Accessibility of users with hypertension in the family health
               strategy

Melo, Erik Cristóvão Araújo de; Figueiredo, Tânia Maria Ribeiro Monteiro de; Cardoso, Maria Aparecida Alves; Paes, Neir Antunes

doi:10.5935/1414-8145.20150017

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Sumário

RESEARCH • Esc Anna Nery 19 (1) • Jan-Mar 2015 • https://doi.org/10.5935/1414-8145.20150017 copy

Accessibility of users with hypertension in the family health strategy

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

To evaluate the accessibility of hypertensive patients in the Family Health Strategy in Campina Grande/PB.

Methods:

This is a descriptive cross-sectional study, conducted with the hypertensive population enrolled in HiperDia (n = 17,658) from a sample of 382 users. An instrument adapted by Paes of the validated instrument to assess attention to TB proposed by Villa and Ruffino-Neto was used.

Results:

It was obtained satisfactory results regarding the geographical accessibility: 4.10 (CI 95% [3.56 to 4.65], SD = 0.518) and economic: 4.10 (CI 95% [3.56 to 4.65], SD = 0.518). As for organizational accessibility: 3.46 (CI 95% [2.70 to 4.22], SD = 0.724) and socio-cultural: 3.42 (CI 95% [2.79 to 4.05], SD = 1.090), regular results were obtained.

Conclusion:

According to the satisfaction of the hypertensive patients in Campina Grande/PB provided access to family health strategy without geographic and economic barriers, but there were problems with the organizational and socio-cultural aspects.

Hypertension; Accessibility to health services; Health services evaluation

Variable	Average	SD	Confidence Interval (95%)
Variable	Average	SD	Min.	Max.
1. When you began to have symptoms of SAH (headache, dizziness), did you search the closest health service from home?	3.79	1.762	3.60	3.98
2. When you began to have symptoms of SAH (headache, dizziness) did you have difficulty to go to the health service?	3.87	1.626	3.69	4.05
3. When you began to have symptoms of SAH (headache, dizziness), did you need to use some sort of motorized transport to go to the health service?	3.61	1.825	3.41	3.81
4. Do the health unit workers follow up your treatment of SAH usually visit you at home?	3.72	1.659	3.55	3.89
5. Do you do the treatment of SAH on a health service closer to home?	4.62	1.093	4.51	4.73
6. Do you have difficulty to go to the health unit to be consulted?	4.49	1.215	4.36	4.62
7. When you go to the health unit to consult your problem of SAH do you need to use motorized transportation?	4.71	1.012	4.60	4.81
Composite index	4.01	0.427	3.56	4.46

Variable	Average	SD	Confidence Interval (95%)
Variable	Average	SD	Mín.	Máx.
1. When you began to have symptoms of SAH (headache, dizziness), did you need to use some sort of motorized transportation to go to the health service?	3.61	1.825	3.41	3.81
2. When you began to have symptoms of SAH (headache, dizziness), did you spend money on transportation to go to the health service?	3.69	1.786	3.48	3.90
3. When you began to have symptoms of SAH (headache, dizziness, did you lose the work shift or any appointment to consult in the health service?	3.76	1.626	3.57	3.94
4. When you go to the health unit to consult your SAH problems, do you lose your work shift or any appointment?	4.11	1.386	3.96	4.26
5. When you go to the health unit to consult your SAH problem, do you need some sort of motorized transportation?	4.71	1.012	4.60	4.81
6. When you go to the health unit to consult, do you pay for transportation?	4.77	0.908	4.66	4.88
Composite index	4.10	0.518	3.56	4.65

Variable	Average	SD	Confidence Interval (95%)
Variable	Average	SD	Min.	Max.
1. When you began to have symptoms of SAH (headache, dizziness) and sought the health service to consult, did it take more than 60 minutes to be assisted?	3.16	1.622	2.98	3.34
2. If you get sick because of medication or SAH, can you get an appointment within 24 hours at the health unit that makes treatment?	3.29	1.757	3.10	3.47
3. Since you began your treatment for SAH, was there lack of medicine?	4.15	1.070	4.04	4.26
4. When you go to the health unit to consultation, does it take more than 60 minutes to be assisted?	2.87	1.548	2.71	3.03
5. Can you perform examinations requested by the healthcare professional that follows up your treatment?	4.55	0.954	4.45	4.64
6. In the period of 10 days can you receive the results of the examinations requested by the healthcare professional that follows up your treatment?	2.76	1.544	2.60	2.92
7. Do you find a professional in the health unit to assist you in every working day of the week?	4.55	0.906	4.46	4.65
8. Participação em grupos de doentes de HAS na unidade de saúde?	2.59	1.764	2.41	2.77
9. Are the operation schedules of the health service for assistance always respected?	4.71	0.758	4.63	4.79
10. Do you receive all necessary medicines for the treatment of SAH?	4.40	1.247	4.27	4.53
11. When you have a health problem, do you receive a written referral to another health service by the professional that follow up your treatment?	4.51	1.177	4.36	4.65
12. When you have a health problem and is forwarded to another health service, do you have a guaranteed assistance at the new service?	4.73	0.816	4.63	4.83
13. Do you returns to the health unit with written information about the results of the consultation held in another service?	2.51	1.809	2.28	2.74
Composite index	3.46	0.724	2.70	4.22

Variable	Average	SD	Confidence Interval (95%)
Variable	Average	SD	Min.	Max.
1. When you ask any question to the professional health unit, do you feel embarrassed?	4.58	0.875	4.49	4.67
2. Do the health unit professional answers your questions clearly?	4.57	0.835	4.49	4.66
3. Do the health professional give you enough time for you to ask questions or concerns?	4.33	1.188	4.21	4.46
4. When consulting on health unit, do the professional talk about other health problems?	3.81	1.552	3.65	3.97
5. Do the health unit professionals relate well with people in the community?	4.58	0.805	4.50	4.66
6. Have you ever thought about changing the unit because of the health professionals?	4.47	1.160	4.34	4.60
7. Do the health professional of the unit explain the examinations results?	4.17	1.383	4.02	4.31
8. Do the health unit professionals seek to meet people who live with you?	3.36	1.761	3.18	3.54
9. Do the professionals of the health unit talk with people who live with you about SAH, lifestyle, treatment and other health problems?	2.70	1.783	2.52	2.89
10. Do the health professionals talk about the importance of the involvement of your family in the treatment?	2.67	1.767	2.48	2.85
11. Do the health unit professionals talk about the importance of your participation and your family in the community institutions (churches, neighborhood association, etc.) as a support to solve your health problems?	1.73	1.383	1.59	1.88
12. How often do the health services develop actions on SAH with the Churches, Neighborhood Associations, schools, etc.?	1.57	1.154	1.45	1.70
13. Do the health unit professionals talk about the influence of family/friends/colleagues in your treatment?	2.25	1.651	2.08	2.42
14. Do the health unit professionals discuss with you on the results of the consultation on another service?	3.16	1.820	2.93	3.39
Composite index	3.42	1.090	2.79	4.05

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[1] Corresponding Author: Erik Cristóvão Araújo de Melo. E-mail: erikcristovao@hotmail.com