1440/2012 - Acesso Realizado ao Programa de Saúde da Família em área com “alta” cobertura do subsistema privado Realized Access to Family Health Programme in an area with “high coverage of healthcare private system
• Adriana Gomes - Gomes, A. - Mestrado em Saúde Coletiva Universidade Católica de Santos - <adriana_paulag@hotmail.com>
• Maria Cecilia Goi Porto Alves - Alves, M.C.G.P. - Instituto de Saúde da Secretaria Estadual de Saúde de São Paulo - <cecilia@isaude.sp.gov.br>
Área Temática:
Políticas em Saúde
Resumo:
O objetivo do presente artigo é caracterizar o perfil do acesso realizado aos distintos serviços ofertados pelo PSF em área com importante cobertura do subsistema privado. A pesquisa foi realizada em unidade de saúde na cidade de Santo André, estado de São Paulo. A amostra, em duas fases, foi delineada partindo do pressuposto de que o uso possível das atividades ofertadas pela estratégia saúde da família não é uniforme, com base neste uso foram considerados três grupos populacionais: residual, parcial e completo. Foram entrevistadas 175 pessoas, a população cadastrada é composta por 0,5% de usuários com perfil completo, 31,0% parcial e 68,5% residual. Na análise bivariada observaram-se diferenças significantes entre os grupos parcial e residual em relação a idade, renda, trabalho, afiliação ao subsistema privado e anos de escolaridade. No entanto, as razões de prevalência, quando estimadas por meio do modelo múltiplo de Poisson indicam que os fatores que influem no perfil de acesso são afiliação ao subsistema privado e renda. Chama atenção que alguns serviços ofertados não alcancem mais de 20% da população cadastrada. Apesar da imensa potencialidade das propostas inovadoras incorporadas pelo PSF, observa-se no presente estudo que há um uso seletivo das atividades do PSF pela população cadastrada, fortemente influenciado pela afiliação ao subsistema privado e renda.
Palavras-chave:
Serviços de Saúde
Acesso
Atenção Primária à Saúde
Programa de Saúde da Família
Abstract:
The goal of this article is to characterise the profile of access realized to services offered by PSF in area with important private subsystem coverage. The city chosen was Santo André in the state of São Paulo. The sample was drafted on the assumption that the possible use of the activities offered by the family health strategy is not uniform on the basis of this use was considered three population groups: residual, full and partial. To obtain samples for these groups was used sampling in two phases. Were interviewed 175 people, the registered population is composed of 0.5% of users with full profile, 31.0% partial and 68.5% residual. In the bivariate analysis statistically significant differences were observed between partial residual groups and in relation to age, income, employment, affiliation to private subsystem and years of schooling. However, the ratios of prevalence, when estimated by Poisson multiple model indicate that the factors that influence the access profile of the USF activities are private subsystem membership and income. Draws attention to several services do not reach more than 20% of the registered population. Despite the immense potential of innovative proposals incorporated by the PSF, this study shows that there is a selective use of PSF‘s activities by the registered population, strongly influenced by affiliation to private subsystem and income.
Keywords:
Health services
Access
Primary care
Family health programme
Realized Access to Family Health Programme in an area with “high coverage of healthcare private system
Resumo (abstract):
The goal of this article is to characterise the profile of access realized to services offered by PSF in area with important private subsystem coverage. The city chosen was Santo André in the state of São Paulo. The sample was drafted on the assumption that the possible use of the activities offered by the family health strategy is not uniform on the basis of this use was considered three population groups: residual, full and partial. To obtain samples for these groups was used sampling in two phases. Were interviewed 175 people, the registered population is composed of 0.5% of users with full profile, 31.0% partial and 68.5% residual. In the bivariate analysis statistically significant differences were observed between partial residual groups and in relation to age, income, employment, affiliation to private subsystem and years of schooling. However, the ratios of prevalence, when estimated by Poisson multiple model indicate that the factors that influence the access profile of the USF activities are private subsystem membership and income. Draws attention to several services do not reach more than 20% of the registered population. Despite the immense potential of innovative proposals incorporated by the PSF, this study shows that there is a selective use of PSF‘s activities by the registered population, strongly influenced by affiliation to private subsystem and income.
Palavras-chave (keywords):
Health services
Access
Primary care
Family health programme
Bousquat, A., Gomes, A., Alves, M.C.G.P.. Acesso Realizado ao Programa de Saúde da Família em área com “alta” cobertura do subsistema privado. Cien Saude Colet [periódico na internet] (2012/ago). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/acesso-realizado-ao-programa-de-saude-da-familia-em-area-com-alta-cobertura-do-subsistema-privado/11003?id=11003&id=11003
