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[巴西马托格罗索州库亚巴的原住民获得医疗服务情况]

[Indigenous peoples' access to health services in Cuiabá, Mato Grosso State, Brazil].

作者信息

Gomes Silvana Cardoso, Esperidião Monique Azevedo

机构信息

Secretaria de Estado de Saúde de Mato Grosso, Cuiabá, Brasil.

Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil.

出版信息

Cad Saude Publica. 2017 Jun 12;33(5):e00132215. doi: 10.1590/0102-311X00132215.

Abstract

This study aimed to evaluate indigenous peoples' access to medium and high-complexity health services in the municipality of Cuiabá, Mato Grosso State, Brazil, through the Casa de Saúde Indígena or Indigenous Peoples' Clinic (CASAI Cuiabá). A single case study with a qualitative approach was conducted at CASAI Cuiabá. Data were obtained from observation of the work routines at CASAI Cuiabá, semi-structured interviews with health professionals and administrators from the Cuiabá Special Indigenous Health District (DSEI) and CASAI Cuiabá, and document analysis. Data analysis used a matrix derived from the theoretical and logical model of accessibility, validated by the Delphi method with a group of experts on indigenous peoples' health. Despite advances achieved by CASAI in improving indigenous peoples' access, there are persistent social, organizational, cultural, and geographic barriers in access to medium and high-complexity health services in Cuiabá. The study highlights the need for specific strategies to improve access to health services by indigenous peoples in Mato Grosso State.

摘要

本研究旨在通过位于巴西马托格罗索州库亚巴市的印第安人健康之家或印第安人诊所(库亚巴印第安人健康之家),评估该地区原住民获得中等和高复杂性医疗服务的情况。在库亚巴印第安人健康之家开展了一项采用定性方法的单案例研究。数据通过观察库亚巴印第安人健康之家的工作流程、对来自库亚巴特殊印第安人健康区(DSEI)和库亚巴印第安人健康之家的卫生专业人员及管理人员进行半结构化访谈以及文件分析获得。数据分析使用了一个源自可及性理论与逻辑模型的矩阵,该矩阵经德尔菲法由一组印第安人健康专家验证。尽管库亚巴印第安人健康之家在改善原住民获得医疗服务方面取得了进展,但在库亚巴,获得中等和高复杂性医疗服务仍存在持续的社会、组织、文化和地理障碍。该研究强调需要采取具体策略,以改善马托格罗索州原住民获得医疗服务的情况。

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