Acesso e utilização dos serviços na Estratégia Saúde da Família na perspectiva dos gestores, profissionais e usuários

Reis, Regimarina Soares; Coimbra, Liberata Campos; da Silva, Antônio Augusto Moura; dos Santos, Alcione Miranda; de Britto e Alves, Maria Teresa Seabra Soares; Lamy, Zeni Carvalho; Ribeiro, Sabrina Varão Oliveira; de Araújo Dias, Maria Socorro; da Silva, Raimundo Antonio
November 2013
Revista Ciência & Saúde Coletiva;nov2013, Vol. 18 Issue 11, p3321
Academic Journal
Questionnaires adapted to the Brazilian reality (Primary Care Assessment Tool) to evaluate access to and use of services were distributed to 30 managers, 80 professionals and a random sample of 882 Family Health Strategy (FHS) users in São Luís in the state of Maranhão. The differences between the evaluations of managers, professionals and users were identified by the Kruskal-Wallis test and Dunn's post test. Users faced difficulties in access to and use of the services, which were also considered unsatisfactory by managers and professionals. Access was the dimension with the worst evaluation, and non-functioning of units after 6 p.m. and at weekends were the main difficulties. The evaluations of the managers and professionals were almost always divergent from those of the users, with the evaluation of the managers being more favorable. The fact that the service was free of charge, the use of preventive services and the FHS services before the specialized care were well evaluated. The operation of units should attend users' needs, especially that of the working population. Strengthening social participation in local management of the FHS may assist in identifying these needs, thereby reducing the divergent opinions of the players involved.


Related Articles

  • ACOLHIMENTO: CONCEPÇÕES, IMPLIÇÕES NO PROCESSQ DE TRABALHO E NA ATENÇÃO EM SAÚDE. de Oliveira, Lêda Maria Leal; Tunin, Andréa Simoni Manarin; da Silva, Fernanda Cristina // Revista de Atencao Primaria a Saude;oct-dec2008, Vol. 11 Issue 4, p362 

    The study was based on data from a research project "Welcome* in a Primary Care Family Health Unit: a reorganization of the work process and the quality of care". This article, comprising a partial analysis of the research data, attempts to identify the understanding of health professionals...

  • Evaluation of the Social Participation Questionnaire in adult patients with depressive symptoms using Rasch analysis. Densley, Konstancja; Davidson, Sandra; Gunn, Jane M. // Quality of Life Research;Oct2013, Vol. 22 Issue 8, p1987 

    Purpose: The aim of this study was to explore the psychometric properties of the 22-item Social Participation Questionnaire (SPQ). Methods: The SPQ was administered to 789 adult primary care patients with depressive symptoms. As the items were intended to be summed together to provide total...

  • PCO managers face sack for over-allocating.  // GP: General Practitioner;3/10/2003, p2 

    Reports on the possibility for chief executives of primary care organizations in Great Britain to lose their jobs in the event of large numbers of forced allocations.

  • Creating a general practice data set: new role for Northumberland Local Medical Committee. Hutchinson, Allen; Mitford, Peter; Aylett, Malcolm // British Medical Journal (Clinical Research Edition);10/24/1987, Vol. 295 Issue 6605, p1029 

    Focuses on the role of the Northumberland Local Medical Committee in creating a general practice data set in England. Administration of questionnaires; Establishment of a baseline information for planning primary care incentives; Offer of family planning services. INSET: ONE HUNDRED YEARS AGO.

  • DHB gives $100,000 for business cases. Topham-Kindley, Liane // New Zealand Doctor;7/28/2010, p38 

    The article reports on the cooperation between the District Health Board and the primary services providers in South Canterbury, New Zealand in developing business cases for integrated family health services.

  • ESSENTIAL ATTRIBUTES AND QUALIFIERS OF PRIMARY HEALTH CARE. de Aguiar, Andréa Silvia Walter; Martins, Pollyanna // Revista Brasileira em Promoção da Saúde;Supplement 2 - 2012, Vol. 25 Issue 2, p3 

    An introduction is presented in which the editor discusses various reports within the issue on topics including family health, strategy, National Primary Care Policy, and primary care.

  • ACTIVE AGING AND ITS RELATIONSHIP TO FUNCTIONAL INDEPENDENCE. Galvão Lucena Ferreira, Olívia; Carneiro Maciel, Silvana; Gusmão Costa, SÃ'nia Maria; Silva, Antonia Oliveira; Moreira, Maria Adelaide Silva P. // Texto & Contexto Enfermagem;Jul-Sep2012, Vol. 21 Issue 3, p513 

    This study's objective was to analyze the factors determining active aging and its relationship to functional independence. It was conducted with a hundred elderly individuals cared for in a Family Health Unit in João Pessoa, PB, Brazil. The FunctionalIndependence Measure and a...

  • Carreiras sem Fronteiras na Gestão Pessoal da Transição Profissional: um Estudo com Ex-Funcionários de uma Instituição Privatizada. Veloso, Elza Fátima Rosa; Dutra, Joel Souza // RAC - Revista de Administração Contemporânea;sep2011, Vol. 15 Issue 5, p834 

    Current professional options are different from those that were envisioned in the early career plans of certain people, such as former employees of Banespa, privatized in 2000. The research presented in this article aimed to identify whether and how boundaryless careers are manifested in the...

  • The assessment of generalized anxiety disorder: psychometric validation of the Spanish version of the self-administered GAD-2 scale in daily medical practice. Garc¡a-Campayo, Javier; Zamorano, Enric; Ruiz, Miguel A.; P‚rez-P ramo, Mar¡a; L¢pez-G¢mez, Vanessa; Rejas, Javier // Health & Quality of Life Outcomes;2012, Vol. 10 Issue 1, p114 

    Aim: To psychometrically validate the Spanish version of the self-administered 2-item GAD-2 scale for screening probable patients with generalised anxiety disorder (GAD). Methods: The GAD-2 was self-administered by patients diagnosed with GAD according to DSM-IV criteria and by age- and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics