Emergency care units and dimensions of accessibility to health care for the elderly

Abstract

According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services. Final considerations: Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.

Social representations of nursing students on the rights of health users

“…This represents the spatial dimension of users' rights for students at the beginning of the course. This result is in line with other studies on the SR of undergraduate nursing students and health users, which also show an association of health, the rights of health users and the SUS with the hospital environment, demonstrating the predominance of a biomedical character of health (11,(14)(15)(16) .…”

“…Chart 1 -Distribution of elements according to frequency of evocation and Average Order of Evocation by students of the 3rd term of the undergraduate nursing course, Rio de Janeiro, Rio de Janeiro, Brazil, 2019 The upper left quadrant is the possible central core of SR; it contains the words that are highlighted in the discourses and that were the most cited by the students at the beginning of the undergraduate nursing course. Thus, the possible central core consists of the following evocations: values (20), hospital (14) and good service (13). The peripheral elements are located around the central core and divided into first periphery, in the upper right quadrant, and second periphery, in the lower right quadrant.…”

“…In this analysis, the minimum frequency was 5 and the mid frequency was 11, as shown in Chart 2. The upper left quadrant is the possible central core of SR; it contains the words that are highlighted in the discourses and that were the most cited by the students, consisting of the following evocations: humanization (16), good service (16) and access (14). The peripheral elements, which are close to the reality of the subjects, are located around the central core and divided into first periphery and second periphery.…”

“…As done in the analysis with students in the third term, the evocations of the eighth term students were grouped into the four dimensions already mentioned in order to better understand their meaning: conceptual, individual, evaluative and spatial. In this group, the word with the highest number of evocations was humanization (16), followed by good service (16) and access (14), with a good balance between them.…”

“…On the other hand, the second periphery contains evocations with low frequency and high AOE: quality (8), knowledge (8), neglect (6), training (5) and care (5 evaluative dimension evoke the idea of opposition, as they are sometimes positive, sometimes negative, such as "good" and "good service" as opposed to "neglect", "bad service" and "precariousness". This conflict in the evaluation of health services in Brazil is found especially when it comes to the evaluation of the SUS (13)(14)(15)(16)(17)(18) . In the conceptual dimension, the term "laws" also appeared.…”