Men’s Perspective about the Care and Services of Primary Health Care

Authors

  • Ellen Kelly de Oliveira Paula
  • Rosely Leyliane dos Santos Mestranda em Enfermagem pelo curso de mestrado acadêmico da URCA. Docente. Membro do Grupo de Pesquisa em Saúde Coletiva(GRUPESC-URCA);
  • Edilma Gomes Rocha Cavalcante
  • Natalia Bastos Ferreira
  • Roberta Peixoto Vieira
  • Edeiza Ataliba Bastos
  • Alex Porfírio dos Santos
  • Poliana Sousa Amorim
  • Maria de Fátima Antero Sousa Machado

DOI:

https://doi.org/10.3823/2051

Keywords:

an health, Access to health services, Completeness in health, Primary health care

Abstract

Introduction: Men health in recent years has been excelling in the discussions about the public health policies. This fact has occurred due to increasing rates of male mortality and morbidity associated with low demand for health services, especially primary health care. Objective: To understand the perception of the man about the care and services developed within the framework of primary health care. Method: Descriptive study of qualitative approach carried out with 17 men, residents in urban area of the municipality of São Mateus, Ceará, Brazil and assisted by family health teams. The data were collected in October 2015 through semi-structured interviews and treated according to the technique of thematic content analysis. Results: Three themes have been identified: evaluation of care received the Perception the male population: bad, awful, restricted or non-existent and a minority considered satisfactory; Difficulties perceived about the services and facilities provided to men – assignment difficulty, use of unified health system (SUS) card, functioning hours, care discontinuity (lack of medicines, examinations) long queues and waiting time. Were facilities: Organization, customer service and timely appointments; Suggestions for improving the quality of care the health of men were: specific schedule to meet the man, performing educational actions, encourage them to look for the service, with a focus on prevention, self-care and health promotion. In addition to the need to improve the infrastructure, organization, moreover, very good breakfast choice and qualify health professionals. Final thoughts: the perception of men on primary health care predominated the negative judgment on the services and care provided concerning the restructuring needs of the services, qualification of health professionals and program availabilities/actions specific to men's health and engagement in health promotion and prevention through health education.

 

DESCRIPTORS: Man health; Access to health services; Completeness in health; Primary health care.

 

Introduction: Men health in recent years has been excelling in the discussions about the public health policies. This fact has occurred due to increasing rates of male mortality and morbidity associated with low demand for health services, especially primary health care. Objective: To understand the perception of the man about the care and services developed within the framework of primary health care. Method: Descriptive study of qualitative approach carried out with 17 men, residents in urban area of the municipality of São Mateus, Ceará, Brazil and assisted by family health teams. The data were collected in October 2015 through semi-structured interviews and treated according to the technique of thematic content analysis. Results: Three themes have been identified: evaluation of care received the Perception the male population: bad, awful, restricted or non-existent and a minority considered satisfactory; Difficulties perceived about the services and facilities provided to men – assignment difficulty, use of unified health system (SUS) card, functioning hours, care discontinuity (lack of medicines, examinations) long queues and waiting time. Were facilities: Organization, customer service and timely appointments; Suggestions for improving the quality of care the health of men were: specific schedule to meet the man, performing educational actions, encourage them to look for the service, with a focus on prevention, self-care and health promotion. In addition to the need to improve the infrastructure, organization, moreover, very good breakfast choice and qualify health professionals. Final thoughts: the perception of men on primary health care predominated the negative judgment on the services and care provided concerning the restructuring needs of the services, qualification of health professionals and program availabilities/actions specific to men's health and engagement in health promotion and prevention through health education.

 

DESCRIPTORS: Man health; Access to health services; Completeness in health; Primary health care.

 

References

Mendonça VS, Andrade AN. A Política Nacional de Saúde do Homem: necessidade ou ilusão? Rev. psicol. Polít. 2010; 10(20).

GARCIA PT. Saúde e Sociedade: Atenção Básica em Saúde. São Luiz, 2014.

Figueiredo WS, Schraiber LB. Concepções de gênero de homens usuários e profissionais de saúde de serviços de atenção primária e os possíveis impactos na saúde da população masculina. Cienc. saude colet. 2011;16(1):935-44.

Ferraz D, Kraiczyk J. Gênero e políticas públicas de saúde – construindo respostas para o enfrentamento das desigualdades no âmbito do SUS. Rev Psicol UNESP. 2010; 9 (1).

Gomes R, Rebello LEFS, Nascimento EF, Deslandes SF, Moreira MCN. A atenção básica à saúde do homem sob a ótica do usuário: um estudo qualitativo em três serviços do Rio de Janeiro. Ciênc. saúde coletiva. 2011; 16(11).

Brasil, Ministério da Saúde. Portaria nº 1.944, de 27 de agosto de 2009 [Acesso em: 24 fev. 2015]. Disponível em: <http://bvsms.saude.gov.br/bvs/saudelegis/gm/2009/prt1944_27_08_2009.html>

Minayo MCS. O desafio do conhecimento: Pesquisa qualitativa em saúde. 12. ed. São Paulo: Editora Hucitec; 2010.

Brasil, Ministério da Saúde. Secretaria de Atenção à Saúde. Conselho Nacional de Saúde. Resolução nº 466 de 12 de dezembro de 2012. Brasília – DF: Ministério da Saúde, 2012.

Brasil, Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Política Nacional de Atenção Integral à Saúde do Homem (Princípios e Diretrizes). Brasília: Ministério da Saúde, 2008.

Knauth DR, Couto MT, Figueiredo WS. A visão dos profissionais sobre a presença e as demandas dos homens nos serviços de saúde: perspectivas para a análise da implantação da Política Nacional de Atenção Integral á Saúde do Homem. Ciênc. saúde coletiva. 2012; 17(10)

Gomes R, Schraiber LB, Couto MT, Valença OAA, Silva GSN, Figueiredo WS, et al. O atendimento à saúde de homens: estudo qualitativo em quatro estados brasileiros. Revista de Saúde Coletiva. 2011; 21(1).

Brito RS, Santos DLA, Maciel PSO. Olhar masculino acerca do atendimento na estratégia saúde da família. Rev. Rene. 2010; 11(4).

Santana EM, Lima EMM, Bulhões JLF, Monteiro EMLM, Aquino JM. A atenção à saúde do homem: ações e perspectivas dos enfermeiros. Rev. Min. Enferm. 2011; 15 (3)

Vieira KLD, Gomes VLO, Borba MR, Costa CFS. Atendimento da população masculina em Unidade Básica Saúde da Família: motivos para a (não) procura. Esc. Anna Nery (impr). 2013; 17(1).

Schraiber LB, Figueiredo WS, Gomes R, Couto MT, Pinheiro TF, Machin R, et al. Necessidades de saúde e masculinidades: atenção primária no cuidado aos homens. Cad. Saúde Pública. 2010; 26 (5).

Storino L P, Souza KV, Silva KL. Necessidades de saúde de homens na atenção básica: acolhimento e vínculo como potencializadores da integralidade. Esc Anna Nery (impr.) 2013; 17(4).

Delgado LB. A saúde no pronto atendimento e na atenção básica:intervenção no Município de Navegantes/SC [Dissertação]. Itajaí: Universidade do Vale do Itajaí- UVI; 2013.

Machado MF, Ribeiro MAT. Os discursos de homens jovens sobre o acesso aos serviços de saúde. Interface - Comunic., Saude, Educ. 2012; 16(41).

Bezerra HMC, Machado MFAS, Antão JYFL, Monteiro CBM, Abreu LC, Garcia TTB, et al. Community health agentes and the interface with educational actions. Int Arch Med. 2015; 8 (153): 1-10.

Downloads

Published

2016-09-03

Issue

Section

Primary Care

Most read articles by the same author(s)