Aspectos que influenciam no acesso de primeiro contato à atenção básica
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações do UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/22194 |
Resumo: | According to current evidence, Primary Care services are essential in terms of the quality and resolution of health care, however, although this level of care is located in the territory of the subjects, there is fragmentation with regard to the access, a fact that needs improvement and qualification. With regard to the aspects that influence access to Primary Care services, there is a fragility in the national literature, which is still poorly evaluated and described the aspects that influence the quality of first contact access. In order to fill this gap, this dissertation was carried out with the purpose of evaluating the aspects that influence the access of first contact in Primary Care in municipalities of the 10th CRS / RS. With regard to the methodology, this is a cross-sectional descriptive study, using mixed methods, combining elements of a quantitative and qualitative approach. The research scenario was the Primary Care services in the municipalities of Fronteira Oeste / RS. As data source, variables belonging to the public database of the PMAQ-AB (2017/2018) were used, the data analysis was performed in a descriptive manner with absolute and relative frequency distribution. Regarding the qualitative phase, the coordinators of the Primary Care services were considered as subjects, the sample occurred intentionally and the data were collected through semi-structured interviews. Minayo's Operational Proposal was used as the method of analysis, including coordinators who had been in the service for more than 12 months. The results show that, although several aspects interfere in the quality of first contact access in Primary Care services, it is not possible to identify a single strategy for their qualification. It is noteworthy that the organization and systematization of processes with a focus on the needs of subjects and territories contributes to the reorganization of health care practices, and therefore access to Primary Care services. It is concluded that there are multiple actors involved in the qualification of first contact access, making possible the debate about the thematic, since all subjects are important for the construction and consolidation of SUS, which has access as one of its founding principles. |
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2021-09-13T16:39:12Z2021-09-13T16:39:12Z2020-03-13http://repositorio.ufsm.br/handle/1/22194According to current evidence, Primary Care services are essential in terms of the quality and resolution of health care, however, although this level of care is located in the territory of the subjects, there is fragmentation with regard to the access, a fact that needs improvement and qualification. With regard to the aspects that influence access to Primary Care services, there is a fragility in the national literature, which is still poorly evaluated and described the aspects that influence the quality of first contact access. In order to fill this gap, this dissertation was carried out with the purpose of evaluating the aspects that influence the access of first contact in Primary Care in municipalities of the 10th CRS / RS. With regard to the methodology, this is a cross-sectional descriptive study, using mixed methods, combining elements of a quantitative and qualitative approach. The research scenario was the Primary Care services in the municipalities of Fronteira Oeste / RS. As data source, variables belonging to the public database of the PMAQ-AB (2017/2018) were used, the data analysis was performed in a descriptive manner with absolute and relative frequency distribution. Regarding the qualitative phase, the coordinators of the Primary Care services were considered as subjects, the sample occurred intentionally and the data were collected through semi-structured interviews. Minayo's Operational Proposal was used as the method of analysis, including coordinators who had been in the service for more than 12 months. The results show that, although several aspects interfere in the quality of first contact access in Primary Care services, it is not possible to identify a single strategy for their qualification. It is noteworthy that the organization and systematization of processes with a focus on the needs of subjects and territories contributes to the reorganization of health care practices, and therefore access to Primary Care services. It is concluded that there are multiple actors involved in the qualification of first contact access, making possible the debate about the thematic, since all subjects are important for the construction and consolidation of SUS, which has access as one of its founding principles.De acordo com as evidências atuais os serviços de Atenção Básica se fazem imprescindíveis no na qualidade e resolutividade da atenção à saúde, porém embora este nível de atenção esteja localizado no território dos sujeitos, tem-se uma fragmentação em relação ao acesso, fato este que carece de melhoria e qualificação. Observa-se uma fragilidade na literatura nacional em relação aos aspectos que influenciam no acesso aos serviços de Atenção Básica, sendo estes pouco avaliados e descritos. Com vistas a preencher esta lacuna a presente dissertação foi realizada com o propósito de avaliar os aspectos que influenciam no acesso de primeiro contato na Atenção Básica em municípios da 10ª CRS/RS. No que se refere à metodologia trata-se de um estudo descritivo transversal, de métodos mistos, que combina elementos de abordagem quantitativa e qualitativa. O cenário de pesquisa foram os serviços de Atenção Básica dos municípios da Fronteira Oeste/RS. Como fonte de dados utilizou-se as variáveis pertencentes ao banco de dados público do PMAQ-AB (2017/2018), a análise dos dados foi realizada de forma descritiva com distribuição de frequência absoluta e relativa. No que se refere a fase qualitativa teve-se como sujeitos os coordenadores dos serviço de Atenção Básica, a amostra A amostra do estudo deu-se por saturação teórica, e, os dados foram coletados por meio de entrevistas semiestrutradas. Utilizou-se como método de análise a Proposta Operativa de Minayo, incluiu-se na pesquisa os coordenadores que estivessem no serviço a mais de 12 meses. Os resultados apontam que, muito embora, diversos aspectos interfiram na qualidade do acesso de primeiro contato nos serviços de Atenção Básica não é possível identificar uma única estratégia para sua qualificação. Destaca-se que a organização e sistematização dos processos com olhar centrado nas necessidades dos sujeitos e dos territórios contribui na reorganização das práticas de atenção à saúde, e por conseguinte no acesso aos serviços de Atenção Básica. Conclui-se que existem múltiplos atores envolvidos na qualificação do acesso de primeiro contato, tornando possível o debate acerca da temática, visto que todos sujeitos são importantes para a construção e consolidação do SUS, o qual tem como um de seus princípios fundantes o acesso. Palavras-chave: Atenção Básica; Atenção Primária à Saúde; Avaliação dos Serviços de Saúde; Acesso aos Serviços de Saúde.Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPqporUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em EnfermagemUFSMBrasilEnfermagemAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAtenção básicaAtenção primária à saúdeAvaliação dos serviços de saúdeAcesso aos serviços de saúdePrimary carePrimary health careHealth services evaluationAccess to health servicesCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMAspectos que influenciam no acesso de primeiro contato à atenção básicaAspects influence in the access of first contact to basic attentioninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisWeiller, Teresinha Heckhttp://lattes.cnpq.br/0317942323754383Silva, Laís Mara Caetano daRighi, Liane BeatrizBallestero, Jaqueline Garcia de Almeidahttp://lattes.cnpq.br/8340631162829751Gueterres, Évilin Costa400400000000600600600600600600b552ef96-c3d2-4232-98dc-b59eda5691ba8eee5d0f-3f18-481a-b19c-6b80bea9687ad342f2d6-471b-4b24-8c20-cdad6a0e7f16752ff449-d78d-4f26-a346-8438305d8dfe278b1a5f-b86a-45a4-b7aa-c709ccb3cf8dreponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGENFERMAGEM_2020_GUETERRES_EVILIN.pdfDIS_PPGENFERMAGEM_2020_GUETERRES_EVILIN.pdfDissertação de Mestradoapplication/pdf1582306http://repositorio.ufsm.br/bitstream/1/22194/1/DIS_PPGENFERMAGEM_2020_GUETERRES_EVILIN.pdf176a0b8697a636221c5e2f4300a733cfMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Aspectos que influenciam no acesso de primeiro contato à atenção básica |
dc.title.alternative.eng.fl_str_mv |
Aspects influence in the access of first contact to basic attention |
title |
Aspectos que influenciam no acesso de primeiro contato à atenção básica |
spellingShingle |
Aspectos que influenciam no acesso de primeiro contato à atenção básica Gueterres, Évilin Costa Atenção básica Atenção primária à saúde Avaliação dos serviços de saúde Acesso aos serviços de saúde Primary care Primary health care Health services evaluation Access to health services CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Aspectos que influenciam no acesso de primeiro contato à atenção básica |
title_full |
Aspectos que influenciam no acesso de primeiro contato à atenção básica |
title_fullStr |
Aspectos que influenciam no acesso de primeiro contato à atenção básica |
title_full_unstemmed |
Aspectos que influenciam no acesso de primeiro contato à atenção básica |
title_sort |
Aspectos que influenciam no acesso de primeiro contato à atenção básica |
author |
Gueterres, Évilin Costa |
author_facet |
Gueterres, Évilin Costa |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Weiller, Teresinha Heck |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0317942323754383 |
dc.contributor.advisor-co1.fl_str_mv |
Silva, Laís Mara Caetano da |
dc.contributor.referee1.fl_str_mv |
Righi, Liane Beatriz |
dc.contributor.referee2.fl_str_mv |
Ballestero, Jaqueline Garcia de Almeida |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8340631162829751 |
dc.contributor.author.fl_str_mv |
Gueterres, Évilin Costa |
contributor_str_mv |
Weiller, Teresinha Heck Silva, Laís Mara Caetano da Righi, Liane Beatriz Ballestero, Jaqueline Garcia de Almeida |
dc.subject.por.fl_str_mv |
Atenção básica Atenção primária à saúde Avaliação dos serviços de saúde Acesso aos serviços de saúde |
topic |
Atenção básica Atenção primária à saúde Avaliação dos serviços de saúde Acesso aos serviços de saúde Primary care Primary health care Health services evaluation Access to health services CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Primary care Primary health care Health services evaluation Access to health services |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
According to current evidence, Primary Care services are essential in terms of the quality and resolution of health care, however, although this level of care is located in the territory of the subjects, there is fragmentation with regard to the access, a fact that needs improvement and qualification. With regard to the aspects that influence access to Primary Care services, there is a fragility in the national literature, which is still poorly evaluated and described the aspects that influence the quality of first contact access. In order to fill this gap, this dissertation was carried out with the purpose of evaluating the aspects that influence the access of first contact in Primary Care in municipalities of the 10th CRS / RS. With regard to the methodology, this is a cross-sectional descriptive study, using mixed methods, combining elements of a quantitative and qualitative approach. The research scenario was the Primary Care services in the municipalities of Fronteira Oeste / RS. As data source, variables belonging to the public database of the PMAQ-AB (2017/2018) were used, the data analysis was performed in a descriptive manner with absolute and relative frequency distribution. Regarding the qualitative phase, the coordinators of the Primary Care services were considered as subjects, the sample occurred intentionally and the data were collected through semi-structured interviews. Minayo's Operational Proposal was used as the method of analysis, including coordinators who had been in the service for more than 12 months. The results show that, although several aspects interfere in the quality of first contact access in Primary Care services, it is not possible to identify a single strategy for their qualification. It is noteworthy that the organization and systematization of processes with a focus on the needs of subjects and territories contributes to the reorganization of health care practices, and therefore access to Primary Care services. It is concluded that there are multiple actors involved in the qualification of first contact access, making possible the debate about the thematic, since all subjects are important for the construction and consolidation of SUS, which has access as one of its founding principles. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-03-13 |
dc.date.accessioned.fl_str_mv |
2021-09-13T16:39:12Z |
dc.date.available.fl_str_mv |
2021-09-13T16:39:12Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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http://repositorio.ufsm.br/handle/1/22194 |
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http://repositorio.ufsm.br/handle/1/22194 |
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por |
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400400000000 |
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openAccess |
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Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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Programa de Pós-Graduação em Enfermagem |
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UFSM |
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Brasil |
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Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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