6 community health agents and used as a data collection instrument a questionnaire containing 10 objective questions. As results of the research it was verified that 66.7% of the agents interviewed understood that confidentiality and confidentiality is a duty / right of the patient, that every professional should have mainly in the area of health and the other 16.7% consider it a duty Ethical of every professional that should be applied in some situations. Regarding having participated in some training, 83.3% of respondents said they had participated and the other 16.7% said they did not. According to knowledge of a case where there was a break in professional secrecy and patient exposure, 50% of the agents answered that yes, it already happened and the other 50% responded not to my knowledge. After analyzing the results, it was observed that most community health agents are aware of what is confidentiality and confidentiality, as well as the importance of maintaining the confidentiality of information regarding PSF users. However, there is a need for more training with ACS so that they can continue to provide quality service and gain the trust of service users.

Keywords: Community health agent. Confidentiality. Family Health Program. Secrecy.

LISTA DE TABELA

Tabela 1 - Entendimento dos ACS sobre Sigilo e confidencialidade profissional. Belo Campo – 2017. 18

Tabela 2 - Onde deve se aplicados o sigilo e a confidencialidade profissional. Belo Campo – 2017. 19

Tabela 3 – Capacitação sobre sigilo e confidencialidade profissional. Belo Campo – 2017. 19

Tabela 4 – Relacionamento ou vínculo pessoal com seus clientes fora do ambiente de trabalho. Belo Campo – 2017. 20

Tabela 5 – Relacionamento social e pessoal é determinante para a quebra de sigilo. Belo Campo – 2017. 21

Tabela 6 – Ocorrência de quebra de sigilo profissional e exposição do paciente. Belo Campo – 2017. 21

Tabela 7 – A revelação de um fato importante da saúde do paciente a outro profissional da equipe de saúde sem a prévia autorização deste. Belo Campo – 2017. 22

Tabela 8 – A revelação de um fato conhecido à outra pessoa que não tem relação com a situação é falta de ética. Belo Campo – 2017. 23

Tabela 9 – Profissionais da equipe de saúde tem que agir de forma ética e manter sigilo profissional. Belo Campo – 2017. 23

Tabela 10 – Opinião dos ACS sobre a punição do profissional de saúde que não age de forma ética. Belo Campo – 2017. 24

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LISTA DE ABREVIATURAS E SIGLAS

ACS

AB

Agente Comunitário de Saúde

Atenção Básica

CNS

Conferência Nacional da Saúde

et al

INAMPS

E outros

Instituto Nacional de Assistência Médica Previdência Social

MS

OMS

Ministério da Saúde

Organização Mundial da Saúde

ONU

PSF

Organização das Nações Unidas

Programa de Saúde da Família

TCLE

USF

Termo de Consentimento Livre Esclarecido

Unidade de Saúde da Família

SUMÁRIO

1 INTRODUÇÃO 9

2 FUNDAMENTAÇÃO TEÓRICA 11

2.1 SISTEMA ÚNICO DE SAÚDE 11

2.2 POLÍTICA NACIONAL DE ATENÇÃO BÁSICA 11

2.3