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Navegando Triagem por Assunto "Acessibilidade aos serviços de saúde"

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    Determinantes do absenteísmo em consultas médicas e exames especializados na Região de Saúde Metropolitana do Estado do Espírito Santo
    (Universidade Federal do Espírito Santo, 2019-10-09) Farias, Cynthia Moura Louzada; Neto, Edson Theodoro dos Santos; https://orcid.org/0000000273517719; http://lattes.cnpq.br/5430137427291413; https://orcid.org/0000-0001-5826-5261; http://lattes.cnpq.br/3973053995218477; Szpilman, Ana Rosa Murad; https://orcid.org/0000-0003-1399-3753; http://lattes.cnpq.br/0758783435748999; Giovanella, Ligia; https://orcid.org/0000-0002-6522-545X; http://lattes.cnpq.br/4385037327951834; Oliveira, Adauto Emmerich; https://orcid.org/0000-0002-9679-8592; http://lattes.cnpq.br/1534956621971641; Carvalho, Raquel Baroni de; https://orcid.org/0000000185223577; http://lattes.cnpq.br/5266889552348216
    Introduction: The non-attendance of users to appointments and procedures scheduled in the SUS has compromised the excessive demand for specialized actions. Access to health services is still disorderly and requires reorientation. Faced with the need to rationalize resources and provide better access to different levels of care complexity with better resource use and economy of scale, it is necessary to organize a health system at the regional level that considers the different variables, such as user flow , also influenced by the socioeconomic and contextual characteristics of the different municipalities. Objectives: This study aims to diagnose and analyze the main causes of absenteeism in secundare health care networks in the Metropolitan Health Region of the state of Espírito Santo (RSM-ES), Brazil. Methods: This is a mixed study, developed in four stages, which included sequentially a metasynthesis, a study of secondary data, a cross-sectional study and a case-control study carried out in the 20 municipalities that compose (RSM-ES). As sources, the patients' scheduling data was used in the System of Integrad Regulation (SISREG), from January to December 2015, which estimated the prevalence of absenteeism. Telephone interviews (2.095) and face-to-face interviews (40) with users were used to collect data. Quantitative data were tabulated and statistically analyzed. Results: The results identifed the determinants of absenteeism in specialized consultations and examinations, to facilitate actions and strategies that prioritize the organization of the process and performance of care regulation, leading it to fulfill its role of organizing flows, manage and prioritize access, thus guaranteeing the principle of integrality of SUS. Conclusion: more precise interventions can solve the problem in its origin, such as the need to update the assistance parameters, to strengthen regulation, so that the professionals that compose the health network and those who exercise the regulatory function can fulfill the precepts SUS, and thus ensure integrality in the health care of the population.