The inter-relation of demand and accessibility in the Family Health Strategy

Abstract

This study aimed to assess the interrelationship of health demand and accessibility, from the point of view of professionals and users of the Family Health Strategy. It is a qualitative study, using the method based on Data Based Theory and the theoretical reference of Symbolic Interactionism, with 34 participants. From the analysis originated 32 codes in vivo, three theoretical codes and the central category. The user's experience in their health demands is interdependent in the offer of actions, access to health, care and welcoming. The high spontaneous demand impacts on the programming of health actions. Health care, in its greatest demand, is due to illness. Health care was described as humanized and the problems experienced were attributed to the system. The experiences of ESF users and professionals made it possible to make explicit that the interrelationship of demand and accessibility in the Family Health Strategy correlates with the high spontaneous demand resulting from fragile Primary Care; to the programmed demand restricted to some groups of the population, and to the repressed demand increasingly frequent by restrictions of access and available resources.

Keywords:
health services needs and demand; health services accessibility; Family Health Strategy; Primary Health Care