0313/2022 - O estreito acesso das Pessoas com Deficiência aos serviçõs de saúde em uma capital nordestina The narrow access of People with Disabilities to health services in a northeastern capital
Analisou-se, a partir das dimensões disponibilidade-acomodação e adequação, o acesso das Pessoas com Deficiência (PcD) aos serviços de atenção especializada. Trata-se de estudo de caso de abordagem qualitativa com triangulação de fontes a partir de pesquisa documental, dados dos Sistemas de Informações em Saúde e entrevistas semiestruturadas com gestores, profissionais de saúde e PcD. Observou-se a ampliação de serviços de reabilitação no Recife, embora não tenha sido possível analisar a capacidade de produção de tais serviços. Os achados apontam para a existência de barreiras arquitetônicas e urbanísticas e insuficiência de recursos nos serviços estudados. Ademais, há um longo tempo de espera para atenção especializada e um difícil acesso às tecnologias assistivas. Pôde-se observar ainda que os profissionais têm baixa qualificação para atender às necessidades das PcD e não se tem instituído um processo de educação permanente para os trabalhadores dos diversos níveis de complexidade. Conclui-se que a instituição da Politica Municipal de Atenção Integral à Saúde da PcD não foi suficiente para garantir o acesso aos serviços de saúde com continuidade do cuidado, considerando a permanência da fragmentação da rede de atenção, ferindo, assim, o direito à saúde deste segmento.
Palavras-chave:
Acesso aos serviços de saúde; Pessoas com Deficiência; Sistemas Integrados de Cuidados de Saúde
Abstract:
Based on the availability-accommodation and suitability dimensions, the access of People with Disabilities (PwD) to specialized care services was analyzed. This is a case study with a qualitative approach with triangulation of sources based on documentary research, data from the Health Information Systems and semi-structured interviews with managers, health professionals and PwD. There was an expansion of rehabilitation services in Recife, although it was not possible to analyze the production capacity of such services. The findings point to the existence of architectural and urban barriers and insufficient resources in the services studied. Furthermore, there is a long waiting time for specialized care and difficult access to assistive technologies. It could also be observed that professionals have low qualifications to meet the needs of PwD and a process of permanent education has not been instituted for workers of different levels of complexity. It is concluded that the institution of the Municipal Policy of Comprehensive Health Care for the PwD was not enough to guarantee access to health services with continuity of care, considering the permanence of the fragmentation of the care network, thus violating the right to health of this segment.
Keywords:
Access to health services; Disabled people; Integrated Health Care Systems
The narrow access of People with Disabilities to health services in a northeastern capital
Resumo (abstract):
Based on the availability-accommodation and suitability dimensions, the access of People with Disabilities (PwD) to specialized care services was analyzed. This is a case study with a qualitative approach with triangulation of sources based on documentary research, data from the Health Information Systems and semi-structured interviews with managers, health professionals and PwD. There was an expansion of rehabilitation services in Recife, although it was not possible to analyze the production capacity of such services. The findings point to the existence of architectural and urban barriers and insufficient resources in the services studied. Furthermore, there is a long waiting time for specialized care and difficult access to assistive technologies. It could also be observed that professionals have low qualifications to meet the needs of PwD and a process of permanent education has not been instituted for workers of different levels of complexity. It is concluded that the institution of the Municipal Policy of Comprehensive Health Care for the PwD was not enough to guarantee access to health services with continuity of care, considering the permanence of the fragmentation of the care network, thus violating the right to health of this segment.
Palavras-chave (keywords):
Access to health services; Disabled people; Integrated Health Care Systems
Farias, T.M.O., Albuquerque, M.S.V., Oliveira, R.S., Lyra, T.M, Miranda, G.M.D., Oliveira, P.R.. O estreito acesso das Pessoas com Deficiência aos serviçõs de saúde em uma capital nordestina. Cien Saude Colet [periódico na internet] (2022/Nov). [Citado em 06/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-estreito-acesso-das-pessoas-com-deficiencia-aos-servicos-de-saude-em-uma-capital-nordestina/18569?id=18569
