Pedro Luiz Barros Silva

Atenção ao pré-natal na percepção das usuárias do Sistema Único de Saúde: um estudo comparativo

This was a comparative cross-sectional study among public prenatal care users in conventional outpatient health services and family health services, aimed at assessing perception and quality differences between the two models of health services organization according to Ministry of Health guidelines. A total of 203 pregnant women from 22 municipalities in five regions of the country were interviewed while waiting for prenatal consultation. Besides soliciting the womens opinions, we checked for possible advantages in innovative family care services in issues like access and commitment. Data revealed approval by users for key aspects related to care and consultation in both types of public facilities and suggest consistent primary care policies. Low coverage in dentistry (18.9%), gynecological preventive tests (39.6%), and HIV tests (52.6%) indicates policy obstacles. Comparatively, family health services received significantly greater approval by women on issues like quality of the last visit (p = 0.0432), maternity hospital access (p = 0.0106), vaccination schedules (p = 0.0023), drug delivery (p = 0.0053), blood glucose tests (p = 0.0309), nursing visit (p = 0.0469), and home visits (p < 0.0001).

SERVIÇOS DE SAÚDE o dilema do SUS na nova década

The lack of effective mechanisms for regulating SUS services and ensuring their availability at the macro and micro-organizational levels contributes decisively to the persistent ineffectiveness of the Brazilian health care system. This article assesses the degree to which the reforms in the areas of coverage, financing, regionalization and management have contributed to improving access and expanding the utilization of essential health services.