Do normativo à realidade do Sistema Único de Saúde: revelando barreiras de acesso na rede de cuidados assistenciais

Résumé 0

"This article analyzes the conditions of comprehensive access to health care in Recife in the state of Pernambuco based on the trajectory experienced by users from primary health services through to specialist care. Quantitative and qual- itative approaches were combined with triangu- lation of methods as the research technique. Sys- temic Arterial Hypertension was chosen as a core condition, as it is an ailment that requires atten- tion at various levels of the city’s health network. The research revealed various barriers of access in primary health care becoming more accentuated at other levels of care resulting in delays in timely care and consequently prolonging the suffering of the population. Structural problems such as a shortage of medical professionals in primary care, insufficient access to specialized consultations and exams, together with the inherent dynamics of the health services, are real obstacles that the user faces in the quest for continuous and comprehen- sive care in the Unified Health System (SUS). In addition to broadening and enhancing the avai- lability of services, especially complementary exa- ms, it is necessary to ensure communication be- tween the departments of the SUS, in order to con- solidate an articulated network, thereby impro- ving health care."