Usuários hipertensos na atenção primária à saúde: acesso, vínculo e acolhimento à demanda espontânea

Abstract

Objective To assess the impacts of inclusion of care for spontaneous demands in the treatment of hypertensive patients in primary health care. Methods Third generation qualitative assessment survey conducted with 16 workers in a Primary Care Health Unit (PHCU) of the city of Fortaleza, state of Ceara, in the period between July and September of 2015. To collect data, systematic field observation and semi-structured interviews were used, and the stages of thematic content analysis were adopted for data analysis. Results Participants revealed that access, connection and care are fundamental to the treatment of hypertension. However, they said that the introduction of free access for spontaneous demands compromised the flow of care in the hypertension programs. Conclusion A dichotomy between the practice of care recommended by health policies and the one existing in the reality of PHCUs was shown, causing evident losses to the care of hypertensive patients in primary care.

Acessibilidade ao tratamento da hipertensão arterial na estratégia saúde da família

“…The geographical accessibility presented satisfactory results in more than half of the respondents, corroborating a study carried out with people of similar characteristics, resident in a municipality in northeastern Brazil (13) . However, the multivariate analysis has demonstrated that people with inappropriate monitoring have a better chance of evaluating the geographic accessibility as regular.…”

“…The need to use transport for locomotion to the BHU was the worst evaluated attribute, followed by the difficulty of displacement of users to the service. These results can be explained by the fact that the majority of the participants are elderly, since the prevalence of chronic diseases tends to rise with ageing, with the need for adoption of public policies by the health system, due to the impact of morbidity and its complications, when related to the difficulty of locomotion and the solution of the treatment (13)(14) .…”

Percepções dos profissionais de saúde da atenção primária sobre qualidade no processo de trabalho

“…Thus, they advocate the welcome of patients, listening and providing a positive response for the health complaints of the population. The welcoming process held in many basic health units does not follow what is advocated, with a tendency to occur divergence between the welcoming practice as defined by health policies and the practice effectively performed in these services (Camelo, et al, 2016;Girão;Freitas, 2016). This divergence is expressed in the interviewed professionals' speech, who recognize what is advocated on welcoming, but do not practice it fully.…”

Práticas corporais de saúde para pacientes com fibromialgia: acolhimento e humanização

“…O vínculo é a relação de cumplicidade entre usuários e profissionais de saúde, que se concretiza a partir do acolhimento, sendo o ponto de partida para a construção de confiança entre os envolvidos (GIRÃO;FREITAS, 2016). O vínculo é o alicerce constitutivo dos processos de produção de saúde (BRASIL, 2010).…”