Acessibilidade dos usuários com hipertensão arterial sistêmica à estratégia de saúde da família em Campina Grande/PB.

Abstract

Objective: To evaluate the accessibility of users registered in hypertensive HIPERDIA during the years 2006 and 2007, the strategy family health in Campina Grande / PB. Methods: Across-sectional descriptive study, done in the hypertensive population enrolled in HiperDia (n = 17,658) from a sample of 382 users, obtained through cluster sampling. For the process of data analysis we used the IBM package SPSS 13.0. We used an instrument adapted by Paes (2008), validated instrument to assess attention to tuberculosis proposed by Villa and Ruffino-Neto (2009), which was based on a questionnaire designed to assess primary care services to health care in Brazil, developed by Almeida and Macincko (2006), guided by the instrument of Barbara Starfield and Macincko to assess the primary health care in developed countries. Results: In relation to socio-demographic and risk factors, 27.3% were aged 60-69 years, family income between 1 to 2 minimum wages, 77% female, 40.1% with low education and 35.9% of retirees, presence of cardiovascular family history, did not have diabetes mellitus, were not smokers, were not sedentary, overweight, had acute myocardial infarction, other coronary heart disease and stroke. Regarding accessibility, we get through the Composite Index, satisfactory levels related to geographic and economic accessibility. Since organizational accessibility and socio-cultural levels obtained regular. Conclusion: We conclude that this study is extremely relevant because of the paucity of research focused on accessibility, originality and attention in relation to hypertension, and the city of Campina Grande / PB, a pioneer in the implementation of policies for the Family Health Strategy, and now with their evaluation, which are ongoing for over a decade and have been the subject constant evaluation of the Ministry of Health This will enable the provision of subsidies and guidelines to managers and health professionals, so that the ESF, is actually the gateway to health care, ensuring the doctrinal principles of the SUS: universality , completeness and fairness, providing a satisfactory access, without barriers and difficulties. It is expected, thereby ensuring the necessary care to their hypertensive users, meeting their real needs, particularly the profile of these found in the study, with the goal to establish a plan to subsidize specific program actions aimed at prevention and reduction morbidity and mortality afforded by hypertension.