Abstract:Resumo A regulação em saúde na busca da equidade subsidia a gestão e necessita de métodos avaliativos que incrementem os processos de trabalho. O objetivo deste artigo é analisar a aplicação do mapeamento conceitual na regulação do acesso aos serviços públicos de saúde. Estudo exploratório e descritivo, sob abordagem mista, realizado no Complexo Regulador em Saúde do Distrito Federal. Os dados foram coletados entre agosto e outubro de 2019 e analisados com o auxílio dos softwares IRaMuTeQ e Concept Systems®. H… Show more
“…The timely access to health care services is a crucial component of, and a prerequisite for, delivering quality of care [ 21 , 22 ]. There have been some studies published regarding Brazil in relation to the management of public health services at the federal, state, and municipal levels [ 23 , 24 , 25 ]; the quality of health services [ 12 , 26 , 27 , 28 , 29 ]; and about pharmaceutical public services [ 30 , 31 , 32 , 33 ].…”
Evaluating the access to and quality of healthcare services from the users’ perspective is an important assessment process to identify priorities. This study assessed the profile of health service usage and the views of the Unified Health System (SUS) users about the access to and quality of SUS public health services. A cross-sectional study was conducted with participants from the Coastal Lowlands Region of the Rio de Janeiro State/Brazil, between August and November 2023. The association between categorical variables was analyzed using the Pearson Chi-Square test, using R software 4.3. A total of 200 individuals were interviewed using a 66-question survey instrument. Participants who reported using SUS services more frequently rated this system as essential (p-value = 0.031). However, overall, 64% of participants rated the quality of care to be very bad/bad and 34.9% rated access as very bad/bad. Access was considered poor by respondents who used public services rarely or sometimes (p-value = 0.002). In terms of accessing SUS services consultations provided by specialists (e.g., neurologists), these were available only in another municipality (p-value = 0.001). Many participants were SUS dependent for health services, and gaps and weaknesses were observed regarding users’ perspectives of the access to and quality of SUS health care. Policymakers should prioritize evaluations and dialogue with the community to make SUS services responsive and to optimize value-for-money in health service planning.
“…The timely access to health care services is a crucial component of, and a prerequisite for, delivering quality of care [ 21 , 22 ]. There have been some studies published regarding Brazil in relation to the management of public health services at the federal, state, and municipal levels [ 23 , 24 , 25 ]; the quality of health services [ 12 , 26 , 27 , 28 , 29 ]; and about pharmaceutical public services [ 30 , 31 , 32 , 33 ].…”
Evaluating the access to and quality of healthcare services from the users’ perspective is an important assessment process to identify priorities. This study assessed the profile of health service usage and the views of the Unified Health System (SUS) users about the access to and quality of SUS public health services. A cross-sectional study was conducted with participants from the Coastal Lowlands Region of the Rio de Janeiro State/Brazil, between August and November 2023. The association between categorical variables was analyzed using the Pearson Chi-Square test, using R software 4.3. A total of 200 individuals were interviewed using a 66-question survey instrument. Participants who reported using SUS services more frequently rated this system as essential (p-value = 0.031). However, overall, 64% of participants rated the quality of care to be very bad/bad and 34.9% rated access as very bad/bad. Access was considered poor by respondents who used public services rarely or sometimes (p-value = 0.002). In terms of accessing SUS services consultations provided by specialists (e.g., neurologists), these were available only in another municipality (p-value = 0.001). Many participants were SUS dependent for health services, and gaps and weaknesses were observed regarding users’ perspectives of the access to and quality of SUS health care. Policymakers should prioritize evaluations and dialogue with the community to make SUS services responsive and to optimize value-for-money in health service planning.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.