Demanda reprimida: estudo do acesso às ações e serviços de saúde públicos de média complexidade no Município de Campos dos Goytacazes - RJ

• Autor(a) principal: Vidal, Dolores Lima da Costa
• Data de Publicação: 2006
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/15994
• topic: Access; Incomplete access; Restrained demand; Social service; Acesso; Acesso incompleto; Demanda reprimida; Serviço social; Política de saúde - Campos dos Goytacazes (RJ); Políticas públicas - Brasil; CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL

The present study analyzes the restrained demand to the actions and the services of health of average complexity in the city of Campos dos Goytacazes /RJ, about the optics of the incomplete access. We opt to dialectic as inquiry method, understanding our object in a historical context replete of contradictions and complexities, considering the dynamics of the social reality. We carry through interviews half-structuralized with the following citizens: coordinator of the clinic; users with restrained demand, from the incomplete access to the actions of health services; markers of consultation of the Ranks of Health and Program of Health of the Family and the social assistants of the General Hospital of Guarus. The interviewed ones add important information concerning the thematic one more studied bringing different views for an approached analysis of the restrained demand, understood as synthesis of multiple determinations. We identify and confirm the existence of two types of incomplete access in the level of average complexity: that one that occurs in the ticket of the low one for the average complexity and that one that if gives inside of the proper level of the average complexity. It was evident that the restrained demand, although to be present in the health system all, is not placed in the center of the concerns and debates for the instances that live deeply it directly or indirectly - professional of health involved, managing and controlling and still health advice. Thus, we confirm our hypothesis, referring to the lack of visibility of the restrained demand, caused for the incomplete access in the average complexity and not the delimitation of this demand as central concern in the actions of the social assistants. The study it showed as the access if it constitutes of incomplete form, to the long one of the passage carried through for the user, in the level of average complexity, configuring in this way, a restrained demand significant. This study still evidenced that, for beyond the financing, that is, of the resources necessary to extend the access of the users to the actions and the services of health, questions that issue about the organization and programming of the actions, in the around of the planning and the management of the SUS, passing for the transparency in the vacant definition and for the responsibility of the power public in the consolidation of the management student body and the social control. These questions need to be faced and to be shared between - managers, planners, professionals of health and users - in search to become an effective unique system of health with universal access and social control.