Accesibilidad a los servicios públicos de salud: la visión de los usuarios de la Estrategia Salud de la Familia

Pedraza, Dixis Figueroa; Costa, Gabriela Maria Cavalcanti

doi:10.6018/eglobal.13.1.170901

Cited by 8 publications

(7 citation statements)

References 35 publications

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“…Patients who reported waiting more than half an hour, one hour and more than two hours to receive care in PHC facilities were less likely to go to a consultation in the last year. This result is consistent with what was described by Figueroa and Cavalcanti, who explained that waiting time to receive care constitutes a socio-organizational barrier to access health services (24). This relationship could exist due to the fact that the barrier is not only present at the moment of receiving the service, but also everything that is involved for the user to obtain the service and go to the health center.…”

Section: Discussionsupporting

confidence: 91%

“…Out of 150 participants, the majority were female (81.3%) and the median age was 32 years (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42). Most of the participants had access to electricity (95.3%), water (94%) and sanitation (80%).…”

Section: Resultsmentioning

confidence: 99%

“…This relationship could exist due to the fact that the barrier is not only present at the moment of receiving the service, but also everything that is involved for the user to obtain the service and go to the health center. Thus, obtaining this service loses quality and importance for a patient who must spend so much time just to access the necessary care (24), resulting in patients who do not show up or simply a decrease in the number of people willing to receive the service when it is their turn to receive it (25). Therefore, this association could be explained by multiple barriers of a geographical and socioeconomic nature, as well as characteristics related to patients and their own diseases.…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Accessibility in Seven Peruvian Primary Health Care Facilities

Valladares-Garrido¹,

Ccosco-blas²,

Gutierrez³

et al. 2021

PJMHS

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Introduction: There is limited evidence on factors associated with access to health primary health care services in users of marginal urban areas of Lima, Peru. Objective: To determine factors associated with access to primary health care services in Lima, Peru. Material and Methods: Cross-sectional study in users treated at seven primary health care facilities in a marginal urban area of Lima, Peru in 2019. A questionnaire was used to measure accessibility to health services; demographic and socioeconomic factors and characteristics of health services were investigated as well. Simple and multiple regression analyses were performed, estimating prevalence ratios. Results: Out of a total of 150 participants, 85.2% had access to health services. Female gender was positively associated with access to health services (aPR:1.17, 95% CI:1.11-1.23). Secondary education (aPR:0.65, 95% CI:0.44-0.98) and higher technical education or armed forces (aPR:0.64, 95%CI:0.46-0.89) were negatively associated with access to health services. On the other hand, we found that waiting time for care reduces the possibility of accessing health care; in case wait time is more than 30 minutes (aPR:0.83, 95% CI: 0.77-0.95), more than one hour (RPa:0.85, CI95%:0.75-0.95) and more than two hours (RPa:0.84, CI95%:0.75-0.93). Conclusions: The majority of users treated at the Primary Health Care facilities had access to health services. Having a higher educational level and reporting a longer waiting time for care were associated with a lower frequency of accessibility, while being a woman was associated with a higher frequency of accessibility. Key words: Health services, primary health care, health services accessibility, delivery of health care, public health.

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Section: Discussionsupporting

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Accessibility in Seven Peruvian Primary Health Care Facilities

Valladares-Garrido¹,

Ccosco-blas²,

Gutierrez³

et al. 2021

PJMHS

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“…As longas filas e a dificuldade de atendimento nas Unidades de Saúde da Família (USF) são uma realidade conhecida no Brasil. 1,2 A ampliação do acesso e a organização do fluxo dos pacientes nas redes representa um grande desafio para o SUS. 3 Na Atenção Primária à Saúde (APS) o acesso é atributo essencial, junto com a integralidade, longitudinalidade e coordenação do cuidado.…”

Section: Introductionunclassified

Reorganização da agenda e do modelo de acesso em Unidade de Saúde da Família 24 horas

