Assesment of quality of access in primary care in a large Brazilian city in the perspective of users

Rosana Teresa Onocko Campos Ana Luiza Ferrer Carlos Alberto Pegolo da Gama Gastão Wagner de Sousa Campos Thiago Lavras Trapé Deivisson Vianna Dantas About the authors

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.

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

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