title: Hypertensive patients in primary health care: access, connection and care involved in spontaneous demands.
abstract: Objective To assess the impacts of inclusion of care for spontaneous demands in the treatment of hypertensive patients in primary health care. Methods Third generation qualitative assessment survey conducted with 16 workers in a Primary Care Health Unit (PHCU) of the city of Fortaleza, state of Ceara, in the period between July and September of 2015. To collect data, systematic field observation and semi-structured interviews were used, and the stages of thematic content analysis were adopted for data analysis. Results Participants revealed that access, connection and care are fundamental to the treatment of hypertension. However, they said that the introduction of free access for spontaneous demands compromised the flow of care in the hypertension programs. Conclusion A dichotomy between the practice of care recommended by health policies and the one existing in the reality of PHCUs was shown, causing evident losses to the care of hypertensive patients in primary care.
authors.affiliation: Centro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza, Ceará, Brasil.
authors.forename: Ana Lívia Araújo
authors.initials: AL
authors.lastname: Girão
authors.affiliation: Centro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza, Ceará, Brasil.
authors.forename: Consuelo Helena Aires de
authors.initials: CH
authors.lastname: Freitas
mesh_terms: D001938:Brazil / Q000453:epidemiology; D003266:Continuity of Patient Care; D003695:Delivery of Health Care; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000628:therapy*; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D011320:Primary Health Care / Q000706:statistics & numerical data; D011369:Professional-Patient Relations