Desigualdades geográficas e sociais no acesso aos serviços de saúde no Brasil: 1998 e 2003

Travassos, Cláudia; Oliveira, Evangelina Xavier Gouveia de; Viacava, Francisco

doi:10.1590/s1413-81232006000400019

Cited by 215 publications

(201 citation statements)

References 5 publications

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“…1 The greater concentration of RRT patients in the Southeast and South regions may be the result of the greater population density of these regions and the greater availability of health services of high technological complexity, which favors patient access. 21 Moura et al, 11 only used the enrollment archive of the APAC for analysis and found similar prevalence, incidence rate and primary cause for ESRD, as well as a similar distribution of patients between the Brazilian regions.…”

Section: Discussionmentioning

confidence: 99%

Perfil epidemiológico dos pacientes em terapia renal substitutiva no Brasil, 2000-2004

et al. 2010

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OBJECTIVE:To describe the clinical and epidemiological profi le of patients under renal replacement therapies, identifying risk factors for death. METHODS:This is a non-concurrent cohort study of data for 90,356 patients in the National Renal Replacement Therapies Database. A deterministicprobabilistic linkage was performed using the Authorization System for High Complexity/Cost Procedures and the Mortality Information System databases. All patients who started dialysis between 1/1/2000 and 12/31/2004 were included and followed until death or the end of 2004. Age, sex, region of residence, primary renal disease and causes of death were analyzed. A proportional hazards model was used to identify factors associated with risk of death. RESULTS:The prevalence of patients under renal replacement therapies increased an average of 5.5%, while incidence remained stable during the period. Hemodialysis was the predominant initial modality (89%). The patients were majority male with mean age 53 years, residents of the Southeast region and presented unknown causes as the main cause of chronic renal disease, followed by hypertension, diabetes and glomerulonephritis. Of these patients, 42% progressed to death and 7% underwent kidney transplantation. The patients on peritoneal dialysis were older and had higher prevalence of diabetes. The death rate varied from 7% among transplanted patients to 45% among non-transplanted patients. In the fi nal Cox proportional hazards model, the risk of mortality was associated with increasing age, female sex, having diabetes, living in the North and Northeast region, peritoneal dialysis as a fi rst modality and not having renal transplantation. CONCLUSIONS:There was an increased prevalence of patients on renal therapy in Brazil. Increased risk of death was associated with advanced age, diabetes, the female sex, residents of the North and Northeast region and lack of renal transplant.

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Section: Discussionmentioning

confidence: 99%

Perfil epidemiológico dos pacientes em terapia renal substitutiva no Brasil, 2000-2004

et al. 2010

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“…Thus, such regional asymmetries represent an obvious obstacle to regionalization by increasing the cooperation effort among unequal. As has been shown, the social status of individuals and their place of residence is an important factor for access to health services in the country 28 .…”

Section: Final Considerationsmentioning

confidence: 99%

Obstáculos políticos à regionalização do SUS: percepções dos secretários municipais de Saúde com assento nas Comissões Intergestores Bipartites

Moreira

Ribeiro

Ouverney

2017

Ciênc. saúde coletiva

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“…Thus, access refers to the possibility of using the health services when necessary, and expresses characteristics of the supply that facilitates or obstructs the possibility of people using health services when they need them. The provision of services and their geographic distribution, the availability and quality of human and technological resources, the financing mechanisms, the assistance model, and information about the system are characteristics of the supply that affects access (19) .…”

Section: Access To the Family Health Unit -Expression Of Satisfactionmentioning

confidence: 99%

Assistance in family health from the perspective of users

Mishima

Pereira

Matumoto

et al. 2010

Rev. Latino-Am. Enfermagem

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This descriptive exploratory study analyzed user satisfaction with the care received at a Family Health Unit in Ribeirão Preto, Brazil. In total, 40 users from families registered in the FHU were selected, using key informants and the snowball sampling technique, and interviewed.Thematic content analysis was used to analyze the empirical material. Interviewees were mostly female, over 50 years, resident in the catchment area of the unit for 10-30 years, had incomplete primary education and also did not perform work outside the home. The analysis identified three themes: access, team-user interaction and organization of work in the FHU.The subjects of this study expressed satisfaction with the accessibility provided together with the caring attention given to them, marked by a team-user interaction that takes place in a friendly and patience manner. Although not totally satisfied, the majority of users would recommend the health service to someone due to its quality. La asistencia en la Salud de la Familia bajo la perspectiva de los usuarios Este estudio exploratorio y descriptivo analizó la satisfacción del usuario en lo que se refiere a la atención recibida en una unidad de Salud de la Familia(USF) en Ribeirao Preto-SP, Brasil. Fueron entrevistados 40 usuarios de familias registradas por la USF, seleccionadas por informantes clave y muestreo por bola de nieve. El análisis temático de contenido se utilizó para analizar el material empírico. Los entrevistados son mayoritariamente mujeres, con más de 50 años, residentes en el área de alcance de la unidad, entre 10 y 30 años, tienen enseñanza primaria incompleta y no ejercían trabajo fuera del domicilio. El análisis identificó tres temas: acceso, interacción equipo-usuario y organización del trabajo en la USF. Los sujetos del estudio expresaron satisfacción con la accesibilidad desde que vinculada a la atención cuidadosa que recibían, marcada por una interacción equipo-usuario amigable y paciente. A pesar de que no están totalmente satisfechos, la mayoría de los usuarios indicaría este servicio por su calidad.Descriptores: Salud de la Familia; Atención Primaria de Salud; Satisfacción del Paciente; Servicios Básicos de Salud. IntroductionThe Family Health -FH, strategy adopted by the Ministry of Health of Brazil, has been implemented throughout the country since 1994, in order to make changes to the logic of the current, biomedical, curative, individualizing, action fragmenting model of care. In this period of implementation, one of the criticisms elaborated refers to the maintenance of its core work, still doctorcentered, which does not qualitatively change the profile of services and acts only on the structure of services and not on the work process (1) .For this change of logic in the work process in FH, there is a need for actions that make it possible to work with individual and collective care, including actions for harm prevention, health promotion, as well as those related to the organization of the work process and that implicate the monitoring and evaluati...

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Desigualdades geográficas e sociais no acesso aos serviços de saúde no Brasil: 1998 e 2003

Cited by 215 publications

References 5 publications

Perfil epidemiológico dos pacientes em terapia renal substitutiva no Brasil, 2000-2004

Perfil epidemiológico dos pacientes em terapia renal substitutiva no Brasil, 2000-2004

Obstáculos políticos à regionalização do SUS: percepções dos secretários municipais de Saúde com assento nas Comissões Intergestores Bipartites

Assistance in family health from the perspective of users

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