No abstract

Neste estudo avaliou-se a satisfação no trabalho dos médicos da Atenção Primária de uma capital do sul do Brasil. Entrevistou-se quinze médicos de Unidades de Saúde. As principais motivações citadas para atuarem na Atenção Primária foram a estabilidade do emprego público, a dificuldade de se estabelecer na iniciativa privada e a defesa do direito universal à saúde. As principais questões geradoras de insatisfação relacionaram-se ao elevado número de consultas, falta de respaldo dos níveis secundário e terciário de atenção à saúde, limitações da autonomia decisória, desgaste físico e emocional, baixa resolubilidade dos serviços, desvalorização perante aos colegas e opinião pública.

OBJECTIVE: The objective of this study was to identify the reasons why non-urgent patients use emergency department instead the Basic Health Units. METHODS: An objective questionnaire was applied in a random sample of 197 patients classified as non-urgent by Manchester Triage System (MTS). RESULTS: Of the patients surveyed 65% were men. Only 47% understood the real function of the emergency department. About MTS, 52% knew the triage system and knew they would be screened, yet most of these came looking for a better resolution for their medical problems. Even after clarification about the role of emergency department, that is to resolve severe cases, 73% said they would have gone to the emergency department either way and 83% consider the application of MTS a fair system of screening. CONCLUSION: We conclude that it is not only the lack of information that makes non-urgent patients seek the emergency department, but the lack of confidence in the response capacity of Basic Health Units.