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Avances en Enfermería
Print version ISSN 0121-4500
Abstract
SILVA, Lívia Silveira et al. Spontaneous demand and access to the Unified Health System: The experience of primary care users. av.enferm. [online]. 2021, vol.39, n.1, pp.30-39. Epub Feb 05, 2021. ISSN 0121-4500. https://doi.org/10.15446/av.enferm.v39n1.85573.
Objective:
To understand the daily experiences of spontaneous demand users regarding access and accessibility to the Unified Health System (Sistema Único de Saúde) through the gateway of primary health care.
Materiales and methods:
Holistic and qualitative multiple case study based on comprehensive sociology that addresses the everyday life of 60 participants in the state of Minas Gerais, Brazil.
Results:
Spontaneous demand, in real life, is aimed at scheduling patients appointments, medical care and exams, assisting them in case of illness. Findings show that users have difficulties in accessing services and procedures.
Conclusions:
Access to primary care services (Family Health Strategy) continues to be challenging, restrictive and bureaucratic, and is regulated by the spontaneous demand of users and the medical agenda.
Keywords : Health Services Accessibility; Health Services Needs and Demands; Primary Health Care; Unified Health System (source: Decs, BIREME).
