Avaliação do Índice de Responsividade da Estratégia Saúde da Família da zona rural

Abstract

Objective To evaluate the responsiveness of Family Health Strategy units in the rural area of the Federal District registered in the National Program for Improvement of Access and Quality of Basic Care. Method Descriptive study, which used a questionnaire to evaluate the following dimensions: a) respect for people: dignity, confidentiality of information, autonomy, communication; b) customer orientation: facilities, choice of the professional, agile service and social support. Results The users' assessment of responsiveness was 0.755. The dimensions related to respect for people received an index of 0.814 and customer orientation was 0.599. Conclusion Care is given that shows respect for human dignity, but progress needs to be made in building confidentiality and the autonomy of users. Infrastructure is poor and care is not agile, highlighting the need for greater investments in rural areas.

Acesso à Atenção Primária à Saúde por idosos residentes em zona rural no Sul do Brasil

“…A avaliação do acesso é ainda mais importante quando se trata de populações que tradicionalmente enfrentam dificuldades para obter a devida atenção em saúde, como é o caso da população idosa residente em área rural [12][13][14] . Por apresentar maiores necessidades, esse grupo tende a usar mais os serviços de saúde 8,15 , e dificuldades no acesso ao atendimento adequado podem trazer agravos.…”

“…Por apresentar maiores necessidades, esse grupo tende a usar mais os serviços de saúde 8,15 , e dificuldades no acesso ao atendimento adequado podem trazer agravos. Estudos que comparam a utilização dos serviços de atenção primária quanto à localização mostram menos uso e/ou pior qualidade na área rural em comparação à urbana 4,8,[12][13][14][15][16] . A baixa variedade ou qualidade dos serviços disponíveis localmente, por sua vez, pode levar à demora na busca por tratamento ou à busca por serviços mais distantes, causando maior desgaste físico, emocional e financeiro 17 .…”

Estado da arte da produção stricto sensu da enfermagem brasileira sobre saúde da população rural

“…15 However, it is public knowledge that this population has long required the attention of these policies, especially UHS, due to the existing health inequities and to collaborate with the overcoming of the current care model, which does not consider the specificities of rural subjects. 16 Such policies, not necessarily specific to the health sector, establish connections with aspects intrinsic to the life of the subjects and widely implicate the healthdisease process. 17 The historical evolution of public policies in rural areas shows that the labor and health rights of this population were belatedly recognized.…”

“…The provision of health care is based on the work of Family Health Care teams that, despite their potential to reorganize the curative care model, operate based on prioritization of spontaneous demand, grant little autonomy to users and end up becoming bureaucratic places that act as "bridges" for the individual to access other levels of care. 16,22,23 Other characteristics of these services are the difficulty of access by users who do not have their own transportation, the insufficiency of basic supplies, the precariousness of the physical structure of existing health care facilities, and the low availability of professionals. There is also a limitation of shifts, which causes gaps in care and compromises the integrality of care.…”

Breast Cancer Paradox: High Curability versus High Mortality from a Gender Perspective

“…In Brazil, users face many obstacles to access the Family Health Strategy (ESF), a care model adopted in the country since the 1990s to consolidate the principles of the Unified Health System (SUS) based on primary care. Shimizu, Trindade, Mesquita, and Ramos [4] point out a lack of access, especially concerning poor service efficiency; since it is difficult to schedule visits, the waiting time for scheduled visits is very high, and laboratory tests results are lengthy [5].…”