Araújo Maria Alix Leite, Leitão Glória da Conceição Mesquita
Departamento de Enfermagem, Universidade de Fortaleza, Fortaleza, Brazil.
Cad Saude Publica. 2005 Mar-Apr;21(2):396-403. doi: 10.1590/s0102-311x2005000200006. Epub 2005 Mar 21.
Access to healthcare services is one of the important aspects of the Unified National Health System in Brazil, and the supply and management of such services is the responsibility of municipalities. This study focuses on difficulties faced by men with sexually transmitted diseases (STDs) in accessing appointments for treatment. This was a qualitative study of men treated at an STD clinic in Fortaleza, Ceará State, Brazil, in November 2003, using content analysis technique and interpretation of interviews, focusing on access as the category. Men with STDs encountered extensive difficulty in accessing medical appointments, even when they used different strategies for this purpose. Scheduling of services is incompatible with patients' available time. At the primary care level, the supply of appointments for STDs scarcely exists. More investment is needed in the Unified National Health System in order to improve access to appointments for men with STDs, and the supply of services should take the population's demand into account.
获得医疗服务是巴西统一国家卫生系统的重要方面之一，此类服务的供应和管理由各市负责。本研究聚焦于患有性传播疾病（STD）的男性在预约治疗时所面临的困难。这是一项对2003年11月在巴西塞阿拉州福塔莱萨一家性病诊所接受治疗的男性进行的定性研究，采用内容分析技术和访谈解读，将“获得途径”作为类别重点关注。患有性传播疾病的男性在预约医疗服务时遇到了极大困难，即便他们为此采用了不同策略。服务安排与患者的可用时间不匹配。在初级保健层面，几乎没有性传播疾病的预约服务。统一国家卫生系统需要更多投资，以改善患有性传播疾病男性的预约服务获得情况，并且服务供应应考虑民众需求。
