Avaliação de satisfação e dificuldade de acesso de atenção à saúde em município mineiro

Abstract

This article is part of the research Health and Violence: subsidies for the formulation of Policies for Health Promotion and Prevention of Violence - SAUVI, a household survey conducted in Betim, Minas Gerais, in the year 2014 and 2015. Its objective was to evaluate the satisfaction of Access to health services at different levels of care in both the private and public sectors. A household-based survey was conducted with stratified sampling by clusters in three stages, namely, stratified selection of census tracts; Random draw of households within each sector and selection of a respondent over 20 years old, in each household, according to sex and age, using the Kish Table. The sample was calculated with a maximum error margin of 1.9% for the proportion of violence in the municipalities and a confidence level of 95%. Two indicators were created, the access difficulty index (ADI) and the satisfaction indicator with the service (SI), with which boxplot type graphs were constructed. A total of 1129 people aged 20 years and over were interviewed. The results showed high median IS values (equal to or above 0.8) for both public and private services. ADI presented relatively low median values, confirming the SI assessment for most services (around 0.2), being slightly higher (around 0.4) for hemodialysis and for Emergency Care Unit. The comparison between the public and private sectors showed a slightly higher IS with the private sector, except for hemodialysis. For ADI, the values were similar, except for Emergency Care Unit and for hemodialysis, the value in these two cases being higher, respectively, in the private sector and in the public sector.