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vol.17 issue11Primary healthcare and the construction of thematic health networks: what role can they play?Access to the Family Healthcare Program in an area with "extensive" coverage of the private healthcare system author indexsubject indexarticles search
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Ciência & Saúde Coletiva

On-line version ISSN 1678-4561Print version ISSN 1413-8123


MENDES, Antônio da Cruz Gouveia et al. Access to Primary Healthcare services: still a way to go. Ciênc. saúde coletiva [online]. 2012, vol.17, n.11, pp.2903-2912. ISSN 1678-4561.

This study seeks to evaluate accessibility to the Basic Units of the Family Health Strategy (ESF-UB) and Traditional Basic Units (BU-T) in the city of Recife in 2009. Data were collected through three instruments: a roadmap for systematic observation of the units and questionnaires for users and professional units. This is a descriptive cross-sectional study using a quantitative approach, and 1180 users, 61 doctors and 56 nurses were interviewed. The results showed good ties and recognition of users whereby primary healthcare is seen as the access portal to the health system. In the comparison between ESF-UB and UB-T, evaluations are always more favorable to the family healthcare strategy, though with relatively insignificant differences. The overall result revealed widespread dissatisfaction with the difficulty of obtaining drugs and taking tests, and also with the waiting times and access to specialized care. This showed the existence of organizational problems that may constitute barriers limiting accessibility to basic healthcare services for users.

Keywords : Primary healthcare; Accessibility; Health evaluation.

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