Acesso e acolhimento inseridos no processo de trabalho da atenção básica à saúde
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Data
2017-09-15
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Universidade Federal de Goiás
Resumo
Introduction: Access to and acceptance of spontaneous demand in basic health units (UBS)
are fundamental strategies of the work process in health, quality assurance and strengthening
of Basic Health Care (ABS). Objective: To characterize the work process of the health teams
related to the access and reception of the users in the UBS of the State of Goiás, through a
national survey of evaluation of Primary Care carried out by the Ministry of Health (MS).
Methodology: This is a descriptive, quantitative approach whose results were generated
from secondary data extracted from the Bank of the External Evaluation component of the
second cycle of the National Program for Improving Access and Quality of Basic Care (PMAQAB).
The data were collected between December 2013 and March 2014 and represent a
sample composed of 975 basic health units and 1180 family health teams from 242
municipalities that joined the PMAQ-AB in the State of Goiás. It was possible to characterize
and discuss the health work process related to the access and reception, under two axes of
analysis: characterization of the access to health services of the basic health units and
systematization of the reception to the spontaneous demand of users attended by family
health teams. Results: With regard to access to UBS in Goiás, only 9.8% work on Saturdays
and 2.7% open during the night; 99.6% of the family health teams make a face-to-face
appointment, and 43.5% refer to appointments on a first-come, first-served basis. With
regard to the reception, 97.6% of the family health teams host the spontaneous demand, but
the majority (57.4%) in the waiting room; 89.7% report risk and vulnerability assessment,
but 25.7% were not qualified for such assessment; 4.5% do not provide urgent and
emergency care and 43.6% of the teams said they did not have protocols to meet
spontaneous demand. Final considerations: The analysis of the results allows to conclude
that in relation to access to basic health units, there are weaknesses that should be
reassessed by health unic system (SUS) management instances, such as: limited appointment
marking system, pre-scheduled appointments, hours of operation of the predominantly
commercial units, reservation of vacancies in the health professional's appointment book for
continued care and absence of professionals in the health teams. Regarding the reception, in
spite of the fact that most health teams affirm it, the results indicate that its systematization
is under construction in the State of Goiás, constituting obstacles and advances that qualify
the reception.
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CASTRO, L. P. Acesso e acolhimento inseridos no processo de trabalho da atenção básica à saúde. 2017. 86 f.
Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2017.