Objective: To analyze the possibilities of the transition from care to the problem of chronic illness due to the need of regionalized municipal planning.
Method: An exploratory qualitative study was carried out in one of the Health Regions of Rio Grande do Sul, together with the Primary Health Care Coordinators.
Results: The final thematic categories that emerged from the results were: "The relationship between municipalities of the Health Region and health planning", Organizational flow of care of users with chronic diseases", and "Managing care in the health system: meeting the demands of chronically sick users".