Acesso aos serviços de saúde: abordagens, conceitos, políticas e modelo de análise

Access to child care services in the Northeast and in the South Regions of Brazil

“…This observation may reflect in different contexts of the management in the municipal in health services with diversified organizations in the scope of basic care. 1,6 However, the municipalities with more than 100 thousand inhabitants also had the same sense of the protective effect as identified in the South Region, although the statistical significance was not maintained.…”

“…It is worth mentioning that, through the sample strategy, this study included families attended at the basic health units by the National Health Service (Sistema Único de Saúde) and it would not be expected that the lower income families would represent a possible barrier to use the child care services. 1 However, such iniquities have also been described in many studies in different places in Brazil, mainly related to the use of health care consultations. [21][22][23] Although the South region presents a better socioeconomic conditions and a lower prevalence of lack of follow-ups on child care, this region pointed out the greatest differences among the economic classes and in the income quartile per capita observing by the higher risk expressed in classes D and E and the protective effect in families with higher quartile.…”

“…Such differences among municipalities may influence the access to the services, which may become barriers for the health users. 1 The medical literature already indicates evidences that individuals living in areas with a better socioeconomic development have better access and the use of the health services. 8,20,21 On the other hand, this tendency was not identified in the Northeast region.…”

“…Inequities in the income distribution imply considerably in the social and health determinants, 1,24,25,26 coming from a social stratification 27 and political inequalities that permeate in the health system and challenges its management. 2 Hence, it is necessary actions that involve the whole political sphere of governments in order to promote social and economic policies capable of reducing income differences and promoting equity in the health system.…”

“…The access to health services can be understood as an easy way to obtain assistance that may give opportunities in receiving better health results, 1,2,3 which entails the removal of obstacles to reach the offered services. 4 Thus, the use of a certain service can be considered as a dimension to the achieved access 5 while its absence entails the lack of access.…”