Lima¹,

Brandão²

2019

Rev Bras Med Fam Comunidade

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Problema: As longas filas e a dificuldade de atendimento nas Unidades de Saúde da Família (USF) são uma realidade conhecida no Brasil. O acesso avançado representa uma nova proposta de acolhimento e gestão da oferta de vagas para consultas. Neste contexto de dificuldade de acesso, foi inaugurada em março de 2016 em Recife, uma nova Unidade de Saúde da Família 24 horas. Após 6 meses de atendimento neste serviço, a equipe Alfa, nome fictício, sentia-se desmotivada pelas reclamações relativas à dificuldade de acesso. Mobilizada pela insatisfação da população foi proposta uma intervenção para reorganização da oferta de vagas para consultas e do modelo de agendamento com base no acesso avançado. O objetivo deste trabalho é relatar a experiência de reorganização da agenda e da oferta de vagas para consultas; as mudanças do número e do tipo dos atendimentos da equipe após implantação deste novo modelo de acesso; e a percepção dos integrantes da equipe quanto à experiência. Métodos: A primeira etapa da iniciativa incluiu a identificação da viabilidade da intervenção a partir do cálculo da demanda diária de atendimentos. Em seguida, foi criado um novo modelo de agenda desenvolvido fora do e-SUS e que utilizava o Google® Drive e disponibilizados três tempos para as consultas: 5 minutos, 10 minutos e 20 minutos, denominadas respectivamente de rápida, intermediária e estendida. Resultados: No terceiro mês após a mudança foi observado o desaparecimento dos atendimentos classificados como urgência pelo antigo modelo, a ampliação de 65% no número de atendimentos da equipe Alfa com transformação do perfil de atendimento de 70% de consultas agendadas para 70% de consultas do dia. Conclusão: A experiência mostrou ser possível uma ampliação no acesso através do incremento no número de atendimentos a partir da reorganização da agenda baseada no modelo de acesso avançado.

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“…Dicha posibilidad de la población de acercarse fácilmente a los servicios de salud se determina como "accesibilidad" (Comes et al, 2007). Ésta representa una dimensión indispensable sobre equidad en los diversos sistemas y centros de salud de las comunidades y una de las principales condiciones de atención primaria de salud (Figueroa & Cavalcanti, 2014). Asimismo, es importante destacar que el estado de salud de una persona o una población resulta ser un elemento distintivo en cuanto al desarrollo humano (Casas, 2002).…”

Section: Introductionunclassified

Recursos que contribuyen al desarrollo positivo en jóvenes

Frı́as-Armenta¹,

Gaxiola²

2016

PSYWRIT

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La psicología positiva se enfoca en el desarrollo óptimo del ser humano reconociendo que todos los niños y jóvenes tienen fortalezas, que se desenvolverán cuando éstas se empaten con los recursos requeridos en los diversos ámbitos en los que viven. Por lo tanto, el objetivo de este estudio fue analizar los recursos que promueven el desarrollo positivo de los jóvenes a partir de ciertas disciplinas como la psicología, la sociología y la economía. La muestra fue de 200 estudiantes de bachillerato de 15 a 19 años. Los datos se analizaron en SPSS 21 para obtener frecuencias, medias, desviaciones estándar y consistencia interna de las escalas; de igual manera se utilizó el paquete estadístico EQS con el fin de probar un modelo de ecuaciones estructurales en el cual las variables investigadas constituyeron 4 factores: recursos psicológicos, sociales, económicos y desarrollo positivo. Los resultados muestran una relación directa de los recursos psicológicos y sociales hacia el desarrollo positivo, así como los recursos sociales afectan a los psicológicos; respaldando las teorías analizadas. No se encontraron relaciones significativas con los recursos económicos y el desarrollo positivo del joven.Palabras clave: Desarrollo positivo, jóvenes, recursos sociales, recursos económicos, recursos psicológicos.Adolescence is a crucial developmental phase that shapes people´s futures. Positive psychology investigates the variables that promote the optimal development of human beings. It recognizes that all children and adolescents have strengths that will develop once these strengths match the resources needed to achieve this in the various settings in which they live. The aim of this study was to analyze from a multidisciplinary perspective (e.g. psychological, sociological, and economic) the effect of resources that promote positive youth development. The sample consisted of 200 middle school students (15 to 19 years). EQS statistical software was used to analyse a structural equation model in which the study variables comprised 4 factors: one for each resource (economic, psychological, sociological), and one for positive youth development. The results showed a direct association between psychological and social resources and positive development, and between social resources and psychological assets. However, no association was found between economic resources and positive youth development. These results suggest that the main influences on positive youth development are psychological and social resources.

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Accesibilidad a los servicios públicos de salud: la visión de los usuarios de la Estrategia Salud de la Familia

Cited by 8 publications

References 35 publications

Factors Associated with Accessibility in Seven Peruvian Primary Health Care Facilities

Factors Associated with Accessibility in Seven Peruvian Primary Health Care Facilities

Reorganização da agenda e do modelo de acesso em Unidade de Saúde da Família 24 horas

Recursos que contribuyen al desarrollo positivo en jóvenes

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