Geographic accessibility of the elderly to primary care at a Family Health Strategy unit in Diamantina, MG
DOI:
https://doi.org/10.13037/ras.vol22.e20249029Keywords:
Primary Health Care, Health Services Accessibility, Health of the Elderly, Geography MedicalAbstract
Introduction: The quality of life of the elderly is associated with the means that facilitate their access to health, including geographic accessibility. Given this, the medical student has tools that assess the territory and its physical barriers, listing the impacts and promoting better access to health services. Objective: To study the geographic access of a primary health care unit within the care network and the possible impacts on the health of the elderly. Materials and methods: The study was carried out using data from the Family Health Strategy Center in the city of Diamantina-MG, such as information about the territory and number of consultations. In addition, data constructed by the authors from Google Maps tools and Google spreadsheets, such as maps, list of health network services and tables on travel time/distance to services. Results: By analyzing the geographical distribution of the ESF Center, divided into four areas, it is possible to assess in MA 01 and 02 a better accessibility to health services by this population, since 94.87% of the streets within a distance 0-400m from the ESF, focuses on MA 01 and 02. Another relevant data is the number of consultations, which of the total held at the ESF Centro, on random days, the participation of these MA (01 e 02) together represents 69.4% of the queries. Conclusion: It is concluded that the factor distance and travel time to the health unit and other services are indices that affect access to health by the elderly.
Downloads
References
Ministério da Saúde. Portal da Secretaria de Atenção Primária a Saúde [Internet]. aps.saude.gov.br. Available from: https://aps.saude.gov.br/smp/smpoquee.
Gurgel H, Laques A-E. Dossiê Geografia, saúde e ambiente: Uma abordagem da complexidade dos problemas atuais na saúde. Confins. 2018 Sep 24;(37).
Brasil. Ministério da Educação. Conselho Nacional de Educação. Câmara de Educação Superior. Resolução CNE/CES 3/2014 no 3 de 20 de junho de 2014. Institui Diretrizes Curriculares do Curso de Graduação em Medicina e dá outras providências. Diário Oficial.
Costa MIF da, Viana TRF, Pinheiro PN da C, Cardoso MVLML, Barbosa LP, Luna IT. Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents. Revista Brasileira de Enfermagem. 2019 Dec;72(6):1595–601.
Cunha ABO, Vieira-da-Silva LM. Acessibilidade aos serviços de saúde em um município do Estado da Bahia, Brasil, em gestão plena do sistema. Cadernos de Saúde Pública. 2010 Apr;26(4):725–37.
Ó DMSO do, Santos RC dos, Sousa F de OS, Albuquerque PC de, Santos MOS dos, Gurgel IGD. Barreiras de acessibilidade à atenção básica em assentamento em Pernambuco, Brasil, sob a ótica de camponesas, profissionais de saúde e gestão. Cadernos de Saúde Pública. 2022;38(10).
Pedraza DF, Nobre AMD, Albuquerque FJB de, Menezes TN de. Acessibilidade às Unidades Básicas de Saúde da Família na perspectiva de idosos. Ciência & Saúde Coletiva [Internet]. 2018 Mar 1 [cited 2022 Mar 13];23:923–33. Available from: https://www.scielosp.org/article/csc/2018.v23n3/923-933/.
Santana P, Almendra R. The health of the Portuguese over the last four decades. Méditerranée. 2018 Sep 27;(130).
Gu X, Zhang L, Tao S, Xie B. Spatial Accessibility to Healthcare Services in Metropolitan Suburbs: The Case of Qingpu, Shanghai. International Journal of Environmental Research and Public Health. 2019 Jan 15;16(2):225.
Malta DC, Silva Jr JB da. O Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis no Brasil e a definição das metas globais para o enfrentamento dessas doenças até 2025: uma revisão. Epidemiologia e Serviços de Saúde. 2013 Mar;22(1):151–64.
Gusso G. Machado, LBM. Atenção primária à saúde. in: Gusso G.; Lopes JMC. et al. Tratado de Medicina de Família e Comunidade: Princípios, Formação e Prática. 2.ed. Porto Alegre: ARTMED, 2019. p. 172 - 196.
IBGE | Projeção da população [Internet]. Ibge.gov.br. 2013. Available from: https://www.ibge.gov.br/apps/populacao/projecao/.
Paskulin LMG, Valer DB, Vianna LAC. Utilização e acesso de idosos a serviços de atenção básica em Porto Alegre (RS, Brasil). Ciência & Saúde Coletiva. 2011 Jun;16(6):2935–44.
