O projeto terapêutico singular como estratégia para resolubilidade de casos na Atenção Básica à Saúde: revisão integrativa.

Abstract

The Brazilian health system has suffered undergone significant changes over the years culminating on a universal system organized in a coordinated way through a health care network, that articulates the health points and has as its communication center Primary Health Care which is responsible for meeting the health needs of an enrolled population and has high resolvability power. The Singular Therapeutic Project is an instrument of care based on the subject's uniqueness which aims at comprehensive care care and the subject's autonomy in the face of their health situation with co-responsibility and social reintegration. Objective: to identify the scientific productions developed on the Unique Therapeutic Project in Primary Health Care. Methodology: The integrative review method was used, developed through six phases: 1) definition of the theme and selection of the research question; 3) definition of the information to be extracted from the selected studies; 4) evaluation of the studies included in the review; 6) presentation of the review / synthesis of knowledge, based on the descriptors registered in the DECS: "Primary Health Care" AND “Unified Health System” and the uncontrolled keyword “Singular Therapeutic Project”, with searches performed in the BVS, in the databases LILCAS, MEDLINE and BDENF, with studies between 2015 - 2019, theses, dissertations, monographs, books, reviews of any style and articles that did not address the research topic or that did not answer the guiding question. A total of nine studies met the inclusion criteria and were selected for data collection. Results: The analysis of the studies showed that the Singular Therapeutic Project is configured as a strategy to enhance care, being able to overcome the practices of professional acting, in addition to standing out as an important device for solving complex cases, enabling the planning and development of innovative strategies, resignifying professional action, undoing the stiffening of health practices. In Primary Health Care, work dynamics were observed that favored the use of the device, however, from the perspective of an ineffective referral and counter-referral system, with limited communication between professionals and users, associated with the scarcity of human resources that can hinder the implementation of this device in the service. Final considerations: It is concluded that the Singular Therapeutic Project can enhance the care actions offered by Primary Health Care, contributing to greater resolution in cases of difficult outcome, increasing the possibilities of care interventions, through the articulation of its actors, its flexibility and breadth, however, some health units have limitations that make it difficult to use this device. It was suggested to carry out further studies, mainly in the practical field, on the subject.