Elementos que influenciam o acesso à atenção primária na perspectiva dos profissionais e dos usuários de uma rede de serviços de saúde do Recife

Lima, Sayonara Arruda Vieira; Silva, Maria Rejane Ferreira da; Carvalho, Eduardo Maia Freese de; Pessoa, Eduarda Ângela Cesse; Brito, Ederline Suélly Vanini de; Braga, João Paulo Reis

doi:10.1590/s0103-73312015000200016

Cited by 50 publications

(85 citation statements)

References 18 publications

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“…However, the deviation of the agents´ functions to do activities such as reception in the unit reduces access in that it reduces the time for home visits 6 , as verified in the present research.…”

Section: Acknowledgmentssupporting

confidence: 78%

“…Different elements of PHC work are described in the literature in their relation or impact on the guarantee of access to health services, such as: the training of workers 5 ; the organization of the work process 6 and the workload 7 . Also, the norms that guide health practices in daily services, such as working hours and teamwork, depending on how they are used may or may not contribute to increased access.…”

Section: Introductionmentioning

confidence: 99%

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Influence of multiprofessional work on the production of care and access to primary health care

2018

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Objective: to analyze how the work of four family health teams, in Brazilian Midwest and South regions, influences the capacity of the services in guaranteeing access. Methods: this is a descriptive study with a qualitative approach. Results: the results were systematized in nine elements, namely: (I) formation/ Knowledge of standards; (II) experience; (III) affinity of professionals with a particular theme, grievance or group of people; (IV) professional satisfaction; (V) workload; (VI) management and organization of the work process (VII) teamwork; (VIII) actions carried out with the participation of the community and; (IX) respect for the autonomy of people and different knowledge and cultures. Conclusion: the identified elements related to the individual issues, the organization of the service and the relationship and participation of the community in the actions of the health unit should be considered both in the training of new health workers and in the formulation of public policies.

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Section: Acknowledgmentssupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Influence of multiprofessional work on the production of care and access to primary health care

2018

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“…Apesar dos benefícios próprios da implantação da ESF, necessita-se de priorizar a gestão, para investir na estrutura e melhorar a organização dos serviços da rede de saúde. 20 Na análise múltipla verificou-se que sexo, faixa etária e cor de pele, apesar de associados, na análise bivariada, com a variável dependente "atendimento na primeira vez que procurou por um serviço de saúde pública, nos últimos 15 dias", não permaneceram no modelo múltiplo, demonstrando serem variáveis de confusão. Neste sentido, as características do perfil não influenciaram no acesso aos serviços de saúde.…”

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Acesso às consultas médicas nos serviços públicos de saúde

Dias

Araújo

Oliveira

et al. 2017

Rev Bras Med Fam Comunidade

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Access to medical appointments in public health services Objetivo: Avaliar o acesso às consultas médicas em serviços públicos de saúde. Métodos: Pesquisa transversal, analítica de base populacional, em município de porte médio, no estado de Minas Gerais, Brasil. Os dados foram coletados a partir de questionário semiestruturado a uma amostra representativa do município, de 2150 indivíduos. O tratamento estatístico considerou o nível de significância p<0,05. Resultados: Dos entrevistados, 19,4% afirmaram ter procurado um profissional/serviço público de saúde nos 15 dias anteriores à entrevista. Entre esses, 75,6% foram na Atenção Primária à Saúde (APS). A maior procura foi por parte do sexo feminino (p<0,001) e os sem plano de saúde (p<0,001). A maioria (77,2%) foi atendida na primeira vez que procurou o serviço de saúde pública. Pode-se destacar uma maior prevalência ao não acesso quando a procura foi na APS e para tratamento/reabilitação (p<0,05). A utilização de consultas médicas no ano foi observada para 54,4%, com maiores médias para mulheres, adultos e sem plano (p<0,05). Conclusão: Necessita-se repensar a gestão de saúde pública e as práticas dos profissionais para efetivar o acesso às consultas médicas. Assim, sugere-se adotar medidas de acolhimento e educação permanente junto aos profissionais da saúde da família. (38)1185 www.rbmfc.org.br ARTIGOS DE PESQUISAS El acceso a las consultas médicas en los servicios de salud públicaObjective: To assess the accessibility to medical appointments in public health services. Methods: Transversal, analytic, population-based research in a medium-sized city in the state of Minas Gerais, Brazil. The data were collected from a semi structured questionnaire presented to a representative sample of the city, of 2150 people. The statistic treatment considered p<0.05 as the level of significance. Results: 19.4% of the interviewees reported having sought a public health professional/service up to 15 days prior to the interview. Among these cases, 75.6% occurred in the Primary Health Care (PHC). The majority of these seekers were females (p<0.001) and people with no private health insurance (p<0.001). The majority (77.2%) was seen in the first time they sought the public health service. A bigger prevalence of no access could be highlighted when the patient sought the PHC and for treatment/rehabilitation (p<0.05). The use of medical service in that year was reported to be 54.4%, with a higher average for women, adults and people with no private health insurance (p<0.05). Conclusion: It is necessary to think over the public health management and professional conduct to make medical appointments effective. Therefore, adopting welcoming and permanent teaching measures among family health professionals is advised. Abstract Keywords:Access to Health Services

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“…19 On the other hand, studies have reported that forwarding by the community health agents is a strategy that favored the access to appointments at the services. [20][21] Home care is an alternative care modality for the users' access to the service, guaranteeing the right to care for users who are limited or cannot come to the service. 22 Another strategy is telephone contact, permitting appointment scheduling and access to care in remote areas.…”

mentioning

confidence: 99%

Primary Care Quality From Professionals’ Perspective: Health of Children and Adolescents With Hiv

Piovesan

Paula

Lopes

et al. 2017

Texto contexto - enferm.

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Objective: evaluate, based on the professionals' experience, the primary health care quality in home cities of children and adolescents with HIV, treated at a specialized service.Method: cross-sectional study involving 527 professionals in 25 interior cities in Rio Grande do Sul, Brazil, in the first semester of 2014. The Primary Care Assessment Tool was applied. Pearson's chi-square Test, the Mann Whitney Test and the Poisson Regression were used.Results: the Estratégia Saúde da Família and the primary health care service presented a high score related to the essential attributes: longitudinality (7.17 and 6.74), coordination-integration of care (6.87 and 7.03) and coordination-information systems (8.24 and 8.19); and a low score for the attribute access (3.96 and 3.8). The variables: female gender (0.009), education as general practitioner (<0.001), statutory staff (0.029), coordinator position (0.087) and not having another job (0.027) were also associated with the high score.Conclusion: the coverage of the Estratégia Saúde da Família needs to be expanded and structural and organizational shortages in the access need to be overcome.

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Elementos que influenciam o acesso à atenção primária na perspectiva dos profissionais e dos usuários de uma rede de serviços de saúde do Recife

Cited by 50 publications

References 18 publications

Influence of multiprofessional work on the production of care and access to primary health care

Influence of multiprofessional work on the production of care and access to primary health care

Acesso às consultas médicas nos serviços públicos de saúde

Primary Care Quality From Professionals’ Perspective: Health of Children and Adolescents With Hiv

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