Adriana Roese

Utilização de serviços de saúde de atenção básica em municípios da metade sul do Rio Grande do Sul: análise baseada em sistemas de informação

This study is proposed to describe the supply and demand of Primary Health Care Service in thirteen municipalities of the southern half of Rio Grande do Sul State. For analysis, secondary data were obtained from the Data Processing Department of the Unified Health System (DATASUS). Data from appointments, procedures and structure of Primary Health Care Service were associated with concepts present in public policies and specific legal authorization. A quantitative study was carried out through the analyses of absolute frequencies of appointments and procedures from 2000 to 2005. Results showed diversified situations requiring primary health care service, which allowed different interpretations for the situations found. Among them, it can be cited the existence of a database with sub-notifications of appointments and procedures or even the absence of demand and/or supply for those within the municipalities researched. It is suggested the improvement of the mechanisms available for the analysis of primary health care services, which will enable the outlining of possible workflows, trajectories and therapeutic itineraries of users as well as the unveiling of likely local disparities regarding health.

The bond as a soft technology in the daily routine of the Family Health Strategy: perception of the user

OBJECTIVEnThis study aimed to analyze the production of a bond between users and health care professionals in a Family Health Unit (FHU).nnnMETHODSnThis was a qualitative, descriptive study, with 33 hypertensive and/or diabetic users. Interviews were transcribed, analyzed and data were compared to the literature.nnnRESULTSnThe users who have been accessing the FHU for years stated that the bond with professionals has grown weak, it is a fragile bond. When it does exist, it is directed toward some professionals in the team. A disruption in the bond was also mentioned in some situations, owing to individual issues. Establishment of a bond between the user and the health care professionals in the reference FHU consists of a soft technology. Therefore, it impacts quality of health care and the prevention and management of chronic diseases.nnnCONCLUSIONnEstablishment of a bond is essential for health care professionals to become references for the users of health care services.