Organização do cuidado à pacientes com hipertensão arterial sistêmica na Atenção Primária à Saúde: revisão de escopo e recomendações para o município de Camaçari/Ba.

Abstract

Introduction: Systemic arterial hypertension (SAH) is one of the main modifiable risk factors for cardiovascular diseases, constituting a major global public health problem and one of the main causes of morbidity and mortality in Brazil. Adequate management in Primary Health Care (PHC) requires organized strategies that are sensitive to the local reality. Objective: To analyze the Brazilian scientific production on the organization of care for SAH in PHC, seeking effective strategies that can be adapted to the city of Camaçari/BA. Methodology: This is a scoping review with a qualitative and documentary approach, based on the Joanna Briggs Institute (JBI) protocol, carried out in two stages: (1) mapping of scientific and normative evidence on the management of systemic arterial hypertension (SAH) in Primary Health Care (PHC), through searches in scientific databases (SciELO, BVS, PubMed), gray literature (Google Scholar, Thesis Repositories) and institutional sources (Ministry of Health, PAHO and WHO); and (2) preparation of a guiding document with practical recommendations for the management of hypertension in the city of Camaçari/BA, based on the findings of the review. The review covered 41 documents, selected by the Population, Concept and Context (PCC) strategy. Results: The analysis resulted in six thematic categories: (1) Planning, Organization and Continuing Education, reinforcing the structuring of services, the development of clinical protocols adapted to the local reality and the continuous training of teams; (2) Case management and continuity of care, focusing on active patient involvement, systematized consultations, individualized therapeutic plans and health education actions; (3) Use of information and communication technologies, highlighting the application of computerized systems, clinical decision support applications, remote monitoring and telehealth tools; (4) Health education and promotion of self-care to address hypertension in PHC, highlighting the importance of coordination between levels of care, transition strategies and maintenance of consistent care over time; (5) Integration of Services and Interprofessional Articulation, valuing agreed care flows, effective clinical communication and collaborative practices among health teams and (6) Assessment and monitoring of care for hypertensive patients, highlighting the relevance of risk stratification, development of clinical indicators and systematic monitoring of the quality of care. Conclusion: These findings allowed the identification of successful practices and structural barriers, supporting the construction of specific recommendations that may qualify and strengthen PHC as a coordinator of care for hypertension in Camaçari.