O papel do Hospital de Pequeno Porte no enfrentamento da pandemia da Covid-19

Abstract

This dissertation has the general objective of understanding the role of the Small Hospital (HPP) in assisting people affected by covid-19 in the state of Bahia and, as specific objectives, it chose 1) to contextualize the process of building the Covid-19 Response Network. 19 at the state level highlighting the role of the Small Hospital in this network; 2) Describe the role of the Small Hospital in assisting people affected by Covid-19 in the Vitória da Conquista region; 3) analyze the challenges faced by managers of Small Hospitals and assistance to people affected by Covid-19. To this end, qualitative case study research was developed that sought to analyze the role of HPP in assisting people affected by Covid-19 in the state of Bahia and in more detail in the health region of Vitória da Conquista-BA. The study was developed in the health region of Vitória da Conquista, which makes up the Southwest health macro-region of the State of Bahia. The results of this dissertation were presented in the format of two scientific articles: the first, “Small Hospitals and the Sars-CoV-2 pandemic: what do we need to learn?”, which sought to discuss elements related to PPH in the initial context of the emergency, reflecting, mainly, the limits placed by external policies for hospital care in the first months of the pandemic and, the second article entitled “The role of the Small Hospital in facing the covid-19 pandemic: performance and challenges faced by managers” which sought analyze the performance of these HPP in assisting people affected by covid-19 in the scientific health region. The results of this dissertation indicate that the HPPs in the trained municipalities played a fundamental role in tackling Covid-19 in the local-regional context. However, several challenges were part of this coping process, requiring municipal and state managers to have strategies to maintain operation and assistance to patients with covid-19 in these small municipalities.