Qualidade do atendimento nas Unidades de Saúde da Família no município de Recife: a percepção do usuáriosQuality of care in the family healthcare units in the city of Recife: user perception

ABSTRACT ABSTRACT This was a cross-sectional study that aimed to describe the epidemiological characteristics of maternal deaths among women living in Recife, PE, Brazil that occurred between 2000 and 2006. The data source consisted of investigation files on maternal deaths. To analyze the data, the EpiInfo 6.04d software was used. The analysis considered 111 deaths, corresponding to a maternal death ratio of 65.99/ 100,000 live births. The obstetric data showed that these women had had fewer than six prenatal consultations, between one and four previous pregnancies, cesarean deliveries and hospital admission in a severe condition. Hypertensive disorders were the main cause of death. Most of the deaths were considered avoidable. The results indicate the need to improve the healthcare for pregnant women prenatally, at delivery and during the puerperium. K K K K Key wor ey wor ey wor ey wor ey words ds ds ds ds: : : : : Maternal mortality; Women's health; Delivery of health care; Vital statistics. RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN Estudio de corte transversal cuyo objetivo ha sido describir las características epidemiológicas de los óbitos maternos de residentes en la ciudad de Recife, PE, Brasil ocurridos entre los años 2000 y 2006. La fuente de datos la constituyeron las fichas de investigación de óbito materna de la Secretaría de Salud de Recife. Para el análisis de los datos se ha hecho uso del programa EpiInfo 6.04d. Han sido investigados 111 óbitos, lo que corresponde a una Razón de Muerte Materna de 65,99/100.000 nacidos vivos. Los datos obstétricos han demostrado la realización de menos de seis consultas prenatales, entre una y cuatro gestaciones previas, parto cesáreo, ingreso en estado grave, con demanda de asistencia bajo terapia. Los trastornos hipertensivos constituyeron la principal causa del óbito. En su mayor parte, los óbitos han sido considerados evitables. Los resultados señalan la necesidad de aprimorar la asistencia a la salud de la gestante en el período prenatal, el parto y el puerperio.

This study seeks to evaluate accessibility to the Basic Units of the Family Health Strategy (ESF-UB) and Traditional Basic Units (BU-T) in the city of Recife in 2009. Data were collected through three instruments: a roadmap for systematic observation of the units and questionnaires for users and professional units. This is a descriptive cross-sectional study using a quantitative approach, and 1180 users, 61 doctors and 56 nurses were interviewed. The results showed good ties and recognition of users whereby primary healthcare is seen as the access portal to the health system. In the comparison between ESF-UB and UB-T, evaluations are always more favorable to the family healthcare strategy, though with relatively insignificant differences. The overall result revealed widespread dissatisfaction with the difficulty of obtaining drugs and taking tests, and also with the waiting times and access to specialized care. This showed the existence of organizational problems that may constitute barriers limiting accessibility to basic healthcare services for users.

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RESUMO: Pesquisa com o objetivo de descrever as características clínicas e epidemiológicas de motociclistas com trauma cranioencefálico (TCE). Estudo descritivo, retrospectivo e documental realizado em hospital público de referência do Estado de Pernambuco. Foram analisados 564 prontuários de motociclistas atendidos no hospital, no período de novembro a dezembro de 2012. A maioria dos motociclistas era do sexo masculino (84,05%), solteira (86,87%), na faixa etária de 15-34 anos (72,8%). A queda foi o principal tipo de impacto com 292(51,6%) ocorrências. Quanto ao tipo de TCE, a maioria foi considerada leve -415(73,60%). O óbito ocorreu em cerca de 5% dos casos e 465(82,44%) tiveram alta clínica. Conclui-se que essas informações podem auxiliar na organização da rede de urgência e emergência e na implantação de estratégias de prevenção de acidentes. Palavras-Chave: Acidentes de trânsito; traumatismo cranioencefálico; motocicletas; hospitais de emergência.ABSTRACT: This descriptive study of clinical and epidemiological features of motorcyclists with traumatic brain injury (TBI) analyzed data from 564 medical records of motorcyclists treated at a public referral hospital in Pernambuco State from November to December 2012. Most of the motorcyclists were male (84.05%), single (86.87%), and aged 15-34 years (72.8%). The main impact type was falls (292; 51.6%) and most TBIs were mild (415; 73.60%). Death occurred in about 5% of cases, and 465(82.44%) were discharged from the clinic. It was concluded that this information can assist in organizing emergency care services and implementing accident prevention strategies.