The viewpoint of health professionals on the role of basic units in the healthcare network of the Brazilian Unified Health System/Concepcao de profissionais de saude sobre o papel das unidades basicas nas redes de atencao do SUS/Brasil

• Published in: Ciência & saude coletiva 2012-11, Vol.17 (11), p.2941
• Main Authors: Puccini, Paulo de Tarso, Cornetta, Vitoria Keddy, Sahyom, Tania Zogbi, Fuentes, Isabel Cristina Pagliarini, Botta, Luiza Maria Gimenez, Puccini, Rosana Fiorini
• Format: Article
• Language: Spanish
• ISSN: 1413-8123; 1678-4561

In the process of creation of the Unified Health System (SUS) as a universal policy seeking to ensure comprehensive care, unscheduled assistance in primary healthcare units (UBS) is an unresolved challenge. The scope of this paper is to analyze the viewpoint of health professionals on the role of primary healthcare units in meeting this demand. It is a transversal study of qualitative data obtained through questionnaires and interviews with 106 medical practitioners from 6 emergency medical services and 190 professionals from 30 units. They explained why people seek emergency care for occurrences pertaining to primary care. The content analysis technique with thematic categories was used for data analysis. Lack of resources and problems with primary health unit work processes (50.8%) were the reasons most frequently cited by emergency care physicians to explain this inadequate demand. Only 33.3% of the health unit professionals agreed that these occurrences should be attended in the primary healthcare services. The limited viewpoint of the role of health services on the unscheduled care, particularly among primary care professionals, possibly leads to restrictive practices for access by the population.