Analysis of the implementation of pre-hospital and hospital care for cases of accidents and violence in Brazil.

Abstract

The implementation of two guidelines of the National Policy for Reducing Morbidity and Mortality from Accidents and Violence (PNRMAV) regarding pre-hospital care (APH) and hospital care (AH) was analyzed. APH and AH managers from Brazilian municipalities participated in a cross-sectional study (2020-2022), answering a questionnaire via the Redcap platform. Descriptive and comparative analyses were performed. The response rate was 2.3% of the municipalities (n=128), of which 9 were capitals. Capitals presented better results in all items evaluated. In mobile APH, 82.8% of the municipalities and 100% of the capitals use their own transportation for patients. In the capitals, the services receive and refer more cases intersectoral (p-value<0.05). In AH, the capitals make greater use of protocols (p=0.008) and 40% of managers consider the beds adequate for their needs. The implementation of the Systematization of pre-hospital care guideline was good for 59.4% of the municipalities and 77.8% of the capitals, while the Interdisciplinary Assistance to Victims guideline was regular in 45.1% of the municipalities and good in 75% of the capitals. Despite the advances in the implementation of the PNRMAV, it is necessary to strengthen the emergency care networks and optimize the available resources.