0085/2021 - Acessibilidade ao cuidado na Estratégia de Saúde da Família no Oeste Baiano Accessibility to care in the Family Health Strategy in West Baiano
Esse estudo avaliou a acessibilidade ao cuidado na Estratégia de Saúde da Família (ESF) em sistema municipal, sede de macrorregião de saúde no estado da Bahia. Tratou-se de estudo avaliativo em dois níveis de análise: a gestão municipal e a organização local das equipes da ESF. A produção dos dados combinou análise documental, observação não participante e entrevistas com gestores, profissionais e usuários. Utilizou-se imagem-objetivo com critérios e dimensões avaliativas da acessibilidade na Atenção Primária. As Equipes de Saúde da Família (EqSF) ainda não cumprem plenamente a função de contato preferencial nos sistemas municipais de saúde e a acessibilidade ao cuidado reflete interdependência de fatores municipais e locais. Equipes rurais e periféricas tiveram melhor desempenho na acessibilidade organizacional e equipes urbanas centrais melhor desempenho na acessibilidade geográfica. A avaliação centrada em critérios geográficos e organizacionais, na combinação de diferentes fontes de evidência e atores do sistema de saúde, além do uso de níveis de análise considerando a gestão municipal e local da APS, são contribuições relevantes desse estudo, que podem ser ampliadas para outros sistemas municipais com características semelhantes.
Palavras-chave:
Acesso aos Serviços de Saúde. Atenção Primária à Saúde. Estratégia Saúde da Família.
Abstract:
This study assessed the Family Health Strategy (FHS) accessibility to health care in the municipal system, which is the health macro-region headquarters in the state of Bahia. It was an evaluative study with two levels of analysis: the municipal management and the local organization of FHS teams. Data production combined documentary analysis, non-participant observation, and interviews with managers, professionals, and users. Goal-image was used with evaluative criteria and dimensions of the accessibility in Primary Care. Family Health Teams (FHT) still do not entirely fulfill the role of preferential contact in municipal health services and the accessibility to health care reflects interdependence of municipal and local factors. Rural and peripheral teams performed better in organizational accessibility and central urban teams was highlighted by their geographic accessibility. The assessment focused on geographic and organizational criteria, in the combination of different sources of evidence and health system players, besides the use of analysis levels considering the municipal and local PHC management, are relevant contributions of this study, which can be extended to other municipal systems with similar characteristics.
Keywords:
Health Services Accessibility. Primary Health Care. Family Health Strategy.
Accessibility to care in the Family Health Strategy in West Baiano
Resumo (abstract):
This study assessed the Family Health Strategy (FHS) accessibility to health care in the municipal system, which is the health macro-region headquarters in the state of Bahia. It was an evaluative study with two levels of analysis: the municipal management and the local organization of FHS teams. Data production combined documentary analysis, non-participant observation, and interviews with managers, professionals, and users. Goal-image was used with evaluative criteria and dimensions of the accessibility in Primary Care. Family Health Teams (FHT) still do not entirely fulfill the role of preferential contact in municipal health services and the accessibility to health care reflects interdependence of municipal and local factors. Rural and peripheral teams performed better in organizational accessibility and central urban teams was highlighted by their geographic accessibility. The assessment focused on geographic and organizational criteria, in the combination of different sources of evidence and health system players, besides the use of analysis levels considering the municipal and local PHC management, are relevant contributions of this study, which can be extended to other municipal systems with similar characteristics.
Palavras-chave (keywords):
Health Services Accessibility. Primary Health Care. Family Health Strategy.
Mendonça, M. M., Aleluia, I. R. S, de Sousa, M. L. T., Pereira, M.. Acessibilidade ao cuidado na Estratégia de Saúde da Família no Oeste Baiano. Cien Saude Colet [periódico na internet] (2021/Mar). [Citado em 17/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/acessibilidade-ao-cuidado-na-estrategia-de-saude-da-familia-no-oeste-baiano/17984?id=17984
