Acesso aos serviços de saúde: comparação da visão de profissionais e usuários da atenção básica [Health service access: comparing professionals’ and users’ views of primary care]
DOI:
https://doi.org/10.12957/reuerj.2014.4238Keywords:
Acesso aos serviços de saúde, serviços de saúde, atenção primária à saúde, pessoal de saúde [health service access, health services, primary health care, health personnel]Abstract
No presente estudo descritivo propôs-se a comparar o acesso aos serviços de saúde na ótica de usuários e profissionaisque atuam na estratégia saúde da família (ESF) e nas unidades básicas de saúde tradicionais (UBST) de um municípiodo interior paulista. Foram realizadas 32 entrevistas e aplicados dois questionários com 17 assertivas; um deles respondidopor 396 usuários e o outro, por 289 profissionais, em 2011 e 2012. Na análise quantitativa, tanto usuários como profissionaisemitiram respostas que tendem à positividade, exceto quanto ao período de funcionamento da unidade e tempo de esperapara consulta médica. Na análise qualitativa, as opiniões de profissionais e usuários se aproximaram na maioria dos aspectose divergiram, principalmente, no que se refere à atenção básica como porta de entrada para o sistema e à necessidade decontrarreferência. Conclui-se pela necessidade de mudanças na concepção de atendimento à saúde.
ABSTRACT
This descriptive study compared the views of health professionals and users of the Family Health Strategy andtraditional basic health units as regards health service access in a municipality in São Paulo State. Thirty-two interviews wereconducted and two 17-response questionnaires applied, one answered by 396 users and the other by 289 professionals, in2011 and 2012. In the quantitative analysis, both professionals and users tended to respond favorably, except as regards healthfacility opening hours and appointment waiting times. In the qualitative analysis, professionals’ and users’ opinions were closeon most issues, diverging mainly as regards primary health care as the system gateway, and the need for counter-referral. Itwas concluded that changes are needed in the conception of health care.
RESUMEN
Este estudio descriptivo objetivó comparar el acceso a los servicios de salud bajo la visión de usuarios y profesionalesque trabajan en la estrategia salud de la familia (ESF) y en las unidades básicas de salud tradicionales (UBST) en unmunicipio del Estado de São Paulo-Brasil. Fueron realizadas 32 entrevistas y se aplicaron dos cuestionarios con 17 asertivas,uno de ellos respondido por 396 usuarios y el otro por 289 profesionales, en 2011 y 2012. En el análisis cuantitativo, tantolos profesionales cuanto los usuarios han emitido respuestas que tienden a la positividad, excepto cuanto al período de funcionamientode la unidad y tiempo de espera para consulta médica. En el análisis cualitativo, las opiniones de profesionalesy de usuarios fueron muy semejantes en la mayoría de los aspectos y discordaron principalmente cuanto a la atención básicacomo entrada en el sistema y la necesidad de contrareferencia. Se concluyó por la necesidad de cambios en la concepcióndel atendimiento a la salud.
DOI: http://dx.doi.org/10.12957/reuerj.2014.4238
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