title: Primary Care Sensitive Hospitalization: users detect flaws on the access to services.
abstract: The aim of this study is to analyze and understand the reasons for the occurrence of sensitive hospitalizations in accordance with users. Qualitative study conducted with users who were admitted to Pedreira General Hospital, in São Paulo. The data was collected through semi structured interviews and thereafter, transcribed and processed in the electronic program Alceste. When analyzing the content, the access was seized fundamentally as an empirical category, bringing up problems that later deserved, from the Brazilian Ministry of Health, a specific Program to improve the quality and access to primary care. The hierarchical and pyramidal organization shape from the health system in the city of São Paulo can be one of the important aspects for the access matter and established as an important restricting factor in the primary care role in reducing or even preventing the occurrence of these hospitalizations.
authors.affiliation: University of Brasília, Brasília, Brazil.
authors.forename: Tania Cristina Morais Santa Barbara
authors.initials: TC
authors.lastname: Rehem
authors.affiliation: Collective Health Nursing Department of the Nursing School at São Paulo University, São Paulo, Brazil.
authors.forename: Suely Itsuko
authors.initials: SI
authors.lastname: Ciosak
authors.affiliation: Collective Health Nursing Department from the Nursing School at São Paulo University, São Paulo, Brazil.
authors.forename: Emiko Yoshikawa
authors.initials: EY
authors.lastname: Egry