A estreita porta de entrada do sistema único de saúde (SUS): Uma avaliação do acesso na estratégia de saúde da família

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Abstract

This study has the purpose of analyzing users' perception of the accessibility to Estratégia Saúde da Família (ESF - Family Health Strategy) in its geographical, organizational, socio-cultural and economic dimensions. Process evaluation with qualitative approach through open interview, direct observation and documental analysis was performed in the city of Recife, northeastern Brazil. The main problems were: the deficient referral and counter-referral system; delayed return of laboratory test results; excessive number of families per team; difficulties in scheduling medical consultations; expenditures on medicines. Facilities were observed in the professional-user relationship, as well as in the geographical proximity of the health unit. ESF proved to be a narrow entrance door to Sistema Único de Saúde (SUS - Brazil's National Health System). Therefore, it deserves to be evaluated with a more critical look that takes into account, as a starting point, the needs of individuals who request its actions, as well as the reasoning which guides the actions of the subjects involved in care.

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APA

de Azevedo, A. L. M., & Costa, A. M. (2010). A estreita porta de entrada do sistema único de saúde (SUS): Uma avaliação do acesso na estratégia de saúde da família. Interface: Communication, Health, Education, 14(35), 797–810. https://doi.org/10.1590/s1414-32832010005000029

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