Louvison MCP, Lebrão ML, Duarte YAO, Santos JLF, Malik AM, Almeida ES de. Desigualdades no uso e acesso aos serviços de saúde entre idosos do município de São Paulo. Revista de Saúde Pública. 2008 Aug;42(4):733–40.
Oliveira TL, Santos CM, Miranda L de P, Nery MLF, Caldeira AP. Fatores associados ao custo das internações hospitalares por doenças sensíveis à Atenção Primária no Sistema Único de Saúde. Ciência & Saúde Coletiva. 2021 Oct;26(10):4541–52.
Geurs KT, Wee B van. Accessibility evaluation of land-use and transport strategies: review and research directions. Journal of Transport Geography [Internet]. 2004 [cited 2023 Jan 7];12(2):127. Available from: https://www.academia.edu/30625425/Accessibility_evaluation_of_land_use_and_transport_strategies_review_and_research_directions.
Viegas APB, Carmo RF, Luz ZMP da. Fatores que influenciam o acesso aos serviços de saúde na visão de profissionais e usuários de uma unidade básica de referência. Saúde e Sociedade [Internet]. 2015 Mar [cited 2022 Apr 11];24(1):100–12. Available from: https://www.scielosp.org/pdf/sausoc/2015.v24n1/100-112/pt.
Carlos F, PEREIRA FRA. PRINCIPAIS DOENÇAS CRÔNICAS ACOMETIDAS EM IDOSOS [Internet]. Plataforma Espaço Digital. 2015. Available from: https://editorarealize.com.br/artigo/visualizar/12711.
Barata RB. Como e por que as desigualdades sociais fazem mal à saúde. 1°ed. Rio de Janeiro: FIOCRUZ, 2009.
Kelly C, Hulme C, Farragher T, Clarke G. Are differences in travel time or distance to healthcare for adults in global north countries associated with an impact on health outcomes? A systematic review. BMJ Open [Internet]. 2016 Nov;6(11):e013059. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5178808/.
Vaz S, Ramos P, Santana P. Distance effects on the accessibility to emergency departments in Portugal. Saúde e Sociedade. 2014 Dec;23(4):1154–61.
Campbell NC, Elliott AM, Sharp L, Ritchie LD, Cassidy J, Little J. Rural factors and survival from cancer: analysis of Scottish cancer registrations. British Journal of Cancer [Internet]. 2000 [cited 2022 Nov 2];82(11):1863–6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2363217/pdf/82-6691079a.pdf.
Jones A. Health service accessibility and deaths from asthma. International Journal of Epidemiology. 1999 Feb 1;28(1):101–5.
Buchmueller TC, Jacobson M, Wold C. How far to the hospital?: The effect of hospital closures on access to care. Journal of Health Economics [Internet]. 2006 Jul 1 [cited 2021 Jan 3];25(4):740–61. Available from: https://www.sciencedirect.com/science/article/pii/S0167629605001116?via%3Dihub.
Girondi JBR, Santos SMA dos. Deficiência física em idosos e acessibilidade na atenção básica em saúde: revisão integrativa da literatura. Revista Gaúcha de Enfermagem. 2011 Jun;32(2):378–84.
Costa C, Tenedório JA, Santana P. Disparities in Geographical Access to Hospitals in Portugal. ISPRS International Journal of Geo-Information [Internet]. 2020 Oct 1 [cited 2023 Jan 7];9(10):567. Available from: https://www.mdpi.com/2220-9964/9/10/567.
Buzza C, Ono SS, Turvey C, Wittrock S, Noble M, Reddy G, et al. Distance is Relative: Unpacking a Principal Barrier in Rural Healthcare. Journal of General Internal Medicine. 2011 Oct 12;26(S2):648–54.
Lopes JE, Heimann C. Uso das tecnologias da informação e comunicação nas ações médicas a distância: um caminho promissor a ser investido na saúde pública. Journal of Health Informatics [Internet]. 2016 Jan 16 [cited 2023 Jan 7];8(1). Available from: https://jhi.sbis.org.br/index.php/jhi-sbis/article/view/364.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Delba Fonseca Santos, Victor Alexsander Alencar Mendes, Mateus Filipe Santos Cardoso, Camila de Paula Barreiro Alves
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Policy Proposal for Journals offering Free Delayed Access
Authors who publish in this magazine agree to the following terms:
- Authors maintain the copyright and grant the journal the right to the first publication, with the work simultaneously licensed under a Creative Commons Attribution License after publication, allowing the sharing of the work with recognition of the authorship of the work and initial publication in this journal.
- Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this magazine (eg, publishing in institutional repository or as a book chapter), with the acknowledgment of the authorship and initial publication in this journal.
- Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes, as well as increase impact and citation of the published work (See The Effect of Open Access).