(Im) possibilidades de acesso à atenção à saúde no cotidiano da estratégia saúde da família

• Ano de defesa: 2013
• Autor(a) principal: Veronica Amorim Rezende
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; UFMG
• Palavras-chave em Português: Acesso aos Serviços de Saúde; Saúde da Família; Sistema Único de Saúde; AtençãoPrimária à Saúde; Sistema Único de Saúde deCS; Humanos; Gestor de Saúde; Enfermagem; Questionários; Pessoal de Saúde; Atenção Primária à Saúde; Programa Saúde da Família
• Link de acesso: http://hdl.handle.net/1843/GCPA-9BAHD6

The term access or accessibility covers the geographical and social organizational dimensions, which have a multifaceted qualitative character. It is a qualitative case study, aiming at the analysis of the access to Health Care on the perspective of two managers, twelve health professionals and eleven users, subjects of this study. Scenarios: two Health Basic Units (HBU) of the North of Belo Horizonte city. The terms of CNS-196/96 Resolution were observed and the data were collected through individual interview with semi structured scripts and were submitted to the thematic content analysis. The subjects have considered that Family Health Strategy (FHS) organized health care access, reduced iniquities and went towards enhancing the access. They showed the everyday conditions which can limit the right to health formally put in place as they express inconsistencies and disagreements in practice. Acentralizing policy is noticeable, this results in organizational (im)properties and evaluative processes looking for productivity and goals established by health indicators; offer packages predefined in a bureaucratic way which rise barriers to the users; a few programmatic offer which contemplates specially the spontaneous demand; and a production cycle characterized by demands focused on the prioritization of medical consultations, medicines, medical examinations and referral to specialists. The users find ways to access the services establishing passive or reactive attitudes. The reception and the bond show to be technologies which strengthen and include as they approach the users to the health care professional/services through affective relationships, making possible a greater interaction and resolution. We concluded that the access is fundamental to turn effective the right to health care; its quality depends on many attributes for the reduction of daily barriers; andknowing the look from those who offer and seek health care is relevant to disclose the (im)possibilities of access to the services.