Desigualdades no acesso e uso dos serviços de atenção básica no município de Terezópolis de Goiás

Abstract

Introduction: Access is a very broad term and difficult to define, however a acceptable definition for it would be the possibility, even remote, of a possible contact with a health service, at the right time and place, in satisfactory quantity and quality, at a reasonable cost or at least that the existing health system is able to provide in a sustainably way. A large range of studies at national and international levels, such as those originated from the National Household Sample Survey (Pesquisa Nacional por Amostra de Domicílios - PNAD), point to inequalities in access to health services. Objectives: This study aimed to identify possible inequalities in access and use of health services in the municipality of Terezópolis de Goiás / GO in the context of Primary Care. Materials and Methods: A household survey was conducted with 354 participants through a form adapted from the nearest external health assessment tool - access and quality of the National Program for Improving Access and Quality of Primary Care (PMAQ). ) - third cycle, module III - User Interview at the Basic Health Unit, prepared by the Health Care Secretariat, Department of Primary Care - DAB of the Ministry of Health - Brasília, DF - 2017; which was originally designed to be applied to the user in the unit. Results and Discussion: The study points out that there were inequalities in the comparisons made, systematically linked to sociodemographic patterns, such as marital status, skin color / race, education level, income, among others, demonstrating that someway these characteristics determine how access to Health services happens. Conclusions: Inequalities in access were found that tend to be more unfavorable to more socioeconomically vulnerable groups, almost systematically health systems are the scene of inequalities when it comes to access to health services and perpetuate these asymmetries.