0549/2016 - Dificuldade de acesso a serviços de média complexidade em municípios de pequeno porte: Um estudo de caso. Difficulties of access to medium care in smal cities: A case study.
O estudo visou analisar a oferta de consultas especializadas pelo SUS, as especialidades de maior dificuldade de acesso em municípios de pequeno porte na 18ª Regional de Saúde do Paraná, utilizando a metodologia de Estudo de Caso. Os dados foram coletados de janeiro a abril de 2015, por meio de entrevistas com gestores, membros das equipes gestoras e a diretoria do Consórcio Intermunicipal de Saúde. As 21 especialidades estudadas foram categorizadas em Cota Suficiente, Cota Insuficiente, Oferta Inexistente e Vazio Assistencial. As áreas de maior dificuldade de acesso na região são: Cirurgia Vascular, Proctologia, Geriatria, Endocrinologia e Neurologia consideradas oferta inexistente/vazio assistencial e Ortopedia, Neuro-pediatria, Urologia, Reumatologia, Oftalmologia e Otorrinolaringologia, consideradas insuficientes. Contribuem para magnitude do problema: carência de especialistas com oferta insuficiente de consultas, dependência do setor privado e redução da participação da União e Estado na oferta de serviços e no financiamento. A situação da atenção especializada na região é complexa e de difícil solução a curto prazo, reforçando a tese de que a atenção neste nível é atualmente o gargalo do SUS.
Palavras-chave:
Gestão em SaúdeAdministração de Serviços de SaúdeAtenção Secundária à SaúdeNecessidades e Demandas de Serviços de SaúdeSistema Único de Saúde
Abstract:
The study aimed to identify the areas of greater difficulty of access to specialized consultations offered by SUS in small cities in the 18th Regional Administration of Health Care of Paraná, Brazil using case study methodology. The data were collected by interviews with managers and those responsible for regulation of specialized consultations and also the Managing Director of the CIS. The 21 specialties studied were rated like Sufficient Share, Insufficient Share, Inexistent Supply and Assistance Gap. The specialties presenting more difficulties were the following: Vascular, Proctology, Geriatrics, Endocrinology and Neurology considered Inexistent Supply/Assistance Gap, and Orthopedics, Neuro-paediatrics, Urology, Rheumatology, Ophthalmology and Otorhinolaryngology, considered Insufficient Share. Other issues contribute to the magnitude of the problem: shortage of specialist doctors resulting in insufficient supply to consultations; dependence of the SUS to private sector and decrease in the participation of the Union and the State in financing the Health System. Therefore the gap in the specialized healthcare is complex and very difficult to solve in short and medium-term, proving that the Medium Care is the “bottleneck” of Brazilian Health Care.
Keywords:
Health ManagingHealth Managing ServiceHealth AssistanceHealth Assistance NetworkHealth Systems.
Difficulties of access to medium care in smal cities: A case study.
Resumo (abstract):
The study aimed to identify the areas of greater difficulty of access to specialized consultations offered by SUS in small cities in the 18th Regional Administration of Health Care of Paraná, Brazil using case study methodology. The data were collected by interviews with managers and those responsible for regulation of specialized consultations and also the Managing Director of the CIS. The 21 specialties studied were rated like Sufficient Share, Insufficient Share, Inexistent Supply and Assistance Gap. The specialties presenting more difficulties were the following: Vascular, Proctology, Geriatrics, Endocrinology and Neurology considered Inexistent Supply/Assistance Gap, and Orthopedics, Neuro-paediatrics, Urology, Rheumatology, Ophthalmology and Otorhinolaryngology, considered Insufficient Share. Other issues contribute to the magnitude of the problem: shortage of specialist doctors resulting in insufficient supply to consultations; dependence of the SUS to private sector and decrease in the participation of the Union and the State in financing the Health System. Therefore the gap in the specialized healthcare is complex and very difficult to solve in short and medium-term, proving that the Medium Care is the “bottleneck” of Brazilian Health Care.
Palavras-chave (keywords):
Health ManagingHealth Managing ServiceHealth AssistanceHealth Assistance NetworkHealth Systems.
Silva, C.R, Carvalho, B.G, Cordoni Júnior, L., Nunes, E. F. P. A.. Dificuldade de acesso a serviços de média complexidade em municípios de pequeno porte: Um estudo de caso.. Cien Saude Colet [periódico na internet] (2016/Nov). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/dificuldade-de-acesso-a-servicos-de-media-complexidade-em-municipios-de-pequeno-porte-um-estudo-de-caso/15975
