文章基本信息

标题：Acessibilidade à atenção fonoaudiológica em serviço de média complexidade
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作者：Angela Siqueira Lima ; Katia Virginia de Oliveira Feliciano ; Maria Helena Kovacs 等
期刊名称：Revista CEFAC
印刷版ISSN：1516-1846
电子版ISSN：1982-0216
出版年度：2015
卷号：17
期号：2
页码：461-474
DOI：10.1590/1982-021620156114
出版社：CEFAC Saúde e Educação
摘要：Purpose: to evaluate the accessibility to speech-language pathologist in service of medium complexity of Recife. Methods: evaluative study with triangulation of information sources conducted in FebruaryOctober2011. Participants were 38 children less than ten years old, the speech-language pathologist and two employees from the Department of Medical Archive (DMA). The three questionnaires used (adults accompanying children, professional and DMA employees) were prepared based on the referential of Donabedian. The children were compared to Family Health Unit registration using chi-square and Fisher’s exact test. Results: the professional attended three times per week during shift. DMA offered 17 vacancies to the population of the district between January-October2011. A systematically rejection of demand occurred, according to the professional and employees. Of all children, 73.7% were boys, 73.7% were 5-9 years old and 94.7% were diagnosed at polyclinic. First consultation, 89.5% were conducted by a physician; 76.3% had appointments by DMA, 63.9% arrived at dawn; 83.3% had appointments at first attempt, 22.2 % had difficulties and 76.3% waited until 15 days for attendance. A trend of great difficulty for appointments for registered ones (p=0.069), causing dissatisfaction. Professional set a return date. Geographic accessibility, 68.4% were satisfactory and had greater dissatisfaction when registered. Conclusions: despite the limitations in the offers of consulting, making appointments and coordinating actions most children did not find it difficult to be attended by speech-language pathologist. The disparity between organizational conditions and absence of major barriers to entry suggests that this behavior represent no pattern of organizational accessibility in the assessed service.
关键词：Acesso aos Serviços de Saúde; Sistemas de Saúde; Comunicação; Fonoaudiologia