Ótica dos profissionais de saúde sobre o acesso à atenção primária à saúde

Abstract

The term access is understood from the perspective of admission or entry into the system, related to the use of the system. This research seeks to analyze access to primary health care from the perspective of professionals in family health teams of three municipalities in the State of Minas Gerais: Ipatinga, Coronel Fabriciano and Santana do Paraíso. This work is a qualitative case study into the understanding of access on the part of professionals in family health teams. Twelve health professionals from different professional categories participated in the study. The data was collected through taped and subsequently transcribed interviews and analyzed using Bardin's content analysis technique. As a result the professionals showed that they believe that it is possible to improve working conditions and consequently the supply of services. The type of care and the inherent complexity make a difference in waiting time and the ability of the system to respond thereby impacting the quality of access. Professionals in the municipalities of Coronel Fabriciano and Santana do Paraíso consider the service to be organized and decisive. However, in the municipality of Jaipur, there is high management turnover that hampers the organization of the service and the smooth operation of flows and routines.

Health program in a Brazilian school

“…1 According to Mendes,30 despite advances such as the expansion of local health services and autonomy of states and municipalities, there is no evidence that decentralization has ensured greater efficiency and accountability to municipalities. Barbosa 31 concluded, based on a study in the cities of Ipatinga, Coronel Fabriciano, and Santana do Paraíso in Minas Gerais, that the services offered are focused, selective, with little organization, and slow.…”

Socioeconomic and Educational Profile of Users, and Profile of the Access to Services Offered by Odontology Specialty Centers in João Pessoa-Paraíba, Brazil

“…Usuários com maior facilidade no acesso geográfico ao serviço especializado apresentam-se com mais chance de alcance da integralidade na saúde bucal em relação aos demais usuários 21 . Dessa forma fazem-se necessárias a ampliação do acesso à saúde e a melhoria na resolutividade do serviço 22 .…”

Manchester Triage System in Primary Health Care: Ambiguities and Challenges Related to Access

“…Adherence to treatment and access are thus facilitated by the relationship between the patient and the professional, having family and community as its focus. [29][30] A logic of access based on risk classification can refer to a lack of reception and indifference by professionals to users' suffering when objectively dealing with subjective aspects. Thus, the use of MTS in the PHC can reveal a bureaucratic rationality that puts the subject's autonomy at stake in its health/disease/care process.…”