vacina

A estreita porta de entrada do Sistema Único de Saúde
(SUS): uma avaliação do acesso na Estratégia de Saúde da Família
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Ana Lucia Martins de Azevedo1
André Monteiro Costa2

AZEVEDO, A.L.M.; COSTA, A.M. The narrow entrance door of Brazil’s National Health
System (SUS): an evaluation of accessibility in the Family Health Strategy. Interface Comunic., Saude, Educ.
This study has the purpose of analyzing users’ perception of the accessibility to
Estratégia Saúde da Família (ESF - Family
Health Strategy) in its geographical, organizational, socio-cultural and economic dimensions. Process evaluation with qualitative approach through open interview, direct observation and documental analysis was performed in the city of Recife, northeastern Brazil. The main problems were: the deficient referral and counter-referral system; delayed return of laboratory test results; excessive number of families per team; difficulties in scheduling medical consultations; expenditures on medicines. Facilities were observed in the professional-user relationship, as well as in the geographical proximity of the health unit. ESF proved to be a narrow entrance door to Sistema Único de Saúde (SUS Brazil’s National Health System). Therefore, it deserves to be evaluated with a more critical look that takes into account, as a starting point, the needs of individuals who request its actions, as well as the reasoning which guides the actions of the subjects involved in care.

Keywords: National Health System (SUS).
Healthcare quality, acess, and evaluation.
Family Health Strategy. User satisfaction.
Primary healthcare.

Este estudo objetivou analisar a percepção dos usuários sobre o acesso à
Estratégia de Saúde da Família (ESF) em suas dimensões geográfica, organizacional, sóciocultural e econômica.
Fez-se uma avaliação de processo com abordagem qualitativa por meio de entrevista aberta, observação direta e análise documental, em Recife,
Pernambuco.