Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador, BA, Brazil.
Universidade Federal Fluminense, Instituto de Saúde Coletiva, Niterói, RJ, Brazil.
Rev Esc Enferm USP. 2024 Oct 28;58:e20240109. doi: 10.1590/1980-220X-REEUSP-2024-0109en. eCollection 2024.
To identify and analyze users' perceptions of access and use of health services and actions to monitor Systemic Arterial Hypertension (SAH) in Primary Health Care (PHC).
This is a qualitative, descriptive and exploratory study based on 38 semi-structured interviews conducted with users selected from Basic Health Units (BHUs) in a large municipality in the state of Rio de Janeiro. Thematic content analysis was used to identify the empirical categories.
Users faced difficulties in scheduling appointments, accessing laboratory test results and medicines at the BHU. Home visits by Community Health Workers (CHWs) intermediated demands for appointments and tests. There were no health education activities and follow-up by the nursing team was residual. The doctor was the main reference, although links were weakened by turnover.
The study identified the need to expand access to basic medicines and test results at the BHU, the role of nurses in promotional, preventive and clinical actions, the scope of CHWs' work in health education and interprofessional work.
识别和分析用户对初级卫生保健中获取和使用卫生服务以及监测系统性动脉高血压（SAH）的行为的看法。
这是一项基于在里约热内卢州一个大城市的基本卫生单位（BHUs）中选择的 38 名用户进行的半结构化访谈的定性、描述性和探索性研究。采用主题内容分析法识别经验类别。
用户在 BHUs 预约、获取实验室检查结果和药物方面存在困难。社区卫生工作者（CHWs）的家访调解了预约和检查的需求。没有健康教育活动，护理团队的随访也很少。医生是主要的参考，尽管人员流动导致联系减弱。
该研究确定了需要扩大 BHUs 基本药物和检查结果的获取途径、护士在促进、预防和临床行动中的作用、CHWs 在健康教育和跨专业工作中的工作范围。
