1410/2012 - Concepção de profissionais de saúde sobre o papel das unidades básicas nas redes de atenção do SUS/Brasil. Health professionals conception on the role of basic health services on the National Health System/Brazil.
No processo de construção do SUS, como política universal e que busca assegurar a integralidade das ações, a assistência à demanda não agendada na atenção básica constitui desafio não superado. Objetivo: analisar a concepção de profissionais de saúde quanto ao papel das unidades básicas de saúde (UBS) na assistência a essa demanda. Método: estudo transversal considerou dados qualitativos obtidos por meio de questionários e entrevistas. Incluídos 106 médicos de 6 PS/AMA e 190 profissionais de 30 UBS. Estes opinaram sobre razões de a população procurar PS/AMA por ocorrências nosológicas próprias da atenção básica. Para análise, utilizou-se a técnica de análise do conteúdo, segundo categorias temáticas. Resultados: insuficiência de recursos e dificuldades no processo de trabalho das UBS (50,8%) foi a explicação mais frequentemente apontada por médicos de PS/AMA para justificar procura inadequada. Apenas 33,3% dos profissionais das UBS opinaram que essas ocorrências deveriam ser atendidas na atenção básica. Conclusões: A concepção limitada sobre o papel das UBS na atenção a essa demanda, sobretudo de profissionais da atenção básica, resulta, possivelmente, em práticas restritivas ao acesso da população.
Palavras-chave:
Serviços básicos de saúde
Assistência integral à saúde
Acesso aos Serviços de Saúde
Abstract:
In the process of construction of the SUS that intends to ensure the integrality of actions, settling the unscheduled demand assistance in the basic health services (BHS) constitutes a not overcomed challenge. Objective: to analyze the health professionals conception on the role of BHS in assistance to this demand. Method: a transversal study that considered qualitative data obtained through questionnaires and interviews. There were included 106 medical practioners from 6 emergency medical services (EMS) and 190 professionals from 30 BHS. They gave their opinion about the reasons people seek emergency medical care for ocurrences defined as pertainig to the BHS. The technique of analysis of content was used for the testimonials analysis, according to thematic categories. Results: insufficient resources and basic health services work process (50.8%) were the reasons most frequently cited by medical practioners from EMS to justify this inadequate demand. Only 33.3% of the professionals from BHS agreed that these occurrences should be assisted in the basic health services. Conclusions: the limited conception of the role of basic health services on the unscheduled demand assistance, particularly among professionals from BHS, might lead to restrictive practices on the population access.
Keywords:
Basic Health Services
Comprehensive Health Care
Health Services Accessibility
Health professionals conception on the role of basic health services on the National Health System/Brazil.
Resumo (abstract):
In the process of construction of the SUS that intends to ensure the integrality of actions, settling the unscheduled demand assistance in the basic health services (BHS) constitutes a not overcomed challenge. Objective: to analyze the health professionals conception on the role of BHS in assistance to this demand. Method: a transversal study that considered qualitative data obtained through questionnaires and interviews. There were included 106 medical practioners from 6 emergency medical services (EMS) and 190 professionals from 30 BHS. They gave their opinion about the reasons people seek emergency medical care for ocurrences defined as pertainig to the BHS. The technique of analysis of content was used for the testimonials analysis, according to thematic categories. Results: insufficient resources and basic health services work process (50.8%) were the reasons most frequently cited by medical practioners from EMS to justify this inadequate demand. Only 33.3% of the professionals from BHS agreed that these occurrences should be assisted in the basic health services. Conclusions: the limited conception of the role of basic health services on the unscheduled demand assistance, particularly among professionals from BHS, might lead to restrictive practices on the population access.
Palavras-chave (keywords):
Basic Health Services
Comprehensive Health Care
Health Services Accessibility
Puccini, P.T., Puccini, R.F., Botta, L.M.G., Fuentes, I.C.P., Sayom, T.Z., Cornetta, V.K.. Concepção de profissionais de saúde sobre o papel das unidades básicas nas redes de atenção do SUS/Brasil.. Cien Saude Colet [periódico na internet] (2012/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/concepcao-de-profissionais-de-saude-sobre-o-papel-das-unidades-basicas-nas-redes-de-atencao-do-susbrasil/10966?id=10966
