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 diffe… Show more
“…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.…”
Objective. To analyze the School Health Program (SHP) through the perceptions of managers and health professionals. Materials and methods. This was a descriptive, crosssectional, and qualitative study that conducted interviews with 21 individuals using the lexical analysis of Bardin's speech and processed the data through the Alceste software. Results. In the interviewees' perception, verification of blood pressure, visual acuity, weight, height, body mass index, oral health, preventive actions and educational lectures are recommended in the program's guidelines. The schools do not have available and adequate space for the staff to perform the work. The predominant exchange occurs between the health and education secretaries. The actions that provided opportunities to students were primarily promotion, prevention, and health education; funding is the responsibility of the Ministry of Health and Municipal Secretary of Health. Conclusions. The structures, exchanges, and available resources were insufficient for the development of the program.
“…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.…”
Objective. To analyze the School Health Program (SHP) through the perceptions of managers and health professionals. Materials and methods. This was a descriptive, crosssectional, and qualitative study that conducted interviews with 21 individuals using the lexical analysis of Bardin's speech and processed the data through the Alceste software. Results. In the interviewees' perception, verification of blood pressure, visual acuity, weight, height, body mass index, oral health, preventive actions and educational lectures are recommended in the program's guidelines. The schools do not have available and adequate space for the staff to perform the work. The predominant exchange occurs between the health and education secretaries. The actions that provided opportunities to students were primarily promotion, prevention, and health education; funding is the responsibility of the Ministry of Health and Municipal Secretary of Health. Conclusions. The structures, exchanges, and available resources were insufficient for the development of the program.
“…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 .…”
Trata-se de um estudo epidemiológico quantitativo de abordagem indutiva e observação direta intensiva dos usuários dos Centros de Especialidades Odontológicas de João Pessoa-PB, com o objetivo de identificar o perfil dos usuários e de utilização do serviço ofertado nos referidos Centros. Avaliou-se 590 usuários dos Centros de Especialidades Odontológicas (CEO) da Torre e de Jaguaribe, agosto de 2012 e agosto de 2013, escolhidos aleatoriamente de acordo com a disponibilidade diária, os quais foram entrevistados nos próprios Centros. Os dados foram analisados pelo do teste Qui-Quadrado (=0,05) no SPSS (20.0). Observou-se que 64,2% dos usuários eram do sexo feminino, com ensino médio completo (29,2%), e composto principalmente por trabalhadores, autônomos ou com vínculo empregatício (53,9%). Dentre as especialidades ofertadas nos CEO, a de Endodontia apresentou maior número de atendimentos (43,89%) e, em oposição, as práticas de prevenção e promoção de saúde não foram registradas. A maioria dos usuários é encaminhada a partir da Unidade Básica de Saúde.
“…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.…”
Objective: understanding ambiguities and challenges related to access after implementing the Manchester Triage System in primary health care.Method: a qualitative study developed through semi-structured interviews with nurses, doctors and nursing technicians, totaling 22 professionals. The data were analyzed using the thematic content analysis method.Results: the Manchester Triage System antagonistically interfered with access. In one aspect, an increase in waiting time, difficulty of the user being attended and scheduling of cases that are not classified as acute can be observed. In another aspect, service guarantee, open door service, receiving service in order of arrival and organizing spontaneous demand can be emphasized.Conclusion: the study highlights the need to broaden discussions on the legitimacy of the Manchester Triage System in primary health care in view of its ambiguities and challenges regarding a guarantee of access in this area of care production. Método: investigación cualitativa, que utilizó la entrevista semiestructurada con enfermeros, médicos y auxiliares de enfermería, totalizando 22 profesionales. Los datos fueron analizados por medio de análisis de contenido temático.
DESCRIPTORS:Resultados: el Sistema de Triage de Manchester interfirió de forma antagónica en el acceso. En una vertiente, se observa el aumento del tiempo de espera, la dificultad del usuario en ser atendido y el agendamiento de los casos que no son clasificados como agudos. Por otra parte, se resalta la garantía del atendimiento, la puerta abierta del servicio, con el fin de atender por orden de llegada y la organización de la demanda espontanea.Conclusión: el estudio destaca la necesidad de ampliar discusiones sobre la legitimidad del Sistema de Triage de Manchester en la atención primaria en salud, teniendo en vista las ambigüedades y desafíos referentes a la garantía de acceso en este espacio de producción del cuidado.
DESCRIPTORES:Accesibilidad a los servicios de salud. Atención primaria de salud. Triaje. Enfermería. Sistema Único de Salud. Acogimiento.
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