This study aimed to analyze user satisfaction with access and care in Primary Health Care (PHC) based on non-urgent demand for emergency services. 28 non-urgent users of emergency services were intentionally interviewed across five health districts in the city of Riberão Preto in São Paulo State. These users had been treated in PHC at least once in the previous six months prior to data collection aimed at evaluating the services. Content analysis was used to analyze the interviews. The results showed there to be satisfaction with care received from health professionals in PHC and dissatisfaction with delays in arranging an appointment and with difficulty to receive care based on spontaneous demand. There was found to be no difference in the levels of satisfaction between the users from different health districts. The article concludes that obstacles to access to PHC services represent a barrier for populations wishing to receive care, with repercussions in terms of user satisfaction and high demand for emergency care. To ensure universal, equal, and organized access to actions and services at different levels, healthcare networks were created that constitute organizational arrangements of sets of health services coordinated among themselves through common goals and cooperative and interdependent actions that enable the provision of continuous and comprehensive care to the population, coordinated by primary health care (PHC). 2 However, profound changes must be made in order for this form of care organization to overcome a fragmented healthcare system that does not ensure continuity and is centered on acute conditions, through emergency care units (ECUs). 2 Emergency care units are also defined as points of entry to initial health care by SUS users. 3 However, the guarantees set forth in Brazilian legislation represent one step among many required to construct the SUS. For the right to health to become a reality, changes must occur in the social model, because in practice, access is still selective, focalized, and excludisionary. 4 From this perspective, even though they are considered a point of entry to the system, ECUs treat only the main complaints that led users to the health service. 5 This frequent search for emergency care demonstrates that the health needs of users are not being met by PHC. When users resort to health services, they are looking for something or some action from health professionals that will resolve, or at least minimize, the problem that led them to seek out that service. Thus, it is understood that if a point of entry fails, necessary care is postponed. 6 Health needs are related to social production and reproduction, and accessibility to health actions. Additionally, health care must be planned, considering existing demand, COMUNICAÇÃO SAÚDE EDUCAÇÃO 2018; 22(65):387-98and that health services that must be willing to address these needs, understanding their meanings and the subjects involved in the production and consumption of health. 7 According to this logic, humanization means tak...
This study aimed to analyze the use of Health Information Systems in the decision-making process by the management from cities located in Southern Bahia, Brazil. A qualitative approach was employed; subjects were 16 secretaries of health. Data were collected through interviews and subject to the content analysis technique; Knowledge Management was used as the theoretical framework. The managers are still beginners in the use of Health Information Systems; several actors are involved in the decision; there is low qualification in Health Information Systems; managements implement innovation, even if incipiently; difficulties happen when a new system is established and because of internet access. It was concluded that Health Information Systems' use to support knowledge production has not reached yet its full potential; it is suggested that management should promote the strengthening of the information culture and should seek to construct knowledge based on the expertise of different actors for the decision.
The objective of this study was to identify the profile of users treated in emergency care of a district of Ribeirao Preto -SP. Quantitative Study users seeking the emergency care between January to June 2009. Were characterized by sex, age, time, day of week and months of peak demand, demand justification, conduct and referrals. Of the 45,771 visits made, was selected a sample of 330 medical records by random sampling technique. Of these, 57% of users were female and 63.3% are users between 20 and 50 years. The months of greatest demand were in March, April and May and 70.7% of cases occurred during the day. In 20% of justifications were reports of pain. In 77,2% of the ducts are drug therapy and 26.3% test ordering. Among the many justifications for the search by the emergency care are the potential of this service in the form of high-density technology.
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