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Saúde em Debate

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CAMPOS, Rosana Teresa Onocko et al. Assesment of quality of access in primary care in a large Brazilian city in the perspective of users. Saúde debate [online]. 2014, vol.38, n.spe, pp.252-264. ISSN 0103-1104.

The article aims to understand how users of the health system of a Brazilian metropolis evaluate the acces s to primary care services. This is a participatory evaluation of the fourth generation type, guided by the Gadamerian hermeneutic methodology. We conducted four focus groups with users; narratives were constructed from the transcriptions using the theoretical framework of Ricoeur. The primary care is recognized as the gateway of the health system; but access is hampered by: problems of organization; using the reception as a barrier to the access; lack of human resources; difficulties in following the treatment. The model centered on the disease and the lack of critical analysis may induce disbelief in the outcomes of primary care.

Keywords : Primary Health Care; Public health; Health services accessibility; Program evaluation; Social participation.

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