The right to health in the territory: service users’ perceptions of Primary Health Care

Ciencia e Saude Coletiva

article

Melo, Denise da Silva¹  Silva, Ana Lúcia Andrade da²  Martelli, Petrônio José de Lima²  Lyra, Tereza Maciel¹  Miranda, Gabriella Morais Duarte²  Mendes, Antônio da Cruz Gouveia¹ 

[1] Fundação Oswaldo Cruz;Universidade Federal de Pernambuco

关键词: Primary health care;    Health services research;    Patient satisfaction;   

DOI  :  10.1590/1413-812320212610.10722021

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

Primary health care is an essential component of effective health systems. The aim of this study aim was to evaluate the quality of primary care in a city in the state of Pernambuco, Brazil. We conducted an exploratory study with 525 service users using structured questionnaires. The quality of primary care was assessed across five dimensions: accessibility, clinical care, professional-user relations, community activities and structure. The findings point to the perpetuation of social vulnerabilities and challenges in achieving equitable universal care. Dissatisfaction rates were highest in the following categories: access to specialist appointments and exams, appointment wait time, and opportunity to make complaints. However, respondents were satisfied with medical and nursing care, particularly in relation to respect, privacy, listening and confidentiality. The findings show that, although health professionals were committed to providing humanized care, fragmentation of care is evident, hampering the provision of adequate and timely follow-up and negatively affecting the quality of care.

【 授权许可】

CC